Neurostimulating lead having a stent-like anchor

• US 7,917,230 B2
• Filed: 01/30/2007
• Issued: 03/29/2011
• Est. Priority Date: 01/30/2007
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Bly, Mark J.
• Primary Examiner(s): KAHELIN, MICHAEL WILLIAM
• Application Number:
  US11/668,834
• Publication Number:
  US 20080183253A1
• Time in Patent Office: 1,519 Days
• Field of Search: 607/116, 607/122, 607/123, 607/125
• US Class Current: 607/116
• CPC Class Codes: A61N 1/0558 Anchoring or fixation means therefor

Abstract

A neuron stimulating lead having a stent-like anchor is described. A distal portion of the lead is mounted to an exterior of the lead anchor. The stent-like lead anchor is formed from a superelastic material and is adapted to transition from a collapsed configuration to an expanded configuration upon deployment in a vessel. In the expanded configuration, the lead anchor presses the distal portion of the lead against at least one vessel wall of a vessel in which the lead is deployed securing and stabilizing the distal portion of the lead within the vessel.

Claims

1. A medical electrical lead for stimulating a nerve, wherein the lead is adapted to be delivered to a stimulation site within a vessel adjacent the nerve to be stimulated, the lead comprising:

a lead body including a proximal end adapted to be connected to a pulse generator, and a distal portion including a distal end;

a plurality of conductors extending within the lead body from the proximal end thereof toward the distal end thereof;

a plurality of individual ring electrodes longitudinally spaced along a length of the distal portion of the lead body and each coupled to one of the plurality of conductors; and

a lead anchor having a first end secured to the distal portion of the lead body at a first location and a second end secured to the distal portion of the lead body at a second location distal to the first location, the lead anchor adapted to expand from a radially collapsed configuration to a preformed, radially expanded configuration, wherein the lead anchor has a first length between the first and second ends when in the radially collapsed configuration and a second length between the first and second ends when in the radially expanded configuration, the first length being greater than the second length, and

wherein the plurality of individual ring electrodes are located between the first and second locations, and wherein the length of the distal portion of the lead body including the plurality of individual ring electrodes extends along and contacts an exterior of the lead anchor from the first end to the second end thereof such that in the radially expanded configuration the lead anchor is adapted to urge the length of the distal portion of the lead body against at least one vessel wall of a vessel in which the lead is deployed so as to secure and stabilize the distal portion of the lead within the vessel.

2. The medical electrical lead according to claim 1, wherein the vessel is selected from the group consisting of an internal jugular vein, a superior vena cava, or a brachiocephalic vein, and wherein the nerve is the vagus nerve.

3. The medical electrical lead according to claim 1, wherein the lead anchor comprises a superelastic material.

4. The medical electrical lead according to claim 1, wherein the lead anchor comprises at least one collar secured to the distal portion of the lead.

5. The medical electrical lead according to claim 1, wherein the lead anchor is formed from a laser cut tube of a superelastic material and comprises at least a first end secured to the lead body and a plurality of integrally formed struts extending from the first end to a second end.

6. The medical electrical lead according to claim 5, wherein the struts include a first tapered region tapering down and connected to a first end of the anchor secured to the lead body and a second tapered region tapering down and connected to a second end of the anchor secured to the lead body.

7. The medical electrical lead according to claim 5, wherein the struts include at least one tapered region tapering down and connected to an end of the anchor secured to the lead body.

8. The medical electrical lead according to claim 1, wherein the lead anchor comprises a first end radially offset from a second end.

9. The medical electrical lead according to claim 1, wherein the lead anchor comprises a first end radially aligned with a second end.

10. The medical electrical lead according to claim 1, wherein the lead anchor comprises a biocompatible coating.

11. The medical electrical lead according to claim 1, wherein the lead anchor comprises a polymer sleeve.

12. The medical electrical lead according to claim 1, wherein in the expanded configuration the lead anchor has an effective outer diameter ranging from about 3 to about 40 mm.

13. The medical electrical lead according to claim 1, wherein the lead anchor is configured to have an effective outer diameter in the radially expanded configuration of from about 5 percent to about 40 percent greater than an inner diameter of the vessel in which the distal portion of the lead is to be deployed.

14. A medical electrical lead for stimulating a nerve from within an adjacent vessel, the lead comprising:

a lead body having a proximal end adapted to be connected to a pulse generator, and a distal portion including a distal end;

a plurality of conductors extending within the lead body;

a plurality of individual ring electrodes longitudinally spaced along a length of the distal portion of the lead body and each coupled to one of the plurality of conductors; and

a lead anchor adapted to radially expand from a collapsed configuration to a preformed, radially expanded configuration and comprising a plurality of interconnected struts, the lead anchor having a first end connected to the distal portion of the lead body at a first location and a second end secured to the lead body at a second location distal to the first location, wherein the length of the distal portion of the lead body including the plurality of individual ring electrodes extends along and contacts an exterior of one of the struts from the first end to the second end of the lead anchor, and wherein the lead anchor has a first length between the first and second ends when in the radially collapsed configuration and a second length between the first and second ends when in the radially expanded configuration, the first length being greater than the second length.

15. The medical electrical lead according to claim 14, wherein a first length of the distal portion coupled to the exterior of the lead anchor is substantially equal to a length of the lead anchor when the lead anchor is in the collapsed configuration.

16. The medical electrical lead according to claim 14, wherein the lead anchor comprises a superelastic material.

17. The medical electrical lead according to claim 14, wherein the struts include a first tapered region tapering down and connected to the first end of the anchor secured to the lead body at the first location and a second tapered region tapering down and connected to the second end of the anchor secured to the lead body at the second location.

18. The medical electrical lead according to claim 14, wherein the struts include a first tapered region tapering down and connected to the first end of the anchor secured to the lead body at the first location.

19. The medical electrical lead according to claim 14, wherein the first end is radially offset from the second end.

20. The medical electrical lead according to claim 14, wherein the first end is radially aligned with the second end.

21. The medical electrical lead according to claim 14, wherein the lead anchor comprises a biocompatible coating.

22. The medical electrical lead according to claim 14, wherein the lead anchor comprises a polymer sleeve.

23. The medical electrical lead according to claim 14, wherein in the expanded configuration the lead anchor has an effective outer diameter ranging from about 3 to about 40 mm.

24. The medical electrical lead according to claim 14, wherein the lead anchor is configured to have an effective outer diameter in the radially expanded configuration of from about 5 percent to about 40 percent greater than an inner diameter of the vessel in which the distal portion of the lead is to be deployed.

25. The medical electrical lead according to claim 14, wherein the vessel is selected from the group consisting of an internal jugular vein, a superior vena cava, and a brachiocephalic vein and wherein the nerve is the vagus nerve.