Intravenous cardiac lead with improved fixation and method

• US 5,387,233 A
• Filed: 11/03/1993
• Issued: 02/07/1995
• Est. Priority Date: 01/11/1993
• Status: Expired due to Term

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: InControl, Inc. (Daikin Industries Ltd)
• Inventors: Alferness, Clifton A., Helland, John R.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): SCHAETZLE, KENNEDY
• Application Number:
  US08/147,330
• Time in Patent Office: 461 Days
• Field of Search: 607/126, 607/122, 607/119, 607/116, 607/115, 607/118, 128/642, 604/104-109
• US Class Current: 607/126
• 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
• CPC Class Codes: A61N 1/3918 characterised by shock pathway, e.g. by electrode configuration
• CPC Class Codes: A61N 2001/058 Fixing tools
• CPC Class Codes: A61N 2001/0585 Coronary sinus electrodes

Abstract

An intravenous lead for use with a cardiac device implantable beneath the skin of a patient provides positive fixation for the lead when implanted in an artery or vein of the heart. The lead includes a lead body adapted to be fed into an artery or a vein of the heart of a patient and at least one electrode carried by the lead body and adapted to be coupled to the implantable cardiac device. The lead body includes a preformed section having a resiliently coiled configuration. The coiled section makes substantially continuous surface contact with inner wall surfaces of the artery or vein after the lead is implanted within the artery or vein for providing positive fixation of the lead.

Claims

1. An intravenous lead for use with a cardiac device implantable beneath the skin of a patient, said lead comprising:

an inner stylet coil;

an outer electrically insulative jacket coaxial with and overlying said inner stylet coil; and

an electrode overlying said electrically insulative jacket,

said inner stylet coil being coiled for forcing at least a section of said lead into a coiled configuration.

2. A lead as defined in claim 1 wherein said electrode is an elongated electrode.

3. A lead as defined in claim 2 wherein said lead has a distal end, and wherein said elongated electrode is located at said distal end of said lead.

4. A lead as defined in claim 2 wherein said elongated electrode overlies said coiled section.

5. A lead as defined in claim 4 wherein said lead has a distal end and wherein said coiled section and said elongated electrode are at said distal end of said lead.

6. A method of implanting an intravenous cardiac lead within an artery or a vein of the human heart, said method comprising the steps of:

providing a cardiac lead having a flexible lead body;

feeding said lead body to a predetermined position within the artery or vein of the heart; and

imparting a coiled configuration to said lead body for making substantially continuous surface contact with inner wall surfaces of the artery or vein.

7. A method as defined in claim 6 wherein said providing step includes preforming a section of said lead body into a resiliently coiled configuration to form a preformed coiled section, wherein said feeding step includes feeding said lead body with said preformed coiled section elongated so as to be feedable into the artery or vein of the heart, and wherein said imparting step includes releasing the elongation of said preformed coiled section after the lead is fed to said predetermined position within the artery or vein of the heart to permit said preformed coiled section to assume said coiled configuration.

8. A method as defined in claim 7 wherein said providing step includes providing at least one electrode on said lead body with said preformed coiled section being proximal to said at least one electrode.

9. A method as defined in claim 8 wherein said providing step includes providing a second electrode on said lead body proximal to said preformed coiled section.

10. A method as defined in claim 9 wherein said predetermined position within the artery or vein of the heart corresponds to said at least one electrode being within the coronary sinus or great vein of the heart and wherein said providing step includes spacing apart said at least one electrode, said preformed coiled section, and said second electrode relative to one another such that when said at least one electrode is within the coronary sinus or great vein of the heart, said preformed coiled section is adapted to be within the coronary sinus of the heart and said second electrode is adapted to be within the right atrium of the heart.

11. A method as defined in claim 10 wherein said providing step further includes providing a distal electrode on said lead body with said at least one electrode being proximal to said distal electrode and spaced from said distal electrode such that when said at least one electrode is within the coronary sinus or great vein of the heart said distal electrode is adapted to be within the great vein of the heart.

12. A method as defined in claim 6 wherein said lead body includes an inner stylet coil, wherein said providing step includes preforming a section of said stylet coil into a coiled configuration to impart to said lead body a preformed resilient coiled section, wherein said feeding step includes feeding said lead body with said preformed resilient coiled section elongated so as to be feedable into the artery or vein of the heart, and wherein said imparting step includes releasing the elongation of said preformed resilient coiled section after the lead is fed to said predetermined position within the artery or vein of the heart to permit said preformed resilient coiled section to assume said coiled configuration.

13. A method as defined in claim 12 wherein said providing step includes providing an elongated electrode on said lead body overlying said preformed coiled section.

14. A method as defined in claim 13 wherein said lead has a distal end and wherein said providing step includes providing said elongated electrode on said lead body distal end.

15. A method as defined in claim 14 wherein said predetermined position within the artery or vein of the heart corresponds to said elongated electrode being within the coronary sinus or great vein of the heart.

16. A method as defined in claim 6 wherein said providing step includes providing an elongated electrode on said lead body and preforming a section of said elongated electrode into a coiled configuration to impart to said lead body a preformed resilient coiled section, wherein said feeding step includes feeding said lead body with said preformed resilient coiled section elongated so as to be feedable into the artery or vein of the heart, and wherein said imparting step includes releasing the elongation of said preformed resilient coiled section after the lead is fed to said predetermined position within the artery or vein of the heart to permit said preformed resilient coiled section to assume said coiled configuration.

17. A method as defined in claim 16 wherein said lead has a distal end and wherein said providing step includes providing said elongated electrode on said lead body distal end.

18. A method as defined in claim 17 wherein said predetermined position within the artery or vein of the heart corresponds to said elongated electrode being within the coronary sinus or great vein of the heart.