Medical electrical lead with fiber core

• US 6,516,230 B2
• Filed: 04/26/2000
• Issued: 02/04/2003
• Est. Priority Date: 04/26/2000
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Chivers, Bruce E., Williams, Terrell M.
• Primary Examiner(s): Jastrzab, Jeffrey R.
• Assistant Examiner(s): Oropeza, Frances P.
• Application Number:
  US09/559,161
• Publication Number:
  US 20020183818A1
• Time in Patent Office: 1,014 Days
• Field of Search: 600/372, 600/373, 600/374, 600/377, 600/382, 607/115, 607/116, 607/119, 607/126, 607/127, 607/131, 607/122
• US Class Current: 607/116
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 2001/0578 having means for removal or extraction

Abstract

A medical electrical lead, having an elongated lead body which includes an elongated insulative sheath having proximal and distal ends and which carries spaced first and second electrical components. The first and second electrical components are mechanically and electrically coupled to one another by a coil/core structure extending within the insulative sheath. The coil/core structure is made of lengths of fiber cord twisted around one another, with a metal coiled conductor wound around the lengths of twisted fiber cord. The coil/core structure may include two lengths of a single fiber cord, folded back upon itself to define a loop at one end thereof. The first electrical component may be provided with a longitudinal lumen extending therethrough and the fiber core may be tied into a knot located within the lumen of the first electrical component and the coil wound around the first electrical component. The second electrical component may be provided with a hook-shaped member hooked into the loop at the end of the fiber core.

Claims

1. A medical electrical lead, comprising:

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

an electrical connector positioned along the proximal portion of the lead body;

an electrode, positioned along the distal portion of the lead body, extending from a proximal end to a distal end and having a first loop formed along the proximal end; and

a core extending between the electrical connector and the electrode, the core having a second loop mechanically coupling the electrode and the core through the first loop;

a conductor coil extending about the core and electrically coupling the electrical connector and the electrode independent of the mechanical coupling.

2. The medical electrical lead of claim 1, wherein the core further comprises a single fiber cord folded and twisted to define the second loop.

3. The medical electrical lead of claim 1, wherein the electrode includes a helix portion and a shaft extending between the helix portion and the first loop, and wherein the conductor coil is electrically coupled to the electrode along the shaft.

4. The medical electrical lead of claim 3, further comprising a crimping sleeve crimping the conductor coil to the shaft to form the electrical coupling.

5. The medical electrical lead of claim 1, wherein the conductor coil includes a plurality of filars extending about the core and providing approximately 20% compression of the core.

6. The medical electrical lead of claim 1, further comprising an outer metal sleeve surrounding the first loop and the second loop.

7. The medical electrical lead of claim 1, wherein the electrical connector is a tubular member having a longitudinal lumen extending therethrough, the lumen including a first section having a first diameter and a second section having a second diameter greater than the first diameter, and wherein the core extends through the first section and includes a knot formed within the second section.

8. The medical electrical lead of claim 1, wherein the electrical connector extends from a proximal end to a distal end and includes a distally extending protrusion positioned along the distal end having a non-circular, generally arcuate cross-section and a length enabling winding of the conductor coil about the protrusion and the core.

9. The medical electrical lead of claim 1, wherein the electrical connector extends from a proximal end to a distal end and includes a proximally extending protrusion positioned along the proximal end having a non-circular, generally arcuate cross-section and a length enabling winding of the conductor coil about the protrusion and the core.

10. A medical electrical lead, comprising:

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

an electrical connector positioned along the proximal portion of the lead body;

an electrode, positioned along the distal portion of the lead body, extending from a proximal end to a distal end and having a first loop formed along the proximal end, the electrode including a helix portion and a shaft extending between the helix portion and the first loop;

a core extending between the electrical connector and the electrode, the core having a second loop mechanically coupling the electrode and the core through the first loop; and

a conductor coil extending about the core and electrically coupling the electrical connector and the electrode independent of the mechanical coupling, wherein the conductor coil is electrically coupled to the electrode along the shaft.

11. The medical electrical lead of claim 10, wherein the core further comprises a single fiber cord folded and twisted to define the second loop.

12. The medical electrical lead of claim 10, further comprising a crimping sleeve crimping the conductor coil to the shaft to form the electrical coupling.

13. The medical electrical lead of claim 10, wherein the conductor coil includes a plurality of filars extending about the core and providing approximately 20% compression of the core.

14. The medical electrical lead of claim 10, further comprising an outer metal sleeve surrounding the first loop and the second loop.

15. The medical electrical lead of claim 10, wherein the electrical connector is a tubular member having a longitudinal lumen extending therethrough, the lumen including a first section having a first diameter and a second section having a second diameter greater than the first diameter, and wherein the core extends through the first section and includes a knot formed within the second section.

16. The medical electrical lead of claim 10, wherein the electrical connector extends from a proximal end to a distal end and includes a distally extending protrusion positioned along the distal end having a non-circular, generally arcuate cross-section and a length enabling winding of the conductor coil about the protrusion and the core.

17. The medical electrical lead of claim 10, wherein the electrical connector extends from a proximal end to a distal end and includes a proximally extending protrusion positioned along the proximal end having a non-circular, generally arcuate cross-section and a length enabling winding of the conductor coil about the protrusion and the core.

18. A medical electrical lead, comprising:

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

an electrical connector positioned along the proximal portion of the lead body and having a longitudinal lumen extending therethrough, the lumen including a first section having a first diameter and a second section having a second diameter greater than the first diameter, and wherein the core extends through the first section and includes a knot formed within the second section;

an electrode, positioned along the distal portion of the lead body, extending from a first proximal end to a first distal end and having a first loop formed along the first proximal end, the electrode including a helix portion and a shaft extending between the helix portion and the first loop;

a fiber cord extending between the electrical connector and the electrode, the fiber cord being folded and twisted to define a second loop mechanically coupling the electrode and the core through the first loop; and

a conductor coil extending about the core and electrically coupling the electrical connector and the electrode independent of the mechanical coupling, wherein the conductor coil is electrically coupled to the electrode along the shaft, and wherein the electrical connector extends from a second proximal end to a second distal end and includes a distally extending first protrusion positioned along the second distal end having a non-circular, generally arcuate cross-section and a length enabling winding of the conductor coil about the first protrusion and the core.

19. The medical electrical lead of claim 18, wherein the electrical connector includes a proximally extending second protrusion positioned along the second proximal end having a non-circular, generally arcuate cross-section and a length enabling winding of the conductor coil about the second protrusion and the fiber cord.

20. The medical electrical lead of claim 19, further comprising:

a crimping sleeve crimping the conductor coil to the shaft to form the electrical coupling; and

an outer metal sleeve surrounding the first loop and the second loop, wherein the conductor coil includes a plurality of filars extending about the fiber cord and providing approximately 20% compression of the fiber cord.