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1. 发明授权

US08142367B2 Method and apparatus for deflecting a screw-in lead 有权
标题翻译：用于偏转螺钉的方法和装置
公开(公告)号：US08142367B2
公开(公告)日：2012-03-27
申请号：US12037692
申请日：2008-02-26
申请人： Kenneth C. Gardeski , Corinne A. G. Poor , William J. Clemens , Jeremy J. Odegard
发明人： Kenneth C. Gardeski , Corinne A. G. Poor , William J. Clemens , Jeremy J. Odegard
IPC分类号： A61B5/00
CPC分类号： A61N1/0573 , A61M25/0136 , A61N2001/058
摘要： A deflectable stylet system optimized for use in conjunction with a lead of the type having a fixation helix that is screwed into body tissue by rotation of the lead's connector pin is disclosed. The system includes an attachment that is rotatable and longitudinally slidable with respect to the handle of a deflectable stylet. A lead coupled to the attachment may be moved longitudinally with respect to a stylet to account for slight variances in the lead length. In one embodiment, the attachment couples to the lead via a pushbutton mechanism that can be locked to the lead using one hand. The attachment may be rotated to thereby rotate the lead connector. This allows for retraction and extension of a retractable fixation helix, and for further attachment or detachment of a fixation helix to adjacent tissue. In one embodiment, the attachment may be longitudinally rigidly positioned in predetermined locations with respect to the handle. According to another aspect of the system, a deflection device is coupled to the handle to facilitate deflection of the stylet. In one embodiment, this deflection device may be rotatably and/or slidably activated to accomplish the stylet deflection. The system allows a user to adjust lead length with respect to the stylet length, and to further perform stylet deflection and lead rotation all with one hand.
摘要翻译：公开了一种可弯曲的探针针系统，其优化用于与具有通过引线的连接器销的旋转而旋入身体组织的固定螺旋的类型的引线结合使用。该系统包括可相对于可偏转探针的手柄旋转并纵向滑动的附件。耦合到附件的引线可以相对于探针沿纵向移动以考虑引线长度的微小变化。在一个实施例中，附件经由按钮机构耦合到引线，该按钮机构可以用一只手锁定到引线。可以旋转附件从而使引线连接器旋转。这允许缩回固定螺旋的缩回和延伸，并且用于将固定螺旋进一步附接或分离到相邻组织。在一个实施例中，附件可以相对于手柄纵向刚性地定位在预定位置。根据系统的另一方面，偏转装置联接到手柄以便于探针的偏转。在一个实施例中，该偏转装置可以可旋转和/或可滑动地启动以完成探针的偏转。该系统允许用户相对于探针长度调节引线长度，并且用一只手进一步执行探针偏转和引导旋转。

2. 发明授权

US07396335B2 Method and apparatus for deflecting a screw-in lead 有权
标题翻译：用于偏转螺钉的方法和装置
公开(公告)号：US07396335B2
公开(公告)日：2008-07-08
申请号：US10844746
申请日：2004-05-13
申请人： Kenneth C. Gardeski , Corinne A. G. Poor , William J. Clemens , Jeremy J. Odegard
发明人： Kenneth C. Gardeski , Corinne A. G. Poor , William J. Clemens , Jeremy J. Odegard
IPC分类号： A61B5/00
CPC分类号： A61N1/0573 , A61M25/0136 , A61N2001/058
摘要： A deflectable stylet system optimized for use in conjunction with a lead of the type having a fixation helix that is screwed into body tissue by rotation of the lead's connector pin is disclosed. The system includes an attachment that is rotatable and longitudinally slidable with respect to the handle of a deflectable stylet. A lead coupled to the attachment may be moved longitudinally with respect to a stylet to account for slight variances in the lead length. In one embodiment, the attachment couples to the lead via a pushbutton mechanism that can be locked to the lead using one hand. The attachment may be rotated to thereby rotate the lead connector. This allows for retraction and extension of a retractable fixation helix, and for further attachment or detachment of a fixation helix to adjacent tissue. In one embodiment, the attachment may be longitudinally rigidly positioned in predetermined locations with respect to the handle. According to another aspect of the system, a deflection device is coupled to the handle to facilitate deflection of the stylet. In one embodiment, this deflection device may be rotatably and/or slidably activated to accomplish the stylet deflection. The system allows a user to adjust lead length with respect to the stylet length, and to further perform stylet deflection and lead rotation all with one hand.
摘要翻译：公开了一种可弯曲的探针针系统，其优化用于与具有通过引线的连接器销的旋转而旋入身体组织的固定螺旋的类型的引线结合使用。该系统包括可相对于可偏转探针的手柄旋转并纵向滑动的附件。耦合到附件的引线可以相对于探针沿纵向移动以考虑引线长度的微小变化。在一个实施例中，附件经由按钮机构耦合到引线，该按钮机构可以用一只手锁定到引线。可以旋转附件从而使引线连接器旋转。这允许缩回固定螺旋的缩回和延伸，并且用于将固定螺旋进一步附接或分离到相邻组织。在一个实施例中，附件可以相对于手柄纵向刚性地定位在预定位置。根据系统的另一方面，偏转装置联接到手柄以便于探针的偏转。在一个实施例中，该偏转装置可以可旋转和/或可滑动地启动以完成探针的偏转。该系统允许用户相对于探针长度调节引线长度，并且用一只手进一步执行探针偏转和引导旋转。

3. 发明授权

US06805675B1 Method and apparatus for deflecting a screw-in lead 失效
公开(公告)号：US06805675B1
公开(公告)日：2004-10-19
申请号：US09659797
申请日：2000-09-12
申请人： Kenneth C. Gardeski , Corinne A. G. Poor , William J. Clemens , Jeremy John Odegard
发明人： Kenneth C. Gardeski , Corinne A. G. Poor , William J. Clemens , Jeremy John Odegard
IPC分类号： A61B500
CPC分类号： A61N1/0573 , A61M25/0136 , A61N2001/058
摘要： A deflectable stylet system optimized for use in conjunction with a lead of the type having a fixation helix that is screwed into body tissue by rotation of the lead's connector pin is disclosed. The system includes an attachment that is rotatable and longitudinally slidable with respect to the handle of a deflectable stylet. A lead coupled to the attachment may be moved longitudinally with respect to a stylet to account for slight variances in the lead length. In one embodiment, the attachment couples to the lead via a pushbutton mechanism that can be locked to the lead using one hand. The attachment may be rotated to thereby rotate the lead connector. This allows for retraction and extension of a retractable fixation helix, and for further attachment or detachment of a fixation helix to adjacent tissue. In one embodiment, the attachment may be longitudinally rigidly positioned in predetermined locations with respect to the handle. According to another aspect of the system, a deflection device is coupled to the handle to facilitate deflection of the stylet. In one embodiment, this deflection device may be rotatably and/or slidably activated to accomplish the stylet deflection. The system allows a user to adjust lead length with respect to the stylet length, and to further perform stylet deflection and lead rotation all with one hand.

4. 发明申请

US20080147085A1 METHOD AND APPARATUS FOR DEFLECTING A SCREW-IN LEAD 有权
标题翻译：用于偏转螺旋引线的方法和装置
公开(公告)号：US20080147085A1
公开(公告)日：2008-06-19
申请号：US12037692
申请日：2008-02-26
申请人： Kenneth C. Gardeski , Corinne A.G. Poor , William J. Clemens , Jeremy J. Odegard
发明人： Kenneth C. Gardeski , Corinne A.G. Poor , William J. Clemens , Jeremy J. Odegard
IPC分类号： A61M25/09
CPC分类号： A61N1/0573 , A61M25/0136 , A61N2001/058
摘要： A deflectable stylet system optimized for use in conjunction with a lead of the type having a fixation helix that is screwed into body tissue by rotation of the lead's connector pin is disclosed. The system includes an attachment that is rotatable and longitudinally slidable with respect to the handle of a deflectable stylet. A lead coupled to the attachment may be moved longitudinally with respect to a stylet to account for slight variances in the lead length. In one embodiment, the attachment couples to the lead via a pushbutton mechanism that can be locked to the lead using one hand. The attachment may be rotated to thereby rotate the lead connector. This allows for retraction and extension of a retractable fixation helix, and for further attachment or detachment of a fixation helix to adjacent tissue. In one embodiment, the attachment may be longitudinally rigidly positioned in predetermined locations with respect to the handle. According to another aspect of the system, a deflection device is coupled to the handle to facilitate deflection of the stylet. In one embodiment, this deflection device may be rotatably and/or slidably activated to accomplish the stylet deflection. The system allows a user to adjust lead length with respect to the stylet length, and to further perform stylet deflection and lead rotation all with one hand.
摘要翻译：公开了一种可弯曲的探针针系统，其优化用于与具有通过引线的连接器销的旋转而旋入身体组织的固定螺旋的类型的引线结合使用。该系统包括可相对于可偏转探针的手柄旋转并纵向滑动的附件。耦合到附件的引线可以相对于探针沿纵向移动以考虑引线长度的微小变化。在一个实施例中，附件经由按钮机构耦合到引线，该按钮机构可以用一只手锁定到引线。可以旋转附件从而使引线连接器旋转。这允许缩回固定螺旋的缩回和延伸，并且用于将固定螺旋进一步附接或分离到相邻组织。在一个实施例中，附件可以相对于手柄纵向刚性地定位在预定位置。根据系统的另一方面，偏转装置联接到手柄以便于探针的偏转。在一个实施例中，该偏转装置可以可旋转和/或可滑动地启动以完成探针的偏转。该系统允许用户相对于探针长度调节引线长度，并且用一只手进一步执行探针偏转和引导旋转。

5. 发明授权

US6146338A Apparatus for deflecting a catheter or lead 有权
公开(公告)号：US6146338A
公开(公告)日：2000-11-14
申请号：US298605
申请日：1999-04-23
申请人： Kenneth C. Gardeski , Corinne A. G. Poor , David Lipson
发明人： Kenneth C. Gardeski , Corinne A. G. Poor , David Lipson
IPC分类号： A61B1/005 , A61M25/00 , A61M25/01 , A61M25/16 , A61B5/00
CPC分类号： A61M25/0138 , A61M25/0144 , A61M25/0147 , A61B1/0051 , A61M25/0009
摘要： A deflectable stylet or guidewire formed of an elongated tube having a coil mounted to its distal end and a movable tension or push wire mounted within the coil and the tube, mechanically coupled to the distal end of the coil. A backbone is located within the coil, mechanically coupled to the proximal and distal ends of the coil and extending along one side of the coil. The backbone may be provided with projections extending laterally between adjacent turns of the coil and may have a generally arcuate cross section having a width greater than its arc height. In some embodiments the backbone may be formed from a tube having a slot extending longitudinally along one side thereof. In some embodiments the backbone may be attached to the coil at points between the proximal and distal ends of the coil.

6. 发明授权

US06607496B1 Steerable stylet with enhanced torsional transfer strength 有权
标题翻译：具有增强的扭转传递强度的方向导管
公开(公告)号：US06607496B1
公开(公告)日：2003-08-19
申请号：US09659286
申请日：2000-09-12
申请人： Corinne A. G. Poor , Kenneth C. Gardeski
发明人： Corinne A. G. Poor , Kenneth C. Gardeski
IPC分类号： A61B500
CPC分类号： A61M25/0012 , A61M25/005 , A61M25/0052 , A61M25/0054 , A61M25/0138 , A61M25/0147 , A61M2025/09116
摘要： A steerable guidewire or stylet that has increased torsional strength is disclosed. A braided structure located in the vicinity of at least the distal end of the guidewire or stylet provides for a more efficient transfer of rotational force over the length of the guidewire or stylet. The braided structure may be comprised of a flat metal ribbon wire that may optionally be reinforced with a polyimide. According to one aspect of the invention, the stylet includes an outer member, and a pull-wire located within the outer member. The pull-wire is coupled to the distal tip of the outer member such that when tension is applied to the pull-wire, the distal tip of the outer member is deflected. The distal tip of the outer member may be formed of a material having superelastic properties such as a nickel titanium alloy, whereas the proximal portion of the stylet may be formed of a material having more torsional strength. The distal tip of the outer member may further include at least one aperture to provide a preferred bending direction when tension is applied to the pull-wire. Pull-wire is retained within the at least one aperture by the braided structure. According to another aspect of the invention, a handle is provided that includes both rotatable and slidable mechanisms to facilitate deflection of the distal tip portion of the outer member. In one embodiment, the handle may be adapted for use with a lead extension tool.
摘要翻译：公开了具有增加的扭转强度的可导向的导丝或探针。位于导线或管心针的至少远端附近的编织结构提供了在导线或探针的长度上更有效的转动力。编织结构可以由可以任选地用聚酰亚胺增强的扁平金属带状丝线组成。根据本发明的一个方面，探针包括外部构件和位于外部构件内的拉线。拉线联接到外部构件的远侧末端，使得当拉力施加到拉线时，外部构件的远侧末端被偏转。外部构件的远端可以由具有超弹性特性的材料形成，例如镍钛合金，而探针的近端部分可以由具有更大扭转强度的材料形成。外部构件的远侧末端还可以包括至少一个孔，以便当拉力施加到拉线时提供优选的弯曲方向。拉丝由编织结构保持在至少一个孔内。根据本发明的另一方面，提供一种手柄，其包括可旋转和可滑动的机构，以便于外部构件的远侧末端部分的偏转。在一个实施例中，手柄可以适于与引线延伸工具一起使用。

7. 发明授权

US07338481B2 Slitting tool 有权
标题翻译：分切工具
公开(公告)号：US07338481B2
公开(公告)日：2008-03-04
申请号：US10367420
申请日：2003-02-14
申请人： Kenneth C. Gardeski , Jeff J. Jannicke , Stanten C. Spear , David A. Schuelke , Debbie L. Kirihara , Elizabeth A. Ellingson , Jeremy J. Odegard , Richard P. Manahan , Andrzej M. Malewicz
发明人： Kenneth C. Gardeski , Jeff J. Jannicke , Stanten C. Spear , David A. Schuelke , Debbie L. Kirihara , Elizabeth A. Ellingson , Jeremy J. Odegard , Richard P. Manahan , Andrzej M. Malewicz
IPC分类号： A61M25/00 , A61M31/00
CPC分类号： B26D3/001 , A61M25/00 , A61M25/0668 , A61M2025/0675
摘要： A slitting tool for severing a tubular body includes a body portion, extending along a first axis, joined to a nose portion extending along a second axis, the second axis extending at an angle between approximately 5 degrees and approximately 90 degrees with respect to the first axis. The nose portion includes means for severing the tubular body while the body portion includes means for gripping by a hand of a user such that a wrist of the hand is in a neutral position when the means for severing is directed toward the tubular body.
摘要翻译：用于切割管状体的切割工具包括主体部分，其沿着第一轴线延伸，与第二轴线延伸的鼻部接合，第二轴线相对于第一轴线以大约5度和大约90度之间的角度延伸轴。鼻部包括用于切断管状体的装置，而主体部分包括用于由使用者的手握住的装置，使得当切割装置指向管状体时，手的手腕处于中立位置。

8. 发明授权

US07029460B2 Slitting tool 有权
公开(公告)号：US07029460B2
公开(公告)日：2006-04-18
申请号：US10078026
申请日：2002-02-15
申请人： Kenneth C. Gardeski , Stanten C. Spear , Andrzej M. Malewicz , Jeremy J. Odegard
发明人： Kenneth C. Gardeski , Stanten C. Spear , Andrzej M. Malewicz , Jeremy J. Odegard
IPC分类号： A61M5/178
CPC分类号： B26D3/001 , A61M25/00 , A61M25/0668 , A61M2025/0675
摘要： A slitting tool is provided for severing a tubular body such as the body of an introducer or a guide catheter that is positioned around an implantable medical device (IMD) such as a lead or another catheter. The slitting tool includes a body member that has a surface adapted to be gripped by a user. The surface includes a channel that is provided to align the IMD with respect to the body of the slitting tool. The gripping action of the user maintains the IMD within the channel such that the channel need not attach to the IMD. The slitting tool includes a cutting member coupled to the body member and positioned to sever the tubular body without severing the IMD.

9. 发明申请

US20120165902A1 MULTI-ELECTRODE IMPLANTABLE SYSTEMS AND ASSEMBLIES THEREOF 有权
标题翻译：多电极可植入系统及其组合
公开(公告)号：US20120165902A1
公开(公告)日：2012-06-28
申请号：US13008524
申请日：2011-01-18
申请人： John Louis Sommer , Joseph Michael D'Sa , Joyce K. Yamamoto , Brad C. Tischendorf , James D. Reinke , Andrew J. Thom , Thomas P. Miltich , William John Taylor , Kenneth C. Gardeski , Larry Earl Tyler , Jeffrey O. York , Gordon O. Munns
发明人： John Louis Sommer , Joseph Michael D'Sa , Joyce K. Yamamoto , Brad C. Tischendorf , James D. Reinke , Andrew J. Thom , Thomas P. Miltich , William John Taylor , Kenneth C. Gardeski , Larry Earl Tyler , Jeffrey O. York , Gordon O. Munns
IPC分类号： A61N1/36
CPC分类号： A61N1/362 , A61N1/05 , A61N1/056 , A61N1/372
摘要： Hermetically sealed assemblies, for example, that include IC chips, are configured for incorporation within a connector terminal of an implantable medical electrical lead, preferably within a contact member of the terminal. An assembly may include two feedthrough subassemblies, welded to either end of the contact member, to form an hermetic capsule, in which an IC chip is enclosed, and a tubular member, which allows a lumen to extend therethrough, along a length of the terminal. A multi-electrode lead may include multiplexer circuitry, preferably a switch matrix element and a communications, control and power supply element that are electrically coupled to the contact member and to another contact member of the terminal. Each pair of switch matrix switches allows for any two of the electrodes to be selected, in order to deliver a stimulation vector, via stimulation pulses from a device/pulse generator, to which the connector terminal is connected.
摘要翻译：例如，包括IC芯片的密封组件被配置为并入可植入医疗电线的连接器端子内，优选地在端子的接触构件内。组件可以包括焊接到接触构件的任一端的两个馈通子组件，以形成封闭IC芯片的密封胶囊，以及允许内腔沿着端子的长度延伸穿过的管状构件。多电极引线可以包括多路复用器电路，优选地是开关矩阵元件和通信，控制和电源元件，其电耦合到接触构件和终端的另一接触构件。每对开关矩阵开关允许选择任何两个电极，以便通过连接器端子连接到的装置/脉冲发生器的刺激脉冲传送刺激矢量。

10. 发明申请

US20110201921A1 Therapy Delivery System Including a Navigation Element 审中-公开
标题翻译：包括导航元素的治疗传递系统
公开(公告)号：US20110201921A1
公开(公告)日：2011-08-18
申请号：US13095085
申请日：2011-04-27
申请人： Michael R. Neidert , Kenneth C. Gardeski , Johnson E. Goode , Mark D. Schneider
发明人： Michael R. Neidert , Kenneth C. Gardeski , Johnson E. Goode , Mark D. Schneider
IPC分类号： A61B5/055
CPC分类号： A61B19/5244 , A61B5/0084 , A61B5/055 , A61B5/6852 , A61B10/04 , A61B17/1214 , A61B17/3478 , A61B18/1492 , A61B18/18 , A61B34/20 , A61B34/25 , A61B90/36 , A61B90/39 , A61B2018/00071 , A61B2018/00839 , A61B2034/2051 , A61B2090/3958
摘要： An electromagnetic receiver assembly is included in a navigation element for a therapy delivery system. If the system is modular, the navigation element may be an insertable module thereof and/or include a lumen to receive another insertable module.
摘要翻译：用于治疗传送系统的导航元件中包括电磁接收器组件。如果系统是模块化的，则导航元件可以是其可插入模块和/或包括用于接收另一可插入模块的内腔。

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