Lead retention means

• US 7,933,661 B2
• Filed: 05/18/2007
• Issued: 04/26/2011
• Est. Priority Date: 02/04/2004
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Erlebacher, Jay A.
• Primary Examiner(s): Layno; Carl H
• Assistant Examiner(s): Stice; Paula J
• Application Number:
  US11/750,632
• Publication Number:
  US 20070270928A1
• Time in Patent Office: 1,439 Days
• Field of Search: 607/4, 607/126, 607116-118, 607/128, 607130-131, 607122-123, 600376-375
• US Class Current: 607/126
• CPC Class Codes: A61N 1/0504 Subcutaneous electrodes
• CPC Class Codes: A61N 1/0558 Anchoring or fixation means therefor
• CPC Class Codes: A61N 1/0563 specially adapted for defibrillation or cardioversion
• 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

A coiled member of a medical device extends along a length of an elongate body of the device. A surface of the coiled member extends at an angle, with respect to a longitudinal axis of the body, from a first edge to a second edge, toward the proximal end of the body, such that the first edge of the surface is disposed in close proximity to the body and the second edge of the surface is spaced apart from the body.

Claims

1. A medical device, comprising:

an elongate lead body including a proximal end and a distal end; and

a coil extending along a length of the body between the proximal and distal ends and including a surface having a first edge and a second edge, the first edge extending along a helical path of the coil, wherein the surface of the coil projects away from the lead body at an angle, with respect to a longitudinal axis of the lead body, from the first edge to the second edge, toward the proximal end of the lead body, and wherein the first edge of the surface is disposed in close proximity to the lead body and the second edge of the surface is spaced apart from the lead body wherein the coil comprises a conductive wire and a relatively flat strip coupled together, wherein the surface is formed by the strip, and wherein the coil surface is adapted to interact with surrounding body tissue to prevent retrograde motion of the distal end of the lead body.

2. The device of claim 1, wherein the second edge of the surface extends along the helical path of the coil.

3. The device of claim 1, wherein the second edge of the surface is serrated.

4. The device of claim 1, wherein the conductive wire includes an electrode surface adjacent the strip.

5. The device of claim 1 wherein the strip comprises a bioabsorbable material.

6. The device of claim 1, wherein the first edge of the surface is fixedly engaged with the lead body.

7. A medical device, comprising:

an elongate lead body having a longitudinal axis and including a proximal end and a distal end; and

a coil comprising a coiled strip extending along a length of the body between the proximal and distal ends and including a side surface having a first edge and a second edge, the first edge extending along a helical path of the coil, wherein the side surface of the coil, when seen in a cross section taken along the longitudinal axis, projects away from the lead body at an angle, with respect to the longitudinal axis of the lead body and extends toward the proximal end of the lead body from the first edge to the second edge and wherein the first edge of the side surface is disposed in close proximity to the lead body and the second edge of the surface is spaced apart from the lead body, wherein the side surface comprises and electrode surface and wherein the coiled strip is adapted to interact with surrounding body tissue to prevent retrograde motion of the distal end of the lead body.

8. A medical device, comprising:

an elongate lead body including a proximal end and a distal end;

a coiled wire having proximal and distal ends; and

a coiled fixation strip including a first edge and a second edge, the first edge of the strip being disposed in close proximity to the lead body and the second edge of the strip being spaced apart from the body, wherein the wire extends adjacent to the fixation strip along a helical path extending along a portion of the lead body between the proximal and distal ends of the coiled wire, and wherein the fixation strip projects away from the lead body at an angle, with respect to a longitudinal axis of the lead body, from the first edge to the second edge, toward the proximal end of the lead body wherein the coiled fixation strip is adapted to interact with surrounding body tissue to prevent retrograde motion of the distal end of the lead body.

9. The device of claim 8, wherein the second edge of the strip is serrated.

10. The device of claim 8, wherein the first edge of the strip is fixedly engaged with the body.

11. The device of claim 8, wherein the wire includes an electrode surface adjacent the strip.

12. The device of claim 8, wherein the wire and the strip are bonded together.

13. The device of claim 8, wherein the strip comprises a bioabsorbable material.

14. A medical electrical defibrillation lead, comprising:

an elongate lead body having a longitudinal axis and including a proximal end and a distal end; and

a coiled defibrillation electrode comprising a coiled strip extending along a length of the body between the proximal and distal ends and including a side surface having a first edge and a second edge, the first edge extending along a helical path of the defibrillation electrode, wherein the side surface of the coiled defibrillation electrode when seen in a cross section taken along the longitudinal axis and projects away from the lead body toward the proximal end of the lead body at an angle, with respect to the longitudinal axis of the lead body, from the first edge to the second edge, and wherein the first edge of the side surface is disposed in close proximity to the lead body and the second edge of the side surface is spaced apart from the lead body and wherein the coiled strip is adapted to interact with surrounding body tissue to prevent retrograde motion of the distal end of the lead body.

15. The lead of claim 14, wherein the second edge of the surface extends along the helical path of the coiled defibrillation electrode.

16. The lead of claim 14, wherein the coiled defibrillation electrode comprises a wire and a relatively flat strip fixedly engaged with the wire, and wherein the surface is formed by the strip.

17. The lead of claim 16, wherein the second edge of the surface is serrated.

18. The lead of claim 16, wherein the strip comprises a bioabsorbable material.

19. The lead of claim 14, wherein the first edge of the surface is fixedly engaged with the lead body.