Medical device lead including a unifilar coil with improved torque transmission capacity and reduced MRI heating

• US 8,744,600 B2
• Filed: 10/31/2012
• Issued: 06/03/2014
• Est. Priority Date: 06/26/2009
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Perrey, Christopher, Clark, Bryan A., Foster, Arthur J.
• Primary Examiner(s): Lavert, Nicole F
• Application Number:
  US13/665,223
• Publication Number:
  US 20130190849A1
• Time in Patent Office: 580 Days
• Field of Search: 607/116, 607/119, 607/122
• US Class Current: 607/122
• 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

A medical device lead includes an electrode, a helically coiled conductor electrically coupled to the electrode, and a polymer sheath formed over the helically coiled conductor. The helically coiled conductor includes a plurality of turns helically wound around a longitudinal axis of the conductor, and consists of one filar.

Claims

1. A medical device lead comprising:

an electrode;

a helically coiled conductor electrically coupled to the electrode, the helically coiled conductor including a plurality of turns helically wound around a longitudinal axis of the conductor, wherein the helically coiled conductor consists of one filar; and

a polymer sheath formed over the helically coiled conductor.

2. The medical device lead of claim 1, wherein the helically coiled conductor has a coil pitch and an outer diameter, wherein the filar has a filar diameter, and wherein the coil pitch is one to about two times the filar diameter and the outer diameter is at least 4.5 times the coil pitch.

3. The medical device lead of claim 1, wherein the polymer sheath is partially ablated in a pattern along a length of the polymer sheath to increase the flexibility of the conductor assembly around the partial ablation.

4. The medical device lead of claim 1, wherein the helically coiled conductor is adapted to promote adhesion with the polymer sheath.

5. The medical device lead of claim 3, wherein the helically coiled conductor is coated in a material that promotes adhesion between the polymer sheath and the helically coiled conductor.

6. The medical device lead of claim 3, wherein a surface of the helically coiled conductor is etched to promote adhesion with the polymer sheath.

7. The medical device lead of claim 1, wherein the polymer sheath is comprised of a material selected from the group consisting of expanded polytetrafluoroethylene (ePTFE), layered ePTFE, polytetrafluoroethylene (PTFE), ethylene/tetrafluoroethylene copolymer (ETFE), fluorinated ethylene propylene (FEP), silicone, polyurethane, silicone-polyurethane copolymer, and a porous polymer.

8. The medical device lead of claim 1, wherein a thickness of the polymer sheath is less than about 0.002 inch (0.051 mm).

9. A medical device lead comprising:

an electrode;

a helically coiled conductor electrically coupled to the electrode, the helically coiled conductor including a plurality of turns helically wound around a longitudinal axis of the conductor assembly, the helically coiled conductor having a coil pitch and an outer diameter and consisting of one filar having a filar diameter, wherein the coil pitch and outer diameter are selected based on the filar diameter to minimize heating of the helically coiled conductor in the presence of an MRI field; and

a polymer sheath formed over the helically coiled conductor.

10. The medical device lead of claim 9, wherein the coil pitch is one to about two times the filar diameter.

11. The medical device lead of claim 9, wherein the outer diameter is at least 4.5 times the coil pitch.

12. The medical device lead of claim 9, wherein the polymer sheath is partially ablated in a pattern along a length of the polymer sheath such that a thickness of the polymer sheath along the partially ablated pattern is less than a thickness of non-ablated portions of the polymer sheath.

13. The medical device lead of claim 9, wherein the helically coiled conductor is adapted to promote adhesion with the polymer sheath.

14. The medical device lead of claim 13, wherein the helically coiled conductor is coated in a material that promotes adhesion between the polymer sheath and the helically coiled conductor.

15. The medical device lead of claim 13, wherein a surface of the helically coiled conductor is etched to promote adhesion with the polymer sheath.

16. The medical device lead of claim 9, wherein the polymer sheath is comprised of a material selected from the group consisting of expanded polytetrafluoroethylene (ePTFE), layered ePTFE, polytetrafluoroethylene (PTFE), ethylene/tetrafluoroethylene copolymer (ETFE), fluorinated ethylene propylene (FEP), silicone, polyurethane, silicone-polyurethane copolymer, and a porous polymer.

17. A conductor assembly for a medical device lead, the conductor assembly comprising:

a helically coiled conductor configured to be coupled to a pulse generator at a proximal end and an electrode at a distal end, the helically coiled conductor including a plurality of turns helically wound around a longitudinal axis of the conductor assembly, wherein the helically coiled conductor consists of one filar; and

a polymer sheath formed over the helically coiled conductor.

18. The conductor assembly of claim 17, wherein the helically coiled conductor has a coil pitch and an outer diameter, wherein the filar has a filar diameter, and wherein the coil pitch is one to about two times the filar diameter and the outer diameter is at least 4.5 times the coil pitch.

19. The conductor assembly of claim 17, wherein the polymer sheath is partially ablated in a pattern along a length of the polymer sheath to increase the flexibility of the conductor assembly around the partial ablation.

20. The conductor assembly of claim 17, wherein the helically coiled conductor is coated in a material that promotes adhesion between the polymer sheath and the helically coiled conductor.

21. The conductor assembly of claim 17, wherein a surface of the helically coiled conductor is etched to promote adhesion with the polymer sheath.

22. The conductor assembly of claim 17, wherein the polymer sheath is comprised of a material selected from the group consisting of expanded polytetrafluoroethylene (ePTFE), layered ePTFE, polytetrafluoroethylene (PTFE), ethylene/tetrafluoroethylene copolymer (ETFE), fluorinated ethylene propylene (FEP), silicone, polyurethane, silicone-polyurethane copolymer, and a porous polymer.