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    • 4. 发明申请
    • Intravascular implantable device having detachable tether arrangement
    • 具有可拆卸系绳布置的血管内植入装置
    • US20080147168A1
    • 2008-06-19
    • US11999517
    • 2007-12-04
    • Terrance RansburyKevin Holbrook
    • Terrance RansburyKevin Holbrook
    • A61F2/06
    • A61N1/375A61F2/82A61N1/056A61N1/0563
    • An intravascular implantable medical device includes a detachable tether arrangement. In one embodiment, the detachable tether arrangement comprises a tip assembly that includes a break-away joint and a tether portion, and may also include a connector and an extension portion connected to an end of an elongated intravascular implantable medical device. In this embodiment, the break-away joint is disposed between the extension portion and the tether portion. In some embodiments, the extension portion may comprise a housing or other arrangement that includes an antenna for transmitting and receiving data. In other embodiments, the extension portion may also include a lead for defibrillation, pacing, and/or sensing cardiac electrical activity. In certain embodiments, the tether arrangement is designed to be secured within a patient's vasculature with a vascular anchor either in the form of a separate anchor, such as a conventional stent, or by various integrated retention arrangements.
    • 血管内可植入医疗装置包括可拆卸系绳装置。 在一个实施例中,可拆卸的系链装置包括尖端组件,其包括分离接头和系绳部分,并且还可以包括连接器和连接到细长的血管内可植入医疗装置的端部的延伸部分。 在该实施例中,脱开接头设置在延伸部和系链部之间。 在一些实施例中,延伸部分可以包括外壳或其他布置,其包括用于发送和接收数据的天线。 在其他实施例中,延伸部分还可以包括用于除颤,起搏和/或感测心脏电活动的引线。 在某些实施例中,系链装置被设计成用血管锚定件固定在病人的脉管系统中,或者以单独的锚,例如常规支架的形式,或通过各种整合的保留装置。
    • 6. 发明申请
    • SYSTEM AND METHOD FOR NEUROMODULATION
    • 神经修复的系统和方法
    • US20130072997A1
    • 2013-03-21
    • US13547031
    • 2012-07-11
    • William E. SandersStephen C. MassonTerrance RansburyRichard S. Stack
    • William E. SandersStephen C. MassonTerrance RansburyRichard S. Stack
    • A61N1/36
    • A61N1/36114A61N1/0551A61N1/056A61N1/36053A61N1/36135A61N1/36139
    • A method of treating autonomic imbalance in a patient includes energizing a first therapeutic element disposed in a superior vena cava of the patient to deliver therapy to a parasympathetic nerve fiber (e.g. vagus nerve), and energizing a second therapeutic element disposed within the superior vena cava to deliver therapy to a sympathetic cardiac nerve fiber. A neuromodulation system includes a parasympathetic therapy element adapted for positioning within a blood vessel, a sympathetic therapy element adapted for positioning within the blood vessel; and a stimulator to energize the parasympathetic therapy element to deliver parasympathetic therapy to a parasympathetic nerve fiber disposed external to the blood vessel and energize the sympathetic therapy element within the blood vessel to deliver sympathetic therapy to a sympathetic nerve fiber disposed external to the blood vessel. The therapy decreases the patient's heart rate and elevates or maintains the blood pressure of the patient.
    • 一种治疗患者自主性不平衡的方法包括激励设置在患者上腔静脉中的第一治疗元件,以将治疗递送至副交感神经纤维(例如迷走神经),以及激励位于上腔静脉内的第二治疗元件 为交感神经纤维提供治疗。 神经调节系统包括适于定位在血管内的副交感神经治疗元件,适于定位在血管内的交感治疗元件; 以及刺激器,用于激励所述副交感神经治疗元件以将副交感神经治疗递送到设置在所述血管外部的副交感神经纤维,并激励所述血管内的所述交感神经治疗元件,以将交感神经治疗递送至设置在所述血管外部的交感神经纤维。 该疗法可降低患者的心率,提高或维持患者的血压。
    • 9. 发明申请
    • ISOLATATION CONNECTOR FOR AN INTRAVASCULAR IMPLANTABLE MEDICAL DEVICE
    • 静脉插入式医疗装置隔离连接器
    • US20090118798A1
    • 2009-05-07
    • US12263240
    • 2008-10-31
    • Terrance Ransbury
    • Terrance Ransbury
    • A61N1/375H01R4/60H01R4/50
    • A61N1/375
    • Devices and methods providing for a isolation connector for a generally cylindrical or frustro-cylindrical housing of an implantable intravascular medical device are described herein. The isolation connector has a generally annular exterior surface, a proximal end, and a distal end. The isolation connector includes a housing interface portion at the proximal end which is secured to a first end of the housing. The proximal end of the housing interface portion is constructed to be obverse to the first end of the housing and presents a perimeter of substantially similar size and shape to the perimeter of the first end of the housing. The isolation connector further includes a first insulator portion disposed adjacent to a distal end of the housing interface portion. The isolation connector may further include a feed-through channel constructed to traverse the proximal and distal ends of the isolation connector and is defined through the housing interface portion and the first insulator portion. In an optional embodiment, an electrical conductor is disposed within the feed-through channel to electrically coupled at least one component disposed within the housing to at least one component disposed beyond the insulator portion.
    • 本文描述了提供用于可植入血管内医疗装置的大致圆柱形或截头圆柱形壳体的隔离连接器的装置和方法。 隔离连接器具有大致环形的外表面,近端和远端。 隔离连接器包括在近端处的壳体接口部分,其被固定到壳体的第一端。 壳体接口部分的近端被构造成朝向壳体的第一端正面,并且具有与壳体的第一端的周边基本相似的尺寸和形状的周边。 隔离连接器还包括邻近壳体接口部分的远端设置的第一绝缘体部分。 隔离连接器还可以包括构造成穿过隔离连接器的近端和远端并且通过壳体接口部分和第一绝缘体部分限定的馈通通道。 在可选实施例中,电导体设置在馈通通道内,以将布置在壳体内的至少一个部件电耦合到设置在绝缘体部分之外的至少一个部件。