Coronary vein leads having pre-formed biased portions for fixation

• US 8,498,721 B2
• Filed: 10/03/2011
• Issued: 07/30/2013
• Est. Priority Date: 08/30/2000
• Status: Expired due to Fees

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Scheiner, Avram, Heil, Ronald W. Jr., Kelley, Peter T., Tockman, Bruce, Westlund, Randy, Warren, Jay A., Repasky, Christina, Bye, Lyle A., Soltis, Brian D.
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US13/251,466
• Publication Number:
  US 20120215294A1
• Time in Patent Office: 666 Days
• Field of Search: 607/125
• US Class Current: 607/125
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• 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 lead having a pre-formed biased portion is adapted for implantation with a body vessel and for connection to a signal generator. The lead is constructed and arranged so that when it is implanted, the electrodes are biased toward a vessel wall by the preformed biased portion, which operates to fixate the lead against the vessel wall.

Claims

1. An implantable medical lead for implantation within a body vessel, comprising:

a lead body having a proximal end and an open distal end, and including a pre-formed biased portion between the proximal and distal ends, and an-unbiased portion extending distally from the pre-formed biased portion, wherein the pre-formed biased portion is adapted to fixate the lead against an interior wall of a body vessel upon implantation and includes a three-dimensional bias having a helical shape;

a connector configured for coupling the lead to an implantable pulse generator;

a plurality of electrodes on the lead body in the pre-formed biased portion;

an electrode on the lead body in the un-biased portion;

a first conductor extending within the lead body from the proximal end toward the distal end and coupled to the electrode in the un-biased portion;

a plurality of second conductors extending within the lead body from the proximal end toward the distal end, each of the second conductors coupled to a respective one of the plurality of electrodes in the pre-formed biased portion; and

an open lumen extending longitudinally through the distal end of the lead body.

2. The lead of claim 1, wherein the lead terminates in a distal tip, and wherein the first conductor terminates proximal to the distal tip.

3. The lead of claim 2, further comprising an unbiased, flexible tapered portion terminating at the distal tip of the lead.

4. The lead of claim 1, wherein the lead is an over the wire lead configured for use over a guidewire or stylet.

5. The lead of claim 1, wherein each of the electrodes in the pre-formed biased portion include a masked electrode portion on an inside radius of the lead body and an unmasked electrode portion on an outside radius of the lead body.

6. An implantable medical lead, comprising:

a lead body having a proximal end and an open distal end, and including a pre-formed biased portion between the proximal and distal ends, the pre-formed biased portion adapted to fixate the lead against an interior wall of a body vessel upon implantation and including a three-dimensional bias and a two-dimensional bias;

a connector configured for coupling the lead body to an implantable pulse generator;

an electrode on the lead body;

a conductor coil coupled to the electrode and extending within the lead body from the proximal end toward the distal end; and

an open lumen extending longitudinally through the distal end of the lead body.

7. The lead of claim 6, further comprising an unbiased, flexible tapered portion terminating at a distal tip of the lead.

8. The lead of claim 6, wherein the three-dimensional bias has a helical shape, and wherein the two-dimensional bias has a J-shape.

9. The lead of claim 6, wherein the conductor coil defines at least a portion of the lumen.

10. The lead of claim 9, wherein the lead terminates in a distal tip, and wherein the conductor coil terminates proximal to the distal tip.

11. The lead of claim 10, further comprising an unbiased, flexible tapered portion terminating at the distal tip of the lead.

12. The lead of claim 6, wherein the electrode is located within the three-dimensional bias.

13. The lead of claim 6, wherein the electrode is located within the two-dimensional bias.

14. The lead of claim 6, further comprising a plurality of electrodes, wherein at least one electrode is located distal to the pre-formed biased portion.

15. The lead of claim 6, wherein the electrode comprises a masked electrode portion on an inside radius of the lead body and an unmasked electrode portion on an outside radius of the lead body.

16. An implantable medical lead for implantation within a body vessel, comprising:

a lead body having a proximal end and an open distal end, and including a pre-formed biased portion between the proximal and distal ends, and an-unbiased portion extending distally from the pre-formed biased portion, wherein the pre-formed biased portion is adapted to fixate the lead against an interior wall of a body vessel upon implantation and includes a three-dimensional bias having a helical shape;

at least one electrode located at the pre-formed biased portion and arranged to provide sensing or stimulation at a first contact location of the body vessel when implanted;

at least one electrode located at the un-biased portion and arranged to provide sensing or stimulation at a second contact location of the body vessel spaced apart from the first contact location when implanted; and

an open lumen extending longitudinally through the distal end of the lead body.

17. The lead of claim 16, further comprising a first conductor extending within the lead body from the proximal end toward the distal end and coupled to the at least one electrode located at the un-biased portion.

18. The lead of claim 17, wherein the at least one electrode located at the pre-formed portion comprises a plurality of electrodes, and further comprising a plurality of second conductors extending within the lead body from the proximal end toward the distal end, each of the second conductors coupled to a respective one of the plurality of electrodes at the pre-formed biased portion.

19. The lead of claim 17, wherein the lead terminates in a distal tip, and wherein the first conductor terminates proximal to the distal tip.

20. The lead of claim 19, further comprising an unbiased, flexible tapered portion terminating at the distal tip of the lead.

21. The lead of claim 16, wherein the lead is an over the wire lead configured for use over a guidewire or stylet.

22. The lead of claim 16, wherein each electrode at the pre-formed biased portion include a masked electrode portion on an inside radius of the lead body and an unmasked electrode portion on an outside radius of the lead body.