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    • 2. 发明授权
    • Medical electrical lead connector
    • 医用电线连接器
    • US4951687A
    • 1990-08-28
    • US304756
    • 1989-01-31
    • Keith A. UffordTimothy W. Holleman
    • Keith A. UffordTimothy W. Holleman
    • A61N1/375H01R24/58
    • H01R24/58A61N1/3752H01R2103/00
    • A connector for use in conjunction with implantable, medical electrical leads, such as cardiac pacing leads. The connector is of the type known in the pacing industry as "in-line", and includes an elongated connector pin and a cylindrical connector ring, spaced longitudinally from one another, and separated by an insulative segment. The connector pin is adapted to rotate within the connector, in order to transmit torque down the body of the electrical lead to activate a fixation device or other apparatus. Surrounding the connector pin is an elongated bearing sleeve which engages an elongated, reduced diameter segment of the connector pin. The connector pin is provided with circumferential shoulders at the proximal and distal ends of the reduced diameter portion of the pin, which in turn engage the bearing sleeve.
    • 用于与植入式医疗电引线(例如心脏起搏引线)结合使用的连接器。 该连接器在起搏行业中已知为“直列式”,并且包括细长连接器销和圆柱形连接器环,其彼此纵向间隔开并且由绝缘段分隔开。 连接器针适于在连接器内旋转,以便将扭矩向下传导到电引线的主体以激活固定装置或其它装置。 围绕连接器销的是细长的轴承套筒,其接合连接器销的细长的直径较小的部分。 连接器销在销的减小直径部分的近端和远端处设置有周向肩部,其又接合轴承套筒。
    • 3. 发明申请
    • MEDICAL ELECTRICAL LEAD IMPLANT TOOL
    • 医用电动工具
    • US20100168760A1
    • 2010-07-01
    • US12649000
    • 2009-12-29
    • Richard D. SandstromKeith A. UffordJames R. Svensk
    • Richard D. SandstromKeith A. UffordJames R. Svensk
    • A61B17/00
    • A61N1/0587A61B17/221A61N1/057
    • A medical electrical lead implant tool includes a gripping assembly, terminating a distal end of an elongate shaft, adapted to alternately grasp the lead and release the lead and to rotate the lead, and a user control terminating a proximal end of the shaft. An internal drive cable extends within the shaft coupling the gripping assembly to the user control. The user control facilitates single-handed manipulation of a slidable dial, which may be grasped by fingers of a hand for longitudinal and rotational manipulation when a stationary handle is held in a palm of the hand; the longitudinal manipulation causing the gripping assembly, via the drive cable, to alternately grasp the lead and release the lead and the rotational manipulation causing the gripping assembly, via the drive cable, to rotate the lead.
    • 医疗电引线植入工具包括夹持组件,其终止细长轴的远端,其适于交替地抓住引线并释放引线并使引线旋转,并且使用者控制端接轴的近端。 内部驱动电缆在连接夹紧组件的轴内延伸到用户控制。 用户控制有助于单手操纵滑动表盘,当固定手柄保持在手掌中时,可以用手指握住可滑动的表盘,用于纵向和旋转操纵; 经由驱动电缆引起夹持组件的纵向操作交替地抓住引线并释放引线和通过驱动电缆使夹持组件旋转引导件的旋转操作。
    • 4. 发明授权
    • Implantable capacitive absolute pressure and temperature sensor
    • 可植入电容绝对压力和温度传感器
    • US5564434A
    • 1996-10-15
    • US394870
    • 1995-02-27
    • Louis E. HalperinKeith A. MieselKeith A. UffordJames R. SvenskTimothy PatrickBeth A. HasslerAnthony J. Varrichio
    • Louis E. HalperinKeith A. MieselKeith A. UffordJames R. SvenskTimothy PatrickBeth A. HasslerAnthony J. Varrichio
    • G01L9/12A61B5/00A61N1/365G01K5/32
    • A61B5/0031A61N1/3655A61N1/36564A61B2560/0257A61B2562/0247A61B5/7217Y10S977/90Y10S977/905
    • An endocardial lead for implantation in a right heart chamber for responding to blood pressure and temperature and providing modulated pressure and temperature related signals to an implanted or external hemodynamic monitor and/or cardiac pacemaker or pacemaker/cardioverter/defibrillator. The lead has a sensor module formed in its distal end and is coupled to a monitor that powers a sensor circuit in the sensor module. The sensor module is formed with a pickoff capacitor that changes capacitance with pressure changes and a reference capacitor that is relatively insensitive to pressure changes. The sensor circuit provides charge current that changes with temperature variation at the implant site, alternately charges and discharges the two capacitors, and provides timing pulses having distinguishable parameters at the end of each charge cycle that are transmitted to the demodulator. The demodulator detects and synchronizes the timing pulses and derives pressure and temperature analog voltage values representative of the intervals between the timing pulses which are digitized and stored in the monitor. The monitor may also be coupled with other sensors for measuring and storing related patient body parameters, e.g. blood gas, EGM, and patient activity.
    • 用于植入在右心室中以响应血压和温度并且向植入或外部血液动力学监测器和/或心脏起搏器或起搏器/心律转复器/除颤器提供调制的压力和温度相关信号的心内膜引线。 引线具有在其远端形成的传感器模块,并且耦合到对传感器模块中的传感器电路供电的监视器。 传感器模块形成有一个传感器电容器,可以改变压力变化的电容和对压力变化相对不敏感的参考电容。 传感器电路提供随着植入部位温度变化而变化的充电电流,交替地对两个电容器进行充电和放电,并且在每个充电周期结束时提供定时脉冲,其在每个充电周期结束时被传送到解调器。 解调器检测并同步定时脉冲,并导出代表数字化和存储在监视器中的定时脉冲之间的间隔的压力和温度模拟电压值。 监视器还可以与其他传感器耦合,用于测量和存储相关的患者身体参数,例如, 血气,EGM和患者活动。
    • 6. 发明授权
    • Ring electrode for pacing lead
    • 用于起搏引线的环形电极
    • US4328812A
    • 1982-05-11
    • US133371
    • 1980-03-21
    • Keith A. UffordEdward G. O'Neill
    • Keith A. UffordEdward G. O'Neill
    • A61N1/05A61N1/372A61N1/04
    • A61N1/056
    • Ring electrode for a bipolar pacing lead where the ring electrode is secured to an outer coiled conductor by swaging the outer coiled conductor between the ring electrode and a swaging core where the distal end of the outer coiled conductor positions over the swaging core and into the ring electrode. The outer coiled conductor is mechanically swaged between the ring electrode and the swaging core resulting in a mechanical and electrical joint. Insulation extends over the outer ends of the ring electrode and yields a bond to the ring electrode having substantially the same outer diameter as the ring electrode.
    • 用于双极起搏引线的环形电极,其中环形电极通过在环形电极和外部卷绕导体的远端位于模锻芯部之上的环形电极和型锻芯之间模制外部线圈导体而固定到外部线圈导体,并且进入环 电极。 外圈螺旋导体在环形电极和型锻芯之间机械模锻,从而产生机械和电接头。 绝缘体延伸超过环形电极的外端,并产生与环状电极的接合,其具有与环形电极基本上相同的外径。
    • 7. 发明授权
    • Implantable medical lead with electrical cross-over adaptor
    • 植入式医用导线,带有电气交叉适配器
    • US5222506A
    • 1993-06-29
    • US736858
    • 1991-07-29
    • Timothy PatrickRichard D. SandstromKeith A. Ufford
    • Timothy PatrickRichard D. SandstromKeith A. Ufford
    • A61N1/05A61N1/365
    • A61N1/056A61N1/36564
    • A cross-over adaptor for reversing the electrical connection of outer and inner coaxial coiled wire conductors is provided in the body of a pacing lead having a physiologic sensor incorporated therein so that the lead may be employed advantageously for conventional pacing functions with or without physiologic sensor function. In a specific embodiment, the adaptor is placed adjacent to a physiologic pressure sensor positioned in line in the lead body between the connector end thereof and the distal pace/sense electrode end thereof. The physiologic pressure sensor possesses an elongated cylindrical outer housing and an axially oriented electrical feed-through to the active components thereof. The cross-over adaptor is coupled at one end thereof to the sensor housing and electrical feed-through and at the other end thereof to the inner and outer coaxial coiled wire lead conductors which extend back to the proximal end of the lead body and are electrically connected to proximal pin and ring connector elements. At the distal end of the lead, the distal tip electrode is electrically coupled to the outer housing of the physiologic sensor. The electrical cross-over adaptor electrically connects the inner coiled wire conductor to the cylindrical housing of the physiologic sensor and the outer coiled wire conductor to the electrical feed-through of the physiologic sensor so that the proximal pin connector element is electrically connected to the distal tip electrode and the proximal ring connector element is electrically connected to the electrical feed-through of the physiological sensor. Thus, the electrical interconnection allows the lead to be employed as a conventional unipolar pacing lead in those situations where the physiological sensor is not employed in the pacing system.
    • 具有用于反转外部和内部同轴线圈导线的电连接的交叉适配器设置在具有并入其中的生理传感器的起搏引线的主体中,使得引线可有利地用于具有或不具有生理传感器的常规起搏功能 功能。 在一个具体实施例中,适配器被放置在生理压力传感器附近,该生理压力传感器在其连接器端和其远端步调/感测电极端之间在引线体中定位成一行。 生理压力传感器具有细长的圆柱形外部壳体和对其主动部件的轴向定向的电馈送。 交叉适配器的一端连接到传感器外壳和电气馈电,并且在另一端耦合到内部和外部同轴线圈导线导线,其延伸回到引线主体的近端并且电气 连接到近端销和环形连接器元件。 在引线的远端,远端尖端电极电耦合到生理传感器的外壳。 电交叉适配器将内部线圈导线与生理传感器的圆柱形壳体和外部线圈导线导电连接到生理传感器的电气馈通,使得近端针连接器元件电连接到远端 尖端电极和近端环连接器元件电连接到生理传感器的电馈通。 因此,在不在起搏系统中使用生理传感器的情况下,电互连允许将引线用作常规单极起搏引线。
    • 9. 发明授权
    • Ring electrode for pacing lead and method of making same
    • 用于起搏引线的环形电极及其制造方法
    • US4381014A
    • 1983-04-26
    • US195987
    • 1980-10-10
    • Richard D. SandstromRobert G. DutcherKeith A. Ufford
    • Richard D. SandstromRobert G. DutcherKeith A. Ufford
    • A61N1/05A61N1/04
    • A61N1/056
    • A structure for use as an electrode on a pacing lead to be located some distance proximal to the distal end of the pacing lead. Two short lengths of wire having high electrical conductivity are cut to size. The coils of the outer conductor are welded together at the desired location of the ring electrode of the lead. The two short lengths of wire are welded to the outer conductor of the lead at the desired location of the ring electrode. An insulating sheath having an inside diameter close to the outside diameter of the outer conductor is slid over the outer conductor. The flexibility of the insulating sheath is sufficient to permit encasing of the two short lengths of wire, though the insulating sheath is caused to protrude at the two places directly over and corresponding to the two short lengths of wire. A conductive ring having an inside diameter sufficient to permit sliding over the insulating sheath and two points of protrusion is placed around the insulating sheath at the desired location of the ring electrode. The conductive ring is swaged to an outside diameter approximating that of the insulating sheath. The forces produced cause the two short lengths of wire to pierce the insulating sheath and come in contact with the conductive ring which thereby creates an electrically conductive path between the outer conductor and the conductive ring.
    • 用作起搏导线上的电极的结构位于起搏引线的远端附近一定距离处。 将具有高导电性的两根短的导线切割成尺寸。 外导体的线圈在引线的环形电极的期望位置焊接在一起。 两条短的线材在环形电极的所需位置焊接到引线的外导体。 具有接近外导体的外径的内径的绝缘护套在外导体上滑动。 绝缘护套的灵活性足以允许封装两根短的电线,尽管使绝缘护套在两个位置上直接突出并对应于两根短的电线。 具有足以允许在绝缘护套上滑动的内径和两个突出点的导电环放置在环形电极的期望位置处的绝缘护套周围。 将导电环锻造成与绝缘护套相近的外径。 产生的力导致两根短的导线刺穿绝缘护套并与导电环接触,从而在外导体和导电环之间形成导电路径。
    • 10. 发明授权
    • Medical electrical lead implant tool
    • 医用电引线植入工具
    • US08105337B2
    • 2012-01-31
    • US12649000
    • 2009-12-29
    • Richard D. SandstromKeith A. UffordJames R. Svensk
    • Richard D. SandstromKeith A. UffordJames R. Svensk
    • A61B19/00
    • A61N1/0587A61B17/221A61N1/057
    • A medical electrical lead implant tool includes a gripping assembly, terminating a distal end of an elongate shaft, adapted to alternately grasp the lead and release the lead and to rotate the lead, and a user control terminating a proximal end of the shaft. An internal drive cable extends within the shaft coupling the gripping assembly to the user control. The user control facilitates single-handed manipulation of a slidable dial, which may be grasped by fingers of a hand for longitudinal and rotational manipulation when a stationary handle is held in a palm of the hand; the longitudinal manipulation causing the gripping assembly, via the drive cable, to alternately grasp the lead and release the lead and the rotational manipulation causing the gripping assembly, via the drive cable, to rotate the lead.
    • 医疗电引线植入工具包括夹持组件,其终止细长轴的远端,其适于交替地抓住引线并释放引线并使引线旋转,并且使用者控制端接轴的近端。 内部驱动电缆在连接夹紧组件的轴内延伸到用户控制。 用户控制有助于单手操纵滑动表盘,当固定手柄保持在手掌中时,可以用手指握住可滑动的表盘,用于纵向和旋转操纵; 经由驱动电缆引起夹持组件的纵向操作交替地抓住引线并释放引线和通过驱动电缆使夹持组件旋转引导件的旋转操作。