Implantable lead ring electrode and method of making

• US 5,458,629 A
• Filed: 02/18/1994
• Issued: 10/17/1995
• Est. Priority Date: 02/18/1994
• Status: Expired due to Term

• Current Assignee: Terry L. Wiles
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Taube, Mark A., Stolz, Brian T., Baudino, Michael D.
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US08/198,933
• Time in Patent Office: 606 Days
• Field of Search: 128/642, 607/115, 607/116, 607/119, 607/122-128
• US Class Current: 607/116
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems

Abstract

A novel flexible and highly fatigue resistant neural lead is provided having a body with multiple lumens, one of which may receive a stiffening stylet, and the others of which serve as conduits for bundle stranded wire conductors which make contact with ring electrodes at the distal end of the lead. The ring electrodes will be constructed according to a novel technique in which the body of the lead is etched or milled to provide notches and the ring electrodes are formed by enplacing a C-shaped conductor over the notch and closing it into place to provide an isodiametric lead construction.

Claims

1. A body implantable lead comprising:

a lead body having proximal and distal ends;

at least one electrically conductive substantially annular electrode spaced along the distal end of the lead body, each of the electrodes having a discontinuity through a portion of each of the electrode members, the discontinuity forming opposed surfaces on each of the electrode members at opposite ends of the discontinuity, the opposing surfaces of the electrode members abutting and being securely fixed to one another;

a plurality of contacts spaced along the proximal end of the lead body; and

a plurality of conductors each connecting one of the electrode members to a respective one of the contacts.

2. The body implantable lead of claim 1 wherein the lead body has at least a first lumen for containing the conductors.

3. The body implantable lead of claim 1 wherein the lead body has a second lumen extending coaxially with the lead body, the second lumen adapted to receive a stylet therethrough.

4. The body implantable lead of claim 1 wherein the lead body has a notch formed in the insulative material of the lead body for each electrode member and each of the electrode members are positioned in the respective notches formed in the lead body.

5. The body implantable lead of claim 4 wherein the lead body and electrode members are isodiametric.

6. The body implantable lead of claim 1 wherein each of the contacts are substantially annular and has a discontinuity through a portion of each of the contacts, the discontinuity forming opposing surfaces on each of the contacts at opposite ends of the discontinuity, the opposing surfaces of the contacts abutting and being securely fixed to one another.

7. The body implantable lead of claim 6 wherein the lead body and the contacts are isodiametric.

8. A body implantable lead comprising:

a lead body having proximal and distal ends, the lead body having a plurality of notches formed along the distal and proximal ends;

a plurality of electrically conductive substantially annular electrode members positioned within the notches formed along the distal end of the lead body, the electrode members having a discontinuity through a portion of each of the electrode members, the discontinuity forming opposed surfaces on each of the electrode members at opposite ends of the discontinuity, the opposing surfaces of the electrode members abutting and being securely fixed to one another;

a plurality of contacts positioned within the notches formed along the proximal end of the lead body, each of the contacts being substantially annular and having a discontinuity through a portion of each of the contacts, the discontinuity forming opposed surfaces on each of the contacts at opposite ends of the discontinuity, the opposing surfaces of the contacts abutting and being securely fixed to one another;

at least a first lumen located within the lead body; and

a plurality of conductors located within the first lumen, each conductor connecting one of the electrode members to a respective one of the contacts.

9. The body implantable lead of claim 8 further comprising a second lumen formed in the lead body extending coaxially with the lead body, the second lumen adapted to receive a stylet therethrough.

10. A method for attaching an electrically conducting electrode to a distal end of a lead body having a distal and a proximal end, the lead body comprised of flexible insulative material, the lead body having at least one contact attached to the proximal end of the lead body, the method comprising the steps of:

fabricating a substantially annular electrically conductive electrode member having a discontinuity entirely through a portion of the electrode member so that the electrode member has the shape of a "C", the discontinuity forming opposed surfaces on the electrode member at opposite ends of the discontinuity;

placing the electrode member concentrically over the lead body at the distal end of the lead body;

closing the electrode member until the opposed surfaces of the electrode member abut to form a ring shaped electrode; and

securing the opposed surfaces of the electrode member together.

11. The method of claim 10 further comprising the step of forming an electrical connection between the electrode member and the contact.

12. The method of claim 11 wherein the step of forming an electrical connection includes the steps of forming a hole in the electrode member and electrically securing a first end of an electrical conductor in the hole formed in the electrode member and electrically securing a second end of the conductor to the contact on the lead body.

13. The method of claim 12 wherein the step of forming an electrical connection includes laser welding the conductor to the hole in the electrode member.

14. The method of claim 10 further comprising the steps of forming a notch in the insulative material of the lead body to accommodate the electrode member and placing the electrode member in the notch prior to closing the electrode member and thereafter closing the electrode member until the opposed surfaces of the electrode member abut to form a ring shaped electrode member.

15. The method of claim 14 wherein the steps of forming a notch and closing the electrode member include the steps of forming the notch in the lead body and fabricating an electrode member so that when the electrode member is placed in the notch formed in the lead body and the step of closing the electrode member until the opposed surfaces of the electrode member abut to form a ring shaped electrode member is performed, the resulting ring shaped electrode member and lead body are isodiametric.

16. A method for attaching an electrically conducting electrode to a distal end of a lead body having a distal and a proximal end, the lead body comprised of flexible insulative material, the lead body having at least one contact attached to the proximal end of the lead body, the method comprising the steps of:

fabricating a substantially annular electrically conductive electrode member having a discontinuity entirely through a portion of the electrode member so that the electrode member has the shape of a "C", the discontinuity forming opposed surfaces on the electrode member at opposite ends of the discontinuity;

forming a notch in the insulative material of the lead body to accommodate the electrode member;

placing the electrode member concentrically over the lead body at the distal end of the lead body and into the notch formed in the lead body;

closing the electrode member until the opposed surfaces of the electrode member abut to form a ring shaped electrode;

wherein the steps of fabricating an electrode member and forming a notch include the steps of fabricating an electrode member and forming the notch in the lead body so that when the electrode member is placed in the notch formed in the lead body and the step of closing the electrode member until the opposed surfaces of the electrode member abut to form a ring shaped electrode member is performed, the resulting ring shaped electrode member and lead body are isodiametric;

securing the opposed surfaces of the electrode member together; and

forming an electrical connection between the electrode member and the contact by forming a hole in the electrode member and laser welding a first end of an electrical conductor in the hole formed in the electrode member and electrically securing a second end of the conductor to the contact on the lead body.

17. A method of forming a ring electrode on a lead body, the lead body having distal and proximal ends and being comprised of flexible insulative material, the lead body having a conductor contained within the lead body, the method comprising the steps of:

closing a C-shaped electrically conducting member having opposing surfaces over the lead body until the opposing surfaces abut to form a ring electrode;

securing the opposing surfaces together when closed over the lead body;

establishing an electrical connection between the ring electrode and the conductor contained within the lead body by forming a hole in the C-shaped member for receiving an end of the conductor contained within the lead body.

18. The method of claim 17 wherein the step of establishing an electrical connection includes laser welding the conductor to the hole in the C-shaped member.