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11. 发明申请

US20110066029A1 Electromagnetic Medical Device 审中-公开
标题翻译：电磁医疗器械
公开(公告)号：US20110066029A1
公开(公告)日：2011-03-17
申请号：US12557653
申请日：2009-09-11
申请人： SuPing Lyu , Micheal R. Neidert , Christipher M. Hobot , James Louis Schley , Kenneth C. Gardeski
发明人： SuPing Lyu , Micheal R. Neidert , Christipher M. Hobot , James Louis Schley , Kenneth C. Gardeski
IPC分类号： A61B5/05
CPC分类号： A61M25/0133 , A61B5/6852 , A61B2034/2051 , A61B2090/3983
摘要： An insertable or implantable medical device includes an elongated member having a proximal end, a distal end, at least one conductive coil near the distal end, and electrical conductors which carry current from the coil towards the proximal end. The coil surrounds or is surrounded by a flexible magnetic polymeric composite.
摘要翻译：可插入或可植入的医疗装置包括细长构件，其具有近端，远端，靠近远端的至少一个导电线圈以及将线圈从近端传送电流的电导体。线圈环绕或被柔性磁性聚合复合材料包围。

12. 发明申请

US20100249729A1 Methods and Systems for Accessing the Pericardial Space 有权
标题翻译：用于获取心包空间的方法和系统
公开(公告)号：US20100249729A1
公开(公告)日：2010-09-30
申请号：US12815624
申请日：2010-06-15
申请人： Mary M. Morris , Kenneth C. Gardeski , Michael R. Ujhelyi , Michael E. Leckrone
发明人： Mary M. Morris , Kenneth C. Gardeski , Michael R. Ujhelyi , Michael E. Leckrone
IPC分类号： A61M5/32 , A61N1/00
CPC分类号： A61B17/3478 , A61B17/00234 , A61B17/3417 , A61B18/1492 , A61B2017/00247 , A61B2017/003 , A61B2017/22077 , A61B2017/3484 , A61B2017/3488 , A61B2017/349 , A61B2018/00291 , A61B2018/00357 , A61B2018/00392 , A61M25/0084 , A61M2025/0037
摘要： Methods and systems for transvenously accessing the pericardial space via the vascular system and atrial wall, particularly through the superior vena cava and right atrial wall, to deliver treatment in the pericardial space are disclosed. A steerable instrument is advanced transvenously into the right atrium of the heart, and a distal segment is deflected into the right atrial appendage. A fixation catheter is advanced employing the steerable instrument to affix a distal fixation mechanism to the atrial wall. A distal segment of an elongated medical device, e.g., a therapeutic catheter or an electrical medical lead, is advanced through the fixation catheter lumen, through the atrial wall, and into the pericardial space. The steerable guide catheter is removed, and the elongated medical device is coupled to an implantable medical device subcutaneously implanted in the thoracic region. The fixation catheter may be left in place.
摘要翻译：公开了通过血管系统和心房壁，特别是通过上腔静脉和右心房壁经心脏进入心包空间的方法和系统，以在心包空间中递送治疗。一个可操纵的器械被递送到心脏的右心房，远端部分被偏转到右心耳。使用可操纵的器械来前进固定导管，以将远端固定机构固定在心房壁上。细长医疗装置（例如治疗性导管或电气医用引线）的远端部分通过固定导管内腔前进通过心房壁并进入心包空间。可移动的导向导管被移除，并且细长的医疗装置被联接到皮下植入胸部区域的可植入医疗装置。固定导管可以留在原位。

13. 发明申请

US20100160772A1 Adaptable Image Guided Delivery System 审中-公开
标题翻译：适应性图像引导系统
公开(公告)号：US20100160772A1
公开(公告)日：2010-06-24
申请号：US12630325
申请日：2009-12-03
申请人： Kenneth C. Gardeski , Sonar Shah , Michael R. Neidert
发明人： Kenneth C. Gardeski , Sonar Shah , Michael R. Neidert
IPC分类号： A61B5/05
CPC分类号： A61B34/20 , A61B2034/2051
摘要： A navigation element for delivery of a therapy delivery system and method of enabling navigation of a therapy delivery system. The navigation element for a therapy delivery system comprises a flexible elongate tubular sheath having a lumen extending longitudinally therethrough, the lumen of the tubular body being sized to fit over a catheter; and an electromagnetic receiver assembly within the tubular body, the receiver assembly comprising a receiver coil and a conductor coupled to the receiver coil, the conductor coupled to the receiver coil and extending towards a proximal end of the tubular sheath.
摘要翻译：用于递送治疗递送系统的导航元件和能够导航治疗递送系统的方法。用于治疗递送系统的导航元件包括柔性细长管状护套，其具有纵向延伸穿过其中的内腔，管状体的内腔的尺寸适于配合在导管上; 以及在所述管状主体内的电磁接收器组件，所述接收器组件包括接收器线圈和耦合到所述接收器线圈的导体，所述导体耦合到所述接收器线圈并且朝向所述管状护套的近端延伸。

14. 发明申请

US20100036238A1 DEVICE AND METHOD FOR ASSESSING EXTENSION OF A DEPLOYABLE OBJECT 审中-公开
标题翻译：用于评估可部署对象的扩展的装置和方法
公开(公告)号：US20100036238A1
公开(公告)日：2010-02-11
申请号：US12483692
申请日：2009-06-12
申请人： Michael R. Neidert , Kenneth C. Gardeski , Claude A. Vidal , Russell J. Redmond , Laurent G. Verard
发明人： Michael R. Neidert , Kenneth C. Gardeski , Claude A. Vidal , Russell J. Redmond , Laurent G. Verard
IPC分类号： A61B5/05
CPC分类号： A61B5/06 , A61B5/063 , A61B34/20 , A61B2034/2051 , A61B2090/0811
摘要： A medical instrument assembly is disclosed. The medical instrument has proximal and distal ends. A receiver coil being mounted proximate to a distal end of the medical instrument, the receiver coil being electrically connectable at a proximal end of the medical instrument. A deployable object being disposed and movable within the medical instrument. The deployable object bearing a high magnetic permeability material located proximate to the receiver coil. The high magnetic permeability material and the receiver coil combining to form an inductive element having an inductance that varies in a predetermined manner with the position of the deployable device relative to the receiver coil. A determination of the inductance being performed at the proximal end of the delivery catheter indicates the extension of the deployable device through the medical instrument.
摘要翻译：公开了一种医疗器械组件。医疗器械具有近端和远端。接收器线圈安装在医疗器械的远端附近，接收器线圈可在医疗器械的近端电连接。可部署的物体被布置并在医疗器械内可移动。承载位于靠近接收器线圈的高磁导率材料的可部署物体。高磁导率材料和接收器线圈组合以形成具有以预定方式变化的电感的电感元件与可展开装置相对于接收器线圈的位置。在输送导管的近端执行的电感的确定指示可展开装置通过医疗器械的延伸。

15. 发明申请

US20090198298A1 METHODS AND SYSTEMS FOR USE IN SELECTING CARDIAC PACING SITES 有权
标题翻译：用于选择心脏病网站的方法和系统
公开(公告)号：US20090198298A1
公开(公告)日：2009-08-06
申请号：US12421176
申请日：2009-04-09
申请人： Daniel R. Kaiser , Michael R. Neidert , Nicholas David Skadsberg , Kenneth C. Gardeski , Lawrence J. Mulligan , James F. Kelley , Michael B. Shelton , Trent M. Fischer
发明人： Daniel R. Kaiser , Michael R. Neidert , Nicholas David Skadsberg , Kenneth C. Gardeski , Lawrence J. Mulligan , James F. Kelley , Michael B. Shelton , Trent M. Fischer
IPC分类号： A61N1/365 , A61B5/05
CPC分类号： A61B5/1107 , A61B5/1104 , A61B5/686 , A61B5/6882 , A61B2562/0209 , A61N1/0573 , A61N1/3627 , A61N1/36578 , A61N1/368 , A61N1/3684 , A61N1/3686 , A61N2001/0585
摘要： A method and system for use in selecting a cardiac pacing site includes sensors for tracking wall motion (e.g., sensors coupled to the right and left ventricular heart wall). The wall motion of one or more non-paced cardiac cycles is compared to the wall motion of one or more paced cardiac cycles to determine the effectiveness of one or more pacing sites. For example, image data may be generated to notify the user as to the effectiveness of the one or more pacing sites.
摘要翻译：用于选择心脏起搏部位的方法和系统包括用于跟踪壁运动的传感器（例如耦合到右心室壁和左心室心壁的传感器）。将一个或多个非节奏心脏周期的壁运动与一个或多个节奏心动周期的壁运动进行比较，以确定一个或多个起搏部位的有效性。例如，可以生成图像数据以通知用户关于一个或多个起搏站点的有效性。

16. 发明授权

US07101361B2 Steerable medical device having means for imparting curves in the device and in elongated implantable medical instruments 有权
标题翻译：具有用于在装置和细长可植入医疗器械中施加曲线的装置的可转向医疗装置
公开(公告)号：US07101361B2
公开(公告)日：2006-09-05
申请号：US10318626
申请日：2002-12-16
申请人： Kenneth C. Gardeski
发明人： Kenneth C. Gardeski
IPC分类号： A61M25/00
CPC分类号： A61M25/0138 , A61M25/0136 , A61M25/0144 , A61M25/0147
摘要： A steerable elongated medical device adapted to be advanced through a tortuous pathway to a desired location in a body includes an outer tube extending between an outer tube proximal segment and an outer tube distal segment, having an outer tube wall forming an outer tube lumen and an elongated outer tube slot through the outer tube wall to the outer tube lumen. The elongated outer tube slot has a first portion and a second portion and is formed between an outer tube slot proximal end and an outer tube slot distal end and extending axially along the outer tube distal segment through an outer tube slot length to define a cutaway portion of the outer tube. A reinforcing sleeve is positioned within the outer tube lumen and extends between a reinforcing sleeve proximal end and a reinforcing sleeve distal end, and the reinforcing sleeve forms a reinforcing sleeve slot portion aligned with and extending along the first portion of the outer tube slot and includes a reinforcing sleeve overlap portion extending over the second portion of the outer tube slot.
摘要翻译：适于通过弯曲路径前进到主体中所需位置的可操纵的细长医疗装置包括在外管近端段和外管远端段之间延伸的外管，其具有形成外管内腔的外管壁和细长的外管槽通过外管壁到外管腔。细长的外管狭槽具有第一部分和第二部分，并且形成在外管狭缝近端和外管狭槽远端之间，并且通过外管狭槽长度沿着外管远端段轴向延伸以限定切除部分的外管。加强套管定位在外管腔内并且在加强套管近端和加强套管远端之间延伸，并且加强套管形成与外管槽的第一部分对准并且沿着外管槽的第一部分延伸的加强套管槽部分，并且包括在外管槽的第二部分上延伸的加强套管重叠部分。

17. 发明授权

US06805675B1 Method and apparatus for deflecting a screw-in lead 失效
公开(公告)号：US06805675B1
公开(公告)日：2004-10-19
申请号：US09659797
申请日：2000-09-12
申请人： Kenneth C. Gardeski , Corinne A. G. Poor , William J. Clemens , Jeremy John Odegard
发明人： Kenneth C. Gardeski , Corinne A. G. Poor , William J. Clemens , Jeremy John Odegard
IPC分类号： A61B500
CPC分类号： A61N1/0573 , A61M25/0136 , A61N2001/058
摘要： A deflectable stylet system optimized for use in conjunction with a lead of the type having a fixation helix that is screwed into body tissue by rotation of the lead's connector pin is disclosed. The system includes an attachment that is rotatable and longitudinally slidable with respect to the handle of a deflectable stylet. A lead coupled to the attachment may be moved longitudinally with respect to a stylet to account for slight variances in the lead length. In one embodiment, the attachment couples to the lead via a pushbutton mechanism that can be locked to the lead using one hand. The attachment may be rotated to thereby rotate the lead connector. This allows for retraction and extension of a retractable fixation helix, and for further attachment or detachment of a fixation helix to adjacent tissue. In one embodiment, the attachment may be longitudinally rigidly positioned in predetermined locations with respect to the handle. According to another aspect of the system, a deflection device is coupled to the handle to facilitate deflection of the stylet. In one embodiment, this deflection device may be rotatably and/or slidably activated to accomplish the stylet deflection. The system allows a user to adjust lead length with respect to the stylet length, and to further perform stylet deflection and lead rotation all with one hand.

18. 发明授权

US06544247B1 Introducer system 有权
标题翻译：介绍系统
公开(公告)号：US06544247B1
公开(公告)日：2003-04-08
申请号：US09656721
申请日：2000-09-07
申请人： Kenneth C. Gardeski , John L. Sommer
发明人： Kenneth C. Gardeski , John L. Sommer
IPC分类号： A61M3100
CPC分类号： A61M25/0668 , A61M2025/0675
摘要： An introducer system for introducing a lead or catheter and a method of use. The introducer system includes an elongated introducer sheath which has a luer hub mounted to its proximal end through which a lead or catheter is introduced and a slitter for slitting the luer hub and the introducer sheath. The slittable luer hub takes the form of a conical or cylindrical member carrying a laterally extending tab adapted to engage internal threading on a female luer lock fitting and has a slittable portion angularly displaced from the tab. The slitter includes a blade, a handle carrying the blade, a mechanism for engaging the lead or catheter in the vicinity of the blade and a mechanism for engaging the lead or catheter proximal to the blade, configured such that the lead or catheter body when engaged by the slitter is angled proximal to the blade of the slitter.
摘要翻译：用于引入导联或导管的导引器系统和使用方法。导引器系统包括细长的引导器护套，其具有安装到其近端的鲁尔接头，引导线或导管通过引导器护套引导，以及用于切割鲁尔接头和引导器护套的分切器。狭缝式鲁尔轮毂采取锥形或圆柱形构件的形式，该锥形或圆柱形构件承载横向延伸的翼片，其适于接合阴路厄锁定配件上的内螺纹，并且具有与翼片成角度位移的可切割部分。分切机包括一个刀片，一个带有刀片的手柄，一个用于将铅或导管接合在刀片附近的机构，以及用于接合靠近刀片的引线或导管的机构，被配置为使得引线或导管主体在接合时由分切机靠近分切机的刀片。

19. 发明授权

US06159198A Introducer system 失效
公开(公告)号：US06159198A
公开(公告)日：2000-12-12
申请号：US116628
申请日：1998-07-16
申请人： Kenneth C. Gardeski , John L. Sommer
发明人： Kenneth C. Gardeski , John L. Sommer
IPC分类号： A61M25/06 , A61M25/00
CPC分类号： A61M25/0668 , A61M2025/0675
摘要： An introducer system for introducing a lead or catheter and a method of use. The introducer system includes an elongated introducer sheath which has a luer hub mounted to its proximal end through which a lead or catheter is introduced and a slitter for slitting the luer hub and the introducer sheath. The slittable luer hub takes the form of a conical or cylindrical member carrying a laterally extending tab adapted to engage internal threading on a female luer lock fitting and has a slittable portion angularly displaced from the tab. The slitter includes a blade, a handle carrying the blade, a mechanism for engaging the lead or catheter in the vicinity of the blade and a mechanism for engaging the lead or catheter proximal to the blade, configured such that the lead or catheter body when engaged by the slitter is angled proximal to the blade of the slitter.

20. 发明授权

US08262672B2 Medical delivery device construction 有权
标题翻译：医疗器械施工
公开(公告)号：US08262672B2
公开(公告)日：2012-09-11
申请号：US12424100
申请日：2009-04-15
申请人： Michael R. Neidert , Kenneth C. Gardeski
发明人： Michael R. Neidert , Kenneth C. Gardeski
IPC分类号： A61F11/00 , A61M5/178 , A61M25/00 , A61B5/00
CPC分类号： A61M25/0021 , A61M25/0023
摘要： A delivery device includes an outer sidewall and an inner sidewall extending therein. An outer surface of the inner sidewall defines a plurality of longitudinally extending grooves, each of which interlock with a corresponding inward protruding member of a plurality of longitudinally extending inward protruding members defined by an inner surface of the outer sidewall. A longitudinally extending lumen of the device, which may accommodate delivery of an implantable medical device, is defined, at least in part, by the inner surface of the inner sidewall. A slitting zone of the device, for example, provided by one of the sidewalls extending less than 360 degrees about a longitudinal axis of the device, enables removal of the delivery device from around the delivered device.
摘要翻译：输送装置包括外侧壁和在其中延伸的内侧壁。内侧壁的外表面限定多个纵向延伸的槽，每个槽与由外侧壁的内表面限定的多个纵向延伸的向内突出构件的相应向内突出构件互锁。至少部分地由内侧壁的内表面限定可容纳可植入医疗装置的输送的装置的纵向延伸的内腔。例如，由围绕装置的纵向轴线延伸小于360度的侧壁之一提供的装置的切割区域使得能够从输送装置周围移除输送装置。

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