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1. 发明授权

US07107105B2 Deployable medical lead fixation system and method 失效
标题翻译：可部署医用铅固定系统及方法
公开(公告)号：US07107105B2
公开(公告)日：2006-09-12
申请号：US10254196
申请日：2002-09-24
申请人： Vicki L. Bjorklund , John L Sommer , Douglas S. Hine , Charles J. Love , Douglas N. Hess , Nicolaas M. Lokhoff
发明人： Vicki L. Bjorklund , John L Sommer , Douglas S. Hine , Charles J. Love , Douglas N. Hess , Nicolaas M. Lokhoff
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N1/057 , A61N2001/058
摘要： An improved medical lead assembly and method of use is provided. The lead assembly includes a lead body, and a spring member positioned adjacent to the lead body. The spring member may be deployed a selectable amount to maintain the lead body in a fixed location within a patient's body. The spring member may be an expandable coil, a mesh structure that is similar to a stent, or any other similar device that may be positioned in a low-profile state during a lead implant procedure. After the lead is positioned at a target destination, the spring member may be deployed an amount that is selected based on the characteristics of the surrounding tissue, including vessel size. According to one aspect of the invention, the lead assembly may provide means for facilitating chronic lead extraction.
摘要翻译：提供了一种改进的医疗引线组件和使用方法。引线组件包括引线体和邻近引线体定位的弹簧部件。弹簧构件可以部署可选择的量以将引线体保持在患者体内的固定位置。弹簧构件可以是可扩张线圈，类似于支架的网状结构或者在引线植入过程期间可以被定位在低轮廓状态的任何其它类似的装置。在引线定位在目标目的地之后，弹簧构件可以展开一定量，该量基于包括容器尺寸的周围组织的特性来选择。根据本发明的一个方面，引线组件可以提供用于促进慢性铅提取的装置。

2. 发明授权

US08639340B2 Implantable medical lead connector sleeves 有权
标题翻译：可植入医用导线连接器套管
公开(公告)号：US08639340B2
公开(公告)日：2014-01-28
申请号：US10635166
申请日：2003-08-06
申请人： John L. Sommer , Douglas S. Hine , Douglas N. Hess
发明人： John L. Sommer , Douglas S. Hine , Douglas N. Hess
IPC分类号： A61N1/375
CPC分类号： A61N1/3752
摘要： A connector sleeve includes a lumen adapted to receive a medical lead connector wherein a retention element engages a retention edge formed at a distal end of a connector element included on the lead connector. The connector sleeve further includes a contact element adapted to electrically engage the lead connector element within the lumen and an external conductive surface electrically coupled to the contact element and adapted for electrical engagement within the connector bore of an implantable medical device.
摘要翻译：连接器套管包括适于接收医疗引线连接器的内腔，其中保持元件接合形成在包括在引线连接器上的连接器元件的远端处的保持边缘。连接器套筒还包括适于电连接腔内的引线连接器元件的接触元件和电耦合到接触元件的外部导电表面，并且适于电连接在可植入医疗器械的连接器孔内。

3. 发明授权

US07860580B2 Active fixation medical electrical lead 有权
标题翻译：主动固定医用电线
公开(公告)号：US07860580B2
公开(公告)日：2010-12-28
申请号：US11379849
申请日：2006-04-24
申请人： Jeffrey G. Falk , Douglas N. Hess , John L. Sommer
发明人： Jeffrey G. Falk , Douglas N. Hess , John L. Sommer
IPC分类号： A61N1/362
CPC分类号： A61N1/0573 , A61N2001/0585
摘要： A medical electrical lead includes a proximal insulation segment, a distal insulation segment, a conductor extending within the proximal and distal segments, and an electrode coupled to the conductor and disposed in proximity to a distal end of the distal insulation segment. A fixation element of the lead is coupled to a distal end of the proximal insulation segment and includes a wire wound in a helix, which extends distally from the proximal segment, over the distal insulation segment.
摘要翻译：医疗电引线包括近端绝缘段，远侧绝缘段，在近端段和远侧区段内延伸的导体，以及耦合到导体并设置在远端绝缘区段的远端附近的电极。引线的固定元件联接到近端绝缘节段的远端，并且包括缠绕在远端绝缘节段上的从近端段向远端延伸的螺旋线的线。

4. 发明授权

US06968235B2 Enhanced method and apparatus to identify and connect a small diameter lead with a low profile lead connector 失效
标题翻译：增强的方法和设备，用于识别和连接小直径导线与低剖面导线连接器
公开(公告)号：US06968235B2
公开(公告)日：2005-11-22
申请号：US10137158
申请日：2002-04-30
申请人： Elisabeth L. Belden , Eric V. Blaha , Eric H. Bonde , Ryan Cobian , Steven D. Goedeke , Gregory J. Haubrich , Douglas N. Hess , Nels D. Nerison , John L. Sommer , David L. Thompson , Jonathan C. Werder
发明人： Elisabeth L. Belden , Eric V. Blaha , Eric H. Bonde , Ryan Cobian , Steven D. Goedeke , Gregory J. Haubrich , Douglas N. Hess , Nels D. Nerison , John L. Sommer , David L. Thompson , Jonathan C. Werder
IPC分类号： A61N1/37 , A61B5/00 , A61N1/02 , A61N1/05 , A61N1/372 , A61N1/375 , A61N1/39 , A61N1/34
CPC分类号： A61N1/37252 , A61B5/0031 , A61B2560/0219 , A61N1/025 , A61N1/37223 , A61N1/3752 , A61N2001/0585
摘要： The present invention provides a practical, multi-polar, in-line connector system for use in connecting implantable medical devices (IMD) and associated non-standard, low profile medical electrical leads. In addition, the present invention provides a system that uses tool less, frictional, sealed, compressive electrical connections for most or all of the electrical interconnections between an IMD and a low profile lead. A protective sleeve seals the lead connector to the non-standard port to prevent intrusion of body fluids therein. In addition, optional microchip-based circuitry coupled to the sleeve enables wireless communication and remote programming for diverse IMDs. Memory associated with the circuitry can store, update and reprogram a wide variety of information relevant to the IMD, the patient, and the attending physician, among others. For example, the microchip may be used to identify the lead type and characteristics, as well as other useful data.
摘要翻译：本发明提供了一种用于连接可植入医疗装置（IMD）和相关联的非标准低剖面医疗电引线的实用的多极直插式连接器系统。另外，本发明提供了一种系统，该系统对于IMD和低剖面导线之间的大部分或全部电互连使用较少的，摩擦的，密封的，压缩的电连接。保护套将引线连接器密封到非标准端口，以防止其中的体液侵入。此外，耦合到套管的可选的基于微芯片的电路可实现针对不同IMD的无线通信和远程编程。与电路相关联的存储器可以存储，更新和重新编程与IMD，患者和主治医师等相关的各种各样的信息。例如，微芯片可用于识别引线类型和特性，以及其他有用的数据。

5. 发明授权

US5968087A Multi-component lead body for medical electrical leads 失效
标题翻译：医用电线多部件引线体
公开(公告)号：US5968087A
公开(公告)日：1999-10-19
申请号：US990219
申请日：1997-12-15
申请人： Douglas N. Hess , Stanton D. Myrum , Michael J. Ebert
发明人： Douglas N. Hess , Stanton D. Myrum , Michael J. Ebert
IPC分类号： A61N1/05 , A61N1/39
CPC分类号： A61N1/0573 , A61N1/056 , A61N1/3987
摘要： A medical electrical lead having an elongated lead body carrying a conductor therein, the lead body being formed of an inner sleeve of a first, relatively more rigid plastic and an outer sheath of a second, relatively less rigid plastic, the inner sleeve having a tubular portion and having outwardly extending helical ridges extending along its length, the ridges having lateral wall surfaces extending radially from the tubular portion and an outer sheath over the inner sleeve and in contact with the lateral wall surfaces of the inner sleeve. A fixation helix may be mounted at the distal end of the lead body and a conductor, which is also rotatable relative to the lead body may be located within the inner, tubular sleeve. Conductors may also be located between the ridges of the inner sleeve, embedded in the outer sheath.
摘要翻译：一种具有在其中承载导体的细长引线体的医用电引线，所述引线主体由第一相对较刚性的塑料的内套和第二相对较不刚性的塑料的外护套形成，所述内套具有管状并且具有沿着其长度延伸的向外延伸的螺旋脊，脊具有从管状部分径向延伸的侧壁表面，并且外护套在内套筒上方并与内套筒的侧壁表面接触。固定螺旋可以安装在引线主体的远端处，并且也可以相对于引线主体旋转的导体可以位于内部管状套筒内。导体也可以位于内套筒的脊之间，嵌入外护套中。

6. 发明授权

US5948015A Medical electrical lead 失效
标题翻译：医用电线
公开(公告)号：US5948015A
公开(公告)日：1999-09-07
申请号：US78977
申请日：1998-05-14
申请人： Douglas N. Hess , Richard D. Sandstrom , Michael A. Ruff , Rodica V. Ruta
发明人： Douglas N. Hess , Richard D. Sandstrom , Michael A. Ruff , Rodica V. Ruta
IPC分类号： A61N1/05
CPC分类号： A61N1/0573
摘要： A medical electrical lead having an electrode head with an internal lumen mounted to a proximal portion of the lead body and a rotatable fixation helix advanceable from the internal lumen. The helix is mounted to a rotatable shaft which is provided with a central shaft portion and circumferential shoulders proximal and distal to the central shaft portion. A seal is mounted in the lumen of the electrode head, encircling the shaft and C-shaped seal retainers are mounted in the lumen of the electrode head member proximal and distal to the seal.
摘要翻译：一种医用电引线，具有电极头，该电极头具有安装到引线本体的近端部分的内腔，以及可从内腔推进的可旋转固定螺旋。螺旋被安装到可旋转的轴上，该可旋转轴设置有中心轴部分和在中心轴部分的近侧和远侧的周向肩部。密封件安装在电极头的内腔中，环绕轴，C形密封件保持件安装在密封件的近端和远端的电极头构件的内腔中。

7. 发明授权

US08233994B2 Active fixation medical lead 有权
标题翻译：主动固定医用铅
公开(公告)号：US08233994B2
公开(公告)日：2012-07-31
申请号：US12420326
申请日：2009-04-08
申请人： John L. Sommer , Douglas N. Hess
发明人： John L. Sommer , Douglas N. Hess
IPC分类号： A61N1/05
CPC分类号： A61N1/0575 , A61N2001/0585
摘要： An implantable medical device that includes an elongated body having a proximal end and a distal end, a helical fixation member extending from the distal end of the elongated body, the helical fixation member including a distal tip for affixing the distal end of the elongated body at an implant site, and a tracking member extending from the distal end of the elongated body, through the helical fixation member and outward from the distal tip of the helical fixation member for tracking along an implant pathway during implantation of the implantable medical device.
摘要翻译：一种可植入医疗装置，其包括具有近端和远端的细长主体，从所述细长主体的远端延伸的螺旋固定构件，所述螺旋固定构件包括用于将所述细长体的远端固定在所述远端的远端植入物位置和跟踪构件，其从细长主体的远端延伸穿过螺旋固定构件，并从螺旋固定构件的远侧末端向外延伸，用于在植入可植入医疗装置期间沿植入物路径跟踪。

8. 发明授权

US08041434B2 Implantable medical electrical lead bodies providing improved electrode contact 有权
标题翻译：可植入的医用电引线体，提供改善的电极接触
公开(公告)号：US08041434B2
公开(公告)日：2011-10-18
申请号：US12413176
申请日：2009-03-27
申请人： William J. Clemens , Nicole L. Werner , Deborah A. Loch , Douglas Stephen Hine , Douglas N. Hess , Carla C. Pfeiffer , Walton William Baxter, III
发明人： William J. Clemens , Nicole L. Werner , Deborah A. Loch , Douglas Stephen Hine , Douglas N. Hess , Carla C. Pfeiffer , Walton William Baxter, III
IPC分类号： A61N1/00
CPC分类号： A61N1/056 , A61N2001/0585
摘要： A distal section of an implantable medical electrical lead body includes a pair of pre-formed arcuate segments between which an approximately straight segment extends. The approximately straight segment includes a first portion extending distally from a first of the pair pre-formed arcuate segments, a second portion extending from the first portion, a third portion extending from the second to a second of the pair pre-formed arcuate segments. An electrode is coupled to the second portion of the approximately straight segment, and the adjacent first portion has a stiffness which is less than that of the first of the pair pre-formed arcuate segments and preferably less than the stiffness of the third portion, so that, when the distal section of the lead body is implanted, for example, within a cardiac vein, the lead buckles to bring the electrode into closer contact with surrounding tissue.
摘要翻译：植入式医疗电引线主体的远端部分包括一对预先形成的弧形段，大致直的段延伸在该弧形段之间。大致直的部分包括从第一对预成形弧形段向远侧延伸的第一部分，从第一部分延伸的第二部分，从该对预成形弧形段中的第二部分延伸到第二部分的第三部分。电极耦合到大致直线段的第二部分，并且相邻的第一部分的刚度小于预先形成的一对弓形段中的第一部分的刚度，并且优选地小于第三部分的刚度，因此当引线体的远侧部分植入心脏静脉内时，引线带扣使电极与周围的组织更接近。

9. 发明授权

US07184839B2 Catheter-delivered cardiac lead 有权
标题翻译：导管心脏导联
公开(公告)号：US07184839B2
公开(公告)日：2007-02-27
申请号：US10318518
申请日：2002-12-16
申请人： Willim J. Clemens , Michael L. Freiborg , Michael A. Ruff , Douglas N. Hess , Elisabeth L. Belden , Terrell M. Williams , Brian T. McHenry , Mark B. Bucheger , Timothy G. Laske , Matthew D. Bonner
发明人： Willim J. Clemens , Michael L. Freiborg , Michael A. Ruff , Douglas N. Hess , Elisabeth L. Belden , Terrell M. Williams , Brian T. McHenry , Mark B. Bucheger , Timothy G. Laske , Matthew D. Bonner
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N2001/058
摘要： A lead for delivering electrical signals to and/or receive electrical signals from a human heart that includes a solid inner conductor, and a fixation device having a titanium nitride coated surface and electrically coupled to the inner conductor. A steroid is applied to the titanium nitride surface of the fixation device, and at least one layer of insulation is positioned around the inner conductor. A conductive coil is positioned around and is insulated from the inner conductor, an electrode ring electrically coupled to the conductive coil is positioned around and is electrically isolated from the inner conductor, and an insulating spacer is positioned between and electrically isolates the ring electrode and the fixation device.
摘要翻译：用于将电信号传递到和/或接收来自包括实心内导体的人心脏的电信号的引线，以及具有氮化钛涂覆表面并电耦合到内导体的固定装置。将类固醇施加到固定装置的氮化钛表面，并且至少一层绝缘体围绕内部导体定位。导电线圈定位在内导体周围并与内导体绝缘，电耦合到导电线圈的电极环位于内导体周围并与内导体电隔离，并且绝缘间隔物位于电极之间并电隔离环电极和固定装置

10. 发明授权

US06551269B2 Introducer catheter lead delivery device with collapsible stylet lumen 失效
公开(公告)号：US06551269B2
公开(公告)日：2003-04-22
申请号：US09740083
申请日：2000-12-18
申请人： William J. Clemens , Douglas N. Hess , Michael L. Freiborg
发明人： William J. Clemens , Douglas N. Hess , Michael L. Freiborg
IPC分类号： A61N130
CPC分类号： A61N1/056 , A61M25/0026 , A61M2025/0025 , A61N2001/0578
摘要： An introducer catheter used to deliver an endocardial cardiac electrode has a stylet lumen which collapses upon removal of the stylet to allow for more clearance for the lead and connector to pass when the catheter is removed after lead placement. The collapsible stylet lumen permits the introducer catheter size to be reduced to 8 or 9 French and provide for passage of a 4 French lead.

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