Medical leads with frequency independent magnetic resonance imaging protection

• US 8,768,486 B2
• Filed: 12/10/2007
• Issued: 07/01/2014
• Est. Priority Date: 12/11/2006
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Gray, Robert W., MacDonald, Stuart G., Smith, Lon E. Jr.
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): Dinga, Roland
• Application Number:
  US11/953,443
• Publication Number:
  US 20080147154A1
• Time in Patent Office: 2,395 Days
• Field of Search: 607/63, 607115-122
• US Class Current: 607/115
• CPC Class Codes: A61N 1/086 Magnetic resonance imaging [MRI] compatible leads
• CPC Class Codes: A61N 1/37 Monitoring; Protecting
• CPC Class Codes: A61N 1/3718 Monitoring of or protection against external electromagnetic fields or currents
• CPC Class Codes: G01R 33/288 Provisions within MR facilities for enhancing safety during MR, e.g. reduction of the specific absorption rate [SAR], detection of ferromagnetic objects in the scanner room

Abstract

A medical device having a frequency independent circuit that substantially reduces induced currents in a lead assembly and at a tissue interface. The frequency independent circuit configures an electrical path such that a stimulation pulse travels from the medical device to a selected tissue, and a current induced by an external changing electromagnetic signal is prevented from travelling the electrical path from the selected tissue to the medical device.

Claims

1. An elongate lead assembly configured to operatively couple with an implantable medical device for delivering a therapy pulse from the implantable medical device to a patient in an environment of a changing magnetic field, the lead assembly comprising:

a conductive wire having a proximal end proximate the implantable medical device and a distal end opposite the proximal end;

an electrode coupled proximate the distal end of the conductive wire and configured to deliver the therapy pulse to the patient; and

an electrical circuit operatively coupled to the conductive wire, wherein the electrical circuit is configured to;

pass current in a first direction from the proximal end to the distal end of the conductive wire when a first voltage having a magnitude above a first voltage threshold is applied across the electrical circuit in the first direction positively biasing the electrical circuit in the first direction by the changing magnetic field; and

pass current in a second direction opposite the first direction when a second voltage having a magnitude above a second voltage threshold is applied across the electrical circuit in the second direction by the changing magnetic field but substantially blocking current in the second direction when a voltage less than the second voltage threshold is applied across the electrical circuit in the second direction negatively biasing the electrical circuit in the first direction by the changing magnetic field.

2. A lead assembly according to claim 1 wherein the electrical circuit is a first electrical circuit and further comprising a second electrical circuit coupled in series with the electrical circuit and the first electrode, the second electrical circuit configured to substantially block current flowing in the second direction and pass current flowing in the first direction.

3. A lead assembly according to claim 2 further comprising a third electrical circuit coupled at the proximal end of the conductive wire and in series with the first and second electrical circuits, the third electrical circuit configured to substantially block current flowing in the second direction and pass current flowing in the first direction.

4. A lead assembly according to claim 1 wherein the medical device receives a sensing signal, wherein the conductive wire is a first conductive wire and the electrode is a first electrode and wherein the lead assembly further comprises:

a second conductive wire having a proximal end proximate the implantable medical device and a distal end opposite the proximal end;

a second electrode coupled proximate the distal end of the second conductive wire; and

a fourth electrical circuit coupled in series with the second conductive wire and the second electrode, the fourth configured to pass the sensing pulse from the distal end to the proximal end of the second conductive wire and block a current induced from the proximal end to the distal end of the second conductive wire by the changing magnetic field.

5. The lead assembly according to claim 1 wherein the electrical circuit is configured to pass the therapy pulse from the implantable medical device to the electrode.

6. The lead assembly according to claim 1 wherein the magnitude of the first voltage threshold is less than the magnitude of the second voltage threshold.

7. The lead assembly according to claim 1 wherein the magnitude of the second voltage threshold is less than the voltage of the therapeutic pulse.

8. An elongate lead assembly configured to operatively couple with an implantable medical device for delivering a therapy pulse from the implantable medical device to a patient in an environment of a changing magnetic field, the lead assembly comprising:

a conductive wire having a proximal end proximate the implantable medical device and a distal end opposite the proximal end;

an electrode coupled proximate the distal end of the conductive wire and configured to deliver the therapy pulse to the patient; and

a Zener diode operatively coupled to the conductive wire, wherein the Zener diode is configured to;

pass current in a first direction from the proximal end to the distal end of the conductive wire when a first voltage having a magnitude above a first voltage threshold is applied across the Zener diode in the first direction positively biasing the Zener diode in the first direction by the changing magnetic field; and

pass current in a second direction opposite the first direction when a second voltage having a magnitude above a second voltage threshold is applied across the Zener diode in the second direction by the changing magnetic field but substantially blocking current in the second direction when a voltage less than the second voltage threshold is applied across the Zener diode in the second direction negatively biasing the Zener diode in the first direction by the changing magnetic field.

9. A lead assembly according to claim 8, further comprising a diode coupled in series with the Zener diode and the first electrode, the diode configured to substantially block current flowing in the second direction and pass current flowing in the first direction.

10. A lead assembly according to claim 9 wherein the diode is a first diode and further comprising a second diode coupled at the proximal end of the conductive wire and in series with the Zener diode and the first diode, the second diode being configured to substantially block current flowing in the second direction and pass current flowing in the first direction.

11. The lead assembly according to claim 8 wherein the Zener diode is configured to pass the therapy pulse from the implantable medical device to the electrode.

12. The lead assembly according to claim 8 wherein the magnitude of the first voltage threshold is less than the magnitude of the second voltage threshold.

13. The lead assembly according to claim 8 wherein the magnitude of the second voltage threshold is less than the voltage of the therapeutic pulse.