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1. 发明授权

US06256542B1 Extractable implantable medical lead 有权
公开(公告)号：US06256542B1
公开(公告)日：2001-07-03
申请号：US09507960
申请日：2000-02-22
申请人： Mark T. Marshall , Bret R. Shoberg , Clare E. Padgett , Timothy G. Laske , Steven L. Waldhauser , Mark T. Stewart , Catherine E. Taylor , Kenneth W. Keeney
发明人： Mark T. Marshall , Bret R. Shoberg , Clare E. Padgett , Timothy G. Laske , Steven L. Waldhauser , Mark T. Stewart , Catherine E. Taylor , Kenneth W. Keeney
IPC分类号： A61N105
CPC分类号： A61N1/0563 , A61N1/056
摘要： A medical electrical lead with a tip-ring assembly optimized to resist damage during extraction. The lead includes an elongated plastic tube and at least two elongated conductors mounted in the plastic tube. A tip-ring assembly is mounted to the distal end of the tube, the tip-ring assembly including a ring electrode coupled to one of the conductors, a tip electrode located distal to the ring electrode and coupled to another of the conductors and two molded plastic components separately fabricated of a plastic harder than the plastic tube, adhered to one another and together defining a circumferential groove in which the ring electrode is located and mechanically coupled to the tip electrode. The tip electrode may be provided with a proximally extending electrode shank covered by a tine sleeve which is fabricated of a plastic softer than the molded plastic components and is adhered to more distally located molded plastic component. The more distally located molded plastic component preferably overlaps the electrode shank to provide a stronger structure.

2. 发明授权

US5676694A Medical electrical lead 失效
标题翻译：医用电线
公开(公告)号：US5676694A
公开(公告)日：1997-10-14
申请号：US657577
申请日：1996-06-07
申请人： Gregory A. Boser , Mark A. Hjelle , Timothy G. Laske , Mark Mabel , Pedro A. Meregotte , Jon M. Ocel , Clare E. Padgett , David G. Schaenzer , Bret R. Shoberg , Sandra F. Viktora
发明人： Gregory A. Boser , Mark A. Hjelle , Timothy G. Laske , Mark Mabel , Pedro A. Meregotte , Jon M. Ocel , Clare E. Padgett , David G. Schaenzer , Bret R. Shoberg , Sandra F. Viktora
IPC分类号： A61N1/05 , A61B5/042
CPC分类号： A61N1/0563
摘要： A medical electrical lead having an elongated lead body provided with an internal longitudinally extending lumen carrying an elongated stranded or cabled conductor and an electrode coil, located on said lead body. The coil is coupled to the conductor by a conductive sleeve having a tubular portion which has an internal lumen through which the conductor passes and a groove or bore which engages only a portion of a turn or turns of the electrode coil, such that the coil is oriented generally perpendicular to the internal lumen of said sleeve and to the conductor.
摘要翻译：一种具有细长引线主体的医用电引线，该引线体设置有位于所述引线主体上的内部纵向延伸的内腔，其承载细长绞合或电缆导体和电极线圈。线圈通过具有管状部分的导电套管耦合到导体，该管状部分具有导体所穿过的内腔，以及仅与电极线圈的匝或匝相接合的凹槽或孔，使得线圈为定向为大致垂直于所述套筒的内腔和导体。

3. 发明授权

US5957970A Method of fabricating a medical electrical lead 失效
标题翻译：制造医用电线的方法
公开(公告)号：US5957970A
公开(公告)日：1999-09-28
申请号：US25485
申请日：1998-02-18
申请人： Bret R. Shoberg , Matthew D. Bonner , Timothy G. Laske
发明人： Bret R. Shoberg , Matthew D. Bonner , Timothy G. Laske
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N1/0563
摘要： 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.
摘要翻译：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。

4. 发明授权

US5928277A One piece defibrillation lead circuit 失效
标题翻译：一片除颤引线电路
公开(公告)号：US5928277A
公开(公告)日：1999-07-27
申请号：US26064
申请日：1998-02-19
申请人： Timothy G. Laske , David W. Mayer , Pedro A. Meregotte , Bret R. Shoberg , Gregory A. Boser
发明人： Timothy G. Laske , David W. Mayer , Pedro A. Meregotte , Bret R. Shoberg , Gregory A. Boser
IPC分类号： A61N1/05
CPC分类号： A61N1/0563
摘要： An implantable electrical lead having a lead body with a longitudinal lumen therein and a stranded electrical conductor located in the lumen and which exits the lumen at a distal portion of the lead body, the distal end of the conductor being curved to form a loop and reentering the lumen, terminating within the lumen alongside a more proximal portion of the conductor. The portion of the conductor exterior to the lumen is wound around the lead body to form a coiled electrode. In some embodiments the distal end of the conductor is coupled to a more proximal portion of the conductor to form a loop and the loop is wound around the lead body to form a bifilar coil. In other embodiments the conductor is wound around the lead body to form a mono-filar coil. The distal end of the conductor is mechanically and electrically coupled to a more proximal portion of the conductor, within the lumen.
摘要翻译：一种植入式电引线，其具有其中具有纵向内腔的引线主体和位于所述内腔中的绞合电导体，并且在所述引线主体的远端部分处离开所述内腔，所述导体的远端弯曲以形成环并重新进入该管腔与导管的较近端部分一起终止于管腔内。导管外部的导体部分缠绕在引线体上以形成线圈电极。在一些实施例中，导体的远端耦合到导体的更近端部分以形成环，并且环绕引线体缠绕以形成双线圈。在其它实施例中，导体缠绕在引线体上以形成单丝线圈。导体的远端在管腔内机械地和电耦合到导体的更靠近的部分。

5. 发明授权

US06501991B1 Electrically-isolated multiple conductor lead body 有权
标题翻译：电绝缘多导体引线体
公开(公告)号：US06501991B1
公开(公告)日：2002-12-31
申请号：US09598983
申请日：2000-06-21
申请人： Jordon D. Honeck , Bret R. Shoberg
发明人： Jordon D. Honeck , Bret R. Shoberg
IPC分类号： A61N104
CPC分类号： A61N1/056
摘要： A multi-conductor lead body having improved mechanical characteristics and improved manufacturability is disclosed. The lead body includes multiple conductors wound around a generally cylindrical or tubular, insulative core member. Ones of the conductors are spaced from other ones of the conductors by means of insulative strands or tubes wound around the core intermediate the conductors. The conductors may be stranded or cabled conductors. The core may be an insulative cylindrical or tubular member having a centrally located tensile reinforcement member, or may take the form of an insulated coiled conductor, allowing the use of a centrally located stylet to place the lead. Preferably, conductors and insulative strands or tubes separating the conductors are sized relative to the core member such that a gap is allowed between the conductors and associated insulative strands or tubes. In one embodiment, at least one of the conductors may be electrically and mechanically coupled to one or more electrodes such as a defibrillation electrodes. The electrodes may each be may be positioned along a respective portion of the outer surface of the conductor. Openings fashioned in the jacket of the lead body expose the electrodes so that the outer surface of the electrodes is substantially adjacent to the outer surface of the lead body, thus providing a lead body having minimal dimensions.
摘要翻译：公开了一种具有改进的机械特性和改进的可制造性的多导体引线体。引线体包括缠绕在大致圆柱形或管状绝缘芯部件上的多个导体。导体的一部分通过在导体之间缠绕在芯上的绝缘线或管与其它导体间隔开。导体可以是绞合或电缆导体。芯可以是具有中心定位的拉伸加强构件的绝缘圆柱形或管状构件，或者可以采用绝缘线圈导体的形式，允许使用位于中心的探针来放置引线。优选地，分离导体的导体和绝缘线或管的尺寸相对于芯构件尺寸使得在导体和相关联的绝缘线或管之间允许间隙。在一个实施例中，至少一个导体可以电气和机械耦合到一个或多个电极，例如除颤电极。电极可以各自沿着导体的外表面的相应部分定位。在引线体的护套中形成的开口暴露电极，使得电极的外表面基本上与引线体的外表面相邻，从而提供具有最小尺寸的引线体。

6. 发明授权

US07289846B2 Multi-lumen medical electrical lead body 有权
标题翻译：多腔医用电引线体
公开(公告)号：US07289846B2
公开(公告)日：2007-10-30
申请号：US10630514
申请日：2003-07-30
申请人： Bret R. Shoberg , Jordon D. Honeck
发明人： Bret R. Shoberg , Jordon D. Honeck
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N1/0563 , A61N1/0573
摘要： A medical electrical lead includes an elastomeric multi-lumen tube, which includes a lumen having a substantially elliptical cross-section through which a conductor having a substantially circular cross-section may extend. The substantially elliptical cross-section of the lumen includes a minor axis having a first length and being deformable such that the first length of the minor axis extends to a second length.
摘要翻译：医用电引线包括弹性体多腔管，其包括具有基本上椭圆形横截面的内腔，具有基本圆形横截面的导体可以延伸。管腔的基本上椭圆形的横截面包括具有第一长度并且可变形的短轴，使得短轴的第一长度延伸到第二长度。

7. 发明授权

US5935159A Medical electrical lead 失效
标题翻译：医用电线
公开(公告)号：US5935159A
公开(公告)日：1999-08-10
申请号：US990647
申请日：1997-12-15
申请人： Thomas E. Cross, Jr. , Bret R. Shoberg , Alan C. Rausch , Mark A. Hjelle
发明人： Thomas E. Cross, Jr. , Bret R. Shoberg , Alan C. Rausch , Mark A. Hjelle
IPC分类号： A61N1/05 , A61N1/39
CPC分类号： A61N1/056 , A61N1/3987
摘要： An improved lead body for implantable leads comprising a longitudinally extending core section provided with longitudinally extending grooves in which conductors are located and an outer tubular member, encasing the core and conductors.
摘要翻译：一种用于可植入引线的改进的引线体，包括纵向延伸的芯部分，其设置有导体位于其中的纵向延伸的沟槽，以及包围芯体和导体的外管状部件。

8. 发明授权

US5876430A Method to stiffen and provide abrasion to connector end of leads 失效
标题翻译：加强并提供导线连接器端部磨损的方法
公开(公告)号：US5876430A
公开(公告)日：1999-03-02
申请号：US992593
申请日：1997-12-17
申请人： Bret R. Shoberg , David G. Schaenzer
发明人： Bret R. Shoberg , David G. Schaenzer
IPC分类号： A61N1/05
CPC分类号： A61N1/0563
摘要： An implantable medical electrical lead having a lead body including a stranded or cabled conductor extending therein and an electrical connector mounted to a proximal end of the lead body and coupled to the stranded or cabled conductor and having a fabric tube molded into a proximal portion of the lead body adjacent the electrical connector. The fabric may be a polyester mesh formed or rolled into a tube and is preferably molded into the proximal portion of said lead body adjacent its exterior surface. The proximal portion of the lead body may be fabricated of silicone rubber or polyurethane.
摘要翻译：一种可植入式医用电气导线，其具有引线主体，该引线主体包括延伸在其中的绞合或电缆导体，以及电连接器，该电连接器安装到引线主体的近端，并连接到绞合或电缆导体，并具有模制成引线体与电连接器相邻。织物可以是形成或卷成管的聚酯网，并且优选地模制到邻近其外表面的所述引线体的近端部分中。引线体的近端部分可以由硅橡胶或聚氨酯制成。

9. 发明授权

US5584873A Medical lead with compression lumens 失效
标题翻译：带压缩腔的医用引线
公开(公告)号：US5584873A
公开(公告)日：1996-12-17
申请号：US438125
申请日：1995-05-08
申请人： Bret R. Shoberg , Svenn E. Borgersen , Michael R. Dollimer
发明人： Bret R. Shoberg , Svenn E. Borgersen , Michael R. Dollimer
IPC分类号： A61B5/0478 , A61B5/0408 , A61N1/05
CPC分类号： A61N1/056
摘要： A medical electrical lead having a multiple conductors located within an elongated lead body which is provided with multiple conductor lumens each containing a conductor and with at least one compression lumen which does not contain a conductor. The conductor lumens are spaced from one another by a first, minimum spacing and the compression lumen or lumens are located intermediate the conductor lumens and are spaced from the conductor lumens by a second, minimal spacing of less then said first minimum spacing. The centers of the compression lumens are located along lines which pass through the both the center of a conductor lumen and the center of the lead body. The arrangement of the conductor and compression lumens enhances the lead's ability to survive crushing forces such as applied by the first rib and clavicle.
摘要翻译：一种具有位于细长引线体内的多个导体的医用电引线，其具有多个导体管腔，每个导体腔体包含导体和至少一个不包含导体的压缩内腔。导体腔相互隔开第一最小间隔，并且压缩腔或管腔位于导体管腔之间，并且与导体管腔隔开第二最小间隔小于所述第一最小间距。压缩腔的中心沿着穿过导体腔的中心和引线主体的中心的线定位。导体和压缩腔的布置增强了铅的存活力，例如由第一肋和锁骨施加的破碎力。

10. 发明申请

US20090240315A1 INSULATING MEMBER FOR A MEDICAL ELECTRICAL LEAD AND METHOD FOR ASSEMBLY 有权
标题翻译：医用电气绝缘用绝缘构件及组装方法
公开(公告)号：US20090240315A1
公开(公告)日：2009-09-24
申请号：US12481216
申请日：2009-06-09
申请人： Thomas C. Bischoff , Kathryn R. Parsons , Marc R. Helmick , Bret R. Shoberg , George M. Huepenbecker , Sandra F. Viktora , James J. Snyder
发明人： Thomas C. Bischoff , Kathryn R. Parsons , Marc R. Helmick , Bret R. Shoberg , George M. Huepenbecker , Sandra F. Viktora , James J. Snyder
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N1/0573 , Y10T29/49227
摘要： A medical electrical lead that includes a lead body having a lead body lumen, an electrode head assembly fixedly engaged with the lead body and having an electrode head assembly lumen communicating with the lead body lumen, and a conductor extending within the lead body lumen and the electrode head assembly lumen. An insulating member extends through the electrode head assembly lumen and the lead body lumen to electrically isolate the conductor.
摘要翻译：一种医用电线，包括具有引线体腔的引线本体，与所述引线主体固定地接合并具有与所述引线体腔连通的电极头组件内腔的电极头组件，以及在所述引线体腔内延伸的导体，电极头组件管腔。绝缘构件延伸穿过电极头组件内腔和引线体腔，以使导体电隔离。

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