Coronary sinus channel lead and method

• US 5,476,498 A
• Filed: 08/15/1994
• Issued: 12/19/1995
• Est. Priority Date: 08/15/1994
• Status: Expired due to Term

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: InControl, Inc. (Daikin Industries Ltd)
• Inventors: Ayers, Gregory M.
• Primary Examiner(s): Kamm, William L.
• Assistant Examiner(s): SCHAETZLE, KENNEDY
• Application Number:
  US08/290,606
• Time in Patent Office: 491 Days
• Field of Search: 607/119, 607/116, 607/122, 607/126, 128/642
• US Class Current: 607/122
• CPC Class Codes: A61N 1/0563 specially adapted for defibrillation or cardioversion
• CPC Class Codes: A61N 2001/0585 Coronary sinus electrodes

Abstract

An intravenous lead for use with a cardiac device for implantation in the coronary sinus or the coronary sinus and great cardiac vein of the heart provides positive fixation for the lead when implanted in the coronary sinus or the coronary sinus and great vein of the heart. The lead includes a lead body adapted to be fed into the coronary sinus and great 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 is a left-handed turned coiled section which provides superior positive fixation of the lead as compared to right-handed turned coiled sections for use in the coronary sinus and great cardiac vein.

Claims

1. An intravenous lead for use with a cardiac device and for implantation and fixation within the coronary sinus or the coronary sinus and great vein of a human heart, said lead comprising:

a lead body adapted to be fed into the coronary sinus and great vein of the heart; and

at least one electrode carried by said lead body and adapted to be coupled to said cardiac device,

said lead body including a left-handed turned coiled section.

2. An intravenous lead for use with a cardiac device and for implantation and fixation within the coronary sinus or the coronary sinus and great vein of a human heart, said lead comprising:

an inner stylet coil;

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

an elongated electrode overlying said electrically insulative jacket,

said inner styler coil including a left-handed turned coiled portion for imparting a left-handed turned coiled configuration to said lead.

3. A lead as defined in claim 2 wherein said elongated electrode overlies said coiled portion.

4. A lead as defined in claim 2 wherein said lead has a distal end, and wherein said elongated electrode and said coiled portion are located at said distal end of said lead.

5. A method of implanting an intravenous cardiac lead within the coronary sinus or the coronary sinus and great 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 coronary sinus or great vein of the heart; and

imparting a left-handed turned coiled configuration to said lead body for making substantially continuous surface contact with inner wall surfaces of the coronary sinus or great vein.

6. A method as defined in claim 5 wherein said providing step includes preforming a section of said lead body into a resiliently coiled left-handed turned configuration to form a preformed left-handed turned coiled section, wherein said feeding step includes feeding said lead body with said preformed left-handed turned coiled section elongated so as to be feedable into the coronary sinus or coronary sinus and great vein of the heart, and wherein said imparting step includes releasing the elongation of said preformed left-handed turned coiled section after the lead is fed to said predetermined position within the coronary sinus or coronary sinus and great vein of the heart to permit said preformed left-handed turned coiled section to assume said left-handed turned coiled configuration.

7. A method as defined in claim 6 wherein said providing step includes providing an electrode on said lead body overlying said preformed left-handed turned coiled section.

8. A method as defined in claim 5 wherein said lead body includes an inner styler coil, wherein said providing step includes preforming a section of said stylet coil into a left-handed turned coiled configuration to impart to said lead body a preformed resilient left-handed turned coiled section, wherein said feeding step includes feeding said lead body with said preformed resilient left-handed turned coiled section elongated so as to be feedable into the coronary sinus or the coronary sinus and great vein of the heart, and wherein said imparting step includes releasing the elongation of said preformed resilient left-handed turned coiled section after the lead is fed to said predetermined position of the heart to permit said preformed resilient left-handed turned coiled section to assume said left-handed turned coiled configuration.

9. A method as defined in claim 8 wherein said providing step includes providing an elongated electrode on said lead body overlying said preformed left-handed turned coiled section.

10. A method as defined in claim 9 wherein said lead has a distal end and wherein said providing step includes providing said elongated electrode on said lead body distal end.

11. A method as defined in claim 10 wherein said predetermined position corresponds to said elongated electrode being within the coronary sinus or great vein of the heart.

12. A method as defined in claim 5 wherein said providing step includes providing an elongated electrode on said lead body and preforming a section of said elongated electrode into a left-handed turned coiled configuration to impart to said lead body a preformed resilient left-handed turned coiled section, wherein said feeding step includes feeding said lead body with said preformed resilient left-handed turned coiled section elongated so as to be feedable into the coronary sinus or coronary sinus and great vein of the heart, and wherein aid imparting step includes releasing the elongation of said preformed resilient left-handed turned coiled section after the lead is fed to said predetermined position of the heart to permit said preformed resilient left-handed turned coiled section to assume said coiled configuration.

13. A method as defined in claim 12 wherein said lead has a distal end and wherein said providing step includes providing said elongated electrode on said lead body distal end.

14. A method as defined in claim 13 wherein said predetermined position corresponds to said elongated electrode being within the coronary sinus or great vein of the heart.

15. An intravenous lead for use with a cardiac device and for implantation and fixation within an artery or vein of the heart wherein the artery or vein has a direction of curvature, said lead comprising:

a lead body adapted to be fed into the artery or vein of the heart; and

at least one electrode carried by said lead body and adapted to be coupled to said implantable cardiac device,

said lead body including a coiled section, the coiled section being turned in a direction opposite the direction of curvature of the artery or vein.

16. A method of implanting an intravenous cardiac lead within an artery or a vein of the human heart, wherein the artery or vein has a direction of curvature, 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, said coiled configuration being turned in a direction opposite the direction of curvature of the artery or vein.