Apparatus and method for shunting induced currents in an electrical lead

• US 6,871,091 B2
• Filed: 10/31/2001
• Issued: 03/22/2005
• Est. Priority Date: 10/31/2001
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Reinke, James D., Zeijlemaker, Volkert A., Wilkinson, Jeffrey D.
• Primary Examiner(s): Jastrzab, Jeffrey R.
• Assistant Examiner(s): Oropeza, Frances P.
• Application Number:
  US09/999,381
• Publication Number:
  US 20030083723A1
• Time in Patent Office: 1,238 Days
• Field of Search: 607/2, 607/30, 607/31, 607/115, 607/119, 607/121, 607/122
• US Class Current: 607/2
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/086 Magnetic resonance imaging [MRI] compatible leads

Abstract

An electrical lead includes an elongate body having a proximal end portion and a distal end portion, a first electrode disposed adjacent and joined to the distal end portion of the elongate body, and a first conductor extending between the proximal end portion and the distal end portion of the elongate body and being electrically coupled to the first electrode. The medical electrical lead further comprises a second electrode disposed adjacent the first electrode and joined to the elongate body and a capacitive device electrically coupled to the first conductor and the second electrode.

Claims

1. An electrical lead, comprising:

an elongate body having a proximal end portion and a distal end portion;

a first electrode joined to the distal end portion of the elongate body;

a first conductor extending within the elongate body between the proximal end portion and the distal end portion and being electrically coupled to the first electrode;

a second electrode disposed adjacent the first electrode and joined to the elongate body;

a second conductor extending within the elongate body between the proximal end portion and the distal end portion and being electrically coupled to the second electrode; and

a capacitive device electrically coupling the first conductor to the second electrode within the elongate body;

wherein the first electrode serves as a cathode and the second electrode serves as an anode for bipolar pacing and sensing of body tissue; and

the capacitive device has an electrical impedance substantially less than an electrical impedance of the body tissue at signal frequencies associated with MRI and diathermy and has an electrical impedance substantially greater than an electrical impedance of the body tissue at signal frequencies used for pacing and sensing.

2. An electrical lead, according to claim 1, wherein:

the second electrode is formed as a tube;

the capacitive device comprises a capacitor mounted within the second electrode and including a central contact and a peripheral contact;

the first conductor is electrically coupled with the central contact; and

the second electrode is electrically coupled with the peripheral contact.

3. An electrical lead, according to claim 1, wherein a surface area of the second electrode is at least three times a surface area of the first electrode.

4. An electrical lead, according to claim 1, wherein the capacitive device has a capacitance on the order of one nanofarad.

5. An electrical lead, according to claim 1, wherein the electrical impedance of the capacitive device at signal frequencies associated with MRI arid diathermy is no more than about 20 percent of the electrical impedance of the body tissue.

6. An electrical lead, according to claim 1, wherein the electrical impedance of the capacitive device at signal frequencies used for pacing and sensing is about ten times that of the electrical impedance of the body tissue.

7. An electrical lead, according to claim 2, wherein:

the capacitive device further includes a first end cap joined to a first end of the second electrode, a second end cap joined to a second end of the second electrode, and a central conductor forming a portion of the first conductor;

the capacitor includes a first capacitor electrically coupled to the first end cap, a second capacitor electrically coupled to the second end cap; and

the central conductor extends within the second electrode between the first capacitor and the second capacitor.

8. A medical device, comprising:

a control unit;

an elongate body having a proximal end portion coupled with the control unit and a distal end portion;

a first electrode joined to the distal end portion of the elongate body;

a first conductor extending within the elongate body between the proximal end portion and the distal end portion and being electrically coupled to the first electrode and the control unit;

a second electrode disposed adjacent the first electrode and joined to the elongate body;

a second conductor extending within the elongate body between the proximal end portion and the distal end portion and being electrically coupled to the second electrode; and

a capacitive device electrically coupling the first conductor to the second electrode within the elongate body;

wherein the first electrode serves as a cathode and the second electrode serves as an anode for bipolar pacing and sensing of body tissue; and

the capacitive device has an electrical impedance substantially less than an electrical impedance of the body tissue at signal frequencies associated with MRI and diathermy and has an electrical impedance substantially greater than an electrical impedance of the body tissue at signal frequencies used for pacing and sensing.

9. A medical device, according to claim 8, wherein:

the second electrode is formed as a tube;

the capacitive device comprises a capacitor mounted within the second electrode and including a central contact and a peripheral contact;

the first conductor is electrically coupled with the central contact; and

the second electrode is electrically coupled with the peripheral contact.

10. A medical device, according to claim 8, wherein

the electrical impedance of the capacitive device at signal frequencies associated with MRI and diathermy is no more than about 20 percent of the electrical impedance of the body tissue.

11. A medical device, according to claim 8, wherein

the electrical impedance of the capacitive device at signal frequencies used for pacing and sensing is about ten times that of the electrical impedance of the body tissue.

12. A medical device, according to claim 8, wherein a surface area of the second electrode is at least three times a surface area of the first electrode.

13. A medical device, according to claim 8, wherein the capacitive device has a capacitance on the order of one nanofarad.

14. A medical device, according to claim 9, wherein:

the capacitive device further includes a first end cap joined to a first end of the second electrode, a second end cap joined to a second end of the second electrode, and a central conductor forming a portion of the first conductor;

the capacitor includes a first capacitor electrically coupled to the first end cap, a second capacitor electrically coupled to the second end cap; and

the central conductor extends within the second electrode between the first capacitor and the second capacitor.

15. An electrical lead, comprising:

an elongate body having a proximal end portion and a distal end portion;

no more than two electrode surfaces joined the elongate body and including a first electrode surface disposed along the distal end portion and a second electrode surface disposed adjacent the first electrode surface and forming a part of a shunting assembly;

a conductor extending within the elongate body between the proximal end portion and the distal end portion and being electrically coupled to the first electrode surface; and

a capacitive device electrically coupling the conductor to the second electrode surface within the elongate body and forming another part of the shunting assembly;

wherein the first electrode surface serves as a cathode for pacing and sensing of body tissue; and

the capacitive device has an electrical impedance substantially less than an electrical impedance of the body tissue at higher signal frequencies associated with MRI and diathermy and has an electrical impedance substantially greater than an electrical impedance of the body tissue at lower signal frequencies used for pacing and sensing so that only the higher frequency signals are conducted to the second electrode surface.

16. An electrical lead, according to claim 15, wherein the capacitive device has a capacitance on the order of one nanofarad.

17. An electrical lead, according to claim 15, wherein the electrical impedance of the capacitive device at signal frequencies associated with MRI and diathermy is no more than about 20 percent of the electrical impedance of the body tissue.

18. An electrical lead, according to claim 15, wherein the electrical impedance of the capacitive device at signal frequencies used for pacing and sensing is about ten times that of the electrical impedance of the body tissue.

19. An electrical lead, according to claim 15, wherein an area of the second electrode surface is at least three times an area of the first electrode surface.

20. An electrical lead, according to claim 15, wherein:

the second electrode surface is formed as a tube;

the capacitive device comprises a capacitor mounted within the second electrode surface and including a central contact and a peripheral contact;

the first conductor is electrically coupled with the central contact; and

the second electrode is electrically coupled with the peripheral contact.

21. An electrical lead, according to claim 20, wherein:

the capacitive device further includes a first end cap joined to a first end of the second electrode surface, a second end cap joined to a second end of the second electrode surface, and a central conductor forming a portion of the first conductor;

the capacitor includes a first capacitor electrically coupled to the first end cap, a second capacitor electrically coupled to the second end cap; and

the central conductor extends within the second electrode surface between the first capacitor and the second capacitor.