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11. 发明授权

US09055930B2 Device for preparing an implanted medical apparatus for extraction 有权
标题翻译：用于制备用于提取的植入式医疗装置的装置
公开(公告)号：US09055930B2
公开(公告)日：2015-06-16
申请号：US13716975
申请日：2012-12-17
申请人： Cook Medical Technologies LLC
发明人： Louis B. Goode , Chun Kee Lui , Michael Wayne Emmert , Robert Booker
IPC分类号： A61B19/00 , A61B17/00 , A61N1/05
CPC分类号： A61N1/05 , A61B17/00 , A61B17/50 , A61B2017/00469 , A61N1/0488 , A61N1/056 , A61N1/375 , A61N2001/0578
摘要： A device for preparing an elongated implanted medical apparatus, such as a cardiac lead, for extraction from the body of a patient. The device includes a first handle and a second handle. At least the first handle has a surface for receiving the implanted apparatus therealong. A wire member having a first end and a second end is positioned to span a distance between the surface of the first handle, and the second handle. The wire member first end is removably engaged with the first handle, and the wire member second end is removably engaged with the second handle. The wire member is sized and arranged to enable the wire member to be wound around a length of the implanted apparatus to facilitate extraction of the apparatus with a lead extraction device.
摘要翻译：一种用于制备用于从患者体内提取的细长植入医疗装置（例如心脏引线）的装置。该装置包括第一手柄和第二手柄。至少第一手柄具有用于在其上接收植入装置的表面。具有第一端和第二端的线构件定位成跨越第一把手的表面与第二把手之间的距离。线构件第一端部可拆卸地与第一把手接合，线构件第二端部可拆卸地与第二把手接合。线构件的尺寸和布置被设置成使得线构件能够围绕植入设备的长度缠绕，以便于用引线提取装置提取设备。

12. 发明申请

US20140343633A1 ELECTRICALLY IDENTIFIABLE ELECTRODE LEAD AND METHOD OF ELECTRICALLY IDENTIFYING AN ELECTRODE LEAD 有权
标题翻译：电气识别电极引线和电气识别电极引线的方法
公开(公告)号：US20140343633A1
公开(公告)日：2014-11-20
申请号：US14451830
申请日：2014-08-05
申请人： Greatbatch Ltd.
发明人： Norbert Kaula , Jeff A. Weisgarber , Yohannes Iyassu
IPC分类号： G01R19/25 , A61N1/05
CPC分类号： G01R19/2503 , A61N1/025 , A61N1/04 , A61N1/0488 , A61N1/05 , A61N1/08 , A61N1/3752
摘要： An electrically identifiable medical electrode lead. The lead includes a flexible lead body having a distal end and a connector end. The lead also includes a plurality of electrodes disposed near the distal end of the flexible lead body. The lead further includes a connector disposed at the connector end of the flexible lead body, the connector including a plurality of contacts. The lead additionally includes a plurality of conductors supported by and passing through the flexible lead body, the plurality of conductors including electrical conductors that provide paths for electrical current from the connector to the plurality of electrodes. Finally, the lead includes a memory circuit supported by the flexible lead body and being in electrical communication with a contact of the plurality of contacts in the connector.
摘要翻译：电可识别的医用电极引线。引线包括具有远端和连接器端的柔性引线体。引线还包括设置在柔性引线主体的远端附近的多个电极。引线还包括设置在柔性引线主体的连接器端处的连接器，该连接器包括多个触点。引线还包括由柔性引线主体支撑并穿过柔性引线主体的多个导体，所述多个导体包括提供用于从连接器到多个电极的电流的路径的电导体。最后，引线包括由柔性引线体支撑并与连接器中的多个触点的触点电连通的存储器电路。

13. 发明授权

US08855765B2 Fault tolerant methods and architectures for embedded intelligence in medical leads 有权
标题翻译：用于医疗线索嵌入式智能的容错方法和体系结构
公开(公告)号：US08855765B2
公开(公告)日：2014-10-07
申请号：US13156632
申请日：2011-06-09
申请人： Thomas H. Spear , Nancy M. Germanson , Patrick D. Miller
发明人： Thomas H. Spear , Nancy M. Germanson , Patrick D. Miller
IPC分类号： A61N1/08 , A61N1/05 , A61N1/04 , A61B5/0402 , A61B5/00
CPC分类号： A61N1/056 , A61B5/0402 , A61B5/7217 , A61N1/0488 , A61N1/08 , A61N2001/083
摘要： The present disclosure pertains to methods, devices and systems for detection of a lead-related condition in a medical electrical lead. In accordance with the disclosure, a physiological waveform interpreter module embedded within the lead functions to sense the occurrence of a cardiac event and to generate a minimal impact signal. In an example implementation, the physiological waveform interpreter module is disposed proximate to the sensing site or vicinity of cardiac signals. The physiological waveform interpreter module transmits the minimal impact signal that may include one or more predetermined properties to a remotely located lead monitoring module upon sensing a cardiac event. The lead monitoring module receives and processes the minimal impact signal to determine whether a cardiac depolarization has occurred and simultaneously verify the integrity of the transmission medium.
摘要翻译：本公开涉及用于检测医疗电线中的引线相关状况的方法，装置和系统。根据本公开，嵌入在引线内的生理波形解释器模块用于感测心脏事件的发生并产生最小的冲击信号。在示例实现中，生理波形解释器模块设置在心脏信号的感测位置附近。生理波形解释器模块在感测到心脏事件时将可能包括一个或多个预定属性的最小影响信号发送到位于远程的引导监视模块。引导监测模块接收并处理最小影响信号，以确定心脏去极化是否发生，并同时验证传输介质的完整性。

14. 发明申请

US20140277315A1 Kits and Methods for Implanting an Implantable Lead Extension 有权
标题翻译：植入式引线延伸的工具包和方法
公开(公告)号：US20140277315A1
公开(公告)日：2014-09-18
申请号：US14179668
申请日：2014-02-13
申请人： Medtronic, Inc.
发明人： Scott M. Hanson , Evan M. Gustafson , Joseph P. Ricci , Adam J. Rivard , Joshua D. Trevorrow , Chad C. Whiterabbit
IPC分类号： A61N1/05
CPC分类号： A61N1/05 , A61N1/0488 , A61N1/372 , A61N1/375
摘要： Kits provide management of implantable lead extensions being implanted by providing a kit body with features that retain the extension in a configuration, with amounts being removed as needed during the implantation procedure. The kit can be present within a sterile field, and the kit body features may be arranged so that a length of a path that the extension forms is approximately equal to a length of the extension needed for the tunnel. The kit body may include features that allow the connectors of the extension as well as implantation tools to be retained within the kit body while being easily accessed when needed during the procedure. The kit may be coupled to the patient during the trial period, as the extension may have an implanted distal connector while having a proximal connector coupled to an external stimulator and while being retained on the kit body.
摘要翻译：通过提供具有将延伸部保持在配置中的特征的套件主体来提供植入的可植入引线延伸部的管理，根据需要在植入过程期间移除量。套件可以存在于无菌区域内，并且套件主体特征可以被布置成使得延伸部形成的路径的长度近似等于隧道所需的延伸长度。套件主体可以包括允许延伸部的连接器以及植入工具被保持在套件主体内的特征，同时在该过程期间需要时容易地访问。该试剂盒可以在试用期间联接到患者，因为延伸部可以具有植入的远端连接器，同时具有耦合到外部刺激器的近端连接器并且同时被保持在套件主体上。

15. 发明申请

US20140171960A1 DEVICE FOR PREPARING AN IMPLANTED MEDICAL APPARATUS FOR EXTRACTION 有权
标题翻译：用于制备用于提取的植入式医疗装置的装置
公开(公告)号：US20140171960A1
公开(公告)日：2014-06-19
申请号：US13716975
申请日：2012-12-17
申请人： COOK MEDICAL TECHNOLOGIES LLC
发明人： Louis B. Goode , Chun Kee Lui , Michael Wayne Emmert , Robert Booker
IPC分类号： A61B17/00
CPC分类号： A61N1/05 , A61B17/00 , A61B17/50 , A61B2017/00469 , A61N1/0488 , A61N1/056 , A61N1/375 , A61N2001/0578
摘要： A device for preparing an elongated implanted medical apparatus, such as a cardiac lead, for extraction from the body of a patient. The device includes a first handle and a second handle. At least the first handle has a surface for receiving the implanted apparatus therealong. A wire member having a first end and a second end is positioned to span a distance between the surface of the first handle, and the second handle. The wire member first end is removably engaged with the first handle, and the wire member second end is removably engaged with the second handle. The wire member is sized and arranged to enable the wire member to be wound around a length of the implanted apparatus to facilitate extraction of the apparatus with a lead extraction device.
摘要翻译：一种用于制备用于从患者体内提取的细长植入医疗装置（例如心脏引线）的装置。该装置包括第一手柄和第二手柄。至少第一手柄具有用于在其上接收植入装置的表面。具有第一端和第二端的线构件定位成跨越第一把手的表面与第二把手之间的距离。线构件第一端部可拆卸地与第一把手接合，线构件第二端部可拆卸地与第二把手接合。线构件的尺寸和布置被设置成使得线构件能够围绕植入设备的长度缠绕，以便于用引线提取装置提取设备。

16. 发明授权

US08750991B2 Monitoring physiological signals during external electrical stimulation 有权
标题翻译：在外部电刺激期间监测生理信号
公开(公告)号：US08750991B2
公开(公告)日：2014-06-10
申请号：US13450563
申请日：2012-04-19
申请人： Daniel M. Lisogurski , Frederick J. Geheb , Michael R. Dupelle , Gary A. Freeman , Martin E. Bures , Gideon D. H. Butler , David N. Craige, III , Marc Cordaro , Deborah T. Jones , Michael Lopin , Michael Parascandola
发明人： Daniel M. Lisogurski , Frederick J. Geheb , Michael R. Dupelle , Gary A. Freeman , Martin E. Bures , Gideon D. H. Butler , David N. Craige, III , Marc Cordaro , Deborah T. Jones , Michael Lopin , Michael Parascandola
IPC分类号： A61N1/00
CPC分类号： A61B5/0452 , A61B5/04028 , A61B5/04085 , A61B5/0428 , A61B5/7217 , A61N1/0408 , A61N1/046 , A61N1/0476 , A61N1/048 , A61N1/0488 , A61N1/0492
摘要： Electrodes and circuitry for monitoring and stimulating the exterior of the human body, comprising delivering stimulation pulses to stimulation electrodes applied to the exterior of the body, detecting an electrical potential at monitoring electrodes applied to the exterior of the body, positioning at least a first and second monitoring electrode at locations at which an electrical artifact caused by the electrical stimulation pulses is substantially cancelled in a signal formed from the electrical potentials detected at the first and second monitoring electrodes.
摘要翻译：用于监测和刺激人体外部的电极和电路，包括向施加到身体外部的刺激电极递送刺激脉冲，检测在施加到身体外部的监测电极处的电位，定位至少第一和在由在第一和第二监测电极处检测到的电位形成的信号中基本消除由电刺激脉冲引起的电气伪影的位置的第二监测电极。

17. 发明授权

US08594812B2 Electrode pad packaging systems and methods 有权
标题翻译：电极垫包装系统及方法
公开(公告)号：US08594812B2
公开(公告)日：2013-11-26
申请号：US13559632
申请日：2012-07-27
申请人： Peter F Meyer , Lee C Burns , Scott R Coggins , David M Selvitelli
发明人： Peter F Meyer , Lee C Burns , Scott R Coggins , David M Selvitelli
IPC分类号： A61N1/04
CPC分类号： B65D81/22 , A61N1/046 , A61N1/0472 , A61N1/048 , A61N1/0488 , A61N1/0492 , B65B5/04 , B65B51/02 , Y10T29/49208
摘要： An electrode pad packaging system including an electrode pouch, an electrode pad (e.g., a defibrillation electrode pad), a wire and a shell is disclosed. The electrode pad is disposed at least partially within the electrode pouch. The wire extends from the electrode pad and, in a disclosed embodiment, at least a portion of the wire is attached to the shell. The shell is disposed in mechanical cooperation with the electrode pouch (e.g., the shell is secured to a portion of the electrode pouch). The shell includes a valve thereon that is configured to allow air to exit the electrode pouch. The valve may be configured to prevent air from entering the electrode pouch. A method of packaging an electrode pad is also disclosed. The method includes providing an electrode pouch, an electrode pad, a wire and a shell. A valve on the shell allows air to exit the electrode pouch.
摘要翻译：公开了一种包括电极袋，电极垫（例如除颤电极垫），电线和外壳的电极焊盘包装系统。电极垫至少部分地设置在电极袋内。导线从电极焊盘延伸，并且在公开的实施例中，线的至少一部分附接到壳体。壳体与电极袋机械配合放置（例如，壳体固定到电极袋的一部分）。壳体包括其上的阀，其构造成允许空气离开电极袋。阀可以被配置为防止空气进入电极袋。还公开了一种封装电极焊盘的方法。该方法包括提供电极袋，电极垫，线和壳。外壳上的阀允许空气离开电极袋。

18. 发明授权

US08532788B2 Electrical stimulation lead with stiffeners having varying stiffness zones 有权
标题翻译：具有不同刚度区域的加强筋的电刺激引线
公开(公告)号：US08532788B2
公开(公告)日：2013-09-10
申请号：US13549736
申请日：2012-07-16
申请人： Enri Zhulati , Terry D. Daglow , Brian Franz , Sojan Abraham
发明人： Enri Zhulati , Terry D. Daglow , Brian Franz , Sojan Abraham
IPC分类号： A61N1/00
CPC分类号： A61N1/0488 , A61N1/3605
摘要： In one embodiment, a neurostimulation lead comprises an elongated body of insulative material, comprising a first end portion and a second end portion; a plurality of terminals longitudinally positioned along the first end portion; a plurality of electrodes longitudinally positioned along the second end portion; a plurality of conductors electrically coupling the plurality of electrodes to the plurality of terminals; a flexible metal longitudinal stiffener positioned within the elongated body wherein the stiffener has a plurality of longitudinal zones and each zone has a different column strength, the column strength of one or more zones of the plurality of longitudinal zones being defined by cuts or gaps in the stiffener, the stiffener causing the neurostimulation lead to exhibit a greatest amount of column strength adjacent to one end portion of the elongated body and to transition to a lower column strength toward a medial portion of the elongated body.
摘要翻译：在一个实施例中，神经刺激引线包括细长的绝缘材料体，包括第一端部部分和第二端部部分; 沿所述第一端部纵向定位的多个端子; 沿所述第二端部纵向定位的多个电极; 将多个电极电耦合到多个端子的多个导体; 位于所述细长体内的柔性金属纵向加强筋，其中所述加强件具有多个纵向区域，并且每个区域具有不同的柱强度，所述多个纵向区域中的一个或多个区域的柱强度由所述多个纵向区域中的切口或间隙限定加强件，引起神经刺激的加强件导致邻近细长主体的一个端部部分显示出最大量的柱强度，并朝着细长体的中间部分转变到较低的柱强度。

19. 发明申请

US20130098678A1 SYSTEMS AND METHODS FOR MAKING AND USING A SIDE-LOADING OPERATING ROOM CABLE OF AN ELECTRICAL STIMULATION SYSTEM 有权
公开(公告)号：US20130098678A1
公开(公告)日：2013-04-25
申请号：US13655874
申请日：2012-10-19
申请人： BOSTON SCIENTIFIC NEUROMODULATION CO
发明人： John Michael Barker
IPC分类号： H01R13/502 , H01R43/00
CPC分类号： H01R13/502 , A61N1/0476 , A61N1/048 , A61N1/0488 , A61N1/05 , A61N1/3605 , A61N1/3752 , Y10T29/49117
摘要： An operating room cable for electrically coupling a lead to a trial stimulator includes a trial stimulator connector electrically coupleable with the trial stimulator and a lead connector for receiving the lead. The lead connector includes a housing. A first lead aperture is defined in a second end of the housing in proximity to a first side of the housing. A first inner passage extends along an interior of the housing from the first lead aperture to the second end of the housing. A first stylet slit is defined along the first side of the housing and extends from a first end of the housing to the second end of the housing. The first stylet slit is formed between upper and lower casings of the housing. The first stylet slit is continuous with the first lead aperture and the first inner passage.

20. 发明申请

US20130041448A1 Flexible Protected Lead 有权
标题翻译：柔性保护铅
公开(公告)号：US20130041448A1
公开(公告)日：2013-02-14
申请号：US13208730
申请日：2011-08-12
申请人： Scott Henshaw , Roger Leigh , Krzysztof Tarrell , Grahame Walling
发明人： Scott Henshaw , Roger Leigh , Krzysztof Tarrell , Grahame Walling
IPC分类号： A61N1/05 , A61F11/04
CPC分类号： A61N1/0541 , A61N1/0488 , A61N1/36036
摘要： Designs for an implantable lead are disclosed. In one embodiment, the lead includes at least one conductive pathway and a protective element surrounding at least a portion of the at least one conductive pathway. A stiffness of the protective element varies along a length of the protective element. The stiffness may be varied by varying a material composition of the protective element. Alternately, the protective element may be one or two helically-wound wires, and the stiffness may be varied by varying a pitch of one or both helically-wound wires. Alternately, the protective element may be a perforated tube and the stiffness may be varied by varying a ratio of openings to tube in the perforated tube. Alternately, the protective element may be a patterned mesh and the stiffness may be varied by varying a pattern of the patterned mesh. The implantable lead may be used in a cochlear implant.
摘要翻译：公开了可植入引线的设计。在一个实施例中，引线包括至少一个导电通路和围绕至少一个导电通路的至少一部分的保护元件。保护元件的刚度沿保护元件的长度变化。可以通过改变保护元件的材料组成来改变刚度。或者，保护元件可以是一个或两个螺旋缠绕的线，并且刚度可以通过改变一个或两个螺旋缠绕的线的间距来改变。或者，保护元件可以是穿孔管，并且可以通过改变多孔管中的开口与管的比例来改变刚度。或者，保护元件可以是图案化网状物，并且可以通过改变图案化网格的图案来改变刚度。可植入引线可用于耳蜗植入物。

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