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    • 1. 发明授权
    • Introducer system
    • 介绍系统
    • US06379346B1
    • 2002-04-30
    • US09552250
    • 2000-04-18
    • Michael E. McIvorKenneth C. GardeskiPedro A. MeregotteMatthew D. BonnerTimothy G. LaskeLinda L. Lach
    • Michael E. McIvorKenneth C. GardeskiPedro A. MeregotteMatthew D. BonnerTimothy G. LaskeLinda L. Lach
    • A61M2500
    • A61M25/0668A61M25/01A61M2025/0675
    • An introducer is structured with an elongated tube having first and second lumens. A molded handle is coupled to the proximal end of the tube with an opening aligned with the first lumen. Further, a wall adjacent the opening of the handle defines a slot and is located diametrically opposite the second lumen. A tubular reinforcement member is located within the second lumen and the handle is provided with a second opening, thereby having a communication with the second lumen. In another embodiment a lead/catheter introducer includes an implantable lead or catheter having an elongated first lumen through which the lead or catheter passes and a second lumen extends parallel to the first lumen along at least a distal portion thereof. A tubular reinforcement member is disposed within the second lumen. The tubular reinforcement member further includes an internal lumen and a curvable stylet disposed in the lumen.
    • 导引器构造有具有第一和第二腔的细长管。 模制手柄与管的近端连接,开口与第一内腔对准。 此外,与手柄的开口相邻的壁限定了狭槽,并且位于与第二内腔完全相对的位置。 管状加强构件位于第二内腔内,手柄设置有第二开口,从而与第二腔相连通。 在另一个实施例中,引导/导管导引器包括具有细长的第一内腔的可植入引线或导管,所述引导件或导管通过所述细长的第一内腔,并且沿其至少其远端部分平行于所述第一内腔延伸的第二腔。 管状加强构件设置在第二内腔内。 管状加强构件还包括内腔和设置在内腔中的可调节探针。
    • 2. 发明授权
    • Arrangement for implanting an endocardial cardiac lead
    • 用于植入心内膜心脏铅的装置
    • US06868291B1
    • 2005-03-15
    • US09699865
    • 2000-10-30
    • Matthew D. BonnerTimothy G. Laske
    • Matthew D. BonnerTimothy G. Laske
    • A61N1/05
    • A61N1/056A61M25/0043A61M25/01A61N2001/0578
    • An arrangement for introducing and implanting the electrode(s) of an endocardial implantable cardiac lead at a cardiac implantation site within a heart chamber or vessel. An elongated guide body formed of flexible material and extending between a guide body proximal end and a guide body distal end is advanced transvenously to position the guide body distal end in relation to the cardiac implantation site. Guide body tracking means is coupled with the lead distal end for receiving and slidingly engaging the guide body to allow the cardiac lead to be advanced along the guide body until the electrode is positioned at the cardiac implantation site. Pusher means formed of an elongated pusher body of flexible material extends between a pusher body proximal end and a pusher body distal end and has a cardiac lead engaging means for engaging the cardiac lead at or adjacent the distal lead end. The pusher body has sufficient column strength to be advanced alongside the guide body and lead body with the cardiac lead engaging means engaging and slidingly advancing the guide body tracking means and the cardiac lead distally along the guide body to thereby allow the cardiac lead to be advanced along the guide body until the electrode is positioned at the cardiac implantation site. The lead body is released from the lead engaging means and fixed, if the lead includes a fixation mechanism. The pusher means is retracted by retraction of the pusher body.
    • 用于在心室或血管内的心脏植入部位处引入和植入心内可植入心脏引线的电极的装置。 由柔性材料形成并在引导体近端和引导体远端之间延伸的细长引导体相对于心脏植入部位传递推进以引导体远端。 引导体跟踪装置与引线远端联接,用于接收和滑动地接合引导体,以允许心脏引导沿引导体前进,直到电极定位在心脏植入部位。 由细长的柔性材料推动器构成的推动器装置在推动器本体近端和推动器主体远端之间延伸,并且具有心脏引线接合装置,用于在远侧引线端处或与其相邻的心脏引线接合。 推动器主体具有足够的柱强度,以使引导体和引线体沿着引导体接合装置前进,引导体跟踪装置和心引导件沿引导体向远侧滑动,从而允许心导线前进 沿着引导体直到电极位于心脏植入部位。 如果引线包括固定机构,则引线体从引线接合装置释放并固定。 推动器装置通过推动器主体的缩回缩回。
    • 4. 发明授权
    • Arrangement for implanting an endocardial cardiac lead
    • 用于植入心内膜心脏铅的装置
    • US5902331A
    • 1999-05-11
    • US037654
    • 1998-03-10
    • Matthew D. BonnerTimothy G. Laske
    • Matthew D. BonnerTimothy G. Laske
    • A61N1/05A61M25/01
    • A61N1/056A61M25/0043A61M25/01A61N2001/0578
    • An arrangement for introducing and implanting the electrode(s) of an endocardial implantable cardiac lead at a cardiac implantation site within a heart chamber or vessel. An elongated guide body formed of flexible material and extending between a guide body proximal end and a guide body distal end is advanced transvenously to position the guide body distal end in relation to the cardiac implantation site. A guide body tracking mechanism is coupled with the lead distal end for receiving and slidingly engaging the guide body to allow the cardiac lead to be advanced along the guide body until the electrode is positioned at the cardiac implantation site. Pusher mechanism formed of an elongated pusher body of flexible material extends between a pusher body proximal end and a pusher body distal end and has a cardiac lead engaging mechanism for engaging the cardiac lead at or adjacent the distal lead end. The pusher body has sufficient column strength to be advanced alongside the guide body and lead body with the cardiac lead engaging mechanism engaging and slidingly advancing the guide body tracking mechanism and the cardiac lead distally along the guide body to thereby allow the cardiac lead to be advanced along the guide body until the electrode is positioned at the cardiac implantation site. The lead body is released from the lead engaging mechanism and fixed, if the lead includes a fixation mechanism. The pusher mechanism is retracted by retraction of the pusher body.
    • 用于在心室或血管内的心脏植入部位处引入和植入心内可植入心脏引线的电极的装置。 由柔性材料形成并在引导体近端和引导体远端之间延伸的细长引导体相对于心脏植入部位传递推进以引导体远端。 引导体跟踪机构与引线远端联接,用于接收和滑动地接合引导体,以允许心脏引线沿引导体前进,直到电极定位在心脏植入部位。 由细长的柔性材料推动器主体构成的推动机构在推动体本体近端和推动器主体远端之间延伸,并且具有心脏引导接合机构,用于在远侧引线端处或与其相邻的心脏引线接合。 推动器主体具有足够的柱强度,使引导体和引线体沿着引导体接合并使引导体跟踪机构和心引导体沿引导体向远侧滑动地前进,从而允许心导线前进 沿着引导体直到电极位于心脏植入部位。 如果引线包括固定机构,则引线体从引线接合机构释放并固定。 推动器机构通过推动器主体的缩回缩回。
    • 5. 发明授权
    • Method of fabricating a medical electrical lead
    • 制造医用电线的方法
    • US5957970A
    • 1999-09-28
    • US25485
    • 1998-02-18
    • Bret R. ShobergMatthew D. BonnerTimothy G. Laske
    • Bret R. ShobergMatthew D. BonnerTimothy G. Laske
    • A61N1/05
    • A61N1/056A61N1/0563
    • A method of producing a lead which is isodiametric or nearly so over the region in which an elongated coiled electrode is located and which can optionally be manufactured starting from a single extruded tubular lead body of constant diameter and the lead so produced. Rather than molding the electrode into the surface of the lead or machining the electrode so that it is flush with the surface of the lead, the present invention instead employs an extruded, multiple lumen lead body of circular cross-section which has material cut away or otherwise removed in one or more regions spaced from one another around the lead body and extending longitudinally along the region of the lead body where the coil electrode is to be located or a lead body which is so molded. The areas in which material is removed or is absent are preferably located in regions where the lead body wall is thickest, for example between adjacent lumens. The removal of material may result in one or more elongated, generally planar surfaces spaced from one another around the circumference of the lead body or may result in elongated indentations spaced from one another around the circumference of the lead body. The removal or absence of material renders the lead body more compressible in the region the electrode is to be located.
    • 一种制造在其中设置有细长卷绕电极的区域上是等距或接近的引线的方法,其可以任选地从具有恒定直径的单个挤出管状引线体和由此产生的引线开始制造。 不是将电极模制到引线的表面或加工电极以使其与引线的表面齐平,而是本发明使用具有圆形横截面的挤出的多腔引线体,其具有切除的材料或 否则在围绕引线主体彼此间隔开的一个或多个区域中移除,并沿着线体电极要被定位的引线体的区域或者如此模制的引线体纵向延伸。 材料被去除或不存在的区域优选地位于引线体壁最厚的区域中,例如在相邻流明之间。 去除材料可能导致一个或多个细长的,大致平坦的表面围绕引线主体的圆周彼此间隔开,或者可能导致围绕引线主体的圆周彼此间隔开的细长的凹陷。 材料的去除或不存在使得引线体在电极将被定位的区域中更加可压缩。
    • 6. 发明授权
    • Arrangement for planting an endocardial cardiac lead
    • 种植心内膜心脏铅的安排
    • US06185464B2
    • 2001-02-06
    • US09262387
    • 1999-03-04
    • Matthew D. BonnerTimothy G. Laske
    • Matthew D. BonnerTimothy G. Laske
    • A61N100
    • A61N1/056A61M25/0043A61M25/01A61N2001/0578
    • An arrangement for introducing and implanting the electrode(s) of an endocardial implantable cardiac lead at a cardiac implantation site within a heart chamber or vessel. An elongated guide body formed of flexible material and extending between a guide body proximal end and a guide body distal end is advanced transvenously to position the guide body distal end in relation to the cardiac implantation site. A guide body tracking mechanism is coupled with the lead distal end for receiving and slidingly engaging the guide body to allow the cardiac lead to be advanced along the guide body until the electrode is positioned at the cardiac implantation site. A pusher mechanism formed of an elongated pusher body of flexible material extends between a pusher body proximal end and a pusher body distal end and has a cardiac lead engaging mechanism for engaging the cardiac lead at or adjacent the distal lead end. The pusher body has sufficient column strength to be advanced alongside the guide body and lead body with the cardiac lead engaging mechanism engaging and slidingly advancing the guide body tracking mechanism and the cardiac lead distally along the guide body to thereby allow the cardiac lead to be advanced along the guide body until the electrode is positioned at the cardiac implantation site. The lead body is released from the lead engaging mechanism and fixed, if the lead includes a fixation mechanism. The pusher mechanism is retracted by retraction of the pusher body.
    • 用于在心室或血管内的心脏植入部位处引入和植入心内可植入心脏引线的电极的装置。 由柔性材料形成并在引导体近端和引导体远端之间延伸的细长引导体相对于心脏植入部位传递推进以引导体远端。 引导体跟踪机构与引线远端联接,用于接收和滑动地接合引导体,以允许心脏引线沿引导体前进,直到电极定位在心脏植入部位。 由细长的柔性材料推动器构成的推动机构在推动体本体近端和推动体本体远端之间延伸,并且具有心脏引线接合机构,用于在远侧引线端处或与其相邻的心脏引线接合。 推动器主体具有足够的柱强度,使引导体和引线体沿着引导体接合并使引导体跟踪机构和心引导体沿引导体向远侧滑动地前进,从而允许心导线前进 沿着引导体直到电极位于心脏植入部位。 如果引线包括固定机构,则引线体从引线接合机构释放并固定。 推动器机构通过推动器主体的缩回缩回。
    • 7. 发明授权
    • Integral spiral band electrode for transvenous defibrillation leads
    • 用于经静脉除颤导联的整体螺旋带电极
    • US5728149A
    • 1998-03-17
    • US580006
    • 1995-12-20
    • Timothy G. LaskeMatthew D. BonnerJon M. Ocel
    • Timothy G. LaskeMatthew D. BonnerJon M. Ocel
    • A61N1/05A61B5/04
    • A61N1/056
    • A cardioversion/defibrillation lead, and method of manufacture thereof, for location in a human heart. An elongated lead body having an insulating outer sheath extends between proximal and distal ends thereof, and an elongated defibrillation conductor within the lead body extends from a connector at the proximal end to a distal end at a predetermined location along the lead body length. A spiral band defibrillation electrode extends in spiral turns around the exterior of the insulating outer sheath for a pre-determined defibrillation electrode length. The defibrillation electrode is fabricated of a single tube of body compatible, electrically conductive material having first and second tube ends and an inside diameter selected to fit over the outer sheath and the internally disposed defibrillation lead conductor. At least one (and preferably a plurality) spiral slit is formed therein extending from first and second slit end points, spaced from the first and second ends, respectively, thereby forming at least one spiral band integrally attached to first and second end bands, respectively. At least one of the first and second end bands is attached to the defibrillation lead conductor at or near the distal end thereof. In other embodiments, intermediate connection bands are formed along the length of the spiral band, and electrical connections are made between such intermediate connection bands and the defibrillation lead conductor.
    • 心脏复律/除颤引线及其制造方法,用于在人心脏中定位。 具有绝缘外护套的细长引线主体在其近端和远端之间延伸,并且引线主体内的细长除颤导体沿着引线本体长度从近端处的连接器延伸到预定位置处的远端。 螺旋带除颤电极围绕绝缘外护套的外部螺旋形旋转,以预定的除颤电极长度。 除颤电极由具有第一和第二管端的单体体相容的导电材料制成,并且内径选择为配合在外护套和内部设置的除颤引线导体上。 至少一个(并且优选多个)螺旋狭缝形成在其中,从第一和第二狭缝端点分别与第一和第二端分开延伸,从而分别形成至少一个与第一和第二端带整体连接的螺旋带 。 第一和第二端带中的至少一个在其远端处或附近附接到除颤引线导体。 在其他实施例中,沿着螺旋带的长度形成中间连接带,并且在这种中间连接带和除颤引线导体之间形成电连接。