Extendable and retractable lead

• US 6,463,334 B1
• Filed: 07/22/1999
• Issued: 10/08/2002
• Est. Priority Date: 11/02/1998
• Status: Expired due to Term

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Shiroff, Jason Alan, Skubitz, Jason, Soltis, Brian David, Brenzel, Michael, Hum, Larry L., Ley, Gregory R., Flynn, David M., Knapp, Christopher Paul, Werlein, Carol
• Primary Examiner(s): Schaetzle, Kennedy
• Assistant Examiner(s): DROESCH, KRISTEN L
• Application Number:
  US09/359,580
• Time in Patent Office: 1,174 Days
• Field of Search: 607/116, 607/119, 607/122, 607/127, 607/126, 607/130, 607/131, 607/128, 439/909, 600/372, 600/375, 600/377, 600/381
• US Class Current: 607/127
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/0573 chacterised by means penetrating the heart tissue, e.g. helix needle or hook
• CPC Class Codes: A61N 1/3752 Details of casing-lead connections
• CPC Class Codes: Y10S 439/909 Medical use or attached to human body

Abstract

A lead having an extendable and retractable fixation mechanism has a rotating terminal pin at the terminal end which rotates the fixation mechanism at the distal end. As the terminal pin is rotated, the fixation mechanism is extended or retracted from the distal end of the lead. A threaded collar allows for the fixation mechanism to smoothly extend and retract from the lead, and allows for a 1:1 turn ratio between the terminal pin and the fixation mechanism. A fluoroscopic ring disposed at the distal end of the lead provides information during the implantation process.

Claims

1. A lead comprising:

a lead body extending from a distal end to a proximal end;

a conductor disposed within the lead body and extending from the distal end to the proximal end of the lead body;

an outer terminal ring coupled with the lead body;

a terminal pin disposed at the proximal end of the lead body; and

a sleeve is coupled with the outer terminal ring with a non-orientation specific snap-fit connection, and the sleeve is coupled with the terminal pin with a snap-fit connection, wherein the snap-fit connection comprises a rotatable snap-fitted connection that allows rotation of the terminal pin relative to the sleeve after the sleeve is snap-fittedly coupled with the terminal pin.

2. The lead as recited in claim 1, further comprising a conductor disposed within the lead body, a fixation helix mechanically and electrically coupled with the terminal pin and the conductor such that as the terminal pin is rotated, the fixation helix is rotated.

3. The lead as recited in claim 1, wherein the snap-fit connection comprises an annular flange received in a recess.

4. The lead as recited in claim 3, wherein the annular flange is disposed on the outer terminal ring.

5. The lead as recited in claim 3, wherein the annular flange further comprises a tapered surface.

6. The lead as recited in claim 1, wherein the sleeve is formed from non-conductive material.

7. The lead as recited in claim 1, wherein the sleeve further comprises a positive stop for the outer terminal ring.

8. The lead as recited in claim 1, wherein the sleeve comprises a snap-fit coupling disposed proximate to the outer terminal ring.

9. The lead as recited in claim 1, wherein at least the sleeve is coated with a non-conductive material.

10. The lead as recited in claim 9, wherein the non-conductive coating is disposed on the outer surface of the terminal pin.

11. The lead as recited in claim 9, wherein non-conductive material is disposed between the outer terminal ring and the terminal pin.

12. The lead as recited in claim 9, wherein a non-conductive coating is disposed on the inner surface of the outer terminal ring.

13. The lead as recited in claim 1, wherein the sleeve forms an insulator between the outer terminal ring and the terminal pin.

14. The lead as recited in claim 1, wherein the sleeve is formed of polyetheretherketone.

15. A lead comprising:

a lead body extending from a distal end to a proximal end;

a conductor disposed within the lead body and extending from the distal end to the proximal end of the lead body;

a connector assembly including an outer terminal ring, a sleeve, and a terminal pin;

the sleeve rotatably coupled with the terminal pin;

an electrode base coupled with the conductor proximate to the distal end of the lead body, the electrode base including external threads;

an active fixation element coupled with the electrode base;

an outer insulative threaded shell coupled with the lead body, the outer insulative threaded shell having internal threads, the electrode base threadingly coupled with the outer threaded shell; and

the conductor mechanically and electrically coupled with the terminal pin and the active fixation element, and as the terminal pin is rotated, the active fixation element and the electrode base are rotated.

16. The lead as recited in claim 15, wherein the outer threaded shell is formed of polyetheretherketone.

17. The lead as recited in claim 15, further comprising a second outer shell coupled with the outer threaded shell, the second outer shell comprising a stop for the electrode base, the stop blocking rotation of the electrode base.

18. The lead as recited in claim 17, wherein the second outer shell is formed of polyetheretherketone.

19. The lead as recited in claim 17, wherein the outer threaded shell is coupled with the second outer shell with epoxy.

20. The lead as recited in claim 19, wherein the outer threaded shell is formed of polyetheretherketone and the second outer shell is formed of polyetheretherketone.

21. The lead as recited in claim 15, further comprising a fluoroscopic ring disposed about the active fixation element.

22. The lead as recited in claim 15, wherein the internal threads include a stop for the electrode base, wherein the stop prevents rotation of the electrode base.

23. The lead as recited in claim 15, further comprising a system having an electronics system including a pulse generator which produces and/or receives electric pulses.

24. A lead comprising:

a lead body extending from a distal end to a proximal end;

a conductor disposed within the lead body and extending from the distal end to the proximal end of the lead body;

an outer terminal ring coupled with the lead body;

a rotatable terminal pin disposed at the proximal end of the lead body;

a sleeve is rotatably coupled with a snap-fit connection with the outer terminal ring or the terminal pin, the sleeve is rotatable about the pin after the snap-fit connection of the sleeve;

an electrode base coupled with the conductor proximate to the distal end of the lead body;

an outer threaded shell coupled with the lead body, the electrode base threadingly coupled with the outer threaded shell; and

a fixation helix, the conductor mechanically and electrically coupled with the terminal pin and the fixation helix, and as the terminal pin is rotated, the fixation helix and the electrode base are rotated.

25. The lead as recited in claim 24, wherein the sleeve is formed of polyetheretherketone.

26. The lead as recited in claim 24, wherein the outer threaded shell is formed of polyetheretherketone.

27. The lead as recited in claim 24, further comprising a second outer shell coupled with the outer threaded shell, the second outer shell comprising a stop for the electrode base.

28. The lead as recited in claim 27, wherein the second outer shell is formed of polyetheretherketone.

29. The lead as recited in claim 27, wherein the outer threaded shell is coupled with the second outer shell with epoxy.

30. The lead as recited in claim 29, wherein the outer threaded shell is formed of polyetheretherketone and the second outer shell is formed of polyetheretherketone.

31. The lead as recited in claim 24, further comprising a fluoroscopic ring disposed at the distal end of the lead body.

32. The lead as recited in claim 24, wherein the outer threaded shell includes internal threads, and the internal threads have a stop for the electrode base.

33. The lead as recited in claim 24, further comprising a system having an electronics system including a pulse generator which produces and/or receives electric pulses.

34. A lead comprising:

a lead body extending from a distal end to a proximal end;

a conductor disposed within the lead body and extending from the distal end to the proximal end of the lead body;

an outer terminal ring coupled with the lead body;

a terminal pin disposed at the proximal end of the lead body; and

a sleeve disposed between the outer terminal ring and the terminal pin;

a means for snap-fittedly coupling the sleeve with the outer terminal ring and/or the terminal pin;

an electrode base coupled with the conductor proximate to the distal end of the lead body, the electrode base including external threads;

an active fixation element coupled with the electrode base; and

an outer threaded shell formed of polyetheretherketone coupled with the lead body, the outer threaded shell having internal threads, the electrode base threadingly coupled with the outer threaded shell.

35. The lead as recited in claim 34, wherein the sleeve is rotatably coupled with the outer terminal ring.

36. The lead as recited in claim 34, wherein the means for coupling the sleeve comprises an annular flange received in a recess.

37. The lead as recited in claim 34, wherein the sleeve is formed from non-conductive material.

38. The lead as recited in claim 34, wherein the sleeve further comprises a positive stop for the outer terminal ring.

39. The lead as recited in claim 34, wherein the sleeve is coupled with the outer terminal ring and the terminal pin with a snap-fit connection.

40. The lead as recited in claim 34, wherein the sleeve forms an insulator between the outer terminal ring and the terminal pin.

41. The lead as recited in claim 34, wherein the sleeve is formed of polyetheretherketone.