TANK FILTERS ADAPTABLE FOR PLACEMENT WITH A GUIDE WIRE, IN SERIES WITH THE LEAD WIRES OR CIRCUITS OF ACTIVE MEDICAL DEVICES TO ENHANCE MRI COMPATIBILITY

• US 20080161886A1
• Filed: 08/13/2007
• Published: 07/03/2008
• Est. Priority Date: 06/08/2006
• Status: Active Grant

• Current Assignee: Greatbatch Limited (Greatbatch Incorporated)
• Original Assignee: Greatbatch Limited (Greatbatch Incorporated)
• Inventors: Frysz, Christine A., Dabney, Warren S., Brendel, Richard L., Stevenson, Robert A.
• Granted Patent: US 7,702,387 B2
• Time in Patent Office: Days
• US Class Current: 607/60
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/0565 Electrode heads
• CPC Class Codes: A61N 1/0573 chacterised by means penetrating the heart tissue, e.g. helix needle or hook
• CPC Class Codes: A61N 1/086 Magnetic resonance imaging [MRI] compatible leads
• CPC Class Codes: A61N 1/3718 Monitoring of or protection against external electromagnetic fields or currents
• CPC Class Codes: A61N 1/3754 Feedthroughs
• CPC Class Codes: H01G 4/35 Feed-through capacitors or anti-noise capacitors
• CPC Class Codes: H01G 4/40 Structural combinations of fixed capacitors with other electric elements, the structure mainly consisting of a capacitor, e.g. RC combinations
• CPC Class Codes: H03H 7/01 Frequency selective two-port networks
• CPC Class Codes: H03H 7/1766 Parallel LC in series path H03H7/1783 takes precedence
• CPC Class Codes: H03H 7/1783 Combined LC in series path

Abstract

A tank filter is provided for a lead wire of an active medical device (AMD). The tank filter includes a capacitor in parallel with an inductor. The parallel capacitor and inductor are placed in series with the lead wire of the AMD, wherein values of capacitance and inductance are selected such that the tank filter is resonant at a selected frequency. A passageway through the tank filter permits selective slidable passage of a guide wire therethrough for locating the lead wire in an implantable position. The Q of the inductor may be relatively maximized and the Q of the capacitor may be relatively minimized to reduce the overall Q of the tank filter to attenuate current flow through the lead wire along a range of selected frequencies. In a preferred form, the tank filter is integrated into a TIP and/or RING electrode for an active implantable medical device.

Claims

1. A medical device, comprising:

an active medical device (AMD);

a lead wire extending from the AMD;

a band stop filter associated with the lead wire, for attenuating current flow through the lead wire at a selected frequency, wherein the band stop filter comprises a capacitor in parallel with an inductor, said parallel capacitor and inductor placed in series with the lead wire, wherein values of capacitance and inductance are selected such that the band stop filter is resonant at the selected frequency; and

a passageway through the band stop filter permitting selective slidable passage of a guide wire therethrough.

2. The device of claim 1, wherein the AMD comprises a cochlear implant, a piezoelectric sound bridge transducer, a neurostimulator, a brain stimulator, a cardiac pacemaker, a ventricular assist device, an artificial heart, a drug pump, a bone growth stimulator, a bone fusion stimulator, a urinary incontinence device, a pain relief spinal cord stimulator, an anti-tremor stimulator, a gastric stimulator, an implantable cardioverter defibrillator, a pH probe, a congestive heart failure device, a pill camera, a neuromodulator, a cardiovascular stent, an orthopedic implant, an external insulin pump, an external drug pump, an external neurostimulator, a Holter monitor, an external probe or a catheter.

3. The device of claim 1, wherein the Q of the inductor is relatively maximized and the Q of the capacitor is relatively minimized to reduce the overall Q of the band stop filter.

4. The device of claim 3, wherein the Q of the inductor is relatively maximized by minimizing resistive loss in the inductor.

5. The device of claim 3, wherein the Q of the capacitor is relatively minimized by raising equivalent series resistance of the capacitor.

6. The device of claim 3, wherein the overall Q of the band stop filter is reduced to attenuate current flow through the lead wire along a range of selected frequencies.

7. The device of claim 6, wherein the range of selected frequencies includes a plurality of MRI pulsed frequencies.

8. The device of claim 5, wherein the equivalent series resistance of the capacitor is raised by any one or combination of the following:

reducing thickness of electrode plates in the capacitor;

using high resistivity capacitor electrode materials;

adding dielectric powders to electrode ink;

providing apertures, gaps, slits or spokes in the electrode plates of the capacitor;

providing separate discrete resistors in series with the capacitor;

utilizing resistive electrical attachment materials to the capacitor;

or

utilizing capacitor dielectric materials that have high dielectric loss tangents at the selected frequency.

9. The device of claim 1, wherein the band stop filter is disposed adjacent to the distal tip of the lead wire.

10. The device of claim 9, wherein the band stop filter is integrated into a TIP electrode.

11. The device of claim 9, wherein the band stop filter is integrated into a RING electrode.

12. The device of claim 1, wherein the medical device comprises a probe or catheter, the band stop filter is associated with the probe or catheter TIP or RING electrodes, and wherein the overall Q of the band stop filter is reduced to attenuate current flow through the lead wire along a range of selected frequencies.

13. The device of claim 1, wherein the passageway extends through the band stop filter and a distal tip electrode allowing slidable passage of the guide wire through the length of the AMD and the lead wire.

14. The device of claim 1, wherein the lead wire connects to the output of the AMD.

15. The device of claim 1, wherein the lead wire is closely wound around the capacitor to form an L-C band stop filter when conductively coupled to a distal tip electrode and the capacitor.

16. The device of claim 1, further comprising a spiral inductor placed around the outside diameter of the capacitor, wherein the spiral inductor and the capacitor form an L-C band stop filter.

17. The device of claim 16, wherein the spiral inductor comprises a thin rectangular shape.

18. The device of claim 16, wherein the spiral inductor and the capacitor are electrically isolated by an electrically insulative layer.

19. The device of claim 18, wherein a distal tip lead wire is wound inside a RING electrode mounted to a ring disposed about a peripheral surface of the electrically insulative layer.

20. The device of claim 19, wherein the distal tip lead wire and the RING electrode are kept in electrical isolation via the electrically insulative layer.

21. The device of claim 1, wherein the band stop filter is hermetically sealed from body fluids.

22. A medical therapeutic device, comprising:

a tank filter placed in series with a conductor and having electrical inductance in parallel with capacitance, whereby the tank filter attenuates current flow at a selected frequency band;

wherein the tank filter comprises;

a tubular capacitor electrically connected to the conductor and an electrode;

an inductor electrically connected to the conductor and the electrode, the inductor comprising a spiral winding around a ferro-magnetic core disposed within the capacitor;

a sleeve disposed over the inductor for creating a ferro-magnetic field to reduce or prevent saturation of inductor in presence of a static magnetic field; and

a passageway permitting selective slidable passage of a guide wire therethrough.

23. The device of claim 22, wherein the sleeve is comprised of nickel.

24. The device of claim 22, wherein the capacitor is attached to a TIP electrode at one end and a cap at an opposite end to create a hermetic housing encasing the inductor and the sleeve.

25. A band stop filter for a lead wire of an active medical device (AMD), the filter comprising:

a capacitor in parallel with an inductor, said parallel capacitor and inductor combination placed in series with the lead wire, wherein values of capacitance and inductance are selected such that the band stop filter is resonant at a selected frequency; and

a passageway extending through the band stop filter permitting selective slidable passage of a guide wire therethrough.

26. The band stop filter of claim 25, wherein the AMD comprises a cochlear implant, a piezoelectric sound bridge transducer, a neurostimulator, a brain stimulator, a cardiac pacemaker, a ventricular assist device, an artificial heart, a drug pump, a bone growth stimulator, a bone fusion stimulator, a urinary incontinence device, a pain relief spinal cord stimulator, an anti-tremor stimulator, a gastric stimulator, an implantable cardioverter defibrillator, a pH probe, a congestive heart failure device, a pill camera, a neuromodulator, a cardiovascular stent, an orthopedic implant, an external insulin pump, an external drug pump, an external neurostimulator, a Holter monitor, an external probe or a catheter.

27. The band stop filter of claim 25, wherein the lead wire comprises an externally worn lead wire.

28. The band stop filter of claim 25, wherein the band stop filter is disposed adjacent to the distal tip of the lead wire, at a selected location along the length of the lead wire, or inside a housing for the AMD.

29. The band stop filter of claim 28, wherein the band stop filter is integrated into a TIP electrode.

30. The band stop filter of claim 28, wherein the band stop filter is integrated into a RING electrode.

31. The band stop filter of claim 25, wherein the Q of the inductor is relatively maximized and the Q of the capacitor is relatively minimized to reduce the overall Q of the band stop filter.

32. The band stop filter of claim 31, wherein the Q of the inductor is relatively maximized by minimizing resistive loss in the inductor;

and wherein the Q of the capacitor is relatively minimized by raising equivalent series resistance of the capacitor.

33. The band stop filter of claim 32, wherein the overall Q of the band stop filter is reduced to attenuate current flow through the lead wire along a range of selected frequencies.

34. The band stop filter of claim 33, wherein the equivalent series resistance of the capacitor is raised by any one or combination of the following:

reducing thickness of electrode plates in the capacitor;

using high resistivity capacitor electrode materials;

adding dielectric powders to electrode ink;

providing apertures, gaps, slits or spokes in the electrode plates of the capacitor;

providing separate discrete resistors in series with the capacitor;

utilizing resistive electrical attachment materials to the capacitor;

or

utilizing capacitor dielectric materials that have high dielectric loss tangents at the selected frequency.

35. The band stop filter of claim 33, wherein the range of selected frequencies includes a plurality of MRI pulsed frequencies.

36. A medical device, comprising:

an active medical device (AMD);

a probe or catheter extending from the AMD and having a TIP, RING or PAD electrode;

a passageway extending through the probe or catheter, permitting slidable passage of a guide wire therethrough; and

a band stop filter associated with the catheter or probe electrodes, for attenuating current flow through the probe or catheter at a selected frequency, wherein the band stop filter comprises a capacitor in parallel with an inductor, said parallel capacitor and inductor placed in series with the probe or catheter electrode, wherein values of capacitance and inductance are selected such that the band stop filter is resonant at the selected frequency, wherein the overall Q of the band stop filter is reduced to attenuate current flow through the lead wire along a range of selected frequencies.

37. The device of claim 36, wherein the Q of the inductor is relatively maximized and the Q of the capacitor is relatively minimized to reduce the overall Q of the band stop filter.

38. The device of claim 37, wherein the Q of the inductor is relatively maximized by minimizing resistive loss in the inductor.

39. The device of claim 37, wherein the Q of the capacitor is relatively minimized by raising equivalent series resistance of the capacitor.

40. The device of claim 36, wherein the range of selected frequencies includes a plurality of MRI pulsed frequencies.

41. The device of claim 40, wherein the equivalent series resistance of the capacitor is raised by any one or combination of the following:

reducing thickness of electrode plates in the capacitor;

using high resistivity capacitor electrode materials;

providing apertures, gaps, slits or spokes in the electrode plates of the capacitor;

utilizing resistive electrical attachment materials to the capacitor;

or

utilizing capacitor dielectric materials that have high dielectric loss tangents at the selected frequency.

42. The device of claim 36, wherein the AMD comprises a cochlear implant, a piezoelectric sound bridge transducer, a neurostimulator, a brain stimulator, a cardiac pacemaker, a ventricular assist device, an artificial heart, a drug pump, a bone growth stimulator, a bone fusion stimulator, a urinary incontinence device, a pain relief spinal cord stimulator, an anti-tremor stimulator, a gastric stimulator, an implantable cardioverter defibrillator, a pH probe, a congestive heart failure device, a pill camera, a neuromodulator, a cardiovascular stent, an orthopedic implant, an external insulin pump, an external drug pump, an external neurostimulator, a Holter monitor, an external probe or a catheter.