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    • 10. 发明申请
    • RETRACTION STOP FOR HELICAL MEDICAL LEAD ELECTRODE
    • 用于螺旋医用铅电极的回缩停止
    • WO1998010827A1
    • 1998-03-19
    • PCT/US1997011984
    • 1997-07-16
    • MEDTRONIC, INC.
    • MEDTRONIC, INC.OCEL, Jon, M.BOSER, Gregory, A.HOLLEMAN, Timothy, W.
    • A61N01/05
    • A61N1/0573
    • In an endocardial, active fixation, screw-in lead of the type having a fixation helix (14) adapted to be rotated in a first advancement direction out of an electrode head chamber and into cardiac tissue by rotation of a lead connector end and attached lead conductor (18) with respect to an insulating sheath (12) in the first direction and retracted into the chamber (50) by rotation of the lead connector in the opposite retraction direction, a retraction stop mechanism (60) for preventing over rotation of the helix (14) in the retraction direction. The rotational motion of the lead conductor (18) is transmitted to the helix by a connecting assembly (52) and is translated into axial advancement and retraction of the helix by a guide (70) cooperating with the helix turns. A retraction stop mechanism (60) stops rotation of the helix in the retraction of the helix into the chamber and allows rotation of helix in the advancement direction. The retraction stop mechanism includes a fixed stop (62) formed of a plurality of fixed cam (66) and axial stop surfaces (68) surrounding a proximal end bore of the chamber through which the lead conductor passes and a movable stop (64) formed in the connecting mechanism of a like plurality of rotatable cam (76) and axial stop surfaces (78) aligned to face the fixed cam and axial stop surfaces adapted to engage in a locked relation of the stop surfaces upon full retraction of the fixation device into the chamber.
    • 在心内膜,主动固定中,具有固定螺旋(14)的螺钉引导件,其适于通过引导连接器端部的旋转和连接的引线在第一前进方向上从电极头部腔室旋转并进入心脏组织 相对于第一方向的绝缘护套(12)的导体(18),并且通过引导连接器沿相反的回退方向的旋转而缩回到腔室(50)中,用于防止引导连接器 螺旋(14)在退回方向。 引线导体(18)的旋转运动通过连接组件(52)传递到螺旋线,并且通过与螺旋线圈配合的引导件(70)被转换为螺旋线的轴向前进和后退。 缩回停止机构(60)在旋转螺旋进入腔室中停止螺旋的旋转,并允许螺旋在前进方向旋转。 回缩停止机构包括由多个固定凸轮(66)形成的固定止动件(62)和围绕引线导体穿过的室的近端孔的轴向止动表面(68),以及形成的可移动止动件 在相同的多个可旋转凸轮(76)的连接机构和与该固定凸轮对准的轴向止动表面(78)和轴向止动表面之间的连接机构中,适于在固定装置完全收回时与止动表面锁定的关系啮合 房间。