Method and apparatus for disconnecting the tip electrode during MRI

• US 8,032,228 B2
• Filed: 12/05/2008
• Issued: 10/04/2011
• Est. Priority Date: 12/06/2007
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Carpenter, Greg P., Olson, David C., Ameri, Masoud
• Primary Examiner(s): Schaetzle; Kennedy
• Application Number:
  US12/329,383
• Publication Number:
  US 20090149906A1
• Time in Patent Office: 1,033 Days
• Field of Search: None
• US Class Current: 607/62
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/086 Magnetic resonance imaging [MRI] compatible leads
• CPC Class Codes: A61N 2001/0585 Coronary sinus electrodes
• CPC Class Codes: Y10S 128/901 Suppression of noise in electric signal

Abstract

A medical device includes a pulse generator, a lead, and an electrode. The lead includes an electrode and a lead conductor connecting the pulse generator with the electrode via first and second conductive paths. The medical device includes first and second switches. The first switch includes a non-conductive state in the presence of a magnetic field, the non-conductive state preventing formation of the first conductive path between the pulse generator and the electrode. The second switch includes a non-conductive state that prevents formation of the second conductive path between the pulse generator and the electrode. The first switch in the non-conductive state and the second switch in the non-conductive state electrically shields the electrode from electromagnetic radiation and induced voltages during a magnetic resonance imaging procedure.

Claims

1. A medical device, comprising:

a pulse generator;

a lead including an electrode configured to contact body tissue in a body vessel and a lead conductor connecting the pulse generator with the electrode via first and second conductive paths, the first conductive path parallel to the second conductive path;

a first switch electrically coupled in series between the lead conductor and the electrode, the first switch including a non-conductive state, the non-conductive state preventing formation of the first conductive path between the pulse generator and the electrode in the presence of an MRI magnetic field, the first switch including a conductive state in the absence of the magnetic field, the conductive state allowing formation of the conductive path between the pulse generator and the electrode; and

a second switch electrically connected in series between the lead conductor and the electrode, the second switch including a non-conductive state preventing formation of the second conductive path between the pulse generator and the electrode, the second switch including a conductive state allowing formation of the second conductive path between the pulse generator and the electrode when a voltage applied across the second switch exceeds a threshold voltage;

wherein the first switch in the non-conductive state and the second switch in the non-conductive state electrically shields the electrode from at least electromagnetic radiation and induced voltages in the presence of the MRI magnetic field.

2. The medical device of claim 1, wherein

the first switch is a single-pole double-throw magnetic switch,

in the absence of the magnetic field, the single-pole double-throw magnetic switch is configured to allow formation of the first conductive path between the pulse generator and the electrode, and

in the presence of the MRI magnetic field, the single-pole double-throw magnetic switch is configured to connect the pulse generator to the second switch.

3. The medical device of claim 2, wherein the single-pole double-throw magnetic switch is a reed switch.

4. The medical device of claim 1, wherein the first switch comprises magnetoresistive material.

5. The medical device of claim 1, wherein the second switch further comprises a Zener diode bypass.

6. The medical device of claim 1, wherein the second switch is a voltage controlled switch configured to short the lead conductor to the electrode when the voltage applied across the second switch exceeds a predetermined threshold voltage.

7. The medical device of claim 1, wherein the pulse generator is configured to operate in a normal mode in the absence of the magnetic field and in an MRI mode in the presence of the magnetic field.

8. The medical device of claim 7, wherein the voltage applied across the second switch during a therapy pulse when the pulse generator is operating in the MRI mode exceeds the threshold voltage of the second switch.

9. The medical device of claim 1, wherein the second switch receives a signal via a control line from the pulse generator, and wherein the signal directs the second switch to allow formation of the second conductive path between the pulse generator and the electrode during therapy pulses from the pulse generator.

10. The medical device of claim 1, wherein the pulse generator includes a fiber optic line configured to activate the second switch to the conductive state to allow formation of the second conductive path.

11. The medical device of claim 1, wherein

the pulse generator is further configured to emit the one or more therapy pulses at a duration equal to or greater than a threshold duration, and

the second switch is further configured to operate in the closed state upon reception of the one or more therapy pulses having a voltage level exceeding the threshold voltage and a duration exceeding the threshold duration.

12. A method for delivering therapy, comprising:

detecting the presence of a magnetic field at a pulse generator, the pulse generator coupled to a lead including an electrode configured to contact tissue in a body vessel and a lead conductor connecting the pulse generator with the electrode via first and second conductive paths, the first conductive path parallel to the second conductive path;

switching a first switch electrically coupled in series between the pulse generator and the electrode to a conductive state in the absence of the magnetic field, the conductive state of the first switch allowing formation of the first conductive path between the pulse generator and the electrode;

switching the first switch to a non-conductive state in the presence of the magnetic field, the non-conductive state of the first switch preventing formation of the first conductive path between the pulse generator and the electrode;

switching a second switch electrically coupled in series between the pulse generator and the electrode to a non-conductive state when a voltage is applied across the second switch that is less than or equal to a threshold voltage, the non-conductive state of the second switch preventing formation of the second conductive path between the pulse generator and the electrode; and

switching the second switch to a conductive state upon detection of the voltage applied across the second switch exceeding the threshold voltage, the conductive state of the second switch allowing formation of the conductive path between the pulse generator and the electrode,

wherein the first switch in the non-conductive state and the second switch in the non-conductive state electrically shields the electrode from at least electromagnetic radiation and induced voltages in the presence of the MRI magnetic field.

13. The method of claim 12, wherein

the first switch is a single-pole double-throw magnetic switch,

in the absence of the magnetic field, the single-pole double-throw magnetic switch allowing formation of the first conductive path between the pulse generator and the electrode, and

in the presence of the magnetic field, the single-pole double-throw magnetic switch connecting the pulse generator to the second switch.

14. The method of claim 13, wherein the single-pole double-throw magnetic switch is a reed switch.

15. The method of claim 12, wherein the first switch comprises magnetoresistive material.

16. The method of claim 12, wherein the second switch further comprises a Zener diode bypass.

17. The method of claim 12, wherein the second switch is a voltage controlled switch configured to short the lead conductor to the electrode when the detected voltage exceeds the threshold voltage.

18. The method of claim 12, further comprising:

operating the pulse generator in a normal mode in the absence of the magnetic field; and

operating the pulse generator in an MRI mode in the presence of the magnetic field.

19. The method of claim 18, wherein during operation of the pulse generator in the MRI mode, further including:

delivering one or more therapy pulses at a voltage level that exceeds the threshold voltage of the second switch.

20. The method of claim 12, further comprising

receiving a signal at the second switch via a control line from the pulse generator, the signal directing the second switch to allow formation of the second conductive path between the pulse generator and the electrode during a therapy pulse from the pulse generator.

21. The method of claim 12, wherein the pulse generator includes a fiber optic line configured to activate the second switch to the conductive state to allow formation of the second conductive path.

22. The method of claim 12, wherein

receiving the one or more therapy pulses from the pulse generator, the one or more therapy pulses having a duration greater than a threshold duration, and

switching the second switch to the closed state upon reception of the one or more therapy pulses having a voltage level exceeding the threshold voltage and a duration exceeding the threshold duration.

23. A method for delivering therapy, comprising:

operating a pulse generator in a normal mode in the absence of a magnetic field, the pulse generator connected to a lead including an electrode and a lead conductor connecting the pulse generator with the electrode via first and second conductive paths, the electrode configured to contact tissue in a body vessel, the first conductive path parallel to the second conductive path;

operating the pulse generator in an MRI mode in the presence of the magnetic field;

emitting one or more therapy pulses from the pulse generator at a first voltage level when the pulse generator is operating in the normal mode, the one or more therapy pulses at the first voltage level reaching the electrode via the first conductive path; and

emitting one or more therapy pulses from the pulse generator at a second voltage level when the pulse generator is operating in the MRI mode, the second voltage level greater than or equal to the first voltage level plus a threshold voltage, the one or more therapy pulses from the pulse generator at the second voltage level reaching the electrode via the second conductive path.

24. The method of claim 23, wherein the one or more therapy pulses from the pulse generator at the second voltage level exceed the threshold voltage of a switch positioned between the pulse generator and the electrode via the second conductive path.