Low impedence defibrillation catheter electrode

• US 5,257,634 A
• Filed: 07/16/1992
• Issued: 11/02/1993
• Est. Priority Date: 07/16/1992
• Status: Expired due to Fees

• Current Assignee: Angeion Corporation (Niterra Co., Ltd.)
• Original Assignee: Angeion Corporation (Niterra Co., Ltd.)
• Inventors: Kroll, Mark W.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): MANUEL, GEORGE C
• Application Number:
  US07/915,065
• Time in Patent Office: 474 Days
• Field of Search: 128/783, 128/784, 128/785, 128/786, 128/419 P, 128/419 D, 128/799, 128/642
• US Class Current: 607/122
• CPC Class Codes: A61N 1/0563 specially adapted for defibrillation or cardioversion
• CPC Class Codes: A61N 1/057 Anchoring means; Means for fixing the head inside the heart

Abstract

A low impedence defibrillation catheter electrode having a high effective conductive length for implantation in the right ventricle of the heart. The catheter electrode conductive body has at least one flexible and resilient extension member extending angularly therefrom. The flexible and resilient conductive members provide an increased effective length to the catheter electrode and permit collapse into a small diameter configuration for insertion into an introducer structure for implantation through a venous approach.

Claims

1. A low impedence defibrillation catheter electrode having a high effective conductive length comprising:

a) an electrode structure having an elongated conductive body having a predetermined first length and lead means extending therefrom for connection to a defibrillation system; and

b) at least one resilient conductive member extending outwardly from said elongated conductive body and being unitary therewith, each of said at least one resilient conductive members(s) being a single elongated body having a predetermined second length, said second length being shorter than said first length, each of said at least one resilient conductive member(s) length comprising means for increasing the effective conductive length of said defibrillation electrode to thereby lower its impedance.

2. The defibrillation catheter electrode of claim 1, wherein the total length of said first and second lengths is at least 10 cm.

3. The defibrillation catheter electrode of claim 1, wherein said at least one conductive member of said elongated conductive body comprises a plurality of conductive members extending from said electrode conductive body in a predetermined arrangement.

4. The defibrillation catheter electrode of claim 3, wherein said elongated conductive body has a specified diameter and conductive surface area and said at least one resilient conductive member(s) extend(s) angularly from said conductive surface in a predetermined pattern of rows and columns.

5. The defibrillation catheter electrode of claim 1, wherein said elongated conductive body is comprised of a braided structure having a plurality of conductive strands, at least one said conductive strand of said plurality of conductive strands having a terminal end and wherein said at least one outwardly extending resilient conductive member is the terminal end of said at least one conductive strand.

6. The defibrillation catheter electrode of claim 1, wherein said elongated conductive body has at least one peripheral band conductively mounted thereabout and being unitary therewith and wherein said at least one resilient conductive member extends from said at least one peripheral band.

7. The defibrillation catheter electrode of claim 6, wherein said elongated conductive body has a plurality of peripheral bands being spaced apart a distance at least that of said conductive member length.

8. The defibrillation catheter electrode of claim 6, wherein said elongated conductive body has at least one peripheral groove thereabout and wherein said at least one peripheral band is mounted in said at least one peripheral groove.

9. A defibrillation catheter electrode comprising an elongated conductive body of a predetermined length and configuration and comprising means for pivotally connecting at least one outwardly extending conductive member and for reducing the electrode impedance, said at least one outwardly extending conductive member being unitary with said elongated conductive body.

10. The defibrillation catheter electrode of claim 9, wherein the total length of said elongated body and said conductive member(s) is at least 10 cm.

11. The defibrillation catheter electrode of claim 9, wherein each of said at least one conductive member has a diameter ranging between 1 and 2 mm and wherein each of said at least one conductive member has a length ranging between 1 and 20 mm.

12. The defibrillation catheter electrode of claim 11, further comprising at least one row of conductive members, extending from the periphery of said conductive body and a plurality of said conductive members spaced a predetermined distance from each other.

13. The defibrillation catheter electrode of claim 12, wherein said conductive members are spaced approximately said predetermined second length.

14. The defibrillation catheter electrode of claim 9, wherein said elongated conductive body is comprised of a braided structure having a plurality of conductive, flexible and resilient strands said plurality of resilient strands having terminal ends and wherein said at least one outwardly extending and pivotally connected conductive member is one said strand terminal end.

15. The defibrillation catheter electrode of claim 9, wherein between 3 to 5 conductive members extend from said elongated conductive body.

16. The defibrillation catheter electrode of claim 15, wherein said conductive members are not aligned along the length of said conductive body.

17. The defibrillation catheter electrode of claim 16, wherein said conductive members are spaced in a row about the periphery of said conductive body.

18. The defibrillation catheter electrode of claim 9, further comprising an introducer sheath structure wherein said catheter electrode is, surrounded by said sheath in a collapsed configuration having said outwardly extending member(s) pivoted against said conductive body.

19. The defibrillation catheter electrode of claim 9, wherein a conductive peripheral band is in conductive contact about said conductive body and wherein said at least one outwardly extending member is connected to said peripheral conductive band.

20. A process of implanting a low electrical impedance defibrillation catheter electrode through the veins and into the right ventricle of the heart of a patient comprising:

a) providing a defibrillation catheter electrode having an elongated conductive body and at least one outwardly extending pivotally connected conductive member and being unitary with said conductive body,

b) providing an introducer sheath structure having an opening,

c) inserting said defibrillation catheter electrode into said sheath structure and thereby collapsing said catheter structure by folding said conductive member against said conductive body,

d) manipulating said introducer sheath structure into the right ventricle of the heart, and

e) removing said introducer sheath structure from said collapsed catheter structure, thereby permitting said conductive members to pivot from said conductive body into an angular configuration.

21. In a defibrillation catheter electrode having an electrode body having a lead assembly electrically connecting said electrode body and a defibrillator device, said electrode body comprising a plurality of conductive body members extending from said electrode body, each said conductive body member having a predetermined length and opposing conductive surfaces and being unitary with said electrode body and comprising resilient means for exposing said conductive surfaces and conductive means for lowering the impedance of the defibrillation catheter electrode.

22. The defibrillation catheter electrode of claim 21, wherein each said conductive body member is of a planar configuration.

23. The defibrillation catheter electrode of claim 22, wherein each said planar body member is arranged in a plurality of rows along said electrode body.