Cable electrode assembly for a lead terminal and method therefor

• US 7,571,010 B2
• Filed: 05/06/2005
• Issued: 08/04/2009
• Est. Priority Date: 05/06/2005
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Knapp, Christopher P., Krishnan, Mohan, Zarembo, Paul E., Hoeker, Russell L.
• Primary Examiner(s): Layno; Carl H
• Assistant Examiner(s): PATEL, NATASHA
• Application Number:
  US11/123,321
• Publication Number:
  US 20060253180A1
• Time in Patent Office: 1,551 Days
• Field of Search: 607/2, 607/115, 607/131, 607/148, 607/116, 607/119, 607/122, 607/127, 600372-375, 600/377, 600/395
• US Class Current: 607/115
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems

Abstract

A lead assembly includes a lead body and at least one cables at least partially disposed within the lead body. The cable has a non-electrode portion and an electrode portion, where the non-electrode portion extends within the lead body, and the electrode portion is external to the lead body.

Claims

1. A lead assembly comprising:

a lead body extending from a proximal end portion to a distal end portion, the lead body having at least one inner lumen and one or more exit lumens;

at least one cable disposed within at least a portion of the lead body, the at least one cable having at least two coiled electrode portions and non-electrode portions;

the non-electrode portions of the cable extending along within the inner lumen of the lead body, the at least two coiled electrode portions exiting through at least one of the exit lumen and coiled around an exterior portion of the lead body and forming electrodes; and

at least one non-electrode portion disposed between a first coiled electrode portion and a second coiled electrode portion, the first coiled electrode portion coiled in an opposite direction as the second coiled electrode portion.

2. The lead assembly as recited in claim 1, further comprising means for terminating a distal end of at least one cable.

3. The lead assembly as recited in claim 1, wherein the at least two coiled electrode portions are disposed at separate longitudinal portions.

4. The lead assembly as recited in claim 1, wherein at least one of the two coiled electrode portions includes a cable coiling around the lead body toward the proximal end portion of the lead body.

5. The lead assembly as recited in claim 1, wherein the first coiled electrode portion coils toward a distal end portion, and the second coiled electrode portion coils toward the proximal end portion.

6. A lead assembly comprising:

a lead body extending from a proximal end portion to a distal end portion, the lead body having at least one inner lumen and one or more exit lumens;

at least two cables disposed parallel to one another within at least a portion of the lead body, the at least two cables each having at least one electrode portion and at least one non-electrode portion; and

the non-electrode portions of the cable extending along within the at least one inner lumen of the lead body, the at least two cables exiting through at least one of the exit lumens and are coiled around an exterior portion of the lead body and forming a first coiled electrode portion and a second coiled electrode portion, and a current wave of the first coiled electrode portion is toward the distal end portion and a current wave of the second coiled electrode portion is toward the proximal end portion.

7. The lead assembly as recited in claim 6, wherein the at least one cable extends continuously from a first end to a second end, and the first and second ends are electrically coupled to a terminal connector assembly.

8. The lead assembly as recited in claim 6, wherein the at least two cables are disposed in separate lumens.

9. The lead assembly as recited in claim 6, wherein the at least one electrode portion includes two electrodes, and the two electrodes are longitudinally spaced from one another.

10. The lead assembly as recited in claim 6, wherein a first cable is wrapped around the lead body toward the distal end portion.

11. The lead assembly as recited in claim 6, wherein a first cable has a cable proximal end and a cable distal end, and the cable distal end is disposed distal to the electrode.

12. The lead assembly as recited in claim 6, wherein the at least two cables include a first cable and a second cable, the first and second cables terminate in a first lumen.

13. The lead assembly as recited in claim 12, wherein distal ends of the first and second cables are spaced from one another.

14. The lead assembly as recited in claim 6, wherein the first coiled electrode portion coils toward a distal end portion, and the second coiled electrode portion coils toward the proximal end portion.

15. The lead assembly as recited in claim 6, wherein at least one of the two coiled electrode portions includes a cable coiling around the lead body toward the proximal end portion of the lead body.

16. A method comprising:

disposing at least one cable along a lead body, the lead body extending from a proximal end portion to a distal end portion, the at least one cable having at least one electrode portion and at least one non-electrode portion;

disposing the at least one non-electrode portion of the cable within an inner lumen of the lead body;

disposing the at least one electrode portion along an exterior portion of the lead body and forming at least one electrode, and coiling a first electrode portion in an opposite direction as a second electrode portion; and

terminating the at least one cable within the inner lumen of the lead body.

17. The method as recited in claim 16, further comprising winding two or more electrodes around the exterior portion of the lead.

18. The method as recited in claim 17, wherein winding two or more electrodes includes winding the two or more electrodes from a single cable.

19. The method as recited in claim 16, further comprising stripping insulation from an insulated cable to form the at least one electrode.