Implantable device lead including a distal electrode assembly with a coiled component

• US 8,954,168 B2
• Filed: 03/13/2013
• Issued: 02/10/2015
• Est. Priority Date: 06/01/2012
• 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): MANUEL, GEORGE C
• Application Number:
  US13/800,159
• Publication Number:
  US 20130325093A1
• Time in Patent Office: 699 Days
• Field of Search: 607/119
• US Class Current: 607/119
• CPC Class Codes: A61N 1/0573 chacterised by means penetrating the heart tissue, e.g. helix needle or hook
• CPC Class Codes: A61N 1/086 Magnetic resonance imaging [MRI] compatible leads

Abstract

A medical device lead includes an insulative body having a proximal region with a proximal end, and a distal region with a distal end. The medical device lead also includes a connector coupled to the proximal end of the insulative body of the lead to electrically and mechanically connect the lead to an implantable pulse generator. The medical device lead further includes a conductor extending through the insulative body with a proximal end electrically connected to the connector. A distal electrode assembly at a distal end of the insulative body includes a proximal portion electrically coupled to a distal end of the conductor, a distal portion, and an intermediate portion. The intermediate portion comprises a coiled element electrically connecting the proximal portion and distal portion.

Claims

1. A medical device lead comprising:

an insulative body having a proximal region with a proximal end, and a distal region with a distal end;

a connector coupled to the proximal end of the insulative body of the lead configured to electrically and mechanically connect the lead to an implantable pulse generator;

a conductor extending through the insulative body, a proximal end of the conductor electrically connected to the connector; and

a distal electrode assembly at a distal end of the insulative body, the distal electrode assembly including a proximal portion that is mechanically and electrically coupled to a distal end of the conductor, a distal portion, an electrode at the distal portion, and an intermediate portion located between the proximal portion and the distal portion, wherein the distal end of the conductor terminates at the proximal portion of the distal electrode assembly, the intermediate portion is formed by a coiled element that terminates proximally with a first electrical connection at the proximal portion and distally with a second electrical connection at the distal portion to electrically connect the proximal portion to the distal portion, and the conductor is electrically connected to the electrode via the proximal portion, the intermediate portion, and the distal portion.

2. The medical device lead of claim 1, wherein the electrode comprises a contact electrode that is part of the distal portion of the distal electrode assembly, the contact electrode having an outer diameter larger than outer diameters of the proximal portion and intermediate portion, and wherein the insulative body extends over the distal electrode assembly to the contact electrode such that the contact electrode is exposed at the distal end of the medical device lead.

3. The medical device lead of claim 1, wherein the coiled element comprises a unifilar coil.

4. The medical device lead of claim 1, wherein a resistance of the coiled element is less than about 100 ohms.

5. The medical device lead of claim 1, and further comprising:

a fixation helix disposed within the distal electrode assembly and configured to extend from and retract into a distal end of the distal electrode assembly.

6. The medical device lead of claim 5, and further comprising:

an insulative layer configured to electrically isolate the fixation helix from the distal electrode assembly.

7. The medical device lead of claim 5, and further comprising:

a coupler disposed within the distal electrode assembly and fixedly attached to the fixation helix, wherein the coupler is rotatable with respect to the distal electrode assembly to translate the fixation helix longitudinally with respect to the distal electrode assembly.

8. The medical device lead of claim 7, wherein the coupler includes a slot configured to receive a distal end of an actuating device to rotate the coupler.

9. A distal electrode assembly for an implantable medical device, the distal electrode assembly comprising:

a proximal portion configured for electrical connection to a conductive coil that delivers electrical energy to the distal electrode assembly, the proximal portion having an outer diameter;

a distal portion including a contact electrode, the distal portion having an outer diameter; and

an intermediate portion electrically connecting the proximal portion to the distal portion, wherein the intermediate portion comprises a coiled element that terminates proximally at a first electrical connection at the proximal portion and distally with a second electrical connection at the distal portion to electrically connect the proximal portion to the distal portion, the coiled element having an outer diameter that is substantially the same as the outer diameters of the proximal portion and the distal portion.

10. The distal electrode assembly of claim 9, wherein the coiled element comprises a unifilar coil.

11. The distal electrode assembly of claim 10, wherein the unifilar coil has a filar diameter of 0.001-0.007 inch (0.025-0.178 mm).

12. The distal electrode assembly of claim 9, wherein a resistance of the coiled element is less than about 100 ohms.

13. The distal electrode assembly of claim 9, and further comprising:

a fixation helix disposed within the distal electrode assembly and configured to extend from and retract into a distal end of the distal electrode assembly.

14. The distal electrode assembly of claim 13, and further comprising:

an insulative layer configured to electrically isolate the fixation helix from the distal electrode assembly.

15. A medical device lead comprising:

an insulative body having a proximal region with a proximal end, and a distal region with a distal end;

a conductive coil extending through the insulative body; and

a distal electrode assembly at a distal end of the insulative body, the distal electrode assembly including an electrode, a proximal portion electrically and mechanically coupled to a distal end of the conductor, a distal portion supporting the electrode, and an intermediate portion, wherein the intermediate portion comprises a unifilar coil located between the proximal portion and the distal portion, the unifilar coil electrically connecting the proximal portion to the distal portion such that the conductive coil is electrically connected to the electrode, and wherein the unifilar coil has a coil winding pitch of less than two.

16. The medical device lead of claim 15, and further comprising:

a fixation helix disposed within the distal electrode assembly and configured to extend from and retract into a distal end of the distal electrode assembly.

17. The medical device lead of claim 16, wherein the electrode is a contact electrode having an outer diameter larger than outer diameters of the proximal portion and the intermediate portion, and wherein the insulative body extends over the distal electrode assembly to the contact electrode such that the contact electrode is exposed at the distal end of the medical device lead.

18. The medical device lead of claim 16, and further comprising:

a fixation helix disposed within the distal electrode assembly and configured to extend from and retract into a distal end of the distal electrode assembly.

19. The medical device lead of claim 18, and further comprising:

an insulative layer configured to electrically isolate the fixation helix from the distal electrode assembly.

20. The medical device lead of claim 19, and further comprising:

a coupler disposed within the distal electrode assembly and fixedly attached to the fixation helix, wherein the coupler is rotatable with respect to the distal electrode assembly to translate the fixation helix longitudinally with respect to the distal electrode assembly, and wherein the coupler includes a slot configured to receive a distal end of an actuating device to rotate the coupler.