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1. 发明申请

WO2004028618A1 DEPLOYABLE MEDICAL LEAD FIXATION SYSTEM AND METHOD 审中-公开
标题翻译：可配置医疗铅固定系统和方法
公开(公告)号：WO2004028618A1
公开(公告)日：2004-04-08
申请号：PCT/US2003/029578
申请日：2003-09-22
申请人： MEDTRONIC, INC.
发明人： BJORKLUND, Vicki, L. , SOMMER, John, L. , HINE, Douglas, S. , LOVE, Charles, J. , HESS, Douglas, N. , LOKHOFF, Nicolaas, M.
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N1/057 , A61N2001/058
摘要： An improved medical lead assembly and method of use is provided. The lead assembly includes a lead body, and a spring member positioned adjacent to the lead body. The spring member may be deployed a selectable amount to maintain the lead body in a fixed location within a patient's body. The spring member may be an expandable coil, a mesh structure that is similar to a stent, or any other similar device that may be positioned in a low-profile state during a lead implant procedure. After the lead is positioned at a target destination, the spring member may be deployed an amount that is selected based on the characteristics of the surrounding tissue, including vessel size. According to one aspect of the invention, the lead assembly may provide means for facilitating chronic lead extraction.
摘要翻译：提供了一种改进的医疗引线组件和使用方法。引线组件包括引线体和邻近引线体定位的弹簧部件。弹簧构件可以部署可选择的量以将引线体保持在患者体内的固定位置。弹簧构件可以是可扩张线圈，类似于支架的网状结构或者在引线植入过程期间可以被定位在低轮廓状态的任何其它类似的装置。在引线定位在目标目的地之后，弹簧构件可以展开一定量，该量基于包括容器尺寸的周围组织的特性来选择。根据本发明的一个方面，引线组件可以提供用于促进慢性铅提取的装置。

2. 发明申请

WO2003059439A2 MEDICAL LEAD AND LEAD CONNECTOR SYSTEM 审中-公开
标题翻译：医用引线和引线连接器系统
公开(公告)号：WO2003059439A2
公开(公告)日：2003-07-24
申请号：PCT/US2002/040454
申请日：2002-12-18
申请人： MEDTRONIC,INC.
发明人： STREIN, Paul, M. , HOLLEMAN, Timothy, W. , RIES, Andrew, J. , SCHRODER, Harry , HONECK, Jordon, D. , BJORKLUND, Vicki, L. , SOMMER, John, L.
IPC分类号： A61N1/00
CPC分类号： A61N1/3752 , A61N1/056 , A61N1/0573 , A61N2001/0578 , A61N2001/0585 , H01R13/5224 , H01R24/58 , H01R31/06 , H01R2107/00 , H01R2201/12
摘要： A lead connector arrangement includes a non-cylindrically shaped connector pin coupled to a lead conductor and a connector sleeve assembly for receiving the non-cylindrically shaped connector pin. The connector sleeve assembly includes an insert with an axial bore formed therein that complements the shape of the non-cylindrical connector pin. According to one embodiment, the non-cylindrical connector pin may be provided in the form of a triangular, square, rectangular, or hexagonal shape. The axial bore has a complimentary shape to receive the connector pin. When the connector pin is threaded through the connector sleeve assembly using a pull-wire device, the pull-wire device may be unscrewed from the connector pin without causing axial rotation of the lead conductor when the connector pin is fully inserted within the axial bore.
摘要翻译：引线连接器装置包括耦合到引线导体的非圆柱形连接器引脚和用于接收非圆柱形连接器引脚的连接器套筒组件。连接器套筒组件包括插入件，其中形成有轴向孔，其与非圆柱形连接器销的形状相互补充。根据一个实施例，非圆柱形连接器销可以以三角形，正方形，矩形或六边形的形式提供。轴向孔具有接收连接器针的互补形状。当连接器针通过拉线装置穿过连接器套筒组件时，当连接器插针完全插入轴向孔中时，拉线装置可以从连接器销拧下而不导致引线导体的轴向旋转。

3. 发明申请

WO2003092801A1 APPARATUS AND METHOD FOR FIXEDLY ENGAGING AN IMPLANTABLE ELECTRICAL LEAD 审中-公开
标题翻译：固定接合可植入电线的装置和方法
公开(公告)号：WO2003092801A1
公开(公告)日：2003-11-13
申请号：PCT/US2003/009631
申请日：2003-03-28
申请人： MEDTRONIC, INC.
发明人： KUPPER, Bernhard , HINE, Douglas, S. , SOMMER, John, L. , BJORKLUND, Vicki, L.
IPC分类号： A61N1/05
CPC分类号： A61N1/057 , A61N2001/0578
摘要： An electrical lead (120) includes an elongate body (106) having a proximal end and a fixation member (206) 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 for fixedly engaging said lead 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 unengagethe electrical lead within the vasculature and retracting the electrical lead from the vasculature.
摘要翻译：电引线（120）包括细长体（106），其具有近端和固定构件（206），固定构件（206）连接到细长主体并且从细长体的近端向远侧设置，其中固定构件能够延伸从细长体伸出并缩回。用于固定地接合所述引线的方法包括使电引线进入脉管系统并且从电引线的主体延伸固定构件以固定地接合脉管内的电引线。该方法还可以包括将固定构件朝向电引线的主体缩回，以使血管内的电引线不起作用，并将电引线从脉管系统收回。

4. 发明申请

WO2002068050A1 LEAD UP-SIZING SLEEVE 审中-公开
标题翻译： LEAD UP SIZE SLEEVE
公开(公告)号：WO2002068050A1
公开(公告)日：2002-09-06
申请号：PCT/US2002/006459
申请日：2002-02-21
申请人： MEDTRONIC, INC.
发明人： SOMMER, John, L. , HINE, Douglas, S. , BJORKLUND, Vicki, L. , BELDEN, Elisabeth, L. , CLEMENS, William, J. , RIES, Andrew, J. , HONECK, Jordan, D. , SCHRODER, Harry
IPC分类号： A61N1/375
CPC分类号： A61N1/3752
摘要： An improved connection system for coupling a device such as a pacemaker (121), cardioverter, defibrillator, nerve stimulator, muscle stimulator, implantable monitor or other medical device to a medical lead (190) is disclosed. The connection system includes a coupling member (100) designed to couple to the proximal end of the lead. This coupling member, which includes an inner lumen sized to form a press fit around the proximal end of the lead body, may be of a generally tubular construction. This coupling member includes connector means to enable a connector pin at the proximal end of the lead to mechanically and electrically couple to a device. The connector means may further include means for coupling both mechanically and electrically to a ring connector on the proximal end of a multi-polar lead. An insertion member may (110) also be provided to allow the lead to be more easily inserted within the inner lumen of the coupling member.
摘要翻译：公开了一种用于将诸如起搏器（121），心脏转复器，除颤器，神经刺激器，肌肉刺激器，可植入监视器或其他医疗装置的装置耦合到医疗引线（190）的改进的连接系统。连接系统包括设计成耦合到引线的近端的耦合构件（100）。该联接构件包括尺寸适于形成围绕引线主体的近端的压配合的内腔，其可以是大致管状的结构。该联接构件包括连接器装置，以使引线的近端处的连接器销能够机械地和电气地耦合到装置。连接器装置还可以包括用于将机械和电耦合到多极引线的近端上的环形连接器的装置。还可以设置插入构件（110）以允许引线更容易地插入联接构件的内腔内。

5. 发明申请

WO2003090833A1 METHOD AND SYSTEM FOR DELIVERY OF A MEDICAL ELECTRICAL LEAD WITHIN A VENOUS SYSTEM 审中-公开
标题翻译：用于在通气系统中输送医用电气导线的方法和系统
公开(公告)号：WO2003090833A1
公开(公告)日：2003-11-06
申请号：PCT/US2003/009737
申请日：2003-03-28
申请人： MEDTRONIC, INC.
发明人： KELLEY, James, F. , SPEAR, Stanten, C, , GARDESKI, Kenneth, C. , MEREGOTTE, Pedro, A. , MAIER, John, J. , VAUGHAN, James, H. , HINE, Douglas, S. , BJORKLUND, Vicki, L. , SOMMER, John, L.
IPC分类号： A61M25/01
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。

6. 发明申请

WO2003090832A1 METHOD AND SYSTEM FOR DELIVERING A MEDICAL ELECTRICAL LEAD WITHIN A VENOUS SYSTEM 审中-公开
标题翻译：用于在通气系统中输送医用电线的方法和系统
公开(公告)号：WO2003090832A1
公开(公告)日：2003-11-06
申请号：PCT/US2003/009725
申请日：2003-03-28
申请人： MEDTRONIC, INC.
发明人： KELLEY, James, F. , VAUGHAN, James, H. , SPEAR, Stanton, C. , HINE, Douglas, S. , GARDESKI, Kenneth, C. , BJORKLUND, Vicki, L. , MEREGOTTE, Pedro, A. , SOMMER, John, L. , MAIER, John, J.
IPC分类号： A61M25/01
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： ABSTRACT 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：摘要：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，并且在后端形成有开口。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，导丝线通过狭槽前进其中的装载装置被移除。

7. 发明申请

WO2003084433A3 METHOD AND APPARATUS FOR FIXATING AN IMPLANTABLE PACING LEAD 审中-公开
公开(公告)号：WO2003084433A3
公开(公告)日：2003-10-16
申请号：PCT/US2003/009826
申请日：2003-04-02
申请人： MEDTRONIC, INC.
发明人： BJORKLUND, Vicki, L. , SOMMER, John, L. , SANDSTROM, Richard, D. , MORRIS, Mary, M. , HINE, Douglas, S. , HESS, Douglas, N. , BASS, Wayne, R. , LOKHOFF, Nicolaas, M.
IPC分类号： A61N1/05
摘要： A method and apparatus for dynamically fixating and removing a lead in a vasculature of a body. At least one segmenting means such as a collar is disposed at a distal end of the lead forming a deployable actuable segment adapted to dynamically assume an engaging and retracted position. In an engaging position, the actuable segment dynamically and varyingly adapts into a shape or shapes to engage a vessel. In a retracted position the shape or shapes collapse thus maintaining the original geometry of the lead in the vasculature. The actuable segment assumes a deployed or retracted position based on the flexural condition of the segment, respectively.

8. 发明申请

WO2003084433A2 METHOD AND APPARATUS FOR FIXATING A PACING LEAD OF AN IMPLANTABLE MEDICAL DEVICE 审中-公开
标题翻译：用于固定可植入医疗装置的切片的方法和装置
公开(公告)号：WO2003084433A2
公开(公告)日：2003-10-16
申请号：PCT/US2003/009826
申请日：2003-04-02
申请人： MEDTRONIC, INC.
发明人： BJORKLUND, Vicki, L. , SOMMER, John, L. , SANDSTROM, Richard, D. , MORRIS, Mary, M. , HINE, Douglas, S. , HESS, Douglas, N. , BASS, Wayne, R. , LOKHOFF, Nicolaas, M.
IPC分类号： A61F2/00
CPC分类号： A61N1/057 , A61N2001/0585
摘要： A method and apparatus for dynamically fixating and removing a lead in a vasculature of a body. At least one segmenting means such as a collar is disposed at a distal end of the lead forming a deployable actuable segment adapted to dynamically assume an engaging and retracted position. In an engaging position, the actuable segment dynamically and varyingly adapts into a shape or shapes to engage a vessel. In a retracted position the shape or shapes collapse thus maintaining the original geometry of the lead in the vasculature. The actuable segment assumes a deployed or retracted position based on the flexural condition of the segment, respectively.
摘要翻译：一种用于在身体脉管系统中动态固定和移除引线的方法和装置。至少一个分段装置例如轴环设置在引线的远端，形成适于动态地呈现接合和缩回位置的可展开致动部分。在接合位置，致动部分动态地并且变化地适应于形状或形状以接合容器。在缩回位置，形状或形状崩溃，从而将引线的原始几何形状维持在脉管系统中。基于该段的弯曲状态，可致动部段呈现部署或缩回位置。

9. 发明申请

WO2003076007A1 CORONARY SINUS/CARDIAC VEIN PACING LEAD USING A MULTI-PURPOSE SIDE LUMEN 审中-公开
标题翻译：使用多用途侧壁的冠状动脉/心脏瓣膜
公开(公告)号：WO2003076007A1
公开(公告)日：2003-09-18
申请号：PCT/US2003/006523
申请日：2003-03-04
申请人： MEDTRONIC, INC.
发明人： HINE, Douglas, S. , BJORKLUND, Vicki, L. , SOMMER, John, L.
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N1/0568 , A61N2001/0585
摘要： A medical electrical lead (200), which may be useful in coupling an implantable medical device, is comprised of an elongate body having first (206) and second (202) spaced apart lumens. A conductor (208) and an electrode (212) are associated with the first lumen, and the second lumen is multi-purpose. The second lumen may be used to guide the lead and to introduce various fluids into the venous system. The second lumen may at various times be used to introduce vasodilation solutions, contrast fluids and adhesives into the venous system.
摘要翻译：可用于联接可植入医疗装置的医用电引线（200）由具有第一（206）和第二（202）间隔开的腔的细长体组成。导体（208）和电极（212）与第一管腔相关联，第二管腔是多用途的。第二管腔可用于引导引流并将各种流体引入静脉系统。第二管腔可以在不同时间用于将血管舒张溶液，造影液和粘合剂引入静脉系统。

10. 发明申请

WO2003059439A3 MEDICAL LEAD AND LEAD CONNECTOR SYSTEM 审中-公开
公开(公告)号：WO2003059439A3
公开(公告)日：2003-07-24
申请号：PCT/US2002/040454
申请日：2002-12-18
申请人： MEDTRONIC,INC.
发明人： STREIN, Paul, M. , HOLLEMAN, Timothy, W. , RIES, Andrew, J. , SCHRODER, Harry , HONECK, Jordon, D. , BJORKLUND, Vicki, L. , SOMMER, John, L.
IPC分类号： A61N1/05
摘要： A lead connector arrangement includes a non-cylindrically shaped connector pin coupled to a lead conductor and a connector sleeve assembly for receiving the non-cylindrically shaped connector pin. The connector sleeve assembly includes an insert with an axial bore formed therein that complements the shape of the non-cylindrical connector pin. According to one embodiment, the non-cylindrical connector pin may be provided in the form of a triangular, square, rectangular, or hexagonal shape. The axial bore has a complimentary shape to receive the connector pin. When the connector pin is threaded through the connector sleeve assembly using a pull-wire device, the pull-wire device may be unscrewed from the connector pin without causing axial rotation of the lead conductor when the connector pin is fully inserted within the axial bore.

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