Surgery – Truss – Pad
Patent
1991-05-20
1993-07-20
Cohen, Lee S.
Surgery
Truss
Pad
128642, A61N 105
Patent
active
052284557
ABSTRACT:
An implant tool for use with an endocardial or other implantable lead having an extendable/retractable positive fixation tip includes a hollow cylindrical housing and a custom designed stylet. The cylindrical housing attaches to a proximal end of the implantable lead. The stylet is inserted through the implant tool and into a lumen of the lead. The presence of the stylet, made from a length of relatively stiff wire, helps guide the distal tip of the lead to a desired implant location. The cylindrical housing includes a body portion and an end portion. The end portion is rotatable relative to the body portion. The stylet includes a knob on its proximal end, and also includes a stub pin slightly forward of its proximal end. The stub pin is received within a slot along the side of the cylindrical housing. Two spaced-apart recesses along the length of the slot allow the stub pin to be respectively held therein. When the stub pin is held in a first recess, the stylet wire has advanced sufficiently far into the lead to facilitate implantation of the lead, but retains the positive fixation tip in its retracted position. When the stub pin is locked in a second recess, the stylet wire has advanced sufficiently far into the lead to engage the positive fixation tip and move it to its extended position. A method of using the implant tool is also disclosed.
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Furman, et al.; A Practice of Cardiac Pacing, Chapter 5 (Holmes, David R. Jr., "Permanent Pacemaker Implantation"), pp. 97-127 (Futura Publishing Co., Mt. Kisko, N.Y. (1986).
Calfee, et al., "A Voluntary Standard for 3.2 mm Unipolar and Bipolar Pacemaker Leads and Connectors", Pace, 9:1181-85 (Nov.-Dec. 1986, Part II).
Cohen Lee S.
Gold Bryant H.
Jastrzab Jeffrey R.
Siemens Pacesetter, Inc.
Weinberg Lisa P.
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