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1. 发明授权

US07920927B2 Lead assembly and methods including a push tube 失效
标题翻译：引线组装和方法，包括推管
公开(公告)号：US07920927B2
公开(公告)日：2011-04-05
申请号：US12163869
申请日：2008-06-27
申请人： Paul E. Zarembo , John Greenland
发明人： Paul E. Zarembo , John Greenland
IPC分类号： A61N1/00
CPC分类号： A61N1/056 , A61N1/057 , A61N2001/0578
摘要： A lead assembly includes an elongate body having a conductor electrically coupled with an electrode coupled to the elongate body. The lead assembly includes a push tube extending along at least a portion of the elongate body. A distal tip is coupled to the elongate body substantially adjacent to the distal end of the elongate body. The distal tip is sized and shaped to couple with a push tube distal end. In one option, the distal tip includes a seat to receive the push tube distal end. In another option, the seat is a side rail seat and a guide wire extends along the elongate body and is slidably coupled with the side rail seat. The lead assembly includes, optionally, an active fixation device slidably coupled with a portion of the elongate body, and the active fixation device is sized and shaped to couple with the push tube.
摘要翻译：引线组件包括细长主体，其具有与耦合到细长主体的电极电耦合的导体。引线组件包括沿细长体的至少一部分延伸的推管。远侧末端与细长体联接，基本上与细长体的远端相邻。远侧末端的尺寸和形状与推管远端连接。在一个选择中，远侧末端包括用于接收推管远端的座。在另一种选择中，座椅是侧轨座，导线沿着细长主体延伸并与侧轨座滑动联接。引导组件可选地包括与细长主体的一部分可滑动地联接的主动固定装置，并且主动固定装置的尺寸和形状与推管相连。

2. 发明申请

US20080262588A1 LEAD ASSEMBLY AND METHODS INCLUDING A PUSH TUBE 失效
标题翻译：引导组件和包括推管的方法
公开(公告)号：US20080262588A1
公开(公告)日：2008-10-23
申请号：US12163869
申请日：2008-06-27
申请人： Paul E. Zarembo , John Greenland
发明人： Paul E. Zarembo , John Greenland
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N1/057 , A61N2001/0578
摘要： A lead assembly includes an elongate body having a conductor electrically coupled with an electrode coupled to the elongate body. The lead assembly includes a push tube extending along at least a portion of the elongate body. A distal tip is coupled to the elongate body substantially adjacent to the distal end of the elongate body. The distal tip is sized and shaped to couple with a push tube distal end. In one option, the distal tip includes a seat to receive the push tube distal end. In another option, the seat is a side rail seat and a guide wire extends along the elongate body and is slidably coupled with the side rail seat. The lead assembly includes, optionally, an active fixation device slidably coupled with a portion of the elongate body, and the active fixation device is sized and shaped to couple with the push tube.
摘要翻译：引线组件包括细长主体，其具有与耦合到细长主体的电极电耦合的导体。引线组件包括沿细长体的至少一部分延伸的推管。远侧末端与细长体联接，基本上与细长体的远端相邻。远侧末端的尺寸和形状与推管远端连接。在一个选择中，远侧末端包括用于接收推管远端的座。在另一种选择中，座椅是侧轨座，导线沿着细长主体延伸并与侧轨座滑动联接。引导组件可选地包括与细长主体的一部分可滑动地联接的主动固定装置，并且主动固定装置的尺寸和形状与推管相连。

3. 发明授权

US07747333B2 Lead assembly and methods including a push tube 有权
标题翻译：引线组装和方法，包括推管
公开(公告)号：US07747333B2
公开(公告)日：2010-06-29
申请号：US10919202
申请日：2004-08-16
申请人： Paul E. Zarembo , John Greenland
发明人： Paul E. Zarembo , John Greenland
IPC分类号： A61N1/00
CPC分类号： A61N1/056 , A61N1/057 , A61N2001/0578
摘要： A lead assembly includes an elongate body having a conductor electrically coupled with an electrode coupled to the elongate body. The lead assembly includes a push tube extending along at least a portion of the elongate body. A distal tip is coupled to the elongate body substantially adjacent to the distal end of the elongate body. The distal tip is sized and shaped to couple with a push tube distal end. In one option, the distal tip includes a seat to receive the push tube distal end. In another option, the seat is a side rail seat and a guide wire extends along the elongate body and is slidably coupled with the side rail seat. The lead assembly includes, optionally, an active fixation device slidably coupled with a portion of the elongate body, and the active fixation device is sized and shaped to couple with the push tube.
摘要翻译：引线组件包括细长主体，其具有与耦合到细长主体的电极电耦合的导体。引线组件包括沿细长体的至少一部分延伸的推管。远侧末端与细长体联接，基本上与细长主体的远端相邻。远侧末端的尺寸和形状与推管远端连接。在一个选择中，远侧末端包括用于接收推管远端的座。在另一种选择中，座椅是侧轨座，导线沿着细长主体延伸并与侧轨座滑动联接。引导组件可选地包括与细长主体的一部分可滑动地联接的主动固定装置，并且主动固定装置的尺寸和形状与推管相连。

4. 发明授权

US07526343B2 Lead and catheter assembly 失效
标题翻译：铅和导管组装
公开(公告)号：US07526343B2
公开(公告)日：2009-04-28
申请号：US11459587
申请日：2006-07-24
申请人： Charles Peterson , John Greenland , Gary Hague
发明人： Charles Peterson , John Greenland , Gary Hague
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N2001/0585
摘要： A method of accessing lateral branch veins of the coronary sinus with a pacing lead and guide catheter assembly. The guide catheter has an open lumen extending therethrough and a distal end provided with a pre-formed guide curve, while the pacing lead has a distal end provided with a first curve and a second curve extending proximally from the first curve. The guide catheter is inserted into an access vessel of the heart and advanced along the access vessel to the coronary sinus. The pacing lead is inserted into the guide catheter lumen and advanced distally through the guide catheter lumen. The pacing lead is rotated by advancing the second curve of the pacing lead through the guide curve to align the first curve with a pre-determined plane. The first curve of the pacing lead into one of the lateral branch veins of the coronary sinus.
摘要翻译：一种采用起搏引导和引导导管组件来获取冠状窦的横向分支静脉的方法。引导导管具有延伸穿过其中的开口腔和设置有预先形成的引导曲线的远端，而起搏引线具有设置有第一曲线的远端和从第一曲线向近侧延伸的第二曲线。引导导管被插入到心脏的进入容器中并且沿着进入容器前进到冠状窦。起搏引线插入引导导管内腔，并通过引导导管腔远端前进。通过使起搏引线的第二曲线通过引导曲线使起搏引线旋转，以将第一曲线与预定平面对齐。起搏的第一条曲线导致冠状窦的一个横向分支静脉。

5. 发明申请

US20070010793A1 Method and system for accessing a pericardial space 审中-公开
标题翻译：用于获取心包空间的方法和系统
公开(公告)号：US20070010793A1
公开(公告)日：2007-01-11
申请号：US11159705
申请日：2005-06-23
申请人： Peter Callas , Gary Hague , John Greenland , Bruce Tockman , Peter Kelley , Jason Shiroff , David Yingling , Ted Schulte
发明人： Peter Callas , Gary Hague , John Greenland , Bruce Tockman , Peter Kelley , Jason Shiroff , David Yingling , Ted Schulte
IPC分类号： A61M31/00
CPC分类号： A61B17/3478 , A61B2017/306 , A61M25/0084
摘要： A device and method for accessing a pericardial space of the heart includes a shaft having a cavity at a distal end, a suction lumen terminating in a distal port within the cavity and a hollow needle having a distal tip extending into the cavity. The cavity may be a recess in the shaft into which the distal tip of the needle fixedly protrudes. In other embodiments, the cavity is formed by an inflatable member positioned at the distal end of the shaft and the needle is slidable relative to the shaft. Suction is applied at the cavity to draw a pericardial bleb. The needle pierces the pericardial bleb for accessing the pericardial space and also facilitates delivery of payloads into the pericardial space.
摘要翻译：用于访问心脏心包空间的装置和方法包括：具有在远端处的空腔的轴，位于空腔内的远端端口中的抽吸腔，以及具有延伸到空腔中的远端的中空针。空腔可以是轴中的凹部，其中针的远侧末端固定地突出。在其他实施例中，空腔由位于轴的远端处的可充气构件形成，并且针可相对于轴滑动。在空腔处抽取吸入心包泡。针刺穿心包泡，用于进入心包空间，并且还有助于将载荷递送到心包空间中。

6. 发明申请

US20050027343A1 Modified guidewire for left ventricular access lead 失效
标题翻译：修改左心室导线导丝
公开(公告)号：US20050027343A1
公开(公告)日：2005-02-03
申请号：US10730269
申请日：2003-12-09
申请人： Randy Westlund , Bruce Tockman , Randall Peterfeso , John Greenland , Mary Hinders
发明人： Randy Westlund , Bruce Tockman , Randall Peterfeso , John Greenland , Mary Hinders
IPC分类号： A61M25/09 , A61N1/05
CPC分类号： A61N1/057 , A61B2017/22035 , A61M25/09 , A61M2025/09175 , A61N2001/0578
摘要： An improved guidewire for assisting in implantation of a cardiac lead includes three sections. The most distal zone is sufficiently floppy to prevent trauma to the vessel walls through which the guidewire and lead are inserted. An intermediate zone is generally stiffer and has a cross-section less than or equal to the cross-section of the distal zone. The third zone is stiffer yet and is joined to the intermediate zone by a shoulder. The shoulder cooperates with protrusions on the lead to transfer forces between the guidewire and lead. A finishing wire having temporary locking means to lock the finishing wire to the lead is employed to remove the guide catheter without moving the lead from its desired location. Lubricious coatings are also provided to reduce friction between the lead and guidewire.
摘要翻译：用于辅助植入心脏引线的改进的导线包括三个部分。最远端的区域是足够的软盘，以防止对引导线和引线插入的血管壁的创伤。中间区通常较硬，横截面小于或等于远端区的横截面。第三区域较硬，并通过肩部连接到中间区域。肩部与导线上的突起配合，以在导丝和导线之间传递力。采用具有将精整线锁定到引线的临时锁定装置的精加工丝线来移除引导导管而不将引线从其期望的位置移动。还提供润滑涂层以减少引线和导丝之间的摩擦。

7. 发明申请

US20060036307A1 Lead assembly and methods including a push tube 有权
公开(公告)号：US20060036307A1
公开(公告)日：2006-02-16
申请号：US10919202
申请日：2004-08-16
申请人： Paul Zarembo , John Greenland
发明人： Paul Zarembo , John Greenland
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N1/057 , A61N2001/0578
摘要： A lead assembly includes an elongate body having a conductor electrically coupled with an electrode coupled to the elongate body. The lead assembly includes a push tube extending along at least a portion of the elongate body. A distal tip is coupled to the elongate body substantially adjacent to the distal end of the elongate body. The distal tip is sized and shaped to couple with a push tube distal end. In one option, the distal tip includes a seat to receive the push tube distal end. In another option, the seat is a side rail seat and a guide wire extends along the elongate body and is slidably coupled with the side rail seat. The lead assembly includes, optionally, an active fixation device slidably coupled with a portion of the elongate body, and the active fixation device is sized and shaped to couple with the push tube.

8. 发明申请

US20050228458A1 Finishing wire assembly having variable insertion length and method therefor 审中-公开
标题翻译：具有可变插入长度的整理线组件及其方法
公开(公告)号：US20050228458A1
公开(公告)日：2005-10-13
申请号：US10819710
申请日：2004-04-07
申请人： Mo Jafari , John Greenland , Frank Manning , Charles Peterson
发明人： Mo Jafari , John Greenland , Frank Manning , Charles Peterson
IPC分类号： A61N1/372 , A61N1/375
CPC分类号： A61N1/3752
摘要： A finishing wire assembly is provided herein that employs features that allow for the finishing wire assembly to be utilized with several different types of leads. Foe example, leads having a variety of different lengths and/or diameters, or other features that vary from lead to lead. The finishing wire assembly is adjustable in its length. For example, a portion of the finishing wire assembly is movable at a proximal portion of the finishing wire assembly, as further described below.
摘要翻译：本文提供了一种精加工线组件，其采用允许精加工线组件与几种不同类型的引线一起使用的特征。例如，具有各种不同长度和/或直径的导线，或其它从铅到铅不同的特征。整理线组件的长度可调。例如，精整线组件的一部分可在精整线组件的近端部分移动，如下面进一步描述的。

9. 发明申请

US20050228457A1 Finishing wire compatible with multiple components 审中-公开
标题翻译：整理线与多个组件兼容
公开(公告)号：US20050228457A1
公开(公告)日：2005-10-13
申请号：US10819704
申请日：2004-04-07
申请人： Mo Jafari , John Greenland , Paul Haldeman , Charles Peterson
发明人： Mo Jafari , John Greenland , Paul Haldeman , Charles Peterson
IPC分类号： A61N1/372 , A61N1/375
CPC分类号： A61N1/3752
摘要： A finishing wire assembly employs features that allow for the finishing wire assembly to be utilized with several different types of leads having terminal pins with varying structure, such as different outer or inner diameters for the terminal pins.
摘要翻译：精加工线组件采用允许精加工线组件与几种不同类型的引线一起使用的特征，引线具有变化结构的端子引脚，例如端子引脚的不同的外径或内径。

10. 发明授权

US07542808B1 Lead and catheter assembly 失效
标题翻译：铅和导管组装
公开(公告)号：US07542808B1
公开(公告)日：2009-06-02
申请号：US10944303
申请日：2004-09-17
申请人： Charles Peterson , John Greenland , Gary Hague
发明人： Charles Peterson , John Greenland , Gary Hague
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N2001/0585
摘要： A guide catheter assembly for accessing lateral branch veins of the coronary sinus includes a guide catheter and a pacing lead. The guide catheter has a central lumen therethrough, a proximal end and a distal end pre-formed with a guide curve. The pacing lead is slidably receivable within the guide catheter lumen. The pacing lead has a proximal end and a distal end formed with a first curve and a second curve extending proximally from the first curve. The second curve is adapted to mate with the guide curve to direct the first curve into a selected branch vein of the coronary sinus. The second curve may be pre-formed in the pacing lead, or may be imparted to the pacing lead via a stylet or inner catheter.
摘要翻译：用于进入冠状窦的横向分支静脉的引导导管组件包括导向导管和起搏引线。引导导管具有穿过其的中央腔，近端和预先形成有引导曲线的远端。起搏引线可滑动地接收在引导导管内腔内。起搏引线具有近端和远端，其形成有第一曲线和从第一曲线向近侧延伸的第二曲线。第二曲线适于与引导曲线配合，以将第一曲线引导至冠状窦的选定分支静脉。第二曲线可以在起搏引线中预先形成，或者可以经由探针或内导管施加到起搏引线。

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