Medical neurological lead with integral fixation mechanism

• US 5,865,843 A
• Filed: 04/23/1997
• Issued: 02/02/1999
• Est. Priority Date: 04/23/1997
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Baudino, Michael David
• Primary Examiner(s): Getzow, Scott M.
• Application Number:
  US08/842,158
• Time in Patent Office: 650 Days
• Field of Search: 600/375, 607/131, 607/132, 607/120, 607/126, 607/116, 604/27
• US Class Current: 607/116
• CPC Class Codes: A61N 1/0558 Anchoring or fixation means therefor

Abstract

A medical, neurological lead includes structure preferably integral to the lead. A helical anchor is raised or channeled into the exterior of the lead. A companion helical valley extends alongside a helical protuberance. Both are created in the lead during the process of its formation, by suitable casting or extrusion or other techniques. Soft tissue and a fibrotic sheath form about the valley and protuberance of the lead such that the lead is fixed longitudinally and laterally, acutely and chronically, by the anchor. The pitch of the valley and protuberance relative to the longitudinal axis of the lead, and the smoothness of the exterior of the lead, are chosen such that the lead may, if and when necessary, be literally screwed from the body, by turn of the lead.

Claims

1. A medical, neurological lead for such use as electrical signal and/or drug delivery comprising:

an elongated body with a distal portion, a central portion and a proximal portion, said body including delivery means extending to said distal portion;

an external, helical anchor created by grooves on said body, said grooves extending from said proximal portion to said central portion of said body; and

a non-porous exterior surface extending from said central portion to said distal portion of said body.

2. A medical, neurological lead for such use as electrical signal delivery comprising:

an elongated body with a distal portion, a central portion and a proximal portion, said body including electrical signal delivery means extending to said distal portion;

an external, helical anchor created by helical valleys and companion protuberances on said body, said helical valleys and companion protuberances extending from said proximal portion to said central portion of said body; and

a non-porous exterior surface extending from said central portion to said distal portion of said body.

3. The medical, neurological, electrical signal delivery lead as in claim 2, wherein said electrical signal delivery means is an implantable lead having at least one electrode.

4. The medical, neurological, electrical signal delivery lead as in claim 2, wherein said helical valley is a groove and said protuberance being a land.

5. The medical, neurological, electrical signal delivery lead as in claim 2, wherein said helical anchor includes a single helical valley and a single, companion helical protuberance.

6. The medical, neurological, electrical signal delivery lead as in claim 2, wherein said helical anchor extends substantially throughout said central portion of said lead to said distal portion.

7. The medical, neurological, electrical signal delivery lead as in claim 2, said lead including at least one electrode and said anchor extending to adjacent said electrode.

8. The medical, neurological lead as in claim 2, wherein a surface of said exterior of said lead and anchor being smooth as to tissue ingrowth.

9. A medical, neurological lead for such use as drug delivery comprising:

an elongated body with a distal portion, a central portion and a proximal portion, said body including drug delivery means extended to said distal portion; and

an external, helical anchor created by helical valleys and companion protuberances on said body, said helical valleys and protuberances extending from said proximal portion to said central portion of said body.

10. The medical, neurological, drug delivery lead as in claim 9, wherein said drug delivery means is a catheter.

11. A method for inserting a medical, neurological lead into a human body, said lead having helical grooves created by helical valleys and companion protuberances on an outermost circumferential surface of said lead, comprising the steps of:

a) engaging body tissue by said lead;

b) helically advancing said lead by moving said lead in a substantially longitudinal direction relative to any surrounding soft said body tissue to position said lead; and

c) forming a fibrotic sheath around said lead by allowing said body tissue to close and heal around said lead whereby said lead is anchored in place.

12. The method of claim 11 further comprising the steps of:

d) connecting said lead to a drug delivery means for dispensing therapeutic drugs to body organs through an internal and open core of said lead to said body tissue.

13. The method of claim 11 further comprising the step of:

d) connecting said lead to an electrical signal delivery means for providing electrical stimulation to said body tissue.

14. The method of claim 11, 12 or 13 further comprising the step of:

e) retracting said lead by gripping and rotating said lead such that said lead is helically spun and moved substantially longitudinally out of said body tissue.