LEAD INCLUDING A HEAT FUSED OR FORMED LEAD BODY

• US 20080046059A1
• Filed: 08/04/2006
• Published: 02/21/2008
• Est. Priority Date: 08/04/2006
• Status: Abandoned Application

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Osterkamp, Donna, Krishnan, Mohan, Cooke, Daniel J., Zarembo, Paul E., Durand, David
• Application Number:
  US11/462,479
• Publication Number:
  US 20080046059A1
• Time in Patent Office: Days
• US Class Current: 607/122
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/057 Anchoring means; Means for fixing the head inside the heart

Abstract

An implantable lead comprises a lead body extending from a lead proximal end portion to a lead distal end portion. In one example, the lead body may comprise a heat-formed bias portion. In another example, an outer insulator is fused to the lead body. In such an example, a lead body fusable plug may be disposed distal to at least one conductor. In another example, the lead comprises an inner boot and an outer boot fused to one another. In another example, the lead includes an atraumatic tip fused to the lead distal end portion. In another example, the lead body is reducable in size using heat shrink tubing. In yet another example, two or more lead sections may be interconnected using an outer insulator fused to the respective lead bodies. In a further example, a stiffener member is fused to the lead body adjacent a lead component.

Claims

1. A lead comprising:

a multi-lumen lead body extending from a lead proximal end portion to a lead distal end portion and having a lead intermediate portion therebetween, the lead body including,

at least one heat-formed bias portion at the lead intermediate or distal end portions, and

an orientation and fixation curve portion proximal or distal to the heat-formed bias portion, the orientation and fixation curve including one or more heat-formed polymers;

at least three tissue sensing/stimulation electrodes disposed along the lead intermediate or distal end portions;

one or more terminal connections disposed along the lead proximal end portion;

one or more conductors contained within the multi-lumen lead body extending between the at least three tissue sensing/stimulation electrodes and the one or more terminal connections.

2. The lead as recited in claim 1, wherein the lead body comprises an environment adaptable polymer, whereby one or both the at least one heat-formed bias portion of the orientation and fixation curve adapts over time at a temperature less than or equal to body temperature to a coronary vasculature geometry in which it is implanted.

3. The lead as recited in claim 1, wherein the heat-formed bias portion comprises at least one of a cylindrical, oval, or cam helical shape.

4. The lead as recited in claim 3, wherein the cylindrical, oval, or cam helical shape extends along a preformed longitudinal curve having of an axis of the lead body, the preformed longitudinal curve having a radius substantial similar to a radius of a great cardiac vein.

5. The lead as recited in claim 3, wherein the at least three tissue sensing/ stimulation electrodes are spaced about 90 degrees apart from one another as measured from an axis of the helical shape.

6. The lead as recited in claim 1, wherein the heat-formed bias portion comprises at least one of a sinusoidal curve or J-shape.

7. The lead as recited in claim 1, wherein the heat-formed bias portion comprises an elasticity that is substantially the same as one or more portions of a heart.

8. The lead as recited in claim 1, further comprising a flexible tip disposed at the lead distal end portion, the flexible tip being more flexible than the lead body and fused to the lead body at one or more fusion zones.

9. The lead as recited in claim 8, wherein the flexible tip comprises at least one of a thermoplastic polymer or a thermoplastic-coated thermoset polymer.

35. The lead as recited in claim 2, wherein the environmental adaptable polymer is selected based on its glass transition temperature.

10. (canceled)

11. A lead comprising:

a thermoplastic lead body extending from a lead proximal end portion to a lead distal end portion and having a lead intermediate portion therebetween, the lead body including one or more longitudinally extending lumens;

a first conductor received in, and extending along, a first lumen;

one or more tissue sensing/stimulation electrodes disposed along the lead intermediate or distal end portions and coupled with the first conductor;

a thermoplastic outer insulator disposed around a portion of the lead body; and

a fusion zone disposed between the thermoplastic lead body and the thermoplastic outer insulator, the fusion zone including a union of the lead body and the outer insulator.

12. The lead as recited in claim 11, wherein the lead body comprises at least one of a thermoplastic polymer or a thermoplastic-coated thermoset polymer.

13. The lead as recited in claim 11, further comprising one or more lead body fusable plugs disposed adjacent a distal end of the first or second conductors.

14. The lead as recited in claim 13, wherein the one or more lead body fusable plugs comprise one or more thermoplastics having a first durometer which is less than a second durometer of the lead body.

15. The lead as recited in claim 11, wherein the lead body and the outer insulator comprise materials having a substantially similar melting temperature.

16. The lead as recited in claim 11, wherein the outer insulator is disposed around, and fused to, a portion of the lead body adjacent a lead component.

17. The lead as recited in claim 11, further comprising a fixation member disposed at the lead intermediate or the lead distal end portions, the fixation member fused to the lead body.

18. A lead comprising:

a lead body having one or more longitudinally extending lumens therein;

at least one conductor surrounded by a polymer coating, the at least one conductor received in, and extending along, the one or more lumens;

an outer insulator surrounding a portion of the lead body;

a length of heat shrink tubing disposed around the outer insulator, the heat shrink tubing having a non-shrunk inner diameter greater than an initial outer diameter of the outer insulator; and

wherein the heat shrink tubing diametrically compresses the outer insulator and the lead body when heated, such heat fusing portions of the outer insulator with the lead body.

19. The lead as recited in claim 18, wherein the at least one conductor comprises a coil conductor and the polymer coating surrounding the coil conductor comprises polytetrafluoroethylene.

20. The lead as recited in claim 18, wherein the at least one conductor comprises a cable conductor and the polymer coating surrounding the cable conductor comprises one or more of ethylene tetrafluoroethylene, polytetrafluoroethylene, or expanded polytetrafluoroethylene.

21. The lead as recited in claim 18, wherein one or both of the lead body or the outer insulator comprise polyurethane.

22. A lead comprising:

a lead body adapted to carry signals, the lead body extending from a lead proximal end portion to a lead distal end portion, and having a lead intermediate portion therebetween;

a connector assembly located at the lead proximal end portion;

at least one conductor disposed within the lead body, the at least one conductor electrically coupling the connector assembly to one or more tissue sensing/stimulation electrodes;

a lead terminal boot including an inner boot and an outer boot, the inner boot fusable with the lead body on an inner boot inner surface and fusable with the outer boot on an inner boot outer surface; and

wherein the lead terminal boot is disposed on the lead body distal to the connector assembly.

23. The lead as recited in claim 22, wherein a portion of one or both of the inner boot or the outer boot comprises at least one of a thermoplastic polymer or a thermoplastic-coated thermoset polymer.

24. The lead as recited in claim 22, wherein one or both of the inner boot or the outer boot comprises a thermoplastic polymer having a first durometer which is different than a second durometer of the lead body.

25. The lead as recited in claim 22, wherein one or both of the inner boot or the outer boot includes at least one strain-relief structure.

26. The lead as recited in claim 22, wherein the inner boot is fused to the lead body at an inner boot proximal and distal end;

and wherein the outer boot is fused to the inner boot at an outer boot distal end and fused to the connector assembly at an outer boot proximal end.

27. A lead assembly comprising:

a proximal lead section and a distal lead section, an end portion of the proximal lead section disposed adjacent to an end portion of the distal lead section;

an outer insulator disposed around an outer surface of the proximal lead section end portion and the distal lead section end portion;

a length of heat shrink tubing disposed around the outer insulator, the length of the heat shrink tubing substantially covering the outer insulator; and

wherein the heat shrink tubing diametrically compresses the outer insulator, a lead body of the proximal lead section, and a lead body of the distal lead section when heated, such heat fusing portions of the outer insulator with the lead body of the proximal lead section and lead body of the distal lead section.

28. The lead assembly as recited in claim 27, further comprising a strengthening material disposed between the outer insulator and the lead body.

29. The lead assembly as recited in claim 28, wherein the strengthening material comprises a tubular mesh or braided structure including one or more of carbon fiber, polyester fiber, expanded polytetrafluoroethylene, poly-paraphenylene terephthalamide, or metal.

30. The lead assembly as recited in claim 28, wherein the strengthening material comprises one or more fibers extending axially along the lead body.

31. A lead comprising:

a lead body having one or more longitudinally extending lumens therein;

at least one conductor received in, and extending along, the one or more lumens;

a lead component disposed on the lead body;

an outer insulator surrounding a portion of the lead body;

a stiffener member having a length greater than a length of the lead component such that one or more stiffener member portions extend proximal and distal to the lead component, the stiffener member disposed between the lead body and the outer insulator; and

wherein the one or more proximal and distal extending portions of the stiffener member are fused to one or both of the lead body or the outer insulator.

32. The lead as recited in claim 31, wherein an outer diameter of the lead component is substantially the same as an outer diameter of the outer insulator.

33. The lead as recited in claim 31, wherein the lead component comprises an electrode which is electrically coupled to the at least one conductor.

34. The lead as recited in claim 31, wherein the stiffener member comprises a thermoplastic tubular structure having a first modulus of elasticity which is stiffer than a second modulus of elasticity of the lead body and a third modulus of elasticity of the outer insulator.