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1. 发明申请

US20090131873A1 SYSTEM AND METHOD FOR POSITIONING IMPLANTABLE MEDICAL DEVICES WITHIN CORONARY VEINS 有权
标题翻译：用于在冠状动脉内定位可植入医疗装置的系统和方法
公开(公告)号：US20090131873A1
公开(公告)日：2009-05-21
申请号：US12357810
申请日：2009-01-22
申请人： Stanten C. Spear , James F. Kelley , Kenneth C. Gardeski , Mohmoud K. Seraj , Eric K.Y. Chan
发明人： Stanten C. Spear , James F. Kelley , Kenneth C. Gardeski , Mohmoud K. Seraj , Eric K.Y. Chan
IPC分类号： A61M5/178 , A61F2/06 , A61M31/00
CPC分类号： A61M25/0668 , A61B18/1492 , A61B2017/22038 , A61B2018/00386 , A61M25/005 , A61M25/0051 , A61M25/0054 , A61M25/008 , A61M25/0138 , A61M25/0141 , A61M25/0147 , A61M2025/0042 , A61M2025/0047 , A61M2025/0081 , A61M2025/0161 , A61M2025/0681 , A61M2025/1052 , A61M2025/1079 , A61N1/056 , A61N2001/0578 , A61N2001/0585
摘要： An improved system and method for placing implantable medical devices (IMDs) such as leads within the coronary sinus and branch veins is disclosed. In one embodiment, a slittable delivery sheath and a method of using the sheath are provided. The sheath includes a slittable hub, and a substantially straight body defining an inner lumen. The body comprises a shaft section and a distal section that is distal to, and softer than, the shaft section. A slittable braid extends adjacent to at least a portion of one of the shaft section and the distal section. In one embodiment of the invention, the sheath further includes a transition section that is distal to the shaft section, and proximal to the distal section. The transition section is softer than the shaft section, but stiffer than the distal section.
摘要翻译：公开了用于在冠状窦和分支静脉内放置诸如引线的可植入医疗装置（IMD）的改进的系统和方法。在一个实施例中，提供了可切割的输送护套和使用护套的方法。护套包括可切割的毂，以及限定内腔的基本上直的身体。主体包括轴部分和远离轴部分的远端部分和远端部分。狭缝编织物相邻于轴部和远端部分中的一个的至少一部分延伸。在本发明的一个实施例中，护套还包括在轴部分的远侧并且靠近远端部分的过渡部分。过渡部分比轴部分软，但比远端部分更硬。

2. 发明授权

US08734397B2 System and method for positioning implantable medical devices within coronary veins 有权
标题翻译：将植入式医疗器械定位在冠状静脉内的系统和方法
公开(公告)号：US08734397B2
公开(公告)日：2014-05-27
申请号：US12357810
申请日：2009-01-22
申请人： Stanten C. Spear , James F. Kelley , Kenneth C. Gardeski , Mohmoud K. Seraj , Eric K. Y. Chan
发明人： Stanten C. Spear , James F. Kelley , Kenneth C. Gardeski , Mohmoud K. Seraj , Eric K. Y. Chan
IPC分类号： A61M5/178
CPC分类号： A61M25/0668 , A61B18/1492 , A61B2017/22038 , A61B2018/00386 , A61M25/005 , A61M25/0051 , A61M25/0054 , A61M25/008 , A61M25/0138 , A61M25/0141 , A61M25/0147 , A61M2025/0042 , A61M2025/0047 , A61M2025/0081 , A61M2025/0161 , A61M2025/0681 , A61M2025/1052 , A61M2025/1079 , A61N1/056 , A61N2001/0578 , A61N2001/0585
摘要： An improved system and method for placing implantable medical devices (IMDs) such as leads within the coronary sinus and branch veins is disclosed. In one embodiment, a slittable delivery sheath and a method of using the sheath are provided. The sheath includes a slittable hub, and a substantially straight body defining an inner lumen. The body comprises a shaft section and a distal section that is distal to, and softer than, the shaft section. A slittable braid extends adjacent to at least a portion of one of the shaft section and the distal section. In one embodiment of the invention, the sheath further includes a transition section that is distal to the shaft section, and proximal to the distal section. The transition section is softer than the shaft section, but stiffer than the distal section.
摘要翻译：公开了用于在冠状窦和分支静脉内放置诸如引线的可植入医疗装置（IMD）的改进的系统和方法。在一个实施例中，提供了可切割的输送护套和使用护套的方法。护套包括可切割的毂，以及限定内腔的基本上直的身体。主体包括轴部分和远离轴部分的远端部分和远端部分。狭缝编织物相邻于轴部和远端部分中的一个的至少一部分延伸。在本发明的一个实施例中，护套还包括在轴部分的远侧并且靠近远端部分的过渡部分。过渡部分比轴部分软，但比远端部分更硬。

3. 发明授权

US07497844B2 System and method for positioning implantable medical devices within coronary veins 有权
公开(公告)号：US07497844B2
公开(公告)日：2009-03-03
申请号：US10131436
申请日：2002-04-25
申请人： Stanten C. Spear , James F. Kelley , Kenneth C. Gardeski , Mohmoud K. Seraj , Eric K. Y. Chan
发明人： Stanten C. Spear , James F. Kelley , Kenneth C. Gardeski , Mohmoud K. Seraj , Eric K. Y. Chan
IPC分类号： A61M5/178
CPC分类号： A61M25/0668 , A61B18/1492 , A61B2017/22038 , A61B2018/00386 , A61M25/005 , A61M25/0051 , A61M25/0054 , A61M25/008 , A61M25/0138 , A61M25/0141 , A61M25/0147 , A61M2025/0042 , A61M2025/0047 , A61M2025/0081 , A61M2025/0161 , A61M2025/0681 , A61M2025/1052 , A61M2025/1079 , A61N1/056 , A61N2001/0578 , A61N2001/0585
摘要： An improved system and method for placing implantable medical devices (IMDs) such as leads within the coronary sinus and branch veins is disclosed. In one embodiment, a slittable delivery sheath and a method of using the sheath are provided. The sheath includes a slittable hub, and a substantially straight body defining an inner lumen. The body comprises a shaft section and a distal section that is distal to, and softer than, the shaft section. A slittable braid extends adjacent to at least a portion of one of the shaft section and the distal section. In one embodiment of the invention, the sheath further includes a transition section that is distal to the shaft section, and proximal to the distal section. The transition section is softer than the shaft section, but stiffer than the distal section.

4. 发明授权

US06836687B2 Method and system for delivery of a medical electrical lead within a venous system 有权
标题翻译：用于在静脉系统内递送医用电线的方法和系统
公开(公告)号：US06836687B2
公开(公告)日：2004-12-28
申请号：US10131388
申请日：2002-04-25
申请人： James F. Kelley , James H. Vaughn , Stanten C. Spear , Douglas S. Hine , Kenneth C. Gardeski , Vicki L. Bjorklund , Pedro A. Meregotte , John L. Sommer , John J. Maier
发明人： James F. Kelley , James H. Vaughn , Stanten C. Spear , Douglas S. Hine , Kenneth C. Gardeski , Vicki L. Bjorklund , Pedro A. Meregotte , John L. Sommer , John J. Maier
IPC分类号： A61N105
CPC分类号： A61M25/0138 , A61B18/1492 , A61B2017/22038 , A61M25/005 , A61M25/0054 , A61M25/0141 , A61M25/0147 , A61M25/0668 , A61M39/0613 , A61M2025/0042 , A61M2025/0047 , A61M2025/0081 , A61M2025/0161 , A61M2025/0681 , A61M2025/1052 , A61M2025/1079 , A61N1/05 , A61N1/056 , A61N2001/0578 , A61N2001/0585
摘要： A system for delivering a medical electrical lead within a coronary venous system that includes an introducer kit for establishing venous access to the coronary venous system and a plurality of delivery sheaths, each corresponding to a desired approach to a coronary sinus of the coronary venous system and insertable within the coronary venous system through the navigation pathway. A hemostasis valve is coupled to a delivery sheath of the plurality of delivery sheaths, and a guide wire is inserted within the lead lumen, guiding delivery of the distal tip of the medical electrical lead to a target site within the coronary venous system through the hemostasis valve and the delivery sheath. Subsequent to the distal tip being delivered to the target sight, the hemostasis valve is advanced over the connector of the medical electrical lead to remove the hemostasis valve from the medical electrical lead.
摘要翻译：一种用于在冠状静脉系统内递送医用电线的系统，其包括用于建立对冠状静脉系统的静脉通路的引导器套件和多个输送护套，每个输送护套对应于冠状静脉系统的冠状窦所需的方法，通过导航路径插入冠状静脉系统内。止血阀联接到多个输送护套的输送护套，并且引导线插入引导腔内，通过止血将医用电导线的远端引导到冠状静脉系统内的靶位点阀门和输送护套。在远端尖端被传送到目标瞄准器之后，止血阀在医用电线的连接器上前进，以从医用电引线上除去止血阀。

5. 发明授权

US07065394B2 Guide catheter 失效
公开(公告)号：US07065394B2
公开(公告)日：2006-06-20
申请号：US10016114
申请日：2001-12-12
申请人： Christopher M. Hobot , Stanten C. Spear , James F. Kelley , Jennifer L. Braunschweig , Kiem Dang , Kenneth C. Gardeski
发明人： Christopher M. Hobot , Stanten C. Spear , James F. Kelley , Jennifer L. Braunschweig , Kiem Dang , Kenneth C. Gardeski
IPC分类号： A61B5/05
CPC分类号： A61M25/0108 , A61L29/02 , A61L29/18 , A61M25/005
摘要： A guide catheter has properties that promote enhanced visibility of the guide catheter using fluoroscopic or ultrasonic imaging techniques. The tip of the guide catheter may incorporate a material that is both fluoro and echo visible. The first material also may be provided in various amounts along the length of the guide catheter. In addition, the guide catheter may incorporate a reinforcing braid that includes one or more strands of a second material that is radio-opaque. As a result, the result guide catheter achieves improved radio-opacity and echogenicity.

6. 发明授权

US06733500B2 Method and system for delivering a medical electrical lead within a venous system 有权
标题翻译：用于在静脉系统内递送医用电线的方法和系统
公开(公告)号：US06733500B2
公开(公告)日：2004-05-11
申请号：US10131672
申请日：2002-04-24
申请人： James F. Kelley , James H. Vaughn , Stanten C. Spear , Douglas S. Hine , Kenneth C. Gardeski , Vicki L. Bjorklund , Pedro A. Meregotte , John L. Sommer , John J. Maier
发明人： James F. Kelley , James H. Vaughn , Stanten C. Spear , Douglas S. Hine , Kenneth C. Gardeski , Vicki L. Bjorklund , Pedro A. Meregotte , John L. Sommer , John J. Maier
IPC分类号： A61B1818
CPC分类号： A61M25/0138 , A61B18/1492 , A61B2017/22038 , A61M25/005 , A61M25/0054 , A61M25/0141 , A61M25/0147 , A61M25/0668 , A61M25/09 , A61M25/09041 , A61M2025/0042 , A61M2025/0047 , A61M2025/0081 , A61M2025/0161 , A61M2025/0681 , A61M2025/1052 , A61M2025/1079 , A61N1/056 , A61N1/06 , A61N1/372 , A61N2001/0578 , A61N2001/0585
摘要： A loading device for loading a guide wire within a medical electrical lead that includes a navigation portion, having an outer portion, and extending from a front end to a back end, and having an opening formed at the back end. An engagement cavity receives and properly orientates the lead distal tip to align the lumen of the lead with the opening of the navigation portion during the loading of the guide wire within the lead. A first side wall is spaced from a second side wall to form a slot extending along the outer portion from the front end to the back end of the navigation portion, and the guide wire is advanced through the slot as the lead having the guide wire loaded therein is removed from the loading device.
摘要翻译：一种用于将导丝装载在医疗用电线内的装载装置，其包括具有外部的导航部，并且从前端延伸到后端，并且具有形成在后端的开口。接合腔容纳并适当地定向引线远侧末端，以在引导线在引线内的加载期间使引线的内腔与引导部分的开口对准。第一侧壁与第二侧壁间隔开以形成沿着导引部分的前端到后端的外部部分延伸的狭槽，并且当导线加载有引导线时，引导线前进通过狭槽其中的装载装置被移除。

7. 发明授权

US07338481B2 Slitting tool 有权
标题翻译：分切工具
公开(公告)号：US07338481B2
公开(公告)日：2008-03-04
申请号：US10367420
申请日：2003-02-14
申请人： Kenneth C. Gardeski , Jeff J. Jannicke , Stanten C. Spear , David A. Schuelke , Debbie L. Kirihara , Elizabeth A. Ellingson , Jeremy J. Odegard , Richard P. Manahan , Andrzej M. Malewicz
发明人： Kenneth C. Gardeski , Jeff J. Jannicke , Stanten C. Spear , David A. Schuelke , Debbie L. Kirihara , Elizabeth A. Ellingson , Jeremy J. Odegard , Richard P. Manahan , Andrzej M. Malewicz
IPC分类号： A61M25/00 , A61M31/00
CPC分类号： B26D3/001 , A61M25/00 , A61M25/0668 , A61M2025/0675
摘要： A slitting tool for severing a tubular body includes a body portion, extending along a first axis, joined to a nose portion extending along a second axis, the second axis extending at an angle between approximately 5 degrees and approximately 90 degrees with respect to the first axis. The nose portion includes means for severing the tubular body while the body portion includes means for gripping by a hand of a user such that a wrist of the hand is in a neutral position when the means for severing is directed toward the tubular body.
摘要翻译：用于切割管状体的切割工具包括主体部分，其沿着第一轴线延伸，与第二轴线延伸的鼻部接合，第二轴线相对于第一轴线以大约5度和大约90度之间的角度延伸轴。鼻部包括用于切断管状体的装置，而主体部分包括用于由使用者的手握住的装置，使得当切割装置指向管状体时，手的手腕处于中立位置。

8. 发明授权

US07029460B2 Slitting tool 有权
公开(公告)号：US07029460B2
公开(公告)日：2006-04-18
申请号：US10078026
申请日：2002-02-15
申请人： Kenneth C. Gardeski , Stanten C. Spear , Andrzej M. Malewicz , Jeremy J. Odegard
发明人： Kenneth C. Gardeski , Stanten C. Spear , Andrzej M. Malewicz , Jeremy J. Odegard
IPC分类号： A61M5/178
CPC分类号： B26D3/001 , A61M25/00 , A61M25/0668 , A61M2025/0675
摘要： A slitting tool is provided for severing a tubular body such as the body of an introducer or a guide catheter that is positioned around an implantable medical device (IMD) such as a lead or another catheter. The slitting tool includes a body member that has a surface adapted to be gripped by a user. The surface includes a channel that is provided to align the IMD with respect to the body of the slitting tool. The gripping action of the user maintains the IMD within the channel such that the channel need not attach to the IMD. The slitting tool includes a cutting member coupled to the body member and positioned to sever the tubular body without severing the IMD.

9. 发明授权

US07818040B2 Deflectable medical therapy delivery device having common lumen profile 有权
标题翻译：具有共同流明特征的偏转药物治疗递送装置
公开(公告)号：US07818040B2
公开(公告)日：2010-10-19
申请号：US10655980
申请日：2003-09-05
申请人： Stanten C. Spear , James F. Kelley , Johnson E. Goode
发明人： Stanten C. Spear , James F. Kelley , Johnson E. Goode
IPC分类号： A61B8/14
CPC分类号： A61M25/0147 , A61M25/0141 , A61M2025/015
摘要： A method of locating a target site for delivering a therapy to a patient that includes advancing a delivery device having a steerable portion and a deflectable tip having a tapered portion to an area along a first site. A contrast media is delivered through a thru lumen and outward from a distal end of the delivery device in fluid communication with the thru lumen to position the contrast media along the first site and the delivery device is further advanced toward the first site and within the first site, or the delivery device is further advanced toward the first site and within the first site without the contrast. The contrast media is then delivered from the distal end of the delivery device within the first site to locate the target site.
摘要翻译：一种定位用于将治疗递送给患者的目标部位的方法，包括将具有可转向部分的输送装置和具有锥形部分的可偏转尖端推进到沿着第一部位的区域。造影剂通过内腔输送并且从输送装置的远端向外输送，其与穿过腔流体连通以沿着第一部位定位造影剂，并且输送装置进一步朝向第一部位前进，并且在第一部位内或者传送设备进一步向着第一站点和第一站点前进而没有对比。然后将造影剂从第一位点内的递送装置的远端递送以定位目标部位。

10. 发明申请

US20090005758A1 GUIDE CATHETER 审中-公开
标题翻译：导管
公开(公告)号：US20090005758A1
公开(公告)日：2009-01-01
申请号：US12038251
申请日：2008-02-27
申请人： SONAR SHAH , Johnson E, Goode , James F. Kelley , Mark D. Schneider , Jeff Jannicke , Stanten C. Spear
发明人： SONAR SHAH , Johnson E, Goode , James F. Kelley , Mark D. Schneider , Jeff Jannicke , Stanten C. Spear
IPC分类号： A61M25/098
CPC分类号： A61M25/0108 , A61L29/02 , A61L29/18 , A61M25/005
摘要： An elongated sheath of a guide catheter includes a fully radiopaque and echogenic distal tip having a length greater than approximately 0.08 inch.
摘要翻译：引导导管的细长护套包括具有大于约0.08英寸的长度的完全不透射线和回声远端。

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