Frequency selective passive component networks for implantable leads of active implantable medical devices utilizing an energy dissipating surface

• US 7,751,903 B2
• Filed: 06/23/2009
• Issued: 07/06/2010
• Est. Priority Date: 04/15/2002
• Status: Expired due to Term

• Current Assignee: Greatbatch Limited (Greatbatch Incorporated)
• Original Assignee: Greatbatch Limited (Greatbatch Incorporated)
• Inventors: Frysz, Christine A., Dabney, Warren S., Stevenson, Robert A., Lardo, Albert C., Truex, Buehl E., Halperin, Henry R.
• Primary Examiner(s): Layno; Carl H.
• Assistant Examiner(s): MORALES, JON ERIC C
• Application Number:
  US12/489,921
• Publication Number:
  US 20100023000A1
• Time in Patent Office: 378 Days
• Field of Search: None
• US Class Current: 607/63
• CPC Class Codes: A61B 18/02 by cooling, e.g. cryogenic techniques devices for cooling specific reflex points of the body within cell-life limits A61H39/06
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/1293 having means to prevent interference
• CPC Class Codes: A61B 2018/147 Electrodes transferring energy by capacitive coupling, i.e. with a dielectricum between electrode and target tissue
• CPC Class Codes: A61B 2090/374 NMR or MRI
• CPC Class Codes: A61B 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 1/086 Magnetic resonance imaging [MRI] compatible leads
• CPC Class Codes: A61N 1/3718 Monitoring of or protection against external electromagnetic fields or currents
• CPC Class Codes: G01R 33/286 involving passive visualization of interventional instruments, i.e. making the instrument visible as part of the normal MR process
• CPC Class Codes: G01R 33/288 Provisions within MR facilities for enhancing safety during MR, e.g. reduction of the specific absorption rate [SAR], detection of ferromagnetic objects in the scanner room
• CPC Class Codes: G01R 33/36 Electrical details, e.g. matching or coupling of the coil to the receiver
• CPC Class Codes: H03H 1/0007 of radio frequency interference filters
• CPC Class Codes: H03H 7/1758 Series LC in shunt or branch path H03H7/1791 takes precedence
• CPC Class Codes: H03H 7/1766 Parallel LC in series path H03H7/1783 takes precedence

Abstract

Decoupling circuits are provided which transfer energy induced from an MRI pulsed RF field to an energy dissipating surface. This is accomplished through broadband filtering or by resonant filtering. In a passive component network for an implantable leadwire of an active implantable medical device, a frequency selective energy diversion circuit is provided for diverting high-frequency energy away from a leadwire electrode to a point or an area spaced from the electrode, for dissipation of high-frequency energy.

Claims

1. A passive component network for an implantable leadwire of an active implantable medical device (AIMD), comprising:

at least one leadwire having a length extending between and to a proximal end and a tissue-stimulating or biological-sensing electrode at a distal tip end; and

a frequency selective energy diversion circuit for diverting high frequency energy away from the electrode to a point or an area spaced from the electrode for dissipation of said high-frequency energy, wherein the high frequency energy comprises an MRI frequency.

2. The passive component network of claim 1, wherein said MRI frequency comprises a range of MRI frequencies.

3. The passive component network of claim 1, wherein said MRI frequency in megahertz is selected from the group of frequencies comprising 42.56 times strength in Teslas of an MRI scanner.

4. A passive component network for an implantable leadwire of an active implantable medical device (AIMD), comprising:

at least one leadwire having a length extending between and to a proximal end and a tissue-stimulating or biological-sensing electrode at a distal tip end; and

a frequency selective energy diversion circuit for diverting high frequency energy away from the electrode to a point or an area spaced from the electrode for dissipation of said high-frequency energy, wherein the frequency selective energy diversion circuit comprises a low pass filter.

6. The passive component network of claims 4 or 5, including an energy dissipating surface disposed at a point or an area spaced from the electrode.

7. The passive component network of claim 6, wherein the energy dissipating surface is disposed within the blood flow of a patient.

8. The passive component network of claim 6, wherein the energy dissipating surface comprises a conductive housing.

9. The passive component network of claim 6, wherein the energy dissipating surface comprises a ring electrode.

10. The passive component network of claim 6, wherein the energy dissipating surface comprises convolutions or fins, for increasing the surface area thereof.

11. The passive component network of claim 6, wherein the energy dissipating surface includes a roughened surface.

12. The passive component network of claim 11, wherein the roughened surface is formed through plasma or chemical etching, porous or fractal coatings or surfaces, whiskers, morphologically designed columbar structures, vapor, electron beam or sputter deposition of a high surface area energy conductive material, or a carbon nanotubes.

13. The passive component network of claim 8, wherein said diversion circuit is mounted within said conductive housing.

14. The passive component network of claim 9, wherein said conductive housing protects said diversion circuit from direct contact with patient body fluids.

15. The passive component network of claim 13, wherein said conductive housing is hermetically sealed.

16. The passive component network of claim 6, wherein the energy dissipating surface is disposed within an insulative sheath.

17. The passive component network of claim 6, wherein the energy dissipating surface comprises at least a portion of a handle for a probe or catheter.

18. The passive component network of claim 17, wherein the energy dissipating surface is disposed within an insulative sheath.

19. The passive component network of claim 6, wherein the energy dissipating surface comprises a plurality of spaced-apart energy dissipating surfaces.

20. The passive component network of claim 6, including a tether disposed between and conductively coupling the electrode and the energy dissipating surface.

21. The passive component network of claim 6, wherein the energy dissipating surface comprises a material capable of being visualized during a magnetic resonance scan.

22. The passive component network of claims 4 or 5, further comprising a leadwire housing supporting said leadwire distal tip electrode at one end thereof, said leadwire housing including a conductive housing portion forming an energy dissipating surface, and an insulator housing portion between said leadwire distal tip electrode and said conductive housing portion.

23. The passive component network of claim 22, wherein said distal tip electrode cooperates with said conductive and insulator housing portions to define a hermetically sealed package having said diversion circuit mounted therein.

24. The passive component network of claim 23, wherein said hermetically sealed package has a generally tubular shape with said distal tip electrode mounted at one end thereof, and further defining a hermetic seal assembly at an opposite end thereof, said at least one leadwire extending through said hermetic seal assembly.

25. The passive component network of claim 23, further comprising an impeding circuit associated with said diversion circuit and mounted within said hermetically sealed package.

26. The passive component network of claim 25 wherein said impeding circuit comprises at least one inductor.

27. The passive component network of claim 26 wherein said at least one inductor comprises an inductor chip.

28. The passive component network of claim 23 wherein said diversion circuit comprises at least one capacitor coupled between said leadwire and said energy dissipating surface.

29. The passive component network of claim 26, wherein said at least one inductor comprises a pair of inductor elements, said diversion circuit being coupled between said pair of conductor elements and said energy dissipating surface.

30. The passive component network of claim 29 wherein said diversion circuit comprises at least one capacitor.

31. The passive component network of claims 4 or 5, including an impeding circuit associated with the diversion circuit, for raising the high-frequency impedance of the leadwire, said impeding circuit being disposed between said diversion circuit and the distal tip end of said at least one leadwire.

32. The passive component network of claim 31, wherein the impeding circuit comprises an inductor.

33. The passive component network of claim 31, wherein the impeding circuit comprises a bandstop filter.

34. The passive component network of claims 4 or 5, wherein the at least one leadwire comprises a portion of a probe or a catheter.

35. The passive component network of claim 34, wherein the energy dissipating surface is selected from the group consisting essentially of a sheath, an insulative body, and a thermally conductive element.

36. The passive component network of claims 4 or 5, wherein said at least one leadwire comprises at least a pair of leadwires each having a length extending between and to a proximal end and a tissue-stimulating or biological-sensing electrode at a distal tip end.

37. The passive component network of claim 36, wherein said diversion circuit couples each of said leadwires to an energy dissipating surface disposed at a point or an area distant from each of said electrodes.

38. The passive component network of claim 37, wherein said diversion circuit is also coupled between said pair of leadwires.

39. The passive component network of claim 36, wherein said diversion circuit is coupled between said pair of leadwires.

40. The passive component network of claims 4 or 5, further comprising an energy dissipating surface, and means for hermetically sealed mounting of said energy dissipating surface along said at least one leadwire between said proximal and distal ends thereof, said hermetically sealed means defining a chamber having said diversion circuit mounted therein.

41. The passive component network of claim 40, wherein said at least one leadwire comprises a first leadwire having a tip electrode at a distal end thereof, and a second leadwire having a ring electrode at a distal end thereof, said first and second leadwires having said energy dissipating surface mounted thereon in hermetically sealed relation therewith and extending through said chamber, said diversion circuit coupling said first and second leadwires to said energy dissipating surface.

42. The passive component network of claim 41, wherein said diversion circuit comprises a unipolar or multi-polar feedthrough capacitor.

43. The passive component network of claim 40, further comprising an impeding circuit associated with said diversion circuit and mounted within said hermetically sealed chamber.

44. The passive component network of claims 4 or 5, wherein the active implantable medical device (AIMD) comprises a probe.

45. The passive component network of claim 44, wherein said electrode comprises an ablation tip electrode at or near said leadwire distal end.

46. The passive component network of claim 45, further comprising a probe housing having said ablation tip electrode at or near a distal end thereof, and an energy dissipating surface carried by said probe housing at a point or an area distant from said ablation tip electrode, said diversion circuit diverting high frequency energy away from said ablation tip electrode to said energy dissipating surface.

47. The passive component network of claim 45, wherein said at least one leadwire comprises a first leadwire having said ablation tip electrode at or near a distal end thereof, and at least one second leadwire having a ring electrode at or near a distal end thereof, and an energy dissipating surface carried by said probe housing at a point or an area distant from said ablation tip electrode and said ring electrode, said diversion circuit diverting high frequency energy away from said ablation tip and said ring electrodes to said energy dissipating surface.

48. The passive component network of claim 4, wherein the low pass filter comprises a capacitor, an inductor, a Pi filter, a T filter, an LL filter, or an “

n”

element filter.

5. A passive component network for an implantable leadwire of an active implantable medical device (AIMD), comprising:

at least one leadwire having a length extending between and to a proximal end and a tissue-stimulating or biological-sensing electrode at a distal tip end; and

a frequency selective energy diversion circuit for diverting high frequency energy away from the electrode to a point or an area spaced from the electrode for dissipation of said high-frequency energy, wherein the frequency selective energy diversion circuit comprises at least one series resonant LC trap filter.

49. The passive component network of claim 5, wherein the frequency selective energy diversion circuit comprises a plurality of LC trap filters resonant respectively at different MRI frequencies.

50. A passive component network for an implantable leadwire of an active implantable medical device (AIMD), comprising:

at least one leadwire having a length extending between and to a proximal end and a tissue-stimulating or biological-sensing electrode at a distal tip end;

a frequency selective energy diversion circuit for diverting high frequency energy away from the electrode to a point or an area spaced from the electrode for dissipation of said high-frequency energy; and

an energy dissipating surface disposed at a point or an area spaced from the electrode;

wherein the energy dissipating surface comprises a conductive housing;

wherein said diversion circuit is mounted within said conductive housing; and

wherein said active implantable medical device (AIMD) comprises a deep brain stimulator.

51. The passive component network of claim 50, wherein said conductive housing is adapted for mounting in thermal communication with a patient'"'"'s skull.

52. The passive component network of claim 50, further comprising an electrode shaft assembly having a proximal end carried by said conductive housing, said at least one leadwire extending through said electrode shaft assembly and having said distal tip end electrode for contacting patient brain tissue.

53. A passive component network for an implantable leadwire of an active implantable medical device (AIMD), comprising:

at least one leadwire having a length extending between and to a proximal end and a tissue-stimulating or biological-sensing electrode at a distal tip end;

a frequency selective energy diversion circuit for diverting high frequency energy away from the electrode to a point or an area spaced from the electrode for dissipation of said high-frequency energy;

a leadwire housing supporting said leadwire distal tip electrode at one end thereof, said leadwire housing including a conductive housing portion forming an energy dissipating surface, and an insulator housing portion between said leadwire distal tip electrode and said conductive housing portion, wherein said distal tip electrode cooperates with said conductive and insulator housing portions to define a hermetically sealed package having said diversion circuit mounted therein; and

an impeding circuit associated with said diversion circuit and mounted within said hermetically sealed package;

wherein said at least one inductor comprises an inductor wire wound onto a ferromagnetic or non-ferromagnetic mandrel.

54. A passive component network for an implantable leadwire of an active implantable medical device (AIMD), comprising:

at least one leadwire having a length extending between and to a proximal end and a tissue-stimulating or biological-sensing electrode at a distal tip end;

a frequency selective energy diversion circuit for diverting high frequency energy away from the electrode to a point or an area spaced from the electrode for dissipation of said high-frequency energy; and

a leadwire housing supporting said leadwire distal tip electrode at one end thereof, said leadwire housing including a conductive housing portion forming an energy dissipating surface, and an insulator housing portion between said leadwire distal tip electrode and said conductive housing portion;

wherein said distal tip electrode cooperates with said conductive and insulator housing portions to define a hermetically sealed package having said diversion circuit mounted therein; and

wherein said diversion circuit comprises at least one LC trap filter coupled between said leadwire and said energy dissipating surface.

55. A passive component network for an implantable leadwire of an active implantable medical device (AIMD), comprising:

at least one leadwire having a length extending between and to a proximal end and a tissue-stimulating or biological-sensing electrode at a distal tip end;

a frequency selective energy diversion circuit for diverting high frequency energy away from the electrode to a point or an area spaced from the electrode for dissipation of said high-frequency energy;

a leadwire housing supporting said leadwire distal tip electrode at one end thereof, said leadwire housing including a conductive housing portion forming an energy dissipating surface, and an insulator housing portion between said leadwire distal tip electrode and said conductive housing portion, wherein said distal tip electrode cooperates with said conductive and insulator housing portions to define a hermetically sealed package having said diversion circuit mounted therein; and

an impeding circuit associated with said diversion circuit and mounted within said hermetically sealed package, wherein said impeding circuit comprises at least one inductor;

wherein said at least one inductor comprises a pair of inductor elements, said diversion circuit being coupled between said pair of inductor elements and said energy dissipating surface; and

wherein said diversion circuit comprises a plurality of LC trap filters resonant respectively at different MRI frequencies.

56. A passive component network for an implantable leadwire of an active implantable medical device (AIMD), comprising:

at least one leadwire having a length extending between and to a proximal end and a tissue-stimulating or biological-sensing electrode at a distal tip end;

a frequency selective energy diversion circuit for diverting high frequency energy away from the electrode to a point or an area spaced from the electrode for dissipation of said high-frequency energy; and

an energy dissipating surface disposed at a point or an area spaced from the electrode;

wherein the electrode comprises a paddle electrode disposed on one side of a paddle.

57. The passive component network of claim 56, wherein the energy dissipating surface is disposed on a second side of the paddle.

58. The passive component network of claim 57, where the frequency selective diversion circuit comprises a capacitive element disposed within the paddle between the electrode and the energy dissipating surface.

59. The passive component network of claim 58, wherein the capacitive element comprises a discrete capacitor.

60. The passive component network of claim 58, wherein the capacitive element comprises parasitic capacitance.

61. The passive component network of claim 56, wherein the energy dissipating surface is attached to the paddle.