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41. 发明授权

US07787959B1 Mechanism and method of attaching a stimulation and/or sensing electrode to a nerve 有权
标题翻译：将刺激和/或感测电极附着到神经的机制和方法
公开(公告)号：US07787959B1
公开(公告)日：2010-08-31
申请号：US11615517
申请日：2006-12-22
申请人： Kevin L. Morgan
发明人： Kevin L. Morgan
IPC分类号： A61N1/00
CPC分类号： A61N1/0556 , A61N1/0558 , B82Y30/00 , Y10S977/904
摘要： An attachment mechanism for creating an electrical connection between a lead and a nerve bundle is disclosed herein. The attachment mechanism includes an electrically insulative polymer material including an electrode region of the polymer material sufficiently impregnated with nanotubes to be electrically conductive.
摘要翻译：本文公开了一种用于在铅和神经束之间产生电连接的附接机构。附接机构包括电绝缘聚合物材料，其包括充分浸渍有导电性纳米管的聚合物材料的电极区域。

42. 发明申请

US20100049290A1 MRI COMPATIBLE LEAD 有权
标题翻译： MRI兼容导联
公开(公告)号：US20100049290A1
公开(公告)日：2010-02-25
申请号：US12197957
申请日：2008-08-25
申请人： Xiaoyi Min , J. Christopher Moulder , Yong D. Zhao , Kevin L. Morgan , Martin Cholette , Phong D. Doan
发明人： Xiaoyi Min , J. Christopher Moulder , Yong D. Zhao , Kevin L. Morgan , Martin Cholette , Phong D. Doan
IPC分类号： A61N1/05
CPC分类号： A61N1/0563 , A61N1/086
摘要： Disclosed herein is an implantable medical lead. In one embodiment, the lead includes a ring electrode, a tip electrode, first and second helically wound coaxial conductor coils, and a distal coil transition. The coils extend between the proximal and distal ends of the lead. The distal coil transition is proximal to the ring electrode and near the distal end and is where the first coil transitions from being outside the second coil proximal of the distal coil transition to being inside the second coil distal of the distal coil transition.
摘要翻译：本文公开了可植入医疗引线。在一个实施例中，引线包括环形电极，尖端电极，第一和第二螺旋缠绕的同轴导体线圈和远端线圈转变。线圈在引线的近端和远端之间延伸。远侧线圈转变靠近环形电极并且靠近远端，并且是第一线圈从远端线圈过渡处的第二线圈的外侧转变到远端线圈转变远端的第二线圈内部的位置。

43. 发明授权

US07212871B1 Epicardial and myocardial leads for implanting in the heart by thoracotomy or port access surgeries with detachable electrode tip 有权
标题翻译：心外膜和心肌通过开胸手术或口腔通道手术植入心脏，可拆卸电极尖端
公开(公告)号：US07212871B1
公开(公告)日：2007-05-01
申请号：US10745839
申请日：2003-12-24
申请人： Kevin L. Morgan
发明人： Kevin L. Morgan
IPC分类号： A61N1/05
CPC分类号： A61N1/0587 , A61N1/059
摘要： A medical electrical lead to conduct electrical stimulation and/or signals between an electrical stimulator and a heart site includes an elongated lead body extending to a proximal connector for attachment to the electrical stimulator. An electrode head at the distal end includes an electrode tip member for fixation to the heart and an electrode backing member fixed to the lead body is releasably attachable to the electrode tip member for transmission of electrical signals between the heart and the electrical stimulator. The electrode tip member may include a first non-conductive base with an outwardly projecting tip electrode and a first mounting member projecting oppositely away from the non-conductive base. The electrode backing member includes a second non-conductive base and a second mounting member thereon adapted for mounting engagement with the first mounting member for selectively releasably but firmly integrating the electrode tip member and the electrode backing member.
摘要翻译：用于在电刺激器和心脏部位之间进行电刺激和/或信号的医用电引线包括延伸到近端连接器以连接到电刺激器的细长引线体。在远端的电极头包括用于固定到心脏的电极末端构件，并且固定到引线本体的电极背衬构件可释放地附接到电极末端构件，用于在心脏和电刺激器之间传输电信号。电极末端构件可以包括具有向外突出的尖端电极的第一非导电基底和与非导电基底相反地突出的第一安装构件。电极背衬构件包括第二非导电基座和其上的第二安装构件，其适于安装与第一安装构件的接合，用于选择性地可释放地但是牢固地集成电极末端构件和电极背衬构件。

44. 发明授权

US06988007B1 Single pass telescoping cardiac lead for the left heart 失效
标题翻译：单通伸缩心脏线为左心
公开(公告)号：US06988007B1
公开(公告)日：2006-01-17
申请号：US10218353
申请日：2002-08-13
申请人： Kevin L. Morgan , Gene A. Bornzin , Joseph J. Florio , John R. Helland
发明人： Kevin L. Morgan , Gene A. Bornzin , Joseph J. Florio , John R. Helland
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N1/057 , A61N2001/0585
摘要： An implantable single-pass cardiac stimulation lead provides for placement of electrodes into electrical contact with two chambers of a patient's heart. The lead includes an inner lead body having at least one electrode at its distal end and an outer lead body having at least one electrode at its distal end. The outer lead body has an internal lumen that slidingly receives the inner lead body. The inner lead body is extendable from the outer lead body at a point proximal to the distal end of the outer lead body. The sliding of the inner lead body relative to the outer lead body enables the inner lead body distal electrode to have a varying distance from the outer lead body distal electrode and enables the inner lead body to extend into the coronary sinus region of the heart to place the inner lead body electrode into electrical contact with the left ventricle.
摘要翻译：可植入的单程心脏刺激引线提供将电极放置在与患者心脏的两个腔室电接触的位置。引线包括在其远端具有至少一个电极的内引线体和在其远端具有至少一个电极的外引线体。外引线体具有滑动地接收内引线体的内腔。内引线体可以在外引线体的远离外引线体的远端的位置处延伸。内引线体相对于外引线体的滑动能够使内引线体远端电极与外引线体远端电极间距离变化，能够使内引线体延伸到心脏的冠状窦区域内部引线体电极与左心室电接触。

45. 发明授权

US06973351B2 Leads using composite materials for conductors and stylet insertion for improved handling characteristics in lead implantation performance 有权
标题翻译：引导使用复合材料用于导体和探针插入，以改善铅注入性能的处理特性
公开(公告)号：US06973351B2
公开(公告)日：2005-12-06
申请号：US10101782
申请日：2002-03-19
申请人： Kevin L. Morgan
发明人： Kevin L. Morgan
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N2001/0578 , A61N2001/0585
摘要： An implantable lead for electrical stimulation of the body includes an elongated multi-lumen proximal tube composed of a first material having a first lumen for freely receiving a guidewire therethrough, a cable conductor extending between proximal and distal ends and received in a second lumen of the proximal tube, an elongated distal tube composed of a second material extending between proximal and distal ends having at least one lumen therein, a distal tip electrode attached to the distal end of the distal tube, a coil conductor received in the lumen of the distal tube extending between the proximal end thereof and the distal end thereof and being joined at the distal end to the distal tip electrode, and a joint assembly for electrically and mechanically connecting the distal end of the cable conductor to the proximal end of the coil conductor.
摘要翻译：用于电刺激身体的可植入引线包括细长的多腔近端管，其由具有用于自由接收穿过其中的导丝的第一腔的第一材料组成，电缆导体，其在近端和远端之间延伸并被接纳在第二腔中近端管，由在近端和远端之间延伸的第二材料构成的细长远端管，其中具有至少一个内腔，附接到远端管的远端的远端末端电极，容纳在远端管的内腔中的线圈导体在其近端和其远端之间延伸并且在远端处连接到远侧末端电极，以及用于将电缆导体的远端电连接和机械连接到线圈导体的近端的接头组件。

46. 发明授权

US06490489B2 Implantable cardiac single pass coronary sinus lead for providing pacing and defibrillation and method of manufacture 有权
标题翻译：可植入心脏单程冠状动脉窦导管用于提供起搏和除颤及其制造方法
公开(公告)号：US06490489B2
公开(公告)日：2002-12-03
申请号：US09771505
申请日：2001-01-26
申请人： Gene A. Bornzin , Anne M. Pianca , Kevin L. Morgan , John R. Helland , Joseph J. Florio
发明人： Gene A. Bornzin , Anne M. Pianca , Kevin L. Morgan , John R. Helland , Joseph J. Florio
IPC分类号： A61N105
CPC分类号： A61N1/056
摘要： A single chronic implantable cardiac lead for use in the coronary sinus region of the heart provides both atrial and ventricular pacing and defibrillation therapy. The lead includes an elongated lead body having a distal end and a proximal end, a first electrode assembly including a ventricular pacing electrode and a ventricular defibrillation at the distal end, a second electrode assembly proximal to the first electrode assembly including at least one atrial pacing electrode and an atrial defibrillation electrode, and a further defibrillation electrode proximal to the second electrode assembly. The electrode assemblies and further defibrillation electrode are spaced apart so that when the lead is implanted within the coronary sinus region of the heart with the first electrode assembly adjacent the left ventricle, the second electrode assembly is adjacent the left atrium and the further defibrillation electrode is within the right atrium and/or the superior vena cava.
摘要翻译：用于心脏冠状静脉窦区域的单一慢性可植入心脏线可提供心房起搏和除颤治疗。引线包括具有远端和近端的细长引线主体，包括心室起搏电极和在远端处的心室除颤的第一电极组件，靠近第一电极组件的第二电极组件，包括至少一个心房起搏电极和心房除颤电极，以及靠近第二电极组件的另外的除颤电极。电极组件和另外的除颤电极间隔开，使得当铅被植入心脏的冠状窦区域内时，第一电极组件邻近左心室，第二电极组件邻近左心房，另外的除颤电极在右心房和/或上腔静脉内。

47. 发明授权

US06459937B1 Endocardial pacing lead with detachable tip electrode assembly 失效
标题翻译：心内膜起搏导联带有可拆卸的尖端电极组件
公开(公告)号：US06459937B1
公开(公告)日：2002-10-01
申请号：US09558484
申请日：2000-04-25
申请人： Kevin L. Morgan , Gene A. Bornzin , Anne M. Pianca
发明人： Kevin L. Morgan , Gene A. Bornzin , Anne M. Pianca
IPC分类号： A61N105
CPC分类号： A61N1/057 , A61N2001/0578 , A61N2001/058
摘要： A body implantable lead assembly includes a lead body and a tip electrode assembly at the distal end of the lead body. The tip electrode assembly is detachably connected to the lead body by means of a threaded coupling actuatable by a stylet inserted through the lumen of the lead body. The lead body may therefore be removed leaving behind a chronically implanted tip electrode assembly. The invention has particular utility in the context of passive endocardial heart pacing leads whose tip electrode assemblies include tines which become entangled in the trabecular network of the heart, and are therefore difficult to remove.
摘要翻译：一种身体可植入引线组件包括在引线主体的远端处的引线主体和尖端电极组件。尖端电极组件通过螺纹连接件可拆卸地连接到引线主体，螺纹连接可以通过插入穿过引线主体的内腔的探针进行激活。因此引线体可以被移除留下长时间植入的尖端电极组件。本发明在被动心内膜心脏起搏引线的上下文中具有特别的用途，其尖端电极组件包括缠结在心脏小梁网中的尖齿，因此难以移除。

48. 发明授权

US06405091B1 Lead assembly with masked microdisk tip electrode and monolithic controlled release device 失效
标题翻译：导线组件，带有掩模微型电极尖端电极和单片控制释放装置
公开(公告)号：US06405091B1
公开(公告)日：2002-06-11
申请号：US09359327
申请日：1999-07-20
申请人： David J. Vachon , Shahram Moaddeb , Gene A. Bornzin , Kevin L. Morgan
发明人： David J. Vachon , Shahram Moaddeb , Gene A. Bornzin , Kevin L. Morgan
IPC分类号： A61N105
CPC分类号： A61N1/0565 , A61N1/057
摘要： A passive fixation, body implantable lead assembly has a cylindrical tip electrode whose outer side surface is covered with a thin dielectric insulating layer so as to mask an active, disk-shaped electrode surface at the distal extremity of the tip electrode. The active electrode surface preferably has an area less than about 1 mm2. An MCRD, in the form of a collar, may be carried by a proximal portion of the tip electrode. Supplementing a set of main tines projecting from the distal end portion of an insulating sheath housing the lead assembly is a set of nubby auxiliary tines extending from the sheath immediately adjacent the distal extremity thereof.
摘要翻译：被动固定体植入式导线组件具有圆柱形末端电极，其外侧表面被薄的电介质绝缘层覆盖，以便掩盖尖端电极的远端处的活性盘形电极表面。活性电极表面优选具有小于约1mm 2的面积。可以由尖端电极的近端部分承载环形形式的MCRD。补充从套管导线组件的绝缘护套的远端部分突出的一组主尖齿是一组从紧靠其远端的护套延伸的辅助辅助齿。

49. 发明授权

US06295475B1 Single-pass atrial ventricular lead with multiple atrial ring electrodes and a selective atrial electrode adaptor for the coronary sinus region 失效
标题翻译：具有多个心房环电极的单次心房心室导联和用于冠状窦区域的选择性心房电极适配器
公开(公告)号：US06295475B1
公开(公告)日：2001-09-25
申请号：US09428622
申请日：1999-10-27
申请人： Kevin L. Morgan
发明人： Kevin L. Morgan
IPC分类号： A61N109
CPC分类号： A61N1/056 , A61N2001/0585
摘要： An implantable cardiac device having a control unit and a single-pass lead adapted to be implanted within the coronary sinus region so as to provide therapeutic electrical stimulation, such as stimulation pulses, to the left atrium and the left ventricle. The single-pass lead includes a ventricular electrode and a plurality of atrial electrodes spaced along the lead. One of the atrial electrodes can be selected as the atrial pacing electrode by manipulating a connector that interconnects the single-pass lead to the control unit. In one embodiment, a pacing electrode/sensing electrode combination can be selected by manipulating a connector that interconnects the single-pass lead to the control unit.
摘要翻译：一种可植入心脏装置，其具有适于植入冠状窦区域内的控制单元和单通道引线，以便向左心房和左心室提供诸如刺激脉冲的治疗性电刺激。单通导线包括心室电极和沿引线间隔开的多个心房电极。可以通过操纵将单通引线与控制单元互连的连接器来选择心房电极之一作为心房起搏电极。在一个实施例中，起搏电极/感测电极组合可以通过操纵将单通引线互连到控制单元的连接器来选择。

50. 发明授权

US09107693B2 Apparatus and method for pericardial access 有权
标题翻译：用于心包通路的装置和方法
公开(公告)号：US09107693B2
公开(公告)日：2015-08-18
申请号：US13448196
申请日：2012-04-16
申请人： Kevin L. Morgan
发明人： Kevin L. Morgan
IPC分类号： A61B17/34 , A61B17/00
CPC分类号： A61B17/3468 , A61B17/00234 , A61B17/34 , A61B17/3421 , A61B17/3494 , A61B2017/00243 , A61B2017/3458 , A61B2017/3488
摘要： Implementations described and claimed herein provide controlled access into the intra-pericardial space. In one implementation, a medical device comprises an outer sheath, an inner sheath, and a nose shaft. The outer sheath comprises a proximal end, a distal end, and a lumen extending between the proximal end and the distal end. The inner sheath extends through the lumen of the outer sheath and comprises a distal portion adapted to pierce the pericardial sac. The nose shaft is adapted to displace relative to a distal edge of the distal portion of the inner sheath. Displacing the distal portion of the inner sheath relative to the outer sheath until the nose shaft displaces relative to the distal edge provides controlled penetration into the intra-pericardial space.
摘要翻译：在此描述和要求保护的实施方案提供对心包内空间的受控访问。在一个实施方式中，医疗装置包括外护套，内护套和鼻轴。外护套包括近端，远端和在近端和远端之间延伸的内腔。内护套延伸穿过外护套的内腔并且包括适于刺穿心包囊的远侧部分。鼻轴适于相对于内护套的远端部分的远侧边缘移位。使内护套的远侧部分相对于外护套移动，直到鼻轴相对于远侧边缘移位，可以控制渗透到心包内空间。

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