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    • 6. 发明授权
    • Endocardial lead having defibrillation and sensing electrodes with septal anchoring
    • 具有除颤和感应/起搏电极的心内膜导联
    • US06256541B1
    • 2001-07-03
    • US09062268
    • 1998-04-17
    • John E. HeilRonald W. Heil, Jr.Avram ScheinerYayun LinLyle A. ByeJ. John Lattuca
    • John E. HeilRonald W. Heil, Jr.Avram ScheinerYayun LinLyle A. ByeJ. John Lattuca
    • A61N105
    • A61N1/0563A61N1/0573
    • An endocardial lead comprising an elongate body having a first defibrillation coil electrode, a second defibrillation coil electrode and a first pacing/sensing electrode. The first defibrillation coil electrode has a first end and a second end, where the first end is at or near the distal end of the elongate body and the second end spaced longitudinally from the distal end. The first pacing/sensing electrode is spaced longitudinally along the peripheral surface from the second end of the first defibrillation coil electrode. The second defibrillation coil electrode is spaced longitudinally along the peripheral surface from the first pacing/sensing electrode to afford positioning the first defibrillation coil longitudinally adjacent an apical location of the right ventricle of a heart with the first pacing/sensing electrode within the right ventricle of the heart and the second defibrillation coil within the right atrial chamber or a major vein leading to the right atrial chamber of the heart. The elongate body further includes a curved portion on which the first pacing/sensing electrode is positioned such that the first pacing/sensing electrode extends beyond the peripheral surface of the elongate body to engage the tissue of the heart. The first pacing/sensing electrode further includes a retaining element, where the retaining element is adapted to be embedded in the right ventricle of the heart to secure the first pacing/sensing electrode and the elongate body of the endocardial lead to the right ventricle of the heart.
    • 一种心内膜,其包括具有第一除颤线圈电极,第二除颤线圈电极和第一起搏感测电极的细长体。 第一除颤线圈电极具有第一端和第二端,其中第一端处于细长体的远端处或其附近,并且第二端与远端纵向间隔开。 第一起搏感测电极沿着与第一除颤线圈电极的第二端的外周表面纵向间隔开。 第二除颤线圈电极沿着与第一起搏/感测电极的外周表面纵向间隔开,以使第一除颤线圈与心脏右心室的顶端位置纵向相邻,其中第一起搏/感测电极位于右心室内 右心房中的心脏和第二除颤线圈或通向心脏右心房的主要静脉。 细长主体还包括弯曲部分,第一起搏/感测电极定位在弯曲部分上,使得第一起搏/感测电极延伸超出细长体的周边表面以接合心脏的组织。 第一起搏/感测电极还包括保持元件,其中保持元件适于嵌入心脏的右心室,以将第一起搏/感测电极和心内膜引导件的细长体固定到右心室 心。