公开(公告)号：US20060089693A1

公开(公告)日：2006-04-27

申请号：US10970569

申请日：2004-10-21

申请人： Eric Lovett ,  Bruce Tockman ,  Yongxing Zhang ,  Yunlong Zhang

发明人： Eric Lovett ,  Bruce Tockman ,  Yongxing Zhang ,  Yunlong Zhang

IPC分类号： A61N1/05

CPC分类号： A61N1/056

摘要： A delivery system and method for delivering a right ventricular lead into a right ventricle includes a delivery device having an inflatable balloon at a distal end. The device is inserted into the venous system, the balloon is inflated and the device is floated along a blood flow path within the venous system through the heart and into the pulmonary artery. The lead is delivered into the right ventricle using the device. In one embodiment, the device is a catheter that facilitates placement of a guide wire into the right ventricle for delivery of the lead. The catheter is then removed and the lead is inserted into the right ventricle over the guide wire.

摘要翻译： 用于将右心室导线输送到右心室的输送系统和方法包括具有在远端的可充气气囊的输送装置。 将装置插入静脉系统中，气囊膨胀，并且装置沿静脉系统内的血流通道穿过心脏并进入肺动脉。 使用该装置将铅输送到右心室。 在一个实施例中，该装置是便于将导丝放置到右心室中用于输送引线的导管。 然后取出导管，引导线通过导丝插入右心室。

公开(公告)号：US20060089694A1

公开(公告)日：2006-04-27

申请号：US10970265

申请日：2004-10-21

申请人： Yongxing Zhang ,  Yunlong Zhang ,  Eric Lovett ,  Bruce Tockman

发明人： Yongxing Zhang ,  Yunlong Zhang ,  Eric Lovett ,  Bruce Tockman

IPC分类号： A61N1/05

CPC分类号： A61N1/056

摘要： A delivery system and method for delivering a pulmonary artery lead into a pulmonary artery includes a delivery device having an inflatable balloon at a distal end. The device is inserted into the venous system, the balloon is inflated and the device is floated along a blood flow path within the venous system through the heart and into the pulmonary artery. The lead is delivered into the pulmonary artery using the device. In one embodiment, the device is a catheter that facilitates placement of an implantation catheter and/or a guide wire into the pulmonary artery for delivery of the lead. In another embodiment, the lead is mounted over the catheter. In yet another embodiment, the delivery device is formed at the distal end of the lead.

摘要翻译： 用于将肺动脉导管输送到肺动脉的输送系统和方法包括在远端具有可充气气囊的输送装置。 将装置插入静脉系统中，气囊膨胀，并且装置沿静脉系统内的血流通道穿过心脏并进入肺动脉。 使用该装置将铅输送到肺动脉。 在一个实施例中，该装置是便于将植入导管和/或导丝放置到肺动脉中用于输送铅的导管。 在另一个实施例中，引线安装在导管上。 在另一个实施例中，输送装置形成在引线的远端。

公开(公告)号：US20060241737A1

公开(公告)日：2006-10-26

申请号：US11114730

申请日：2005-04-26

申请人： Bruce Tockman ,  Neil Becker ,  Cindy Sherman ,  Kevin Phillips ,  Scott Stockmoe ,  Yongxing Zhang

发明人： Bruce Tockman ,  Neil Becker ,  Cindy Sherman ,  Kevin Phillips ,  Scott Stockmoe ,  Yongxing Zhang

IPC分类号： A61N1/05

CPC分类号： A61N1/057 ,  A61N2001/0578 ,  A61N2001/0585

摘要： In one embodiment, the present invention provides a cardiac lead device including a fixation mechanism slidably attached to the lead such that when the fixation mechanism is expanded into contact with a body lumen, the lead may be moved relative to the fixation mechanism if desired. Such lead movement may be limited by complimentary structure on the lead body and the fixation mechanism that prevents the lead from moving unless sufficient force is applied to the lead.

公开(公告)号：US08150535B2

公开(公告)日：2012-04-03

申请号：US12415736

申请日：2009-03-31

申请人： Bruce Tockman ,  Randy Westlund

发明人： Bruce Tockman ,  Randy Westlund

IPC分类号： A61N1/05

CPC分类号： A61N1/0587

摘要： Implantable cardiac monitoring and stimulation methods and devices with epicardial leads having sensor feedback. A fixed or extendable/retractable sensor may be displaceable within the lead's lumen and configured to sense the presence of an anatomical feature or physiological parameter of cardiac tissue in proximity with the lead body's distal end. The sensor may include an ultrasonic sensing element, a perfusion sensor, a photoplethysmographic sensor, or a blood oximetry sensor. Methods of determining suitability for implanting a lead involve the steps of accessing an epicardial surface of the heart, and moving the cardiac lead to an implant site at the epicardial surface. A transmitted signal is directed at the implant site. A reflected signal is received, indicative of the presence of a blood vessel at the implant site. A determination may be made to determine whether the implant site is suitable or unsuitable based on the reflected signal.

摘要翻译： 可植入的心脏监测和刺激方法以及具有传感器反馈的心外膜引线的装置。 固定的或可延伸的/可伸缩的传感器可以在引线的内腔中移位，并且被配置为感测心脏组织的解剖特征或生理参数在引线体的远端附近的存在。 传感器可以包括超声波感测元件，灌注传感器，光电体积描记传感器或血液血氧测定传感器。 确定用于植入引线的适合性的方法包括进入心脏的心外膜表面并将心脏导线移动到心外膜表面的植入部位的步骤。 传输的信号指向植入部位。 接收反射信号，指示在植入部位存在血管。 可以基于反射信号确定植入位置是否合适或不合适。

公开(公告)号：US20100114114A1

公开(公告)日：2010-05-06

申请号：US12685445

申请日：2010-01-11

申请人： Bruce Tockman ,  Jeffrey A. Hall ,  Randy Westlund

发明人： Bruce Tockman ,  Jeffrey A. Hall ,  Randy Westlund

IPC分类号： A61B17/00

CPC分类号： A61M25/0147 ,  A61M25/0152 ,  A61N2001/0585

摘要： A system and method for navigating coronary vasculature involves use of a guide catheter system which includes a guide catheter, a navigator catheter longitudinally displaceable within the guide catheter, and a deflection arrangement provided at a distal end of the navigator catheter. The guide catheter is advanced to at least a patient's coronary sinus ostium, and the navigator catheter is extended from the guide catheter to a location proximate or within an angled vein distal to the coronary sinus ostium. Using the deflection arrangement, a guide wire passing through the navigation catheter is directed into the angled vein. A lead having an open lumen is advanced over the guide wire to direct the lead to an implant site within the angled vein.

摘要翻译： 用于导航冠状动脉脉管系统的系统和方法涉及使用引导导管系统，其包括引导导管，在引导导管内纵向移位的导航导管，以及设置在导航导管远端的偏转装置。 引导导管前进到至少一个患者的冠状窦口，并且导管导管从引导导管延伸到远离冠状窦口的倾斜静脉附近的位置。 使用偏转装置，穿过导航导管的导丝被引导到成角度的静脉中。 具有开放管腔的引线在引导线上前进，以将引线引导到成角度静脉内的植入部位。

公开(公告)号：US20070225786A1

公开(公告)日：2007-09-27

申请号：US11277326

申请日：2006-03-23

申请人： Mark Bly ,  Brian Soltis ,  Bruce Tockman ,  Avram Scheiner

发明人： Mark Bly ,  Brian Soltis ,  Bruce Tockman ,  Avram Scheiner

IPC分类号： A61N1/00

CPC分类号： A61N1/056 ,  A61N2001/0585

摘要： A lead for sensing and pacing a left ventricle of the heart includes a lead body having a proximal portion and a distal portion, a lumen extending through the lead body, a conductor extending through the lead body from the proximal end to the distal end and an electrode disposed on the distal portion of the lead body and electrically coupled to the conductor. A distal tip of the lead body is continuously deflectable upon advancement and withdrawal of a stylet through the lumen at the distal portion to access a selected branch of the coronary sinus. The distal tip of the lead body may be offset before or after continuously deflecting the distal tip.

摘要翻译： 用于感测和起搏心脏左心室的引线包括具有近端部分和远端部分的引线体，延伸穿过引线主体的内腔，从近端延伸穿过引线主体到远端的导体，以及 电极，其设置在引线体的远端部分上并电耦合到导体。 引导体的远侧末端在通过远端部分的内腔前进和取出探针时可连续偏转，以进入冠状窦的选定分支。 引线体的远端可以在连续偏转远端之前或之后偏移。

公开(公告)号：US07130682B2

公开(公告)日：2006-10-31

申请号：US09779754

申请日：2001-02-08

申请人： Jeffrey E. Stahmann ,  Bruce Tockman ,  Randy Westlund ,  Rene H. Wentkowski ,  Russell E. Anderson

发明人： Jeffrey E. Stahmann ,  Bruce Tockman ,  Randy Westlund ,  Rene H. Wentkowski ,  Russell E. Anderson

IPC分类号： A61N1/18 ,  A61N1/362

CPC分类号： A61N1/36514 ,  A61N1/3622 ,  A61N1/365 ,  A61N1/368 ,  A61N1/3712

摘要： A method for allowing cardiac signals to be sensed and pacing pulse vectors to be delivered between two or more electrodes. In one embodiment, cardiac signals are sensed and pacing pulse vectors are delivered between least one of a first left ventricular electrode and a second left ventricular electrode. Alternatively, cardiac signals are sensed and pacing pulse vectors are delivered between different combinations of the first and second left ventricular electrodes and a first supraventricular electrode. In addition, cardiac signals are sensed and pacing pulse vectors are delivered between different combinations of the first and second left ventricular electrode, the first supraventricular electrode and a conductive housing. In an additional embodiment, a first right ventricular electrode is used to sense cardiac signals and provide pacing pulses with different combinations of the first and second left ventricular electrodes, the first supraventricular electrode and the housing.

摘要翻译： 一种用于允许感测心脏信号的方法和用于在两个或更多个电极之间递送起搏脉冲矢量的方法。 在一个实施例中，感测心脏信号，并且在第一左心室电极和第二左心室电极中的至少一个之间递送起搏脉冲矢量。 或者，感测心脏信号，并且起搏脉冲矢量在第一和第二左心室电极和第一室上电极的不同组合之间递送。 此外，感测心脏信号，并且起搏脉冲矢量在第一和第二左心室电极，第一室上电极和导电壳体的不同组合之间递送。 在另外的实施例中，第一右心室电极用于感测心脏信号并且提供具有第一和第二左心室电极，第一室上电极和外壳的不同组合的起搏脉冲。

公开(公告)号：US20060241735A1

公开(公告)日：2006-10-26

申请号：US11115594

申请日：2005-04-26

申请人： Bruce Tockman ,  Scott Stockmoe ,  Eric Johnson ,  John Greenland ,  Gary Hague ,  William Webler

发明人： Bruce Tockman ,  Scott Stockmoe ,  Eric Johnson ,  John Greenland ,  Gary Hague ,  William Webler

IPC分类号： A61N1/00

CPC分类号： A61N1/057 ,  A61N2001/0585

摘要： The present invention provides a cardiac vascular occlusion system which includes inner and outer guide catheters and an occluding member disposed on the inner catheter. The occluding member may be deployed from a compressed to an expanded position to limit retrograde blood flow in a body lumen. The occluding member may be used when injecting a contrast agent into the body lumen.

摘要翻译： 本发明提供一种心脏血管闭塞系统，其包括内导管和外引导导管以及设置在内导管上的闭塞构件。 闭塞构件可以从压缩展开到展开位置以限制体腔内的逆行血流。 当将造影剂注入体腔时，可以使用闭塞构件。

公开(公告)号：US08000771B2

公开(公告)日：2011-08-16

申请号：US10653460

申请日：2003-09-02

申请人： Paul Craig Haldeman ,  Rodney Salo ,  Bruce Tockman ,  Gerrard Merrill Carlson

发明人： Paul Craig Haldeman ,  Rodney Salo ,  Bruce Tockman ,  Gerrard Merrill Carlson

IPC分类号： A61B5/05

CPC分类号： A61B5/489 ,  A61B5/01 ,  A61B5/02 ,  A61B8/12 ,  A61B2562/0219

摘要： A guiding catheter for use in medical procedures includes a flexible shaft with one or more audio transducers and a distal tip. An audio signal may be sent to one or more of the transducers and a reflected signal is received at one or more transducers. The reflected signal is used to detect the presence of an anatomical structure to assist in navigating the catheter to its destination. In another arrangement, the transducer can be used passively to detect physical characteristics of the heart such as sound, subsonic energy or temperature, that indicate relative proximity of a destination vessel.

摘要翻译： 用于医疗过程的引导导管包括具有一个或多个音频换能器的柔性轴和远端。 可将音频信号发送到一个或多个换能器，并且在一个或多个换能器处接收反射信号。 反射信号用于检测解剖结构的存在以帮助将导管导航到其目的地。 在另一种布置中，换能器可被动地用于检测心脏的物理特征，例如声音，亚音速能量或温度，其指示目的地血管的相对接近度。

公开(公告)号：US07875018B2

公开(公告)日：2011-01-25

申请号：US11027114

申请日：2004-12-30

申请人： Bruce Tockman ,  Randy Westlund

发明人： Bruce Tockman ,  Randy Westlund

IPC分类号： A61M31/00

CPC分类号： A61M25/0041 ,  A61M25/0105 ,  A61M25/0136

摘要： A method of manipulating a catheter assembly involves providing an inner catheter member movably disposed within an outer catheter member. At least a distal end portion of the inner catheter member has a stiffness greater than that of at least a distal end portion of the outer catheter member. The distal end portion of the outer catheter member includes a deflectable distal end. The method further involves advancing the inner catheter member through the outer catheter member toward the deflectable distal end of the outer catheter member, and longitudinally displacing the distal end portion of the inner catheter member relative to the deflectable distal end of the outer catheter member to alter a shape of the deflectable distal end.

摘要翻译： 操作导管组件的方法包括提供可移动地设置在外导管构件内的内导管构件。 至少内导管部件的远端部分的刚度大于外导管部件的至少远端部分的刚度。 外导管构件的远端部分包括可偏转的远端。 该方法还包括使内部导管构件通过外部导管构件朝向外部导管构件的可偏转远端推进，并且相对于外部导管构件的可偏转远端纵向移动内部导管构件的远端部分以改变 可偏转的远端的形状。