Extendable and retractable lead having a snap-fit terminal connector

• US 7,392,095 B2
• Filed: 07/01/2005
• Issued: 06/24/2008
• Est. Priority Date: 07/22/1998
• Status: Expired due to Fees

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Shiroff, Jason Alan, Ley, Gregory R., Skubitz, Jason, Soltis, Brian David, Knapp, Christopher Paul, Werlein, Carol, Brenzel, Michael, Hum, Larry L., Flynn, David M.
• Primary Examiner(s): Layno; Carl
• Assistant Examiner(s): MORALES, JON ERIC C
• Application Number:
  US11/173,664
• Publication Number:
  US 20050267557A1
• Time in Patent Office: 1,089 Days
• Field of Search: 607/2, 607 36- 38, 607115-116, 607/119, 607122-123, 607/12, 600372-375, 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 for a medical device, the lead comprising:

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

at least one conductor disposed within the lead body and extending from the proximal end portion;

an electrically conductive terminal pin disposed at the proximal end portion of the lead body, the electrically conductive terminal pin having at least recess;

an insulative sleeve coupled with the electrically conductive terminal pin with a snap-fit connection; and

the snap-fit connection includes 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, and the terminal pin is rotatable relative to the sleeve.

2. The lead as recited in claim 1, 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.

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

4. The lead as recited in claim 1, further comprising an outer terminal ring coupled with the insulative sleeve.

5. The lead as recited in claim 4, wherein the sleeve further comprises a positive stop for the outer terminal ring.

6. The lead as recited in claim 4, wherein the sleeve comprises a snap-fit coupling disposed proximate to the outer terminal ring.

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

8. The lead as recited in claim 7, wherein the non-conductive coating is disposed on the outer surface of the terminal pin.

9. The lead as recited in claim 8, wherein non-conductive material is disposed between the outer terminal ring and the terminal pin.

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

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

12. The lead as recited in claim 1, further comprising

the sleeve including a projection mated with a recess within the terminal pin, and the projection comprises an annular projection disposed about a circumference of the sleeve, and the recess comprises an annular recess disposed about a circumference of the terminal pin;

and

the terminal pin is rotatable relative to the lead body and the sleeve, the terminal pin coupled with a fixation member, rotation of the terminal pin rotates the fixation member.

13. The lead as recited in claim 1, further comprising a male component on the terminal pin and a female component on the sleeve.

14. The lead as recited in claim 13, wherein the male component comprises an annular projection and the female component comprises an annular recess.

15. The lead as recited in claim 12, further comprising an active fixation mechanism disposed proximate to the distal end of the lead body, the active fixation mechanism including a movement assembly coupled therewith;

the movement assembly configured to extend and retract the active fixation mechanism, the movement assembly including;

an internally threaded portion; and

an externally threaded collar engaged with the internally threaded portion.

16. The lead as recited in claim 1, further comprising

an active fixation mechanism disposed proximate to the distal end of the lead body, the active fixation mechanism including a movement assembly coupled therewith;

the movement assembly configured to extend and retract the active fixation mechanism, the movement assembly including;

a housing having an internally threaded portion; and

an externally threaded collar engaged with the internally threaded portion.

17. The lead as recited in claim 16, wherein the movement assembly further comprises an internally threaded insert disposed within the lead body, where the threaded collar is engaged with the threaded insert.

18. The lead as recited in claim 16, wherein the externally threaded collar comprises an electrode base.

19. The lead as recited in claim 16, further comprising a fixation helix coupled with an externally threaded electrode base, and an outer threaded shell having internal threads, the outer threaded shell disposed within the distal end of the lead body, the outer threaded shell threadingly coupled with the electrode base.

20. The lead as recited in claim 19, wherein the conductor is mechanically and electrically coupled with the terminal pin and the fixation helix such that as the terminal pin is rotated, the fixation helix is rotated.