Lead retention means

• US 7,463,933 B2
• Filed: 06/17/2004
• Issued: 12/09/2008
• Est. Priority Date: 02/04/2004
• Status: Expired due to Fees

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Sommer, John L., Erlebacher, Jay A., Wahlstrom, Dale A.
• Primary Examiner(s): BOCKELMAN, MARK
• Application Number:
  US10/870,211
• Publication Number:
  US 20050171588A1
• Time in Patent Office: 1,636 Days
• Field of Search: 607/116, 607/118, 607/126, 607/128, 607130-131, 607122-123, 600373-375, 606/72, 604/175
• US Class Current: 607/126
• CPC Class Codes: A61N 1/057 Anchoring means; Means for fixing the head inside the heart
• CPC Class Codes: A61N 2001/0585 Coronary sinus electrodes

Abstract

An elongate body of a medical device includes at least one retaining segment extending along a length of the body, the retaining segment including a plurality of fish-like scales directed in a first common direction.

Claims

1. A medical lead, comprising:

an elongate body having an electrical conductor therein;

a first retaining segment, extending along a length of the body, forming a first fixed portion of an outer surface of the body and including a first end and a first plurality of projections extending in a first direction from the first portion of the outer surface, each of the first plurality of projections including a terminal edge directed toward the first end; and

a second retaining segment, longitudinally separate and detached from the first retaining segment, extending along another length of the body, forming a second fixed portion of the outer surface of the body and including a second end opposite the first end, and a second plurality of projections extending in a second direction opposite the first direction from the second fixed portion of the outer surface, each of the second plurality of projections including a terminal edge directed toward the second end;

wherein the first plurality of projections and the second plurality of projections are formed from a bioabsorbable material and are adapted to interfere with a wall of a vessel to retain the body within the vessel.

2. The medical lead of claim 1, wherein the first retaining segment is positioned proximal to the second retaining segment.

3. The medical lead of claim 1, wherein the first retaining segment and the second retaining segment each extend about an entire circumference of the body.

4. The medical lead of claim 1, wherein the first retaining segment and the second retaining segment each extend about a portion of a circumference of the body.

5. The medical lead of claim 1, wherein the body includes an elongate outer sheath and the first retaining segment and the second retaining segment are each an integral part of the sheath.

6. The medical lead of claim 1, wherein the first retaining segment and the second retaining segment are formed on a collar positioned about the body.

7. The medical lead of claim 1, further comprising a tubular structure deployable over the first plurality of projections and the second plurality of projections.

8. The medical lead of claim 1, wherein the body includes at least one pre-formed curve in proximity to the first retaining segment and the second retaining segment.

9. The medical lead of claim 1, wherein the first plurality of projections and the second plurality of projections are barb-like.

10. The medical lead of claim 1, wherein the first plurality of projections and the second plurality of projections are fish scale-like.

11. A medical lead, comprising:

an elongate body having an electrical conductor therein;

a first retaining segment, extending along a length of the body, forming a first fixed portion of an outer surface of the body and including a first end and a first plurality of projections extending from the first portion of the outer surface, each of the first plurality of projections including a terminal edge directed toward the first end; and

a second retaining segment, longitudinally separate and detached from the first retaining segment, extending along another length of the body, forming a second fixed portion of an outer surface of the body and including a second end opposite the first end and a second plurality of projections extending from the second fixed portion of the outer surface, each of the second plurality of projections including a terminal edge directed toward the second end, wherein the first plurality of projections and the second plurality of projections are adapted to interfere with a wall of a vessel to retain the body within the vessel, the first retaining segment and the second retaining segment are formed on a collar positioned about the body, and the collar is formed from a bioabsorbable material.

12. A medical lead, comprising:

an elongate body having an electrical conductor therein;

a first retaining segment, extending along a length of the body, forming a first fixed portion of an outer surface of the body and including a first end and a first plurality of projections extending from the first portion of the outer surface, each of the first plurality of projections including a terminal edge directed toward the first end;

a second retaining segment, longitudinally separate and detached from the first retaining segment, extending along another length of the body, forming a second fixed portion of an outer surface of the body and including a second end opposite the first end and a second plurality of projections extending from the second fixed portion of the outer surface, each of the second plurality of projections including a terminal edge directed toward the second end, wherein the first plurality of projections and the second plurality of projections are formed from a bioabsorbable material and are adapted to interfere with a wall of a vessel to retain the body within the vessel; and

a dissolvable coating temporarily covering the first plurality of projections and the second plurality of projections.

13. A medical lead comprising

an elongate body having an electrical conductor therein;

at least one retaining segment extending along a length of the body, the retaining segment including a first plurality of fish-like scales directed in a first common direction; and

a second retaining segment, longitudinally separate and detached from the at least one retaining segment, extending along a length of the body, the second retaining segment including a second plurality of fish-like scales directed in a second common direction opposite to the first common direction;

wherein the first plurality of fish-like scales and the second plurality of fish-like scales are formed from a bioabsorbable material.

14. The medical lead of claim 13 wherein the first plurality of fish-like scales and the second plurality of fish-like scales are disposed in an overlapping pattern.

15. The medical lead of claim 13 wherein the first plurality of fish-like scales and the second plurality of fish-like scales are disposed in a plurality of circumferential rows and each individual one of the plurality of circumferential rows of scales is disposed in offset relation to an adjacent circumferential row of scales.

16. The medical lead of claim 13 wherein the elongated body has at least one preformed curved section in proximity to the retaining segment.

17. The medical lead of claim 16 wherein the curved section is disposed distally of the retaining segment.

18. The medical lead of claim 13 wherein the elongated body has a serpentine shape along the length thereof.

19. The medical lead of claim 13 wherein the elongate body is sized to move within a vessel and the retaining segment is characterized in allowing movement of the elongate body within the vessel in the common direction to an implanted position and preventing movement of the elongate body from the implanted position in an opposite direction to the common direction.

20. A medical lead comprising

an elongate body;

at least one retaining segment extending along a length of the body, the retaining segment including a first plurality of fish-like scales directed in a first common direction; and

a second retaining segment, longitudinally separate and detached from the at least one retaining segment, extending along a length of the body, the second retaining segment including a second plurality of fish-like scales directed in a second common direction, wherein the elongate body includes a lead body having the retaining segment thereon, an electrode at one end of the lead body, a connector at an opposite end of the lead body from the electrode and a conductor electrically coupling the electrode to the connector;

wherein the first plurality of fish-like scales and the second plurality of fish-like scales are formed from a bioabsorbable material.

21. A medical lead comprising

an elongate body having an electrical conductor therein;

at least one retaining segment extending along a length of the body, the retaining segment including a first plurality of fish-like scales directed in a first common direction; and

a second retaining segment, longitudinally separate and detached from the at least one retaining segment, extending along a length of the body, the second retaining segment including a second plurality of fish-like scales directed in a second common direction, wherein the elongated body has at least one preformed curved section in proximity to the retaining segment, and wherein the retaining segment is disposed in the curved section;

wherein the first plurality of fish-like scales and the second plurality of fish-like scales are formed from a bioabsorbable material.

22. A medical lead comprising

an elongate body having an electrical conductor therein;

at least one retaining segment extending along a length of the body, the retaining segment including a first plurality of fish-like scales directed in a first common direction;

a second retaining segment, longitudinally separate and detached from the at least one retaining segment, extending along a length of the body, the second retaining segment including a second plurality of fish-like scales directed in a second common direction; and

a dissolvable coating disposed over the retaining segment;

wherein the first plurality of fish-like scales and the second plurality of fish-like scales are formed from a bioabsorbable material.

23. A medical lead comprising:

an elongate body having an electrical conductor therein;

at least one retaining segment extending along a length of the body, the retaining segment including a first plurality of fish-like scales directed in a first common direction;

a second retaining segment, longitudinally separate and detached from the at least one retaining segment, extending along a length of the body, the second retaining segment including a second plurality of fish-like scales directed in a second common direction; and

a thin-walled tube disposed in concentric relation about the retaining segment;

wherein the first plurality of fish-like scales and the second plurality of fish-like scales are formed from a bioabsorbable material.