Endocardial electrode

• US 4,506,679 A
• Filed: 09/30/1982
• Issued: 03/26/1985
• Est. Priority Date: 09/30/1982
• Status: Expired due to Term

• Current Assignee: Pacesetter AB
• Original Assignee: Siemens-Elema AB (Siemens AG)
• Inventors: Mann, Alfred E.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US06/430,912
• Time in Patent Office: 908 Days
• Field of Search: 128/784-786, 128/419 P
• US Class Current: 607/126
• CPC Class Codes: A61N 1/057 Anchoring means; Means for fixing the head inside the heart

Abstract

An improved endocardial electrode (10) of the type having an electrical conductor (14) encased in material (16) which is generally inert to body fluids and terminating at an exposed, electrically conductive tip (12). A plurality of non-conductive, resilient tines (20) extends from the encasing material (16) near the electrode tip (12). Each tine (20) forms a substantially ninety degree angle with respect to the electrical conductor (14). A blocking surface (22) is provided adjacent to a portion of each tine (20) surface facing the electrode tip (12). The blocking surface (22) allows only an upper portion of each tine to be deformed in the direction of the electrode tip (12) while allowing the entire tine to be deformed away from the electrode tip, thereby providing a decreased deformation resistance as the electrode tip (12) is inserted into a vein (34) or between heart trabeculae, and an increased deformation resistance as the electrode tip (12) is withdrawn through a vein (34) or from heart trabeculae.

Claims

1. In an endocardial electrode of the type having an electrical conductor encased in an encasing material which is generally inert to body fluids, the conductor terminating at an exposed electrically conductive electrode tip, the improvement comprising:

resilient tine means near the electrode tip comprising at least one tine for cooperating with heart tissue and holding the electrode tip in position, said tine exhibiting a first deformation resistance when said tine tip is moved away from the electrode tip, and

means for blocking the movement of a portion of said tine as said tine tip is moved towards the electrode tip, thereby providing a second deformation resistance which is greater than said first deformation resistance.

2. The improvement of claim 1 wherein said tine when unrestrained forms a substantially ninety degree angle with respect to the electrical conductor.

3. The improvement of claim 1 or 2 wherein said means for blocking comprises stop means for abutting against a portion of said tine surface facing the electrode tip, thereby increasing the deformation resistance when said tine tip is moved towards the electrode tip.

4. The improvement of claim 3 wherein said stop means defines a surface substantially orthogonal to, and symetrical about, the electrical conductor, said surface extending from the encasing material to a predetermined distance from said tine tip.

5. The improvement of claim 4 wherein said stop means is formed as a truncated cone symetrically positioned about the electrical conductor, said cone being formed of a nonconductive material which is generally inert to body fluids.

6. The improvement of claim 5 wherein said cone surface tapers towards the electrode tip.

7. The improvement of claim 4 wherein said stop means is defined by a portion of the electrode tip.

8. The improvement of claim 3 wherein said tine is configured to have a weakened portion proximal to the base of said tine.

9. The imporvement of claim 8 wherein said weakened portion has a smaller thickness than another portion of said tine distal from said tine base.

10. The improvement of claim 9 wherein said smaller cross-sectional area is offset with respect to the center-line of said tine.

11. The improvement of claim 3 wherein said stop means comprises a wedge-shaped protrusion extending from the encasing material and defining a surface extending from the encasing material to a predetermined distance from said tine tip.

12. The improvement of claim 11 wherein said surface defined by said stop means is substantially orthogonal to the electrical conductor.

13. The improvement of claim 1 wherein said tine means comprises four tines.

14. In an endocardial electrode of the type having an electrical conductor encased in an encasing material which is generally inert to body fluids, the conductor terminating at an exposed electrically conductive electrode tip, the improvement comprising:

resilient tine means near the electrode tip comprising at least one tine for cooperating with heart tissue and holding the electrode tip is position, said tine exhibiting a first deformation resistance when said tine tip is moved away from the electrode tip; and

means for providing a second deformation resistance when said tine tip is moved towards the electrode tip, said means for providing comprising said encasing material being formed to define a slit extending downwardly into said encasing material adjacent to the location where said tine intersects said encasing material.

15. The improvement of claim 14 wherein said location at which said tine intersects said encasing material is proximal to said electrode tip, said slit surfaces forming an acute angle with respect to a line extending between said electrode tip and said tine along the longitudinal axis of said electrical conductor.

16. In an endocardial electrode of the type having an electrical conductor encased in an encasing material which is generally inert to body fluids, the conductor terminating at an exposed electrically conductive electrode tip, the improvement comprising:

tine means near the electrode tip and comprising at least one tine for cooperating with heart tissue and holding the electrode tip in position, said tine when unrestrained forming a substantially ninety degree angle with respect to the electrical conductor and being of a pliant material having sufficient rigidity to maintain said ninety degree angle when unrestrained, but sufficiently pliant to prevent penetration of said heart tissue, said pliant material being generally inert to body fluids, said tine exhibiting a first deformation resistance when its tip is moved away from the electrode tip; and

means for providing a second deformation resistance greater than said first deformation resistance when said tine tip is moved towards the electrode tip.

17. The improvement of claim 16 wherein said means for providing comprises stop means for allowing only a first predetermined portion of said tine including said tine tip to bend towards the electrode tip.

18. The improvement of claim 17 wherein the cross-sectional area of a portion of said tine within said first predetermined portion is greater than the cross-sectional area of a portion of said tine not within said first predetermined portion.

19. The improvement of claim 17 wherein said stop means defines a surface adjacent to said tine for allowing only said first predetermined portion to bend towards the electrode tip.

20. The improvement of claim 17 wherein said stop means comprises a portion of the electrode tip.

21. The improvement of claim 17 wherein said stop means comprises a wedge-shaped protrusion extending outwardly from the encasing material and defining a surface substantially orthogonal to the electrical conductor, said surface being adjacent to a portion of said tine facing the electrode tip and extending to a predetermined distance from said tine tip.

22. The improvement of claim 16 wherein said means for providing said second deformation resistance comprises said encasing materials being formed to define a slit which intersects said encasing material, said slit extending downwardly into said encasing material and being located so as to create a greater resistance to bending of the tine in the direction of the electrode tip than away from the electrode tip.

23. The improvement of claim 22 wherein a point at which said tine intersects said encasing material is proximal to said electrode tip, said slit surfaces forming an acute angle with respect to a line extending from said electrode tip along the longitudinal axis of said electrical conductor.