ESTABLISHING CONTINUITY BETWEEN A SHIELD WITHIN AN IMPLANTABLE MEDICAL LEAD AND A SHIELD WITHIN AN IMPLANTABLE LEAD EXTENSION

• US 20120041529A1
• Filed: 04/28/2010
• Published: 02/16/2012
• Est. Priority Date: 04/30/2009
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Olsen, James M., Mehdizadeh, Bruce R., Kern, Michael J.
• Granted Patent: US 9,002,474 B2
• Time in Patent Office: Days
• US Class Current: 607/116
• CPC Class Codes: A61B 2090/3966 Radiopaque markers visible in an X-ray image
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61N 1/048 Electrodes characterised by a specific connection between lead and electrode
• CPC Class Codes: A61N 1/0488 Details about the lead
• 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 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/08 Arrangements or circuits for monitoring, protecting, controlling or indicating for external stimulators A61N1/3603; for implantable neurostimulators A61N1/36128; for heart stimulators A61N1/37; for defibrillators A61N1/3925
• 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 1/3752 Details of casing-lead connections
• CPC Class Codes: A61N 2001/058 Fixing tools
• CPC Class Codes: A61N 2001/0582 Suture sleeves
• CPC Class Codes: Y10T 29/49016 Antenna or wave energy "plumbing" making
• CPC Class Codes: Y10T 29/49117 Conductor or circuit manufacturing
• CPC Class Codes: Y10T 29/4921 with bonding
• CPC Class Codes: Y10T 29/49227 Insulator making
• CPC Class Codes: Y10T 29/49826 Assembling or joining

Abstract

Implantable medical leads and implantable lead extensions include a shield. The implantable medical lead is coupled to the implantable lead extension. Stimulation electrodes of the implantable medical lead contact stimulation connectors within a housing of the implantable extension to establish a conductive pathway for stimulation signals from filars of the implantable extension to filars of the implantable medical lead. Continuity is established between the shield of the implantable medical lead and the implantable extension by providing a radio frequency conductive pathway within the housing. The radio frequency conductive pathway extends from a shield of the implantable extension to a shield connector that contacts a shield electrode of the implantable medical lead. The radio frequency conductive pathway may have various forms such as a jumper wire or an extension of the shield within the implantable extension.

Claims

1. A method of shielding an apparatus comprising an implantable lead coupled to an implantable lead extension, the method comprising:

providing a non-conductive housing at a distal end of the implantable lead extension that includes an opening, a connector within the opening, and an RF pathway from the connector to a shield within the implantable lead extension, the further including stimulation connectors with the connector being distal of the stimulation connectors;

providing a shield electrode on a proximal end of the implantable lead that has an RF pathway to a shield within the implantable lead; and

inserting the proximal end of the implantable lead into the opening to establish contact between the connector of the implantable lead extension and the shield electrode of the implantable lead.

2. The method of claim 1, further comprising providing the RF pathway from the connector to the shield within the implantable lead extension by extending the shield within the implantable lead extension through the housing to contact the connector.

3. The method of claim 1, further comprising providing the RF pathway from the connector to the shield within the implantable lead extension by extending a jumper wire through the housing between the shield and the connector.

4. The method of claim 1, further comprising:

providing a plurality of conductive stimulation pathways between a plurality of stimulation connectors within the housing and a plurality of filars within the extension, the conductive stimulation pathways being isolated from the RF pathway from the connector to the shield within the implantable lead extension; and

providing a plurality of electrodes on the proximal end of the implantable lead and contacting the plurality of electrodes with the plurality of connectors within the housing upon inserting the proximal end of the implantable lead into the opening.

5. The method of claim 4, further comprising:

providing a first layer of non-conductive material that surrounds the plurality of stimulation connectors and the plurality of conductive stimulation pathways, wherein providing the RF pathway from the connector to the shield within the implantable lead extension comprises creating the RF pathway outside of the first layer of non-conductive material; and

providing a second layer of non-conductive material that surrounds the RF pathway and the first layer of non-conductive material.

6. The method of claim 5, wherein creating the RF pathway outside of the first layer of non-conductive material comprises extending the shield over the first layer of non-conductive material to surround the plurality of stimulation connectors and stimulation pathways.

7. The method of claim 1, wherein the shields within the implantable medical lead and the implantable lead extension are braids.

8. The method of claim 4, wherein the isolation between the RF pathway and each conductive stimulation pathway within the non-conductive housing is at least a separation of 0.1 millimeters.

9. The method of claim 4, wherein non-conductive material of the non-conductive housing that provides the isolation between the RF pathway and each conductive stimulation pathway has a dielectric constant value between 2 and 10.

10. An implantable medical apparatus, comprising:

an implantable lead extension comprising a non-conductive housing at a distal end of the implantable lead extension that includes an opening, a connector within the opening, and an RF pathway from the connector to a shield within the implantable lead extension, the pathway comprising the shield extended through the housing to contact the connector; and

an implantable lead comprising a shield electrode on a proximal end of the implantable lead that has an RF pathway to a shield within the implantable lead, the implantable lead being positioned within the opening so that the connector of the implantable lead extension contacts the shield electrode of the implantable lead.

11. The implantable medical apparatus of claim 10, wherein the housing further includes stimulation connectors with the connector being distal of the stimulation connectors.

12. The implantable medical apparatus of claim 10, wherein the RF pathway from the connector to the shield comprises a jumper wire extended through the housing between the shield and the connector.

13. The implantable medical apparatus of claim 10, further comprising:

a plurality of stimulation connectors within the housing;

a plurality of filars within the extension;

a plurality of conductive stimulation pathways between the plurality of stimulation connectors within the housing and the plurality of filars within the extension, the conductive stimulation pathways being isolated from the RF pathway from the connector to the shield within the implantable lead extension; and

a plurality of electrodes on the proximal end of the implantable lead and in contact with the plurality of connectors within the housing.

14. The implantable medical apparatus of claim 13, wherein the non-conductive housing comprises:

a first layer of non-conductive material that surrounds the plurality of stimulation connectors and the plurality of conductive stimulation pathways, with the RF pathway from the connector to the shield within the implantable lead extension being outside of the first layer of non-conductive material; and

a second layer of non-conductive material that surrounds the RF pathway and the first layer of non-conductive material.

15. The implantable medical apparatus of claim 14, wherein the RF pathway comprises the shield extending over the first layer of non-conductive material to surround the plurality of stimulation connectors and stimulation pathways.

16. The implantable medical lead of claim 10, wherein the shields within the implantable medical lead and the implantable lead extension are braids.

17. The implantable medical lead of claim 13, wherein the isolation between the RF pathway and each conductive stimulation pathway within the non-conductive housing is at least a separation of 0.1 millimeters.

18. The implantable medical lead of claim 13, wherein non-conductive material of the non-conductive housing that provides the isolation between the RF pathway and each conductive stimulation pathway has a dielectric constant value between 2 and 10.

19. An implantable lead extension, comprising:

an extension jacket;

a shield within the extension jacket; and

a non-conductive housing at a distal end of the extension jacket that includes an opening, a connector within the opening, and an RF pathway from the connector to the shield, the housing comprising a first layer of non-conductive material, with the RF pathway from the connector to the shield being outside of the first layer of non-conductive material and a second layer of non-conductive material that surrounds the RF pathway and the first layer of non-conductive material.

20. The implantable lead extension of claim 19, wherein the RF pathway from the connector to the shield comprises the shield extended through the housing to contact the connector.

21. The implantable lead extension of claim 19, wherein the RF pathway from the connector to the shield comprises a jumper wire extended through the housing between the shield and the connector.

22. The implantable lead extension of claim 19, further comprising:

a plurality of stimulation connectors within the housing;

a plurality of filars within the extension jacket;

a plurality of conductive stimulation pathways between the plurality of stimulation connectors within the housing and the plurality of filars within the extension jacket, the conductive stimulation pathways being isolated from the RF pathway from the connector to the shield.

23. The implantable lead extension of claim 22, wherein the first layer of non-conductive material that surrounds the plurality of stimulation connectors and the plurality of conductive stimulation pathways.

24. The implantable lead extension of claim 23, wherein the RF pathway comprises the shield extending over the first layer of non-conductive material to surround the plurality of stimulation connectors and stimulation pathways.

25. The implantable lead extension of claim 19, wherein the shield is a braid.

26. The implantable lead extension of claim 22, wherein the isolation between the RF pathway and each conductive stimulation pathway within the non-conductive housing is at least a separation of 0.1 millimeters.

27. The implantable lead extension of claim 22, wherein non-conductive material of the non-conductive housing that provides the isolation between the RF pathway and each conductive stimulation pathway has a dielectric constant value between 2 and 10.