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1. 发明授权

US06567704B2 Medical electrical lead and method of use 失效
公开(公告)号：US06567704B2
公开(公告)日：2003-05-20
申请号：US09833518
申请日：2001-04-12
申请人： Steven Sundquist , Douglas S. Hine , John L. Sommer
发明人： Steven Sundquist , Douglas S. Hine , John L. Sommer
IPC分类号： A61N105
CPC分类号： A61N1/0568 , A61N1/057
摘要： A medical electrical lead is disclosed having an inner lumen adapted to receive a stiffening member, and which is further adapted to deliver fluoro-visible media while the stiffening member is located within the inner lumen. According to one aspect of the invention, the stiffening member is a guide wire having an inner lumen. The inner lumen of the guide wire is used to deliver the contrast medium while the guide wire is in place within the lumen of the lead. In another embodiment, a stiffening member that is sized to occupy only a portion of the lumen of the lead is utilized. The non-occupied portion of the lumen is sized to be large enough to allow for the passage of fluoro-visible medium from an injection port at the proximal end of the lead to a delivery port at the distal end of the lead. According to one aspect of the invention, the lead includes a sealable member located at the distal end of the lumen of the lead to prevent the ingress of bodily fluids within this lead lumen. The sealable member includes an opening to allow the stiffening member to be advanced outside of the lead lumen. In one embodiment, the sealable member is a flexible membrane including at least one opening to allow for passage of the stiffening member. In another embodiment, the sealable member includes multiple flap-like structures that seal around a stiffening member advanced distally of the lead body. In yet another embodiment, a sealable member is located within an electrode at the distal tip of the lead. The electrode of this configuration is provided with diametrically opposed openings to allow the electrode to expand to allow for passage of the stiffening member. The lead of the current invention may further include an inflatable member that may be inflated prior to delivery of the contrast media to prevent the media from being flushed from a vessel before a venogram is obtained.

2. 发明申请

US20120130466A1 MULTI-POLAR ELECTRICAL MEDICAL LEAD CONNECTOR SYSTEM 有权
标题翻译：多极电气导线连接器系统
公开(公告)号：US20120130466A1
公开(公告)日：2012-05-24
申请号：US13301587
申请日：2011-11-21
申请人： John L. Sommer , Douglas S. Hine
发明人： John L. Sommer , Douglas S. Hine
IPC分类号： A61N1/04
CPC分类号： H01R31/06 , A61N1/3752 , H01R13/5224 , H01R27/00 , H01R2201/12
摘要： A lead connector is terminated proximally by a connector pin and includes a circumferential array of connector pads, each connector pad coupled to an electrode via an elongated insulated conductor. A lumen of an adaptor is adapted to engage the lead connector and includes an electrical contact zone formed therein and positioned for coupling with a one of the array of connector pads, when the connector is engaged within the lumen, in order to facilitate electrical connection of a selected electrode corresponding to the one of the array of connector pads.
摘要翻译：引线连接器由连接器针靠近端接，并且包括连接器焊盘的圆周阵列，每个连接器焊盘通过细长的绝缘导体耦合到电极。适配器的内腔适于接合引线连接器并且包括形成在其中的电接触区域，并且当连接器接合在内腔内时，该内部定位成与连接器焊盘阵列中的一个连接，以便于电连接选择的电极对应于所述连接器焊盘阵列中的一个。

3. 发明授权

US07386351B2 Method and apparatus for placing a coronary sinus/cardiac vein pacing and defibriliation lead with adjustable electrode spacing 有权
标题翻译：用于放置冠状窦/心静脉起搏和除颤引线的方法和装置，具有可调节的电极间距
公开(公告)号：US07386351B2
公开(公告)日：2008-06-10
申请号：US10136777
申请日：2002-04-30
申请人： Douglas S. Hine , John L. Sommer , James H. Vaughan , Rick D. McVenes , Paulus C Van Venrooij , Pierre-Andre Grandjean
发明人： Douglas S. Hine , John L. Sommer , James H. Vaughan , Rick D. McVenes , Paulus C Van Venrooij , Pierre-Andre Grandjean
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61F2/88 , A61F2/958 , A61N2001/0585
摘要： A medical electrical lead, which may be useful in coupling an implantable medical device, is comprised of a first and second lead. The first lead has a first electrode coupled adjacent a distal end portion thereof. The distal end portion of the first lead is anchorable in the coronary sinus of a patient. The second lead is coupled with and moveable along the first lead. The second lead has a second electrode located thereon wherein the position of the first and second electrodes may be varied relative to one another by movement of the second lead along the first lead. A rubber tip holds the relative position of each electrode.
摘要翻译：可用于联接可植入医疗装置的医用电引线由第一和第二引线组成。第一引线具有邻近其远端部分耦合的第一电极。第一引线的远端部分可锚定在患者的冠状窦中。第二个领先者与第一个领先者相结合并可以移动。第二引线具有位于其上的第二电极，其中第一和第二电极的位置可以通过第二引线沿着第一引线的移动而相对于彼此变化。橡胶尖端保持每个电极的相对位置。

4. 发明授权

US06836687B2 Method and system for delivery of a medical electrical lead within a venous system 有权
标题翻译：用于在静脉系统内递送医用电线的方法和系统
公开(公告)号：US06836687B2
公开(公告)日：2004-12-28
申请号：US10131388
申请日：2002-04-25
申请人： James F. Kelley , James H. Vaughn , Stanten C. Spear , Douglas S. Hine , Kenneth C. Gardeski , Vicki L. Bjorklund , Pedro A. Meregotte , John L. Sommer , John J. Maier
发明人： James F. Kelley , James H. Vaughn , Stanten C. Spear , Douglas S. Hine , Kenneth C. Gardeski , Vicki L. Bjorklund , Pedro A. Meregotte , John L. Sommer , John J. Maier
IPC分类号： A61N105
CPC分类号： A61M25/0138 , A61B18/1492 , A61B2017/22038 , A61M25/005 , A61M25/0054 , A61M25/0141 , A61M25/0147 , A61M25/0668 , A61M39/0613 , A61M2025/0042 , A61M2025/0047 , A61M2025/0081 , A61M2025/0161 , A61M2025/0681 , A61M2025/1052 , A61M2025/1079 , A61N1/05 , A61N1/056 , A61N2001/0578 , A61N2001/0585
摘要： A system for delivering a medical electrical lead within a coronary venous system that includes an introducer kit for establishing venous access to the coronary venous system and a plurality of delivery sheaths, each corresponding to a desired approach to a coronary sinus of the coronary venous system and insertable within the coronary venous system through the navigation pathway. A hemostasis valve is coupled to a delivery sheath of the plurality of delivery sheaths, and a guide wire is inserted within the lead lumen, guiding delivery of the distal tip of the medical electrical lead to a target site within the coronary venous system through the hemostasis valve and the delivery sheath. Subsequent to the distal tip being delivered to the target sight, the hemostasis valve is advanced over the connector of the medical electrical lead to remove the hemostasis valve from the medical electrical lead.
摘要翻译：一种用于在冠状静脉系统内递送医用电线的系统，其包括用于建立对冠状静脉系统的静脉通路的引导器套件和多个输送护套，每个输送护套对应于冠状静脉系统的冠状窦所需的方法，通过导航路径插入冠状静脉系统内。止血阀联接到多个输送护套的输送护套，并且引导线插入引导腔内，通过止血将医用电导线的远端引导到冠状静脉系统内的靶位点阀门和输送护套。在远端尖端被传送到目标瞄准器之后，止血阀在医用电线的连接器上前进，以从医用电引线上除去止血阀。

5. 发明授权

US08639340B2 Implantable medical lead connector sleeves 有权
标题翻译：可植入医用导线连接器套管
公开(公告)号：US08639340B2
公开(公告)日：2014-01-28
申请号：US10635166
申请日：2003-08-06
申请人： John L. Sommer , Douglas S. Hine , Douglas N. Hess
发明人： John L. Sommer , Douglas S. Hine , Douglas N. Hess
IPC分类号： A61N1/375
CPC分类号： A61N1/3752
摘要： A connector sleeve includes a lumen adapted to receive a medical lead connector wherein a retention element engages a retention edge formed at a distal end of a connector element included on the lead connector. The connector sleeve further includes a contact element adapted to electrically engage the lead connector element within the lumen and an external conductive surface electrically coupled to the contact element and adapted for electrical engagement within the connector bore of an implantable medical device.
摘要翻译：连接器套管包括适于接收医疗引线连接器的内腔，其中保持元件接合形成在包括在引线连接器上的连接器元件的远端处的保持边缘。连接器套筒还包括适于电连接腔内的引线连接器元件的接触元件和电耦合到接触元件的外部导电表面，并且适于电连接在可植入医疗器械的连接器孔内。

6. 发明授权

US08019420B2 Medical lead connector systems with adapters 有权
标题翻译：具有适配器的医用铅连接器系统
公开(公告)号：US08019420B2
公开(公告)日：2011-09-13
申请号：US10646545
申请日：2003-08-21
申请人： Douglas S. Hine , John L. Sommer , John Gurley
发明人： Douglas S. Hine , John L. Sommer , John Gurley
IPC分类号： A61N1/375
CPC分类号： H01R13/5224 , H01R31/06
摘要： A lead connector including a connector element array is fitted into a selected adaptor from a plurality of adaptors to electrically couple one or more elements of the connector element array, corresponding to one or more selected electrodes from an array of lead electrodes, to one or more contact zones of the selected adaptor in order to facilitate electrical connection with an implantable medical device.
摘要翻译：将包括连接器元件阵列的引线连接器从多个适配器装配到所选择的适配器中，以将来自引线电极阵列的一个或多个所选电极的连接器元件阵列的一个或多个元件电耦合到一个或多个接触区域，以便于与可植入医疗设备的电连接。

7. 发明申请

US20080300664A1 METHOD AND APPARATUS FOR PLACING A CORONARY SINUS/CARDIAC VEIN PACING AND DEFIBRILLATION LEAD WITH ADJUSTABLE ELECTRODE SPACING 审中-公开
标题翻译：用于放置可调节电极间隔的冠状动脉/心脏瓣膜和断裂引线的方法和装置
公开(公告)号：US20080300664A1
公开(公告)日：2008-12-04
申请号：US12115961
申请日：2008-05-06
申请人： DOUGLAS S. HINE , John L. Sommer , James H. Vaughan , Rick D. McVenes , Paulus C. Van Venrooij , Pierre-Andre Grandjean
发明人： DOUGLAS S. HINE , John L. Sommer , James H. Vaughan , Rick D. McVenes , Paulus C. Van Venrooij , Pierre-Andre Grandjean
IPC分类号： A61N1/05 , A61B5/042
CPC分类号： A61N1/056 , A61F2/88 , A61F2/958 , A61N2001/0585
摘要： A medical electrical lead, which may be useful in coupling an implantable medical device, is comprised of a first and second lead. The first lead has a first electrode coupled adjacent a distal end portion thereof. The distal end portion of the first lead is anchorable in the coronary sinus of a patient. The second lead is coupled with and moveable along the first lead. The second lead has a second electrode located thereon wherein the position of the first and second electrodes may be varied relative to one another by movement of the second lead along the first lead. A rubber tip holds the relative position of each electrode.
摘要翻译：可用于联接可植入医疗装置的医用电引线由第一和第二引线组成。第一引线具有邻近其远端部分耦合的第一电极。第一引线的远端部分可锚定在患者的冠状窦中。第二个领先者与第一个领先者相结合并可以移动。第二引线具有位于其上的第二电极，其中第一和第二电极的位置可以通过第二引线沿着第一引线的移动而相对于彼此变化。橡胶尖端保持每个电极的相对位置。

8. 发明授权

US07076309B2 Apparatus and method for fixedly engaging an electrical lead 失效
公开(公告)号：US07076309B2
公开(公告)日：2006-07-11
申请号：US10137466
申请日：2002-04-30
申请人： Douglas S. Hine , John L. Sommer , Vicki L. Bjorklund , Bernhard Kupper
发明人： Douglas S. Hine , John L. Sommer , Vicki L. Bjorklund , Bernhard Kupper
IPC分类号： A61N1/05 , A61B5/042
CPC分类号： A61N1/057 , A61N2001/0578
摘要： An electrical lead includes an elongate body having a proximal end and a fixation member joined to the elongate body and distally disposed from the proximal end of the elongate body, wherein the fixation member is capable of being extended from and retracted toward the elongate body. A method includes advancing an electrical lead into vasculature and extending a fixation member from the body of the electrical lead to fixedly engage the electrical lead within the vasculature. The method may further include retracting the fixation member toward the body of the electrical lead to unengage the electrical lead within the vasculature and retracting the electrical lead from the vasculature.

9. 发明授权

US06733500B2 Method and system for delivering a medical electrical lead within a venous system 有权
标题翻译：用于在静脉系统内递送医用电线的方法和系统
公开(公告)号：US06733500B2
公开(公告)日：2004-05-11
申请号：US10131672
申请日：2002-04-24
申请人： James F. Kelley , James H. Vaughn , Stanten C. Spear , Douglas S. Hine , Kenneth C. Gardeski , Vicki L. Bjorklund , Pedro A. Meregotte , John L. Sommer , John J. Maier
发明人： James F. Kelley , James H. Vaughn , Stanten C. Spear , Douglas S. Hine , Kenneth C. Gardeski , Vicki L. Bjorklund , Pedro A. Meregotte , John L. Sommer , John J. Maier
IPC分类号： A61B1818
CPC分类号： A61M25/0138 , A61B18/1492 , A61B2017/22038 , A61M25/005 , A61M25/0054 , A61M25/0141 , A61M25/0147 , A61M25/0668 , A61M25/09 , A61M25/09041 , A61M2025/0042 , A61M2025/0047 , A61M2025/0081 , A61M2025/0161 , A61M2025/0681 , A61M2025/1052 , A61M2025/1079 , A61N1/056 , A61N1/06 , A61N1/372 , A61N2001/0578 , A61N2001/0585
摘要： A loading device for loading a guide wire within a medical electrical lead that includes a navigation portion, having an outer portion, and extending from a front end to a back end, and having an opening formed at the back end. An engagement cavity receives and properly orientates the lead distal tip to align the lumen of the lead with the opening of the navigation portion during the loading of the guide wire within the lead. A first side wall is spaced from a second side wall to form a slot extending along the outer portion from the front end to the back end of the navigation portion, and the guide wire is advanced through the slot as the lead having the guide wire loaded therein is removed from the loading device.
摘要翻译：一种用于将导丝装载在医疗用电线内的装载装置，其包括具有外部的导航部，并且从前端延伸到后端，并且具有形成在后端的开口。接合腔容纳并适当地定向引线远侧末端，以在引导线在引线内的加载期间使引线的内腔与引导部分的开口对准。第一侧壁与第二侧壁间隔开以形成沿着导引部分的前端到后端的外部部分延伸的狭槽，并且当导线加载有引导线时，引导线前进通过狭槽其中的装载装置被移除。

10. 发明授权

US08065008B2 Multi-polar electrical medical lead connector system 有权
标题翻译：多极电气医疗引线连接器系统
公开(公告)号：US08065008B2
公开(公告)日：2011-11-22
申请号：US10646899
申请日：2003-08-21
申请人： John L. Sommer , Douglas S. Hine
发明人： John L. Sommer , Douglas S. Hine
IPC分类号： A61N1/375
CPC分类号： H01R31/06 , A61N1/3752 , H01R13/5224 , H01R27/00 , H01R2201/12
摘要： A lead connector is terminated proximally by a connector pin and includes a circumferential array of connector pads, each connector pad coupled to an electrode via an elongated insulated conductor. A lumen of an adaptor is adapted to engage the lead connector and includes an electrical contact zone formed therein and positioned for coupling with a one of the array of connector pads, when the connector is engaged within the lumen, in order to facilitate electrical connection of a selected electrode corresponding to the one of the array of connector pads.
摘要翻译：引线连接器由连接器针靠近端接，并且包括连接器焊盘的圆周阵列，每个连接器焊盘通过细长的绝缘导体耦合到电极。适配器的内腔适于接合引线连接器并且包括形成在其中的电接触区域，并且当连接器接合在内腔内时，该内部定位成与连接器焊盘阵列中的一个连接，以便于电连接选择的电极对应于所述连接器焊盘阵列中的一个。

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