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11. 发明申请

US20050137674A1 Distal or proximal fixation of over-the-tether myocardial leads 有权
标题翻译：远端或近端固定超过系绳心肌引线
公开(公告)号：US20050137674A1
公开(公告)日：2005-06-23
申请号：US10972298
申请日：2004-10-22
申请人： M. Coe , Ronald Heil , Peter Kelley , Jason Shiroff , Randy Westlund , Donald Palme
发明人： M. Coe , Ronald Heil , Peter Kelley , Jason Shiroff , Randy Westlund , Donald Palme
IPC分类号： A61N1/05
CPC分类号： A61N1/0587 , A61N2001/0578
摘要： The present invention is a myocardial lead attachment system for securing a lead within the myocardium. The attachment system includes an anchor configured to engage the heart, a tether coupled to the anchor and a lead body. The lead body has a proximal end, a distal end, a lumen for accepting the tether and a lock housing in the lumen. A lock structure is on the tether and mates with the lock housing and restrains motion of the lead with respect to the tether in either of a proximal or a distal direction.
摘要翻译：本发明是用于将铅固定在心肌内的心肌引导附着系统。附接系统包括构造成接合心脏的锚，连接到锚固体的系绳和引导体。引线体具有近端，远端，用于接纳系绳的内腔和在内腔中的锁定壳体。锁定结构位于系绳上并且与锁定壳体配合并且在近端或远端方向中抑制引线相对于系绳的运动。

12. 发明申请

US20050119718A1 Absorbable myocardial lead fixation system 有权
标题翻译：可吸收心肌引导固定系统
公开(公告)号：US20050119718A1
公开(公告)日：2005-06-02
申请号：US10971577
申请日：2004-10-22
申请人： M. Sean Coe , Ronald Heil , Peter Kelley , Jason Shiroff , Randy Westlund , Donald Palme
发明人： M. Sean Coe , Ronald Heil , Peter Kelley , Jason Shiroff , Randy Westlund , Donald Palme
IPC分类号： A61B5/0492 , A61B17/04 , A61B17/06 , A61N1/05
CPC分类号： A61B17/0469 , A61B5/0492 , A61B17/06109 , A61B2017/0417 , A61B2017/06042 , A61B2017/0608 , A61N1/0568 , A61N1/0587 , A61N2001/0578 , A61N2001/058
摘要： A myocardial lead attachment system for securing a distal end of a lead within a myocardium of a patient's heart. The system includes a lead body, an anchor mechanism formed of a bioabsorbable or biodegradable polymer for engaging a surface of the patient's heart and a surface feature formed on a portion of the lead body for promoting formation of scar tissue around said portion of the lead body.
摘要翻译：用于将铅的远端固定在患者心脏的心肌内的心肌引线附着系统。该系统包括引线体，由生物可吸收或可生物降解的聚合物形成的锚固机构，用于接合患者心脏的表面，以及形成在引线体的一部分上的表面特征，用于促进在引线体的所述部分周围形成瘢痕组织。

13. 发明申请

US20050004428A1 Cardiac disease treatment and device 失效
标题翻译：心脏病治疗及器械
公开(公告)号：US20050004428A1
公开(公告)日：2005-01-06
申请号：US10839724
申请日：2004-05-04
申请人： James Cox , Michael Girard , Donald Palme , Donald Rohrbaugh , Hani Sabbah , J. Shapland , Robert Walsh
发明人： James Cox , Michael Girard , Donald Palme , Donald Rohrbaugh , Hani Sabbah , J. Shapland , Robert Walsh
IPC分类号： A61K45/00 , A61F2/00 , A61F2/02 , A61K35/12 , A61P9/00 , A61P9/04 , A61P9/06
CPC分类号： A61F2/2481 , D04B21/12 , D10B2509/08 , Y10S977/907
摘要： A device for treating cardiac disease of a heart having an upper portion and a lower portion divided by an A-V groove, the device including a jacket adapted to be secured to the heart, and a non-adherent material in association with the jacket. The jacket is fabricated from a flexible material defining a volume between an upper and a lower end, the jacket being adapted to be adjusted on the heart to snugly conform to an external geometry of the heart and assume a maximum adjusted volume for the jacket to constrain expansion of the heart beyond the maximum adjusted volume during diastole and permit substantially unimpeded contraction of the heart during systole. As a result of the flexible material, the jacket allows unimpeded diastolic filling of the heart. Also described is a method for treating cardiac disease including surgically accessing the heart, applying the treatment device of the invention, securing the treatment device to the heart, and surgically closing access to the heart while leaving the treatment device on the heart.
摘要翻译：一种用于治疗心脏的心脏疾病的装置，其具有由A-V凹槽分隔的上部和下部，所述装置包括适于固定到心脏的护套以及与护套相关联的非粘附材料。护套由限定上下端之间的体积的柔性材料制成，护套适于在心脏上调节以紧密地符合心脏的外部几何形状，并且假设用于护套约束的最大调节体积舒张期心脏扩张超出最大调节体积，并允许心脏在收缩期间基本无阻碍地收缩心脏。作为柔性材料的结果，护套可以无阻碍地舒张心脏填充心脏。还描述了一种治疗心脏疾病的方法，包括手术进入心脏，施用本发明的治疗装置，将治疗装置固定到心脏，以及在将治疗装置留在心脏上时手术闭合进入心脏。

14. 发明授权

US07214181B2 Septum attached ventricular support 有权
标题翻译：隔垫附着心室支持
公开(公告)号：US07214181B2
公开(公告)日：2007-05-08
申请号：US11338571
申请日：2006-01-24
申请人： J. Edward Shapland , Clif Alferness , Donald Palme , Michael Girard , Donald Rohrbaugh
发明人： J. Edward Shapland , Clif Alferness , Donald Palme , Michael Girard , Donald Rohrbaugh
IPC分类号： A61F2/00 , A61F13/00
CPC分类号： A61F2/2481
摘要： A method and device are disclosed for treating congestive heart disease. The material of the device is secured to the heart proximate the septal wall. The material covering the ventricles may or may not have the same tension and or compliance. The device can be constructed as a unitary “jacket” that is slipped over the apex of the heart. Alternately, the device implanted as one, two or more separate components. In one embodiment, the material covers both the left and right ventricles. In another embodiment, the material covers only one ventricle. The device may include at least one adjustment mechanism configured to adjust the tension of the material. Preferably, the device includes a first adjustment mechanism configured to adjust a tension of the material covering the right ventricle and a second adjustment mechanism configured to adjust the tension of the material covering the left ventricle such that the tension of the material covering the left ventricle can be different than the tension of the material covering the right ventricle.
摘要翻译：公开了治疗充血性心脏病的方法和装置。该装置的材料固定在靠近隔壁的心脏上。覆盖心室的材料可能具有或不具有相同的张力和/或顺应性。该装置可以被构造成整体的“夹克”，其被滑过心脏的顶点。或者，该装置作为一个，两个或更多个分离的部件植入。在一个实施例中，材料覆盖左心室和右心室。在另一个实施例中，材料仅覆盖一个心室。该装置可以包括被配置为调节材料张力的至少一个调节机构。优选地，该装置包括被配置为调节覆盖右心室的材料的张力的第一调节机构和被配置为调节覆盖左心室的材料的张力的第二调节机构，使得覆盖左心室的材料的张力可以与覆盖右心室的材料的张力不同。

15. 发明申请

US20050137672A1 Myocardial lead 审中-公开
标题翻译：心肌铅
公开(公告)号：US20050137672A1
公开(公告)日：2005-06-23
申请号：US10972049
申请日：2004-10-22
申请人： M. Coe , Ronald Heil , Peter Kelley , Jason Shiroff , Randy Westlund , Donald Palme , David Yingling
发明人： M. Coe , Ronald Heil , Peter Kelley , Jason Shiroff , Randy Westlund , Donald Palme , David Yingling
IPC分类号： A61B5/0492 , A61B17/04 , A61B17/06 , A61N1/05
CPC分类号： A61B17/0469 , A61B5/0492 , A61B17/06109 , A61B2017/0417 , A61B2017/06042 , A61B2017/0608 , A61N1/0568 , A61N1/0587 , A61N2001/0578 , A61N2001/058
摘要： The present invention is a lead for use in connection with a myocardial lead attachment system of the type having an anchor for engaging the heart and a tether extending from the anchor. The lead includes a lead body having a proximal end, a distal end and a lumen for accepting the tether. A tapered tip is separate from the lead and positioned adjacent the distal end of the lead. The tip has a longitudinal through-hole for accepting the tether.
摘要翻译：本发明是一种用于与具有用于接合心脏的锚固件和从锚固件延伸的系绳的类型的心肌引线附接系统相关联的引线。引线包括具有近端，远端和用于接收系绳的内腔的引线体。锥形尖端与引线分离并且位于铅的远端附近。尖端具有用于接受系绳的纵向通孔。

16. 发明申请

US20050119519A9 CARDIAC SUPPORT DEVICE 有权
标题翻译： CARDIAC支持设备
公开(公告)号：US20050119519A9
公开(公告)日：2005-06-02
申请号：US10165504
申请日：2002-06-07
申请人： Michael Girard , J. Shapland , Donald Palme
发明人： Michael Girard , J. Shapland , Donald Palme
IPC分类号： A61B17/00 , A61F2/00 , A61F2/24 , A61F9/00 , A61F11/00 , A61F13/00 , A61M1/10
CPC分类号： A61F2/2481
摘要： A highly compliant and elastic cardiac support device is provided. The device is constructed from a biocompatible material is applied to an external surface of a heart. The device can be used to resist dilatation of the heart, to provide acute wall support, or to enhance reduction in the size of the heart using stored potential energy, without interfering with systolic contraction.
摘要翻译：提供高度兼容和弹性的心脏支持装置。该装置由生物相容性材料构成，被施加到心脏的外表面。该装置可以用于抵抗心脏的扩张，提供急性壁支持，或者使用储存的势能增强心脏尺寸的减小，而不会干扰收缩期的收缩。

17. 发明申请

US20050113900A1 Myocardial lead with fixation mechanism 有权
标题翻译：心肌导联与固定机制
公开(公告)号：US20050113900A1
公开(公告)日：2005-05-26
申请号：US10971549
申请日：2004-10-22
申请人： Jason Shiroff , Ronald Heil , Peter Kelley , M. Coe , Randy Westlund , Donald Palme , David Yingling
发明人： Jason Shiroff , Ronald Heil , Peter Kelley , M. Coe , Randy Westlund , Donald Palme , David Yingling
IPC分类号： A61B5/0492 , A61B17/04 , A61B17/06 , A61N1/05
CPC分类号： A61B17/0469 , A61B5/0492 , A61B17/06109 , A61B2017/0417 , A61B2017/06042 , A61B2017/0608 , A61N1/0568 , A61N1/0587 , A61N2001/0578 , A61N2001/058
摘要： The present invention is a myocardial lead attachment system and method for securing a distal end of a lead within the myocardium of a patient's heart. The system includes an anchor, a tether coupled at a distal end to the anchor and a lead body. The lead body has a proximal end, a distal end, and a lumen extending therethrough for receiving the tether. A fixation mechanism is at the distal end of the lead body, and is adapted to collapse to a first configuration during implantation and deploy to a second configuration after implantation.
摘要翻译：本发明是用于将铅的远端固定在患者心脏的心肌内的心肌引导附着系统和方法。该系统包括锚固件，在远端连接到锚固件的系绳和引线主体。引线本体具有近端，远端和延伸穿过其中的内腔，用于接收系绳。固定机构位于引线主体的远端，并且适于在植入期间折叠成第一构型并且在植入之后部署到第二构造。

18. 发明授权

US06572533B1 Cardiac disease treatment and device 有权
标题翻译：心脏病治疗及器械
公开(公告)号：US06572533B1
公开(公告)日：2003-06-03
申请号：US09641141
申请日：2000-08-17
申请人： J. Edward Shapland , Clif Alferness , Donald Palme , Michael Girard , Donald Rohrbaugh
发明人： J. Edward Shapland , Clif Alferness , Donald Palme , Michael Girard , Donald Rohrbaugh
IPC分类号： A61F1300
CPC分类号： A61F2/2481
摘要： A method and device are disclosed for treating congestive heart disease. The material of the device is secured to the heart proximate the septal wall. The material covering the ventricles may or may not have the same tension and or compliance. The device can be constructed as a unitary “jacket” that is slipped over the apex of the heart. Alternately, the device implanted as one, two or more separate components. In one embodiment, the material covers both the left and right ventricles. In another embodiment, the material covers only one ventricle. The device may include at least one adjustment mechanism configured to adjust the tension of the material. Preferably, the device includes a first adjustment mechanism configured to adjust a tension of the material covering the right ventricle and a second adjustment mechanism configured to adjust the tension of the material covering the left ventricle such that the tension of the material covering the left ventricle can be different than the tension of the material covering the right ventricle.
摘要翻译：公开了治疗充血性心脏病的方法和装置。该装置的材料固定在靠近隔壁的心脏上。覆盖心室的材料可能具有或不具有相同的张力和/或顺应性。该装置可以被构造成整体的“夹克”，其被滑过心脏的顶点。或者，该装置作为一个，两个或更多个分离的部件植入。在一个实施例中，材料覆盖左心室和右心室。在另一个实施例中，材料仅覆盖一个心室。该装置可以包括被配置为调节材料张力的至少一个调节机构。优选地，该装置包括被配置为调节覆盖右心室的材料的张力的第一调节机构和被配置为调节覆盖左心室的材料的张力的第二调节机构，使得覆盖左心室的材料的张力可以与覆盖右心室的材料的张力不同。

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