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1. 发明授权

US5290299A Double jaw apparatus for attaching implanted materials to body tissue 失效
标题翻译：用于将植入材料附着到身体组织的双颚装置
公开(公告)号：US5290299A
公开(公告)日：1994-03-01
申请号：US16484
申请日：1993-02-09
申请人： Eric S. Fain , Mary E. Bush
发明人： Eric S. Fain , Mary E. Bush
IPC分类号： A61B17/128 , A61B17/28 , A61B17/00
CPC分类号： A61B17/1285 , A61B2017/2929 , Y10S227/902
摘要： A system is provided for fastening an implantable medical device, for example a defibrillator lead, to the heart. A lead electrode is placed in a desired position against the pericardium, pericardial tissue is grasped with a fastening tool, and the pericardial tissue is drawn away from epicardium and toward the fastening tool. A fastening member is applied to the pericardial tissue and to the lead electrode to secure the lead in the desired position. The application tool comprises a first pair of jaws for grasping membranous tissue and drawing the tissue away from other tissues and toward the tool. A second pair of jaws is provided for holding fastener members and delivering the fastener members to the membranous tissue.
摘要翻译：提供了一种用于将可植入医疗装置（例如除颤器引线）紧固到心脏的系统。将引线电极放置在针对心包的期望位置，心包组织用紧固工具抓住，并将心包组织从心外膜拉出并朝向紧固工具。将紧固构件施加到心包组织和引线电极，以将引线固定在期望的位置。应用工具包括用于抓住膜组织并将组织远离其他组织并朝向工具拉出的第一对钳口。提供第二对钳口用于保持紧固件并将紧固件传送到膜组织。

2. 发明授权

US5282845A Multiple electrode deployable lead 失效
标题翻译：多电极可展开引线
公开(公告)号：US5282845A
公开(公告)日：1994-02-01
申请号：US591389
申请日：1990-10-01
申请人： Mary E. Bush , Craig E. Mar , Eric S. Fain
发明人： Mary E. Bush , Craig E. Mar , Eric S. Fain
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N1/0587
摘要： An implantable defibrillator lead comprises a flexible, conductive lead member having proximal and distal end portions. The distal end portion defines a plurality of separate, curvilinear electrodes which naturally extend laterally outwardly in a curved arrangement from the remainder of the lead. However, by desired means, the curvilinear electrodes may be temporarily extended out straight, substantially parallel to the axis of the remainder of said lead member, to facilitate implantation of the lead. This may be preferably accomplished by a flexible sheath that encloses the lead member in longitudinally slidable relation.
摘要翻译：可植入除颤器引线包括具有近端部分和远端部分的柔性导电引线部件。远端部分限定了多个独立的曲线电极，其自然地从导线的其余部分以弯曲的布置横向向外延伸。然而，通过期望的方式，曲线电极可以暂时延伸出直线，基本上平行于所述引线构件的其余部分的轴线，以便于引线的注入。这可以优选地通过将引导构件围绕纵向可滑动关系的柔性护套实现。

3. 发明授权

US5249574A Implantation of leads 失效
标题翻译：植入引线
公开(公告)号：US5249574A
公开(公告)日：1993-10-05
申请号：US812427
申请日：1991-12-23
申请人： Mary E. Bush , Eric S. Fain
发明人： Mary E. Bush , Eric S. Fain
IPC分类号： A61N1/05
CPC分类号： A61N1/0587
摘要： A lead or other member may be implanted into the body, and typically at the heart, by a method which comprises and following: inserting one of a pair of pivotally attached jaws of an attachment tool through a hole in a body membrane, particularly the parietal pericardium surrounding the pericardial cavity. The other of the pivotally related jaws is placed outside of the body membrane in a position of registry with the first of the jaws. The jaws carry an attachment member which is to be attached for securance to the body membrane. The jaws are brought together in pressing relation with the membrane and attachment member positioned between the jaws, to cause attachment of the attachment member to the membrane. The lead may be pre-attached, or subsequently attached, to the attachment member after the above process steps.
摘要翻译：导线或其他构件可以通过包括以下的方法植入体内，并且通常在心脏处：将一对连接工具的一对枢轴连接的钳口中的一个穿过体膜中的孔，特别是顶叶围绕心包腔的心包。枢轴相关的钳口中的另一个被放置在与第一钳口对准的位置的身体膜外部。夹爪带有附着构件，以将其附着在身体膜上。夹爪与定位在夹爪之间的膜和附接构件按压关系在一起，以使附接构件附着到膜上。在上述工艺步骤之后，引线可以预先附着或随后附接到附接构件。

4. 发明授权

US5127421A Implantation of leads 失效
标题翻译：植入引线
公开(公告)号：US5127421A
公开(公告)日：1992-07-07
申请号：US641500
申请日：1991-01-15
申请人： Mary E. Bush , Thomas A. Howell
发明人： Mary E. Bush , Thomas A. Howell
IPC分类号： A61N1/05
CPC分类号： A61N1/0587
摘要： An electrode on a lead may be implanted at the heart by placing the lead through a hole in the parietal pericardium and positioning the distal end of the lead in a desired position relative to the heart. Thereafter one secures the lead in the desired position by attachment thereof to a fastener member, including the step of attaching the fastener member to the parietal pericardium by compressive action between a pair of opposed jaws of an attachment tool, with one of the jaws being positioned within and the other of the jaws positioned outside of the parietal pericardium. Also, a tool is disclosed for securing leads to a tissue site, particularly in accordance with the above method.
摘要翻译：引线上的电极可以通过将引线穿过顶叶心包中的孔并将引线的远端相对于心脏定位在期望位置而植入心脏。此后，通过将其连接到紧固件上，将引线固定在期望的位置，包括通过附接工具的一对相对的钳口之间的压缩作用将紧固件附接到顶叶心包的一个步骤，其中一个钳口被定位内侧和另一侧位于顶叶心包膜外侧。此外，公开了用于将引线固定到组织部位的工具，特别是根据上述方法。

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