Implantable medical device including a plurality of lead connection assemblies

• US 8,290,593 B2
• Filed: 10/30/2009
• Issued: 10/16/2012
• Est. Priority Date: 10/31/2008
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Libbey, Robert W., Donofrio, William T., Burnes, John E., Krause, Paul G., Berquist, Michael K., Blandin, Olivier, Hudziak, Michael, Johnson, William L., Nicholson, John E., Patras, George, Ries, Andrew J., Swanson, Jeffrey, Vahle, Paul, Olson, Thomas J., Wenger, William K., Klardie, Michael R., Tahvildari, Samira
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): Sarcione, Jessica
• Application Number:
  US12/610,157
• Publication Number:
  US 20100137929A1
• Time in Patent Office: 1,082 Days
• Field of Search: 607 36- 38, 439/909
• US Class Current: 607/37
• CPC Class Codes: A61N 1/3752 Details of casing-lead connections

Abstract

An implantable medical device (IMD) may include at least two separate lead connection assemblies, each with electrical connectors for connecting implantable leads to the IMD. In some examples, a IMD may include a first therapy module configured to generate a first electrical stimulation therapy and a second therapy module configured to generate a second electrical stimulation therapy for delivery to the patient. The IMD may include a first lead connection assembly including a first electrical connector electrically coupled to the first therapy module and a second lead connection assembly including a second electrical connector electrically coupled to the second therapy module. In some examples, the first and second lead connection assemblies are distributed around the outer perimeter of the IMD housing.

Claims

1. An implantable medical system comprising:

a housing;

a first therapy module enclosed within the housing and configured to generate a first electrical stimulation therapy for delivery to a patient;

a second therapy module enclosed within the housing and configured to generate a second electrical stimulation therapy for delivery to the patient;

a first lead connection assembly including a first electrical connector electrically coupled to the first therapy module; and

a second lead connection assembly including a second electrical connector electrically coupled to the second therapy module,

wherein the first electrical connector defines a first opening and the second electrical connector defines a second opening, and

wherein the first opening faces a first direction and the second opening faces a second direction that is substantially orthogonal to the first direction.

2. The implantable medical system of claim 1, wherein the first and second lead connection assemblies are distributed around an outer perimeter of the housing.

3. The implantable medical system of claim 1, wherein the first lead connection assembly is located adjacent a first portion of the housing, and the second lead connection assembly is located adjacent a second portion of the housing that differs from the first portion.

4. The implantable medical system of claim 1, wherein the first electrical connector is configured to electrically couple a first lead to the first therapy module, and the second electrical connector is configured to electrically couple a second lead to the second therapy module.

5. The implantable medical system of claim 4, wherein the first and second electrical connectors comprise at least one of a different size, a different shape and a different electrical contact arrangement.

6. The implantable medical system of claim 1, further comprising a third lead connection assembly including a third electrical connector, the third electrical connector being electrically coupled to one of the first therapy module or the second therapy module.

8. The implantable medical system of claim 1, wherein the first therapy module comprises a first therapy module configured to generate at least one of pacing, cardioversion and defibrillation therapy that is delivered to a heart of the patient.

9. The implantable medical system of claim 8, wherein the second therapy module comprises a second therapy module configured to generate second electrical stimulation that is delivered to a tissue site within the patient, the tissue site comprising at least one of a nonmyocardial tissue site and nonvascular cardiac tissue site.

10. The implantable medical system of claim 9, wherein the tissue site comprises at least one of an extravascular tissue site and a tissue site proximate a nerve.

11. The implantable medical system of claim 1, wherein the housing comprises a disk-shaped housing, and the first and second lead connection assemblies have different radial positions on the disk-shaped housing.

7. The implantable medical system of 6, wherein the third electrical connector defines a third opening, wherein the first, second, and third openings face in different directions.

12. A method comprising:

delivering a first electrical stimulation therapy to a patient via a first lead electrically coupled to a first therapy module of an implantable medical device via a first lead connection assembly comprising a first electrical connector electrically coupled to the first therapy module; and

delivering a second electrical stimulation therapy to the patient via a second lead electrically coupled to a second therapy module of an implantable medical device via a second lead connection assembly comprising a second electrical connector electrically coupled to the second therapy module,

wherein the implantable medical device comprises a housing,

wherein the first electrical connector defines a first opening and the second electrical connector defines a second opening, and

wherein the first opening faces a first direction and the second opening faces a second direction that is substantially orthogonal to the first direction.

13. The method of claim 12, wherein the first and second lead connection assemblies are distributed around an outer perimeter of the housing.

14. The method of claim 12, wherein the first lead connection assembly is located adjacent a first portion of the housing, and the second lead connection assembly is located adjacent a second portion of the housing that differs from the first portion.

15. The method of claim 12, wherein the first electrical connector is configured to electrically couple a first lead to the first therapy module, and the second electrical connector is configured to electrically couple a second lead to the second therapy module.

16. The method of claim 15, wherein the first and second electrical connectors comprise at least one of a different size, a different shape and a different electrical contact arrangement.

17. The method of claim 12, further comprising a third lead connection assembly including a third electrical connector, the third electrical connector being electrically coupled to one of the first therapy module or the second therapy module.

19. The method of claim 12, wherein the first therapy module comprises a first therapy module configured to generate at least one of pacing, cardioversion and defibrillation therapy that is delivered to a heart of the patient.

20. The method of claim 19, wherein the second therapy module comprises a second therapy module configured to generate second electrical stimulation that is delivered to a tissue site within the patient, the tissue site comprising at least one of a nonmyocardial tissue site and nonvascular cardiac tissue site.

21. The method of claim 20, wherein the tissue site comprises at least one of an extravascular tissue site and a tissue site proximate a nerve.

22. The method of claim 12, wherein the housing comprises a disk-shaped housing, and the first and second lead connection assemblies have different radial positions on the disk-shaped housing.

18. The method of 17, wherein the third electrical connector defines a third opening, wherein the first, second, and third openings face in different directions.

23. An implantable medical system comprising:

a housing;

means for generating a first electrical stimulation for delivery to a patient;

means for generating a second electrical stimulation for delivery the patient separate from that of the means for generating first electrical stimulation;

means for electrically coupling a first implantable lead to the means for generating first electrical stimulation;

means for electrically coupling a second implantable lead to the means for generating second electrical stimulation separate from that of the means for electrically coupling the first implantable lead to the means for generating first electrical stimulation,

wherein the means for generating the first electrical stimulation and the second electrical stimulation are enclosed within the housing,

wherein the means for electrically coupling the first implantable lead to the means for generating first electrical stimulation comprises a first electrical connector electrically coupled to the means for generating the first electrical stimulation, and the means for electrically coupling the second implantable lead to the means for generating second electrical stimulation comprises a second electrical connector electrically coupled to the means for generating the second electrical stimulation,

wherein the first electrical connector defines a first opening and the second electrical connector defines a second opening, and

wherein the first opening faces a first direction and the second opening faces a second direction that is substantially orthogonal to the first direction.

24. The implantable medical system of claim 23, wherein the means for electrically coupling the first implantable lead to the means for generating first electrical stimulation comprises a first lead connection assembly including the first electrical connector, and the means for electrically coupling the second implantable lead to the means for generating second electrical stimulation comprises a second lead connection assembly including the second electrical connector.

25. The implantable medical system of claim 24, wherein the first and second lead connection assemblies are distributed around an outer perimeter of the housing.

26. An implantable medical system comprising:

a housing;

a first therapy module enclosed within the housing and configured to generate a first electrical stimulation therapy for delivery to a patient;

a second therapy module enclosed within the housing and configured to generate a second electrical stimulation therapy for delivery to the patient;

a first lead connection assembly including a first electrical connector electrically coupled to the first therapy module;

a second lead connection assembly including a second electrical connector electrically coupled to the second therapy module; and

a third lead connection assembly including a third electrical connector, the third electrical connector being electrically coupled to one of the first therapy module or the second therapy module,

wherein the first electrical connector defines a first opening, the second electrical connector defines a second opening, and the third electrical connector defines a third opening, and

wherein the first, second, and third openings each face in different directions.

27. The implantable medical system of claim 26, wherein the first and second lead connection assemblies are distributed around an outer perimeter of the housing.

28. The implantable medical system of claim 26, wherein the first lead connection assembly is located adjacent a first portion of the housing, and the second lead connection assembly is located adjacent a second portion of the housing that differs from the first portion.

29. The implantable medical system of claim 26, wherein the first electrical connector is configured to electrically couple a first lead to the first therapy module, and the second electrical connector is configured to electrically couple a second lead to the second therapy module.

30. The implantable medical system of claim 29, wherein the first and second electrical connectors comprise at least one of a different size, a different shape and a different electrical contact arrangement.

31. The implantable medical system of claim 26, wherein the first opening and the second opening face substantially opposite directions.

32. The implantable medical system of claim 26, wherein the first opening faces a first direction and the second opening faces a second direction that is substantially orthogonal to the first direction.

33. The implantable medical system of claim 26, wherein the first therapy module comprises a first therapy module configured to generate at least one of pacing, cardioversion and defibrillation therapy that is delivered to a heart of the patient.

34. The implantable medical system of claim 33, wherein the second therapy module comprises a second therapy module configured to generate second electrical stimulation that is delivered to a tissue site within the patient, the tissue site comprising at least one of a nonmyocardial tissue site and nonvascular cardiac tissue site.

35. The implantable medical system of claim 34, wherein the tissue site comprises at least one of an extravascular tissue site and a tissue site proximate a nerve.

36. The implantable medical system of claim 26, wherein the housing comprises a disk-shaped housing, and the first and second lead connection assemblies have different radial positions on the disk-shaped housing.

37. A method comprising:

delivering a first electrical stimulation therapy to a patient via a first lead electrically coupled to a first therapy module of an implantable medical device via a first lead connection assembly comprising a first electrical connector electrically coupled to the first therapy module;

delivering a second electrical stimulation therapy to the patient via a second lead electrically coupled to a second therapy module of the implantable medical device via a second lead connection assembly comprising a second electrical connector electrically coupled to the second therapy module,

wherein the implantable medical device comprises a housing,

wherein the implantable medical device further comprises a third lead connection assembly including a third electrical connector, the third electrical connector being electrically coupled to one of the first therapy module or the second therapy module,

wherein the first electrical connector defines a first opening, the second electrical connector defines a second opening, and the third electrical connector defines a third opening, and

wherein the first, second, and third openings each face in different directions.

38. The method of claim 37, wherein the first and second lead connection assemblies are distributed around an outer perimeter of the housing.

39. The method of claim 37, wherein the first lead connection assembly is located adjacent a first portion of the housing, and the second lead connection assembly is located adjacent a second portion of the housing that differs from the first portion.

40. The method of claim 37, wherein the first electrical connector is configured to electrically couple a first lead to the first therapy module, and the second electrical connector is configured to electrically couple a second lead to the second therapy module.

41. The method of claim 40, wherein the first and second electrical connectors comprise at least one of a different size, a different shape and a different electrical contact arrangement.

42. The method of claim 37, wherein the first opening and the second opening face substantially opposite directions.

43. The method of claim 37, wherein the first opening faces a first direction and the second opening faces a second direction that is substantially orthogonal to the first direction.

44. The method of claim 37, wherein the first therapy module comprises a first therapy module configured to generate at least one of pacing, cardioversion and defibrillation therapy that is delivered to a heart of the patient.

45. The method of claim 44, wherein the second therapy module comprises a second therapy module configured to generate second electrical stimulation that is delivered to a tissue site within the patient, the tissue site comprising at least one of a nonmyocardial tissue site and nonvascular cardiac tissue site.

46. The method of claim 37, wherein the housing comprises a disk-shaped housing, and the first and second lead connection assemblies have different radial positions on the disk-shaped housing.

47. An implantable medical system comprising:

a housing;

means for generating a first electrical stimulation for delivery to a patient;

means for generating a second electrical stimulation for delivery the patient separate from that of the means for generating the first electrical stimulation;

means for electrically coupling a first implantable lead to the means for generating the first electrical stimulation, the means for electrically coupling the first implantable lead to the means for generating the first electrical stimulation comprising a first electrical connector electrically coupled to the means for generating the first electrical stimulation;

means for electrically coupling a second implantable lead to the means for generating the second electrical stimulation separate from that of the means for electrically coupling the first implantable lead to the means for generating first electrical stimulation, the means for electrically coupling the second implantable lead to the means for generating second electrical stimulation comprising a second electrical connector electrically coupled to the means for generating the second electrical stimulation; and

means for electrically coupling a third implantable lead to one of the means for generating the first electrical stimulation or the means for generating the second electrical stimulation, the means for electrically coupling the third implantable lead to one of the means for generating the first electrical stimulation or the means for generating the second electrical stimulation comprising a third electrical connector electrically coupled to the one of the means for generating the first electrical stimulation or the means for generating the second electrical stimulation,

wherein the means for generating the first electrical stimulation and the second electrical stimulation are enclosed within the housing,

wherein the first electrical connector defines a first opening, the second electrical connector defines a second opening, and the third electrical connector defines a third opening, and

wherein the first, second, and third openings each face in different directions.

48. The implantable medical system of claim 47, wherein the means for electrically coupling the first implantable lead to the means for generating first electrical stimulation comprises a first lead connection assembly including the first electrical connector, and the means for electrically coupling the second implantable lead to the means for generating second electrical stimulation comprises a second lead connection assembly including the second electrical connector.

49. The implantable medical system of claim 48, wherein the first and second lead connection assemblies are distributed around an outer perimeter of the housing.