MRI-safe defibrillator electrodes

• US 8,121,705 B2
• Filed: 06/26/2008
• Issued: 02/21/2012
• Est. Priority Date: 06/27/2007
• Status: Expired due to Fees

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: MacDonald, Stuart G.
• Primary Examiner(s): Gedeon, Brian T
• Application Number:
  US12/147,237
• Publication Number:
  US 20090005825A1
• Time in Patent Office: 1,335 Days
• Field of Search: 607/2, 607/4, 607/5, 607/115, 607/116, 607/119
• US Class Current: 607/115
• CPC Class Codes: A61N 1/0563 specially adapted for defibrillation or cardioversion
• CPC Class Codes: A61N 1/086 Magnetic resonance imaging [MRI] compatible leads

Abstract

The present invention reduces patient risks associated with RF-induced thermogenic tissue damage and with pulsed gradient-field-induced arrhythmias by using a defibrillator lead having a self-healing dielectric material that prevents induced voltages from MRI equipment from damaging an ICD or causing unintended defibrillation shocks to a patient. Another aspect of the present invention utilizes a sliding contact arrangement to prevent induced voltages from MRI equipment from being electrically coupled to an ICD thereby reducing patient risks associated with RF-induced thermogenic tissue damage and with pulsed gradient-field-induced arrhythmias.

Claims

1. An implanted medical device, comprising:

a cardioverter defibrillator capable of generating a pulse sufficient to defibrillate a heart of a patient; and

a lead coupled at a proximal end to the cardioverter defibrillator and having a distal end position within the heart of the patient, the distal end of the lead having a defibrillation electrode slideably coupled to a conductor and biased to be in electrical contact with the cardioverter defibrillator outside the presence of an MRI field;

wherein the defibrillation electrode slides away from the conductor in the presence of an MRI field such that induced voltages are not electrically coupled to the cardioverter defibrillator.

2. The implanted medical device of claim 1, wherein a gap is formed between the defibrillation electrode and the conductor such that the pulse arcs across the gap to defibrillate the heart while induced voltages from the MRI equipment are prevented from being electrically coupled to the cardioverter defibrillator.

3. The implanted medical device of claim 1, wherein the defibrillation electrode comprises a first member magnetically attracted to a second member in the presence of the MRI field such that a force provided by a biasing member is overcome to create a gap between the defibrillation electrode and the conductor.

4. An implanted medical device system comprising:

an implantable medical device; and

a lead coupled at a proximal end to the implantable medical device and having a distal end positioned within the heart of the patient, the distal end of the lead having an electrode slideably coupled to a conductor and biased to be in electrical contact with the implantable medical device outside the presence of a magnetic field;

wherein the electrode slides away from the conductor in the presence of a magnetic field.

5. The implanted medical device system of claim 4, wherein the electrode comprises:

a first member;

a second member that is magnetically attracted to the first member in the presence of the magnetic field; and

a biasing member that provides a force to bias the first member from the second member, wherein in the presence of the magnetic field the force provided by the biasing member is at least partially overcome to create a gap between the electrode and the conductor.

6. The implanted medical device system of claim 5, wherein the first member comprises a fixed member and the second member comprise a slideable member.

7. The implanted medical device system of claim 6, wherein the first member comprises an electrode tip.

8. The implanted medical device system of claim 5, wherein the biasing member is a spring.

9. The implanted medical device system of claim 5, wherein the magnetic attraction between the first member and the second member is dependent on a size of the magnetic field.

10. The implanted medical device system of claim 9, wherein the force provided by the biasing member is at least partially overcome to create a gap between the electrode and the conductor in the presence of a magnetic field exceeding approximately 0.05 Tesla.

11. The implanted medical device system of claim 5, wherein the first member and the second member are composed of a ferromagnetic material.

12. The implanted medical device system of claim 4, wherein the gap formed between the electrode and the conductor allows the pulse to arc across the gap to defibrillate the heart while preventing induced voltages from MRI equipment to arc across the gap.

13. The implanted medical device system of claim 4, wherein the implantable medical device comprises one of a defibrillator and a cardioverter defibrillator.

14. The implanted medical device system of claim 13, wherein the electrode comprises a defibrillation electrode.