Extendable and retractable lead having a snap-fit terminal connector

• US 20030040787A1
• Filed: 10/04/2002
• Published: 02/27/2003
• Est. Priority Date: 07/22/1998
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Hum, Larry L., Shiroff, Jason Alan, Ley, Gregory R., Flynn, David M., Skubitz, Jason, Soltis, Brian David, Knapp, Christopher Paul, Werlein, Carol, Brenzel, Michael
• Granted Patent: US 6,915,169 B2
• Time in Patent Office: Days
• US Class Current: 607/122
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/0573 chacterised by means penetrating the heart tissue, e.g. helix needle or hook
• CPC Class Codes: A61N 1/3752 Details of casing-lead connections
• CPC Class Codes: Y10S 439/909 Medical use or attached to human body

Abstract

A lead having an extendable and retractable fixation mechanism has a rotating terminal pin at the terminal end which rotates the fixation mechanism at the distal end. As the terminal pin is rotated, the fixation mechanism is extended or retracted from the distal end of the lead. A threaded collar allows for the fixation mechanism to smoothly extend and retract from the lead, and allows for a 1:1 turn ratio between the terminal pin and the fixation mechanism. A fluoroscopic ring disposed at the distal end of the lead provides information during the implantation process.

Claims

1. A method for forming an implantable lead assembly comprising:

forming a tapered annular flange on an electrically conductive pin, the pin having a pin proximal end and a pin distal end, the annular flange having an annular flange proximal end and an annular flange distal end;

disposing the pin within an insulative sleeve;

snap-fittedly coupling the pin with the insulative sleeve including inserting the tapered annular flange within the insulative sleeve;

coupling an outer terminal ring with the insulative sleeve;

electrically coupling one or more conductors with the pin and at least one electrode; and

disposing a lead body over at least a portion of the pin and over at least a portion of the one or more conductors.

2. The method as recited in claim 1, wherein forming the tapered annular flange on the pin includes forming a taper that has a greater diameter at the annular flange proximal end than the annular flange distal end.

3. The method as recited in claim 1, wherein forming the tapered annular flange on the pin includes forming an end surface at the annular flange proximal end that extends substantially transverse to a longitudinal axis of the pin.

4. The method as recited in claim 1, wherein disposing the pin within the insulative sleeve includes disposing the pin within a tapered portion within the insulative sleeve.

5. The method as recited in claim 1, wherein coupling the outer terminal ring with the insulative sleeve includes snap-fittedly coupling the outer terminal ring with the insulative sleeve.

6. The method as recited in claim 1, further comprising rotating the pin relative to the lead body after the pin is coupled with the insulative sleeve.

7. The method as recited in claim 1, wherein coupling the outer terminal ring with the insulative sleeve includes inserting a sleeve tapered flange into the outer terminal ring.

8. The method as recited in claim 1, further comprising coupling the pin with an electronics system including a pulse generator which produces and/or receives electric pulses.

9. A method for forming an implantable lead assembly comprising:

forming a tapered annular flange on a pin, the pin having a pin proximal end and a pin distal end, the annular flange having an annular flange proximal end and an annular flange distal end;

disposing the pin within a sleeve;

snap-fittedly coupling the pin with the sleeve including inserting the tapered annular flange within the sleeve;

coupling an outer terminal ring with the sleeve;

electrically coupling one or more conductors with the pin and at least one electrode; and

disposing a lead body over at least a portion of the pin and over at least a portion of the one or more conductors;

coupling an electrode base with the conductors and the at least one electrode, the electrode base having external threads;

coupling an outer threaded shell with the lead body, the outer threaded shell having internal threads;

disposing the electrode base within the outer threaded shell;

rotating the pin and rotating the electrode base within the outer threaded shell.

10. The method as recited in claim 9, further comprising forming a stop for the electrode base on the outer threaded shell.

11. The method as recited in claim 9, further comprising forming the outer threaded shell of polyetheretherketone.

12. The method as recited in claim 9, further comprising coupling the pin with an electronics system including a pulse generator which produces and/or receives electric pulses.

13. The method as recited in claim 9, further comprising disposing an insulator between the outer terminal ring and the pin.

14. A method for forming an implantable lead assembly comprising:

disposing a pin within a sleeve;

snap-fittedly coupling the pin with the sleeve including inserting the tapered annular flange within the sleeve;

coupling an outer terminal ring with the sleeve;

electrically coupling one or more conductors with the pin and at least one electrode; and

disposing a lead body over at least a portion of the pin and over at least a portion of the one or more conductors;

coupling an electrode base with the conductors and the at least one electrode, the electrode base having external threads;

coupling an outer threaded shell with the lead body, the outer threaded shell having internal threads;

disposing the electrode base within the outer threaded shell and threadingly coupling the electrode base with the outer threaded shell; and

rotating the pin and rotating the electrode base within the outer threaded shell.

15. The method as recited in claim 14, forming a tapered annular flange on a pin, the pin having a pin proximal end and a pin distal end, the annular flange having an annular flange proximal end and an annular flange distal end, and forming the pin and tapered annular flange from polyetheretherketone.

16. The method as recited in claim 14, wherein coupling the outer threaded shell with the lead body includes coupling a first outer threaded shell with a second outer threaded shell.

17. The method as recited in claim 14, further comprising positioning a tapered flange on the pin adjacent a tapered recess within the sleeve.

18. The method as recited in claim 17, further comprising advancing the tapered flange through a tapered opening at the pin proximal end of the pin.

19. The method as recited in claim 14, further comprising coupling the pin with an electronics system including a pulse generator which produces and/or receives electric pulses.

20. The method as recited in claim 14, further comprising coating the sleeve with an insulative coating.