INTERCONNECTIONS OF IMPLANTABLE LEAD CONDUCTORS AND ELECTRODES AND REINFORCEMENT THEREFOR

• US 20090222074A1
• Filed: 05/18/2009
• Published: 09/03/2009
• Est. Priority Date: 12/19/2005
• Status: Active Grant

• Current Assignee: David Durand, Krishnan Mohan, Paul E. Zarembo
• Original Assignee: David Durand, Krishnan Mohan, Paul E. Zarembo
• Inventors: Krishnan, Mohan, Zarembo, Paul E., Durand, David
• Granted Patent: US 8,055,354 B2
• Time in Patent Office: Days
• US Class Current: 607/126
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: H01R 13/18 with the spring member surrounding the socket
• CPC Class Codes: H01R 2201/12 for medicine and surgery
• CPC Class Codes: Y10T 29/49117 Conductor or circuit manufacturing

Abstract

An implantable lead comprises a lead body extending from a lead proximal end portion to a lead distal end portion. The lead body includes one or more longitudinally extending lumens. A conductor is received in, and extends along, a lumen. In varying examples, the implantable lead further comprises a tubular electrode co-axial with, and overlying portions of, the lead body. In one example, a lumen wall is sized and shaped to urge an electrically conductive interposer coupled with the conductor toward an inner surface of the electrode. In another example, a ring member is disposed within a lumen and the conductor is drawn and coupled thereto. In yet another example, an electrically conductive connector couples a first and a second conductor via grooves or threads. In a further example, an axial support member couples a distal end electrode and the lead body. Methods associated with the foregoing are also discussed.

Claims

1. An implantable lead comprising:

a 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 a longitudinally extending internal lumen;

a conductive linking member having a base and a projection laterally extending from the base, the base disposed at least partially within the lumen and the projection partially extending through an aperture in a lumen wall;

a conductor received in and extending along the lumen, a portion of the conductor disposed adjacent to the base of the linking member and electrically coupled thereto; and

a tubular electrode co-axial with and overlying portions of the lead body, the tubular electrode electrically coupled with the conductor, in part, via the projection of the linking member extending through the lumen wall.

2. The implantable lead of claim 1, wherein the base of the linking member includes an annular, ring-like shape.

3. The implantable lead of claim 2, wherein the projection extends at least contralaterally from an outer surface of the annular, ring-like shape of the linking member.

4. The implantable lead of claim 1, further comprising a securing member disposed around the base of the linking member and the portion of the conductor disposed adjacent the base, the securing member deformably coupled around the conductor firmly attaching the conductor to the linking member.

5. The implantable lead of claim 4, wherein the securing member includes a crimped, swaged, welded, or brazed securing member;

and

wherein deformation of the securing member decreases a radius of curvature of an inner surface of the base.

6. The implantable lead of claim 1, wherein an outer surface of the base of the linking member includes one or more grooves or threads coupled to the adjacent portion of the conductor.

7. The implantable lead of claim 1, further comprising an adhesive disposed between the base of the linking member and the portion of the conductor disposed adjacent the base.

8. The implantable lead of claim 1, wherein a portion of the lumen wall compressively urges the projection of the linking member through the aperture in the lumen wall toward an inner surface of the tubular electrode.

9. The implantable lead of claim 1, wherein the conductor includes a coil conductor having an inner surface and an outer surface, the inner surface of the coil conductor mechanically and electrically coupled to an outer surface of the base of the linking member.

10. The implantable lead of claim 9, wherein a radius of curvature of an outer surface of the base is greater than a radius of curvature of the inner surface of the coil conductor.

11. The implantable lead of claim 1, wherein the portion of the conductor disposed adjacent to the base of the linking member and electrically coupled thereto includes a distal end portion of the conductor.

12. The implantable lead of claim 1, wherein the aperture in a lumen wall includes at least one of a hole or a slit.

13. An implantable lead comprising:

a 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 a longitudinally extending internal lumen;

a conductive ring member having a base and a projection extending laterally outward from the base, the projection extending partially through an aperture in a lumen wall;

a conductor received in and extending along the lumen, a portion of the conductor disposed adjacent to the base of the ring member and electrically coupled thereto; and

a tubular electrode co-axial with the lead body, the tubular electrode electrically coupled with the conductor via the ring member.

14. The implantable lead of claim 13, wherein an axial length of the base of the ring member is greater than an axial length of the projection extending from the base.

15. The implantable lead of claim 13, wherein the conductor includes a coil conductor;

and wherein a diameter of an outer surface of the base is greater than a diameter of an inner surface of the coil conductor.

16. A method of manufacturing an implantable lead, the method comprising:

forming a lead body extending from a lead proximal end portion to a lead distal end portion and having a lead intermediate portion therebetween, including forming a longitudinally extending lumen within the lead body;

disposing a base of a conductive linking member within the lumen and inserting a projection of the linking member through an aperture in a lumen wall;

drawing a conductor into and through the lumen, including disposing a portion of the conductor adjacent to a base of the linking member;

coupling the conductor to the base; and

overlying portions of the lead body with a tubular electrode, the tubular electrode co-axial with the lead body and electrically coupled with the conductor.

17. The method of claim 16, wherein coupling the conductor to the base of the linking member includes disposing a securing member around the base and the portion of the conductor disposed adjacent the base;

and

deforming the securing member over the conductor.

18. The method of claim 16, wherein coupling the conductor to the linking member includes coupling an inner surface of a coil conductor to an outer surface of the base using one or more grooves or threads.

19. The method of claim 16, wherein forming the longitudinally extending lumen includes forming a lumen wall portion sized and shaped to urge the projection of the linking member toward an inner surface of the tubular electrode.

20. The method of claim 16, wherein electrically coupling the tubular electrode with the conductor includes using a preformed mandrel to urge the projection of the linking member toward an inner surface of the tubular electrode.

21. The method of claim 16, wherein overlying portions of the lead body with the tubular electrode includes forming a substantially isodiametric surface at an interface of the tubular electrode and an outer surface of the lead body.

22. The method of claim 16, wherein inserting the projection of the linking member through the aperture includes extending the projection laterally beyond an outer diameter of the conductor.