IMPLANTABLE CATHETER LEAD OR ELECTRODE LEAD

• US 20110029057A1
• Filed: 07/28/2009
• Published: 02/03/2011
• Est. Priority Date: 07/28/2008
• Status: Active Grant

• Current Assignee: Biotronik SE & Company KG
• Original Assignee: Biotronik CRM Patent AG (Biotronik SE & Company KG)
• Inventors: Doce, Enlen, Landgraf, Tassilo, Flach, Erhard
• Granted Patent: US 8,452,420 B2
• Time in Patent Office: Days
• US Class Current: 607/122
• CPC Class Codes: A61N 1/057 Anchoring means; Means for fixing the head inside the heart
• CPC Class Codes: A61N 2001/0578 having means for removal or extraction
• CPC Class Codes: A61N 2001/0585 Coronary sinus electrodes

Abstract

An implantable catheter lead or electrode lead includes an elongated flexible lead body with the fixation means attached to the lead body, for the purpose of effecting fixation of the catheter lead or electrode lead in a predetermined position within a vessel or a bodily cavity of a patient. A releasable attachment is provided between the lead body and the fixation means such that an explantation of the catheter lead or electrode lead is possible after the attachment is released while the fixation means remains in place within the body of the patient.

Claims

1. An implantable lead for a catheter and/or an electrode, the lead including:

a. an elongated flexible lead body,

b. fixation means releasably attached to the lead body for;

(1) fixing the lead body in a predetermined position within a vessel or a bodily cavity of a patient, and

(2) releasing from the lead body such that the lead body is removable from the vessel or the bodily cavity of the patient while the fixation means remains fixed in the predetermined position within the vessel or the bodily cavity of the patient.

2. The lead of claim 1 wherein one or more portions of the fixation means move from an initial location nearer the lead body to a deployed location spaced from the lead body to fix the lead body in the predetermined position.

3. The lead of claim 2 wherein:

a. the moving portions of the fixation means are defined by elongated members spaced around the circumference of the lead body,

b. each member has;

(1) a first end of the member'"'"'s length situated nearer the lead body, and

(2) a second end of the member'"'"'s length spaced from the lead body, when in the deployed location.

4. The lead of claim 2 wherein:

a. the fixation means circumferentially encircles the lead body, and

b. the entirety of the outer circumference of the fixation means moves from the initial location nearer the lead body to the deployed location spaced from the lead body.

5. The lead of claim 1 wherein the fixation means includes an attachment to the lead body wherein the attachment destructs to release the fixation means from the lead body.

6. The lead of claim 5 wherein the fixation means, as well as the attachment, destructs to release the fixation means from the lead body.

7. The lead of claim 5 wherein the attachment destructs in response to the application of energy to the lead body.

8. The lead of claim 5 wherein the attachment destructs in response to the application of one or more of:

a. electric current,

b. light having one or more wavelengths between and/or within the ultraviolet and infrared spectral ranges.

9. The lead of claim 5 wherein the attachment includes a retaining ring at least partially fit about the lead body.

10. The lead of claim 1 wherein:

a. the fixation means includes an attachment to the lead body, the attachment including a retaining ring at least partially fit about the lead body;

b. the fixation means includes one or more elongated members, each elongated member having;

(1) a first end of the member'"'"'s length situated nearer the lead body and the retaining ring, and

(2) a second end of the member'"'"'s length spaced from the lead body and the retaining ring.

11. The lead of claim 1:

a. wherein the fixation means are situated on ring segments, each ring segment extending about a portion of the circumference of the lead body;

b. further including an attachment securing the ring segments about the lead body, wherein the attachment destructs to release the ring segments from the lead body.

12. The lead of claim 1 wherein at least one of:

a. the lead body, and

b. the fixation means,

includes an x-ray marker.

13. The lead of claim 1:

a. further including a sleeve about the lead body, the sleeve holding the fixation means in an initial location nearer the lead body, and

b. wherein moving the sleeve about the lead body moves the fixation means to a deployed location spaced from the lead body.

14. The lead of claim 1:

a. wherein the fixation means elastically deploys to a deployed location spaced from the lead body unless the fixation means is restrained against deployment;

b. further including a sleeve fit about the lead body and the fixation means, the sleeve restraining the fixation means in an initial location nearer the lead body.

15. An implantable lead for a catheter and/or an electrode, the lead including:

a. an elongated flexible lead body,

b. a fixator situated about at least a portion of the circumference of the lead body, wherein at least a portion of the fixator;

(1) deploys circumferentially outwardly from the lead body, thereby engaging the walls of a vessel or cavity wherein the lead body and fixator are inserted;

(2) is releasable from the lead body after deployment by falling from the circumference of the lead body, whereby release of the fixator from the lead body allows withdrawal of the lead body from any vessel or cavity wherein the lead body and fixator are inserted, without interference from the fixator.

16. The implantable lead of claim 15 wherein the fixator includes an attachment to the lead body wherein the attachment destructs to release the fixator from the lead body.

17. The implantable lead of claim 15 wherein the fixator includes an attachment to the lead body, the attachment including a retaining ring at least partially fit about the lead body.

18. The implantable lead of claim 17 wherein the fixator includes one or more elongated members, each having:

a. a first end of the member'"'"'s length situated nearer the lead body and the retaining ring, and

b. a second end of the member'"'"'s length spaced from the lead body and the retaining ring.

19. The implantable lead of claim 15 wherein:

a. the fixator extends about the entirety of the circumference of the lead body; and

b. the entirety of the outer circumference of the fixator deploys circumferentially outwardly from the lead body.

20. An implantable lead for a catheter and/or an electrode, the lead including:

a. an elongated flexible lead body,

b. a fixator situated on the lead body, the fixator;

(1) being movable between;

(a) an undeployed state wherein one or more deployable portions of the fixator are situated in an initial location nearer the lead body, and

(b) a deployed state wherein the deployable portions are situated in a deployed location spaced from the lead body,

wherein the lead body, when situated within a human body, may have the fixator deployed to engage the human body, and thereby engage the lead body to the human body;

(2) including an attachment to the lead body wherein the attachment destructs to release the fixation means outwardly from the lead body, thereby allowing the lead body to be removed from the human body without interference from the fixator.