Medical lead coil conductor with spacer element

• US 8,688,236 B2
• Filed: 12/13/2011
• Issued: 04/01/2014
• Est. Priority Date: 05/09/2008
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Foster, Arthur J.
• Primary Examiner(s): Schaetzle, Kennedy
• Application Number:
  US13/324,007
• Publication Number:
  US 20120109270A1
• Time in Patent Office: 840 Days
• Field of Search: 607/122
• US Class Current: 607/122
• CPC Class Codes: A61B 2562/222 Electrical cables or leads therefor, e.g. coaxial cables or ribbon cables
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/086 Magnetic resonance imaging [MRI] compatible leads

Abstract

Medical electrical leads equipped with spacer elements and configured for use during medical procedures such as magnetic resonance imaging (MRI) are disclosed. An illustrative medical electrical lead includes a proximal connector, an insulated lead body including at least one electrode, a helically coiled conductor wire, and a helically coiled spacer element interstitially disposed between adjacent turns of the conductor wire.

Claims

1. A medical electrical lead, comprising:

a lead body having a proximal section and a distal section;

an electrode coupled to the distal section of the lead body;

at least one helically coiled electrical conductor disposed within an interior lumen of the lead body and electrically coupled to the electrode, the at least one helically coiled electrical conductor including a plurality of turns disposed about a longitudinal axis of the lead body and extending from the proximal section to the distal section of the lead body;

at least one helically coiled spacer element electrically isolated from the electrode, the at least one helically coiled spacer element including a plurality of turns interstitially disposed between adjacent turns of the at least one helically coiled electrical conductor to form a coil assembly comprising the at least one helically coiled electrical conductor and the at least one helically coiled spacer element; and

wherein the at least one helically coiled electrical conductor and the at least one helically coiled spacer element are wound together to have a first portion of the coil assembly that is close-wound and a second portion of the coil assembly that is open-wound.

2. The medical electrical lead of claim 1, wherein the at least one helically coiled electrical conductor comprise a plurality of conductor wires each including a plurality of wire turns.

3. The medical electrical lead of claim 1, wherein the at least one helically coiled electrical conductor comprises a single conductor wire including a plurality of wire turns.

4. The medical device of claim 1, wherein the at least one helically coiled electrical conductor extends from the electrode to a proximal lead connector.

5. The medical electrical lead of claim 1, wherein the at least one helically coiled spacer element includes a single polymeric filar.

6. The medical electrical lead of claim 1, wherein the at least one helically coiled spacer element includes a plurality of polymeric filars.

7. The medical electrical lead of claim 1, wherein the at least one helically coiled spacer element includes at least one insulated metal filar.

8. The medical electrical lead of claim 1, wherein the at least one helically coiled spacer element contacts each adjacent turn of the at least one helically coiled electrical conductor along the first portion of the coil assembly such that there are no significant gaps or spaces between any adjacent turns.

9. The medical electrical lead of claim 8, wherein each turn of the at least one helically coiled spacer element is spaced a distance apart from each adjacent turn of the at least one helically coiled electrical conductor along the second portion of the coil assembly such that space exists between adjacent turns of the at least one helically coiled spacer element and the at least one helically coiled electrical conductor.

10. The medical electrical lead of claim 1, wherein each electrical conductor and spacer element has a transverse dimension, and wherein the transverse dimension of the electrical conductor is different than the transverse dimension of the spacer element.

11. The medical electrical lead of claim 1, where each electrical conductor and spacer element has an outer diameter, and wherein the outer diameter of the electrical conductor is different than the outer diameter of the spacer element.

12. The medical electrical lead of claim 1, wherein the first portion of the coil assembly is proximal of the second portion of the coil assembly.

13. The medical electrical lead of claim 1, wherein each electrical conductor has an outer diameter from about 0.2 mm to about 3.0 mm and a transverse dimension from about 0.05 mm to about 1.0 mm.

14. The medical electrical lead of claim 1, wherein each spacer element has an outer diameter from about 0.2 mm to about 3.0 mm and a transverse dimension from about 0.05 mm to about 1.0 mm.

15. A medical electrical lead, comprising:

a lead body having a proximal section and a distal section;

an electrode coupled to the distal section of the lead body;

a helically coiled electrical conductor disposed within an interior lumen of the lead body and electrically coupled to the electrode, the electrical conductor including a plurality of turns disposed about a longitudinal axis of the lead body and extending from the proximal section to the distal section of the lead body;

a helically coiled spacer element electrically isolated from the electrode, the spacer element including a proximal end, a distal end, and a plurality of turns interstitially disposed between adjacent turns of the electrical conductor, the proximal end of the spacer element located within the distal section of the lead body and extending to a distal lead tip of the lead to form a coil assembly comprising the electrical conductor and the spacer element; and

wherein the electrical conductor and the spacer element are wound together to have a first portion of the coil assembly that is close-wound and a second portion of the coil assembly that is open-wound.

16. A medical electrical lead, comprising:

a lead body having a proximal section and a distal section;

an electrode coupled to the distal section of the lead body;

a helically coiled electrical conductor disposed within an interior lumen of the lead body and electrically coupled to the electrode, the conductor wire having a transverse shape and including a plurality of wire turns disposed about a longitudinal axis of the lead body;

a helically coiled spacer element electrically isolated from the electrode and including a plurality of turns interstitially disposed between adjacent turns of the electrical conductor to form a coil assembly comprising the electrical conductor and the spacer element; and

wherein the electrical conductor and the spacer element are wound together to have a first portion of the coil assembly and a second portion of the coil assembly, the first portion having different spacing between adjacent turns of the electrical conductor and the spacer element relative to the second portion.

17. The medical electrical lead of claim 16, wherein the first portion has closed-spacing and the second portion has open spacing.

18. The medical electrical lead of claim 16, where the electrical conductor and spacer element each have an outer diameter, and wherein the outer diameter of the electrical conductor is different than the outer diameter of the spacer element.

19. The medical electrical lead of claim 16, wherein the electrical conductor has an outer diameter from about 0.2 mm to about 3.0 mm and a transverse dimension from about 0.05 mm to 1.0 mm.

20. The medical electrical lead of claim 16, wherein the spacer element has an outer diameter from about 0.2 mm to about 3.0 mm and a transverse dimension from about 0.05 mm to 1.0 mm.