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    • 44. 发明授权
    • Method and device for inserting leads into coronary veins
    • 用于将引线插入冠状静脉的方法和装置
    • US07195637B2
    • 2007-03-27
    • US10257722
    • 2001-04-17
    • Yuval Mika
    • Yuval Mika
    • A61B17/00
    • A61N1/056A61N2001/0578A61N2001/0585
    • A method for inserting a lead into coronary veins of a patient. The method comprises providing a guide sheath that comprises a tube having a proximal portion and a distal portion; a lumen passing through said tube, said lumen is provided with a first opening in said proximal portion and a second opening in said distal portion, said lumen is adapted to allow the lead to pass through it; a balloon provided in said distal portion, said balloon is adapted to be inflated outwardly and circumferentially from said tube; a tubing fluidically connected to said balloon, said tubing extends from said balloon to said proximal portion. The method further comprises inserting the guide sheath into a coronary vein; inflating said balloon so as to prevent retrograde blood flow from the coronary vein; inserting the lead into the coronary vein through said lumen and placing it in a target location. When the balloon is inflated, retrograde blood flow from the coronary veins is prevented, the pressure in the coronary veins is increased and the coronary veins are enlarged allowing the lead to freely advance through them.
    • 将铅插入患者冠状静脉的方法。 该方法包括提供一种引导护套,其包括具有近端部分和远端部分的管子; 通过所述管的内腔,所述内腔在所述近端部分设置有第一开口,在所述远端部分设置有第二开口,所述内腔适于允许引线通过; 设置在所述远端部分中的气囊,所述气囊适于从所述管向外并周向地膨胀; 流体连接到所述气囊的管道,所述管道从所述气囊延伸到所述近端部分。 该方法还包括将导向鞘插入冠状静脉中; 充气气球以防止逆行血液从冠状静脉流出; 将引线通过所述内腔插入冠状静脉并将其放置在目标位置。 当气囊膨胀时,防止来自冠状静脉的逆行血液流动,冠状静脉中的压力增加,并且冠状静脉扩大,使得引线自由前进通过它们。
    • 48. 发明授权
    • Bipolar sensor for muscle tissue action potential duration estimation
    • 用于肌肉组织动作电位持续时间估计的双极传感器
    • US06522904B1
    • 2003-02-18
    • US09280486
    • 1999-03-30
    • Yuval MikaDavid Prutchi
    • Yuval MikaDavid Prutchi
    • A61B504
    • A61B5/0492
    • A bipolar sensor for muscle tissue action potential duration estimation, in accordance with a preferred embodiment of the present invention, comprising two electrodes exposed at the distal end of an electrode lead. The electrodes at said distal end are kept at a very close proximity, and the sensor is electrically connected to a processing means for processing the signal detected by the sensor. Another prefered embodiment of the bipolar sensor for muscle tissue action potential duration estimation comprises two electrodes positioned at a side wall of an electrode lead, wherein said electrodes are kept at a very close proximity, and wherein said sensor is electrically connected to a processing means for processing the signal detected by the sensor.
    • 根据本发明的优选实施例的用于肌肉组织动作电位持续时间估计的双极传感器,包括在电极引线的远端处暴露的两个电极。 所述远端处的电极保持非常接近,并且传感器电连接到用于处理由传感器检测到的信号的处理装置。用于肌肉组织动作电位持续时间估计的双极传感器的另一个优选实施例包括两个电极 位于电极引线的侧壁处,其中所述电极保持非常接近,并且其中所述传感器电连接到用于处理由传感器检测到的信号的处理装置。
    • 50. 发明授权
    • Apparatus and method for controlling the delivery of non-excitatory cardiac contractility modulating signals to a heart
    • 用于控制向心脏递送非兴奋性心脏收缩调节信号的装置和方法
    • US06370430B1
    • 2002-04-09
    • US09572482
    • 2000-05-16
    • Yuval MikaZiv Belsky
    • Yuval MikaZiv Belsky
    • A61N136
    • A61N1/3962A61B5/0452A61B5/7217A61B5/7264A61N1/3627A61N1/365A61N1/368
    • A method and device for controlling the delivery of cardiac contractility modulating signals to the heart are disclosed. The method includes applying electrodes to a heart, sensing electrical activity in a first cardiac chamber and in at least a second cardiac chamber to detect events within a cardiac beat cycle and applying a cardiac contractility modulating signal to the heart at or about the first cardiac chamber in response to detecting an event within an alert window time interval. The applying of the cardiac contractility modulating signal is inhibited in response to detecting one or more inhibitory events occurring within specific time intervals defined within a current beat cycle. The method also includes the ignoring of events associated with expected electrical artifact signals if they occur within the duration of specified time intervals, to increase the therapy efficacy. The artifact signals may be associated with pacing of a cardiac chamber or with detected far field sensed electrical artifacts due to intrinsic chamber activation. The timing of the various time intervals and of the cardiac contractility signal may be computed on a beat by beat basis by utilizing a plurality of parameter sets stored in the device and the timing of events detected in each beat cycle. A method for determining and setting the parameter sets in a test session is disclosed.
    • 公开了一种用于控制心脏收缩力调节信号传送到心脏的方法和装置。 该方法包括将电极施加到心脏,感测第一心室和第二心室中的电活动,以检测心搏周期内的事件,并将心脏收缩调节信号施加于第一心室或其周围的心脏 响应于检测到警报窗口时间间隔内的事件。 响应于检测在当前搏动周期内定义的特定时间间隔内发生的一个或多个抑制事件,抑制心肌收缩调节信号的应用。 该方法还包括忽略与预期的电假象信号相关联的事件,如果它们在指定时间间隔的持续时间内发生,以增加治疗功效。 神经信号可能与心室的起搏相关联,或与由于内腔活化而被检测到的远场感测到的电假象有关。 可以通过利用存储在设备中的多个参数集和在每个拍子周期中检测到的事件的定时,以搏动为基础计算各种时间间隔和心脏收缩信号的定时。 公开了一种在测试会话中确定和设置参数集的方法。