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1. 发明授权

US4328812A Ring electrode for pacing lead 失效
标题翻译：用于起搏引线的环形电极
公开(公告)号：US4328812A
公开(公告)日：1982-05-11
申请号：US133371
申请日：1980-03-21
申请人： Keith A. Ufford , Edward G. O'Neill
发明人： Keith A. Ufford , Edward G. O'Neill
IPC分类号： A61N1/05 , A61N1/372 , A61N1/04
CPC分类号： A61N1/056
摘要： 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.
摘要翻译：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。

2. 发明授权

US4266552A Lead anchoring bobbin 失效
标题翻译：引线锚定线轴
公开(公告)号：US4266552A
公开(公告)日：1981-05-12
申请号：US93342
申请日：1979-11-13
申请人： Robert G. Dutcher , Edward G. O'Neill
发明人： Robert G. Dutcher , Edward G. O'Neill
IPC分类号： A61B17/11 , A61M23/00 , A61N1/372 , A61N1/375 , A61N1/00
CPC分类号： A61N1/375
摘要： The lead anchoring bobbin for containing a transvenous pacing lead at an entry site in human tissue and including a grooved bobbin and buttons which frictionally engage and detain the lead on either side of the bobbin. The lead anchoring bobbin is made of medical silicone rubber or like material.
摘要翻译：用于在人体组织的入口处容纳静脉起搏引线的引导锚定线轴，并且包括带槽的线轴和与所述线轴的任一侧摩擦接合和扣留引线的按钮。引线固定线轴由医用硅橡胶或类似材料制成。

3. 发明授权

US4357946A Epicardial pacing lead with stylet controlled helical fixation screw 失效
标题翻译：心肌起搏带导管螺旋固定螺钉
公开(公告)号：US4357946A
公开(公告)日：1982-11-09
申请号：US133217
申请日：1980-03-24
申请人： Robert G. Dutcher , Edward G. O'Neill
发明人： Robert G. Dutcher , Edward G. O'Neill
IPC分类号： A61N1/05 , A61N1/04
CPC分类号： A61N1/0587
摘要： Epicardial pacing lead for affixation to epicardial heart tissue either onto the forward facing portion of the heart or behind the heart during thoracic surgery. A stylet controls a helical fixation screw in an electrode head of the pacing lead in that the stylet is turned thereby advancing the helical fixation screw beyond the planar surface of the electrode head. The epicardial pacing lead includes two embodiments which can be used in the unipolar mode of operation and one embodiment which can be used in the bipolar or unipolar mode of operation. The epicardial pacing lead requires no special tools and can be applied to the epicardial tissue with the use of surgical forceps or clamps. The pacing lead can be connected to a pulse generator located adjacent to the epicardial tissue under the skin and can be used for atrial or ventricular pacing.
摘要翻译：在胸外科手术期间，心外膜起搏导向心外膜心脏组织或心脏前方或心脏后方。探针控制起搏引线的电极头中的螺旋固定螺钉，因为探针转动，从而将螺旋固定螺钉推进超过电极头的平面。心外膜起搏引线包括可用于单极操作模式的两个实施例，以及可用于双极或单极操作模式的一个实施例。心外膜起搏引线不需要特殊工具，可以使用手术钳或夹钳将其应用于心外膜组织。起搏引线可以连接到位于皮肤附近的心外膜组织旁边的脉冲发生器，可用于心房或心室起搏。

4. 发明授权

US4207903A Device for screwing body tissue electrode into body tissue 失效
标题翻译：用于将身体组织电极拧入身体组织的装置
公开(公告)号：US4207903A
公开(公告)日：1980-06-17
申请号：US900975
申请日：1978-04-28
申请人： Edward G. O'Neill
发明人： Edward G. O'Neill
IPC分类号： A61N1/05 , A61N1/04
CPC分类号： A61N1/0587
摘要： An assembly of a primary and an auxiliary tool employed in implanting an electrical lead and its electrode in body tissue, the primary tool or device having a groove associated therewith for holding the electrode and the lead's conductor during implantation in a manner to avoid imparting torque to the lead and undue pressure upon the body tissue during release of the lead from the primary tool. The primary tool includes a leading end with a cavity for receiving a boot for the lead's helical electrode, the groove extending longitudinally for receiving the insulated conductor, and a longitudinally extending bore which communicates the groove for receiving the auxiliary tool. The auxiliary tool includes a body portion disposable within the bore, at least one fin extending radially from its body portion and disposable within the groove, and a terminal portion moveable into the cavity. Further, the primary tool has at least one laterally disposed slot communicating with the groove for receiving the fin of the auxiliary tool, which is inserted into the bore of the primary tool and rotated so as to place its fin into the slot thus holding the auxiliary tool with respect to the primary tool. Thereafter, the electrical lead is mounted upon the primary tool by disposing its boot into the cavity and its insulated conductor into the groove. Upon urging the auxiliary tool forward, its leading end moves into the cavity removing the boot therefrom and its fin is moved into the slot thereby removing the insulated conductor from the slot.
摘要翻译：用于将电引线及其电极植入体内组织中的主工具和辅助工具的组件，所述主工具或装置具有与其相关联的凹槽，用于在植入期间保持电极和引线导体，以避免赋予扭矩在从主要工具释放铅时，对身体组织的铅和不适当的压力。主工具包括具有用于接收引线螺旋电极的引导件的空腔的前端，用于接收绝缘导体的纵向延伸的凹槽以及连通凹槽以用于接收辅助工具的纵向延伸的孔。所述辅助工具包括在所述孔内一次性的主体部分，至少一个翅片，其从其主体部分径向延伸并且一次性地在所述凹槽内，以及可移动到所述腔中的端子部分。此外，主工具具有与沟槽连通的至少一个侧向设置的槽，用于接收辅助工具的翅片，该辅助工具的翅片插入主工具的孔中并旋转，以将其翅片放置在槽中，从而保持辅助相对于主要工具的工具。此后，通过将其引线设置在空腔中并将其绝缘导体插入槽中，将电引线安装在主工具上。在向前推动辅助工具时，其前端移动到空腔中，从而从中移除引导件，并且其翅片移动到槽中，从而从绝缘导槽移除绝缘导体。

5. 发明授权

US4280511A Ring electrode for pacing lead and process of making same 失效
标题翻译：用于起搏引线的环形电极及其制造工艺
公开(公告)号：US4280511A
公开(公告)日：1981-07-28
申请号：US124156
申请日：1980-02-25
申请人： Edward G. O'Neill
发明人： Edward G. O'Neill
IPC分类号： A61N1/05 , A61N1/04
CPC分类号： A61N1/056
摘要： Ring electrode for a pacing lead where the ring electrode is secured to a conductor coil by soft metal disposed in a slit in insulation over the conductor coil. A slit or hole is punched into the insulation before or after the insulation is pulled over the coiled conductor, silver ball or wire or other like soft metal is placed in the slit or hole, a ring is slid over the insulation and centered over the soft metal, and the ring is swaged to the same diameter as the insulation utilizing an internal mandrel in the conductor coil so that the soft metal is pressed between the ring electrode and the coiled conductor resulting in a mechanically crimped joint. The ring electrode provides flexibility within the lead and the insulation extending through the ring electrode. Tensile strength at the ring electrode is substantially equal to that of the insulation. The ring electrode is swaged to the same diameter as the lead body resulting in a smooth surface and providing for easy lead passage.
摘要翻译：用于起搏引线的环形电极，其中环形电极通过布置在导体线圈上绝缘的狭缝中的软金属固定到导体线圈。在绝缘体被拉过线圈导体之前或之后，将裂缝或孔冲入绝缘体中，将银球或线或其他类似的软金属放置在狭缝或孔中，环在绝缘体上滑动并居中在软金属，并且使用导体线圈中的内部心轴将环锻造成与绝缘体相同的直径，使得软金属被压在环形电极和卷绕导体之间，导致机械卷曲接头。环形电极在引线内提供灵活性，并且延伸穿过环形电极的绝缘体。环形电极处的拉伸强度基本上等于绝缘体的拉伸强度。环形电极被锻造成与引线体相同的直径，导致光滑的表面并提供容易的引线通过。

6. 发明授权

US4253462A Stylet 失效
标题翻译：探针
公开(公告)号：US4253462A
公开(公告)日：1981-03-03
申请号：US64947
申请日：1979-08-09
申请人： Robert G. Dutcher , Edward G. O'Neill , Richard D. Sandstrom
发明人： Robert G. Dutcher , Edward G. O'Neill , Richard D. Sandstrom
IPC分类号： A61B17/34 , A61B17/00
CPC分类号： A61B17/34
摘要： Stylet including a stylet knob, a stylet wire, and a swaged stylet wire retaining sleeve over the stylet wire which engages within the stylet knob providing for controlled length and straightness of the stylet wire and mating within the long thin walled stylet knob.
摘要翻译：管心针包括一个探针，一根指针针，以及一个在探针上方的针刺线上的锻压的针刺线保持套，该套管啮合在探针中，提供了管芯针的受控长度和直线度，并且在长薄的通孔探头中配合。

7. 发明授权

US4280510A Sutureless myocardial lead introducer 失效
标题翻译：无缝合心肌引导导管
公开(公告)号：US4280510A
公开(公告)日：1981-07-28
申请号：US10465
申请日：1979-02-08
申请人： Edward G. O'Neill
发明人： Edward G. O'Neill
IPC分类号： A61N1/05 , A61N1/04
CPC分类号： A61N1/0587 , A61N2001/0578
摘要： The sutureless myocardial lead introducer herein disclosed includes a handle having at the distal end thereof means for releasably holding a body tissue electrode for screwing into body tissue and is provided with a longitudinal slot extending toward the center of the handle and extending from adjacent the distal end thereof to the proximal end thereof to receive an insulated electric lead from the electrode. A hollow tube slides over the handle and holds the electric lead in place in the groove. A tunneling rod is slidably mounted within the handle and is provided with a fin which engages a locking slot at the proximal end of the handle. The fin may be disposed from a first position, wherein the fin is disposed in the locking slot, to a second position, wherein the tunneling rod engages the electrode to push the electrode clear of the handle, when the electrode has been screwed into the body tissue and when the tube has been removed from the handle releasing the electric lead from the slot in the handle.
摘要翻译：本文公开的无缝线心肌引导引导器包括手柄，其在远端具有用于可释放地保持身体组织电极用于旋拧到身体组织中的装置，并且设置有朝向手柄的中心延伸的纵向狭槽，并且从相邻的远端到其近端以从电极接收绝缘的电引线。中空管在手柄上滑动并将电引线保持在凹槽中的适当位置。隧道杆可滑动地安装在手柄内，并且设置有与手柄的近端处的锁定槽接合的翅片。翅片可以从第一位置设置，其中翅片设置在锁定槽中到第二位置，其中当电极已经被拧入体内时，隧道杆接合电极以推动电极远离手柄并且当管从手柄中取出时，将电引线从把手中的槽释放出来。

8. 发明授权

US4258725A Pacing lead with stylet and tapered terminal pin 失效
标题翻译：用通丝针和锥形端子针起搏
公开(公告)号：US4258725A
公开(公告)日：1981-03-31
申请号：US77868
申请日：1979-09-21
申请人： Edward G. O'Neill
发明人： Edward G. O'Neill
IPC分类号： A61N1/05 , A61N1/36 , A61N1/375 , A61N1/00
CPC分类号： A61N1/056
摘要： Terminal pin which engages into a wire coil of a transvenous pacing lead and mechanically attaches to the wire coil with a metal crimping sleeve which engages over the wire coil. The terminal pin includes a tapered distal end portion from an outward radial shoulder in a midportion of the terminal pin to the distal end of the terminal pin. A stylet easily passes through a longitudinal hole extending through the terminal pin and into the wire coil of the transvenous pacing lead.
摘要翻译：端子销，其接合到经静脉起搏引线的线圈中，并且通过金属压接套筒机械地连接到线圈，所述金属压接套筒接合在线圈上。端子销包括从端子销的中间部分到端子销的远端的向外径向肩部的锥形远端部分。探针容易通过延伸穿过终端销并进入经静脉起搏引线的线圈的纵向孔。

9. 发明授权

US4154247A Formable cardiac pacer lead and method of assembly and attachment to a body organ 失效
标题翻译：可形成的心脏起搏器引线和组装和附着于身体器官的方法
公开(公告)号：US4154247A
公开(公告)日：1979-05-15
申请号：US783689
申请日：1977-04-01
申请人： Edward G. O'Neill
发明人： Edward G. O'Neill
IPC分类号： A61N1/05 , A61N1/04
CPC分类号： A61N1/056
摘要： A cardiac pacer lead is disclosed as being formable at the time of pacer implantation by the attending surgeon, by heating the pacer lead, as in boiling water, and then forming or shaping it to the desired configuration so that a pacer electrode is maintained resiliently in contact with the inner surface of the patient's heart, e.g. his atrium. The pacer lead comprises at least one flexible conductor about which is disposed a first insulating layer of a repeatably thermally-activated material to permit its formation into a desired configuration, and a second insulating layer disposed thereabout of a character suitable for implantation within the patient's body, i.e., resistant to corrosion by body fluids. Further, there is disclosed the method of assembling and attaching the cardiac pacer lead to a body organ, e.g., the patient's heart. The method includes the steps of incorporating the thermally-activated material within the pacer lead, heating the lead and shaping the lead into a non-linear configuration, reforming the lead into a linear configuration, inserting the lead to make electrical contact with the body organ and discontinuing the straightening of the pacer lead.
摘要翻译：公开了一种心脏起搏器引线，可以由主治外科医生在起搏器植入时形成，如在沸水中加热引脚，然后将其形成或成形为期望的构型，使得起搏电极弹性地保持在与患者心脏的内表面接触，例如他的中庭起搏器引线包括至少一个柔性导体，围绕所述至少一个柔性导体布置有可重复地热活化材料的第一绝缘层，以允许其形成所需的构造;以及第二绝缘层，其设置在适于植入患者身体内的角色之上，即耐体液腐蚀。此外，公开了将心脏起搏器导线组装和附接到身体器官例如患者心脏的方法。该方法包括以下步骤：将热活化材料结合在起搏器引线内，加热引线并将引线成形为非线性构型，将引线重新形成线性构型，插入引线以与身体器官电接触并停止调整引导线。

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