Tuned energy balanced system for minimizing heating and/or to provide EMI protection of implanted leads in a high power electromagnetic field environment

• US 8,989,870 B2
• Filed: 01/12/2010
• Issued: 03/24/2015
• Est. Priority Date: 04/13/2001
• Status: Expired due to Fees

• Current Assignee: Greatbatch Limited (Greatbatch Incorporated)
• Original Assignee: Greatbatch Limited (Greatbatch Incorporated)
• Inventors: Johnson, Robert Shawn, Dabney, Warren S., Stevenson, Robert A., Williams, Christopher Michael, Moschiano, Holly Noelle, Brainard, Scott, Kaiser, Daniel Robert, Halperin, Henry R., Lardo, Albert C.
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): MAHMOOD, NADIA AHMAD
• Application Number:
  US12/686,137
• Publication Number:
  US 20100160997A1
• Time in Patent Office: 1,897 Days
• Field of Search: 607/45, 607/116
• US Class Current: 607/116
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2090/374 NMR or MRI
• CPC Class Codes: A61B 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• 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 1/086 Magnetic resonance imaging [MRI] compatible leads
• CPC Class Codes: A61N 1/3718 Monitoring of or protection against external electromagnetic fields or currents
• CPC Class Codes: B82Y 30/00 Nanotechnology for materials or surface science, e.g. nanocomposites
• CPC Class Codes: G01R 33/285 Invasive instruments, e.g. catheters or biopsy needles, specially adapted for tracking, guiding or visualization by NMR

Abstract

An energy management system facilitates the transfer of high frequency energy coupled into an implanted lead at a selected RF frequency or frequency band, to an energy dissipating surface. This is accomplished by conductively coupling the implanted lead to the energy dissipating surface through an energy diversion circuit including one or more passive electronic network components whose impedance characteristics are at least partially tuned to the implanted lead'"'"'s impedance characteristics.

Claims

1. A tuned energy balanced system for providing EMI protection by minimizing heating of an implanted lead subjected to a high power electromagnetic field environment, the energy balanced system comprising:

a) an implantable lead having an impedance at a selected RF frequency or frequency band;

b) an energy dissipating surface; and

c) an energy diversion circuit electrically coupling the implantable lead to the energy dissipating surface, the energy diversion circuit comprising;

i) a first impedance of the energy diversion circuit that essentially cancels a second impedance of the implantable lead, and

ii) a first reactance of the energy diversion circuit that is vectorally opposite to a second reactance of the implantable lead to thereby facilitate transfer of high frequency energy induced on the implantable lead at the selected RF frequency or frequency band to the energy dissipating surface.

2. The system of claim 1, wherein the selected RF frequency or frequency band comprises an MRI frequency.

3. The system of claim 2, wherein the MRI frequency comprises a range of MRI frequencies.

4. The system of claim 1 wherein the energy diversion circuit has a capacitive reactance as the first energy diversion circuit impedance that is substantially equal and opposite to an inductive reactance as the second impedance of the implantable lead.

5. The system of claim 4 wherein the capacitive reactance and the inductive reactance each have a resistor component.

6. The system of claim 1 or 5, wherein the energy diversion circuit comprises a low pass filter.

7. The system of claim 6 wherein the low pass filter is selected from the group consisting of a capacitor, an inductor, a Pi filter, a T filter, an LL filter, an “

n”

element filter, and combinations thereof.

8. The system of claim 1 or 5, wherein the energy diversion circuit comprises at least one series resonant LC trap filter.

9. The system of claim 7, wherein the energy diversion circuit comprises a unipolar or multipolar feedthrough capacitor.

10. The system of claim 8, wherein the energy diversion circuit comprises a plurality of LC trap filters resonant, respectively, at different MRI frequencies.

11. The system of claim 1, wherein the implantable lead has a length extending between and to a proximal lead end that is detachably connectable to an implantable medical device and a tissue-stimulating or biological-sensing electrode at or near a distal tip end.

12. The system of claim 11, wherein the energy dissipating surface is disposed at point or an area spaced from the electrode.

13. The system of claim 12, wherein the energy dissipating surface comprises a ring electrode.

14. The system of claim 11, further comprising a lead housing supporting the distal tip electrode at one end thereof, the lead housing including a conductive lead housing portion forming the energy dissipating surface, and an insulator lead housing portion disposed between the distal tip electrode and the conductive housing portion.

15. The system of claim 1, wherein the energy diversion circuit includes an impeding circuit configured for raising the high-frequency impedance of the implantable lead.

16. The system of claim 15, wherein the impeding circuit comprises an inductor.

17. The system of claim 15, wherein the impeding circuit comprises a bandstop filter.

18. The system of claim 16 or 17, wherein the energy diversion circuit comprises a resistor.

19. The system of claim 16 or 17, wherein the wherein the energy diversion circuit comprises a low pass filter.

20. The system of claim 19, wherein the low pass filter is selected from the group consisting of a capacitor, an inductor, a Pi filter, a T filter, an LL filter, an “

n”

element filter, and combinations thereof.

21. The system of claim 16 or 17, wherein the energy diversion circuit comprises at least one series resonant LC trap filter.

22. The system of claim 21, wherein the energy diversion circuit comprises a plurality of LC trap filters resonant, respectively, at different MRI frequencies.

23. The system of claim 19, wherein the energy diversion circuit comprises a resistor.

24. The system of claim 21, wherein the energy diversion circuit comprises a resistor.

25. The system of claim 1, wherein the energy dissipating surface comprises convolutions or fins, for increasing the surface area thereof.

26. The system of claim 1, wherein the energy dissipating surface includes a roughened surface.

27. The system of claim 26, wherein the roughened surface is formed by one of the group consisting of plasma or chemical etching, porous or fractal coatings or surfaces, whiskers, morphologically designed columbar structures, vapor, electron beam or sputter deposition of a high surface area energy conductive material, or carbon nanotubes.

28. The system of claim 1, wherein the implantable lead comprises at least a portion of a probe or a catheter.

29. The system of claim 28, wherein the energy dissipating surface is selected from the group consisting of a sheath, an insulative body, and a thermally conductive element.

30. The system of claim 1, wherein the implantable lead comprises at least a pair of leads, each lead having a length extending between and to a proximal lead end that is detachably connectable to an implantable medical device and a tissue-stimulating or biological-sensing electrode at a distal lead portion.

31. The system of claim 30, wherein the energy diversion circuit electrically couples each of the leads to the energy dissipating surface disposed at a point or an area distant from each of the respective electrodes.

32. The system of claim 30 or 31, wherein the energy diversion circuit is coupled between the pair of leads.

33. The system of claim 14, wherein the distal electrode cooperates with the conductive and insulator lead housing portions to define a hermetically sealed package having the energy diversion circuit mounted therein.

34. The system of claim 33, wherein the hermetically sealed package has a generally tubular shape with the distal tip electrode mounted at one end thereof, and further defining a hermetic seal assembly at an opposite end thereof, the lead extending through the hermetic seal assembly.

35. The system of claim 33, wherein the energy diversion circuit includes an impeding circuit configured for raising the high frequency impedance of the implantable lead and mounted within the hermetically sealed package.

36. The system of claim 35, wherein the impeding circuit comprises at least one inductor.

37. The system of claim 36, wherein the at least one inductor comprises an inductor chip.

38. The system of claim 36, wherein the at least one inductor comprises an inductor wire wound onto a ferromagnetic or non-ferromagnetic mandrel.

39. The system of claim 33, wherein the energy diversion circuit comprises at least one capacitor coupled between the leadwire and the energy dissipating surface.

40. The system of claim 36, wherein the at least one inductor comprises two inductor elements disposed in series, the energy diversion circuit being coupled between the pair of inductor elements and the energy dissipating surface.

41. The system of claim 40, wherein the energy diversion circuit comprises at least one capacitor.

42. The system of claim 33, wherein the energy diversion circuit comprises at least one LC trap filter coupled between the lead and the energy dissipating surface.

43. The system of claim 42, wherein the at least one LC trap filter comprises a plurality of LC trap filters resonant, respectively, at different MRI frequencies.

44. The system of claim 1, further comprising means for hermetically sealed mounting of the energy dissipating surface along the lead between proximal and distal lead ends thereof, the hermetically sealed means defining a chamber having the energy diversion circuit mounted therein.

45. The system of claim 44, wherein the lead comprises a first lead having a tip electrode at a distal lead end thereof, and a second lead having a ring electrode at a distal, lead end thereof, the first and second leads having the energy dissipating surface disposed in hermetically sealed relation therewith and extending through the chamber with the energy diversion circuit coupling the first and second leads to the energy dissipating surface.

46. The system of claim 45, wherein the energy diversion circuit comprises a unipolar or multipolar feedthrough capacitor.

47. The system of claim 44, wherein the energy diversion circuit includes an impeding circuit configured for raising the high frequency impedance of the implantable lead and mounted within the hermetically sealed chamber.

48. The system of claim 11, wherein the energy dissipating surface comprises a handle or sheath of a probe or a catheter.

49. The system of claim 48, wherein the electrode comprises an ablation tip electrode.

50. The system of claim 49, further comprising a probe housing having the ablation tip electrode at or near a distal housing end thereof, wherein the energy dissipating surface is disposed at a point or an area distant from the ablation tip electrode, the energy diversion circuit configured for diverting high frequency energy away from the ablation tip electrode to the energy dissipating surface.

51. The system of claim 50, wherein the implantable lead comprises a first lead having the ablation tip electrode at or near a distal lead end thereof, at least one second lead having a ring electrode at or near a distal lead end thereof, the energy diversion circuit being configured for diverting high frequency energy away from the ablation tip and the ring electrode to the energy dissipating surface.

52. The system of claim 1, wherein the energy dissipating surface comprises at least a portion of a handle for a probe or catheter.

53. The system of claim 1, wherein the energy dissipating surface is disposed within an insulative sheath.

54. The system of claim 1, wherein the energy dissipating surface comprises a plurality of spaced-apart energy dissipating surfaces.

55. The system of claim 11, including a tether disposed between and conductively coupling the electrode and the energy dissipating surface.

56. The system of claim 11, wherein the electrode comprises a paddle electrode disposed on one side of a paddle.

57. The system of claim 56, wherein the energy dissipating surface is disposed on a second side of the paddle.

58. The system of claim 57, wherein the energy diversion circuit comprises a capacitive element disposed within the paddle between the electrode and the energy dissipating surface.

59. The system of claim 58, wherein the capacitive element comprises a discrete capacitor.

60. The system of claim 58, wherein the capacitive element comprises parasitic capacitance.

61. The system of claim 56, wherein the energy dissipating surface is attached to the paddle.

62. The system of claim 1, wherein the energy dissipating surface comprises a material capable of being visualized during a magnetic resonance scan.

63. The system of claim 1, wherein the energy dissipating surface includes a biomimetic coating.

64. The system of claim 1, wherein the energy diversion circuit includes at least one non-linear circuit element.

65. The system of claim 64, wherein the at least one non-linear circuit element comprises a transient voltage suppressor.

66. The system of claim 64, wherein the at least one non-linear circuit element comprises a diode or a pin diode.

67. The system of claim 1, including a switch configured for opening electrical continuity along a length of the implantable lead without substantial degradation of transfer of the high frequency energy induced on the implantable lead at the selected RF frequency or frequency band to the energy dissipating surface.

68. The system of claim 1 or 5, wherein the energy diversion circuit comprises a high pass filter.

69. The system of claim 68, wherein the high pass filter prevents low frequency gradient field-induced energy in the implantable lead from passing through the diversion circuit to the energy dissipating surface.

70. The system of claim 68, wherein the high pass filter comprises a capacitor.

71. The system of claim 70, wherein the high pass filter comprises a resistor in series with a capacitor.

72. The system of claim 68, wherein the high pass filter comprises an LC trap filter.

73. The system of claim 11, wherein the energy diversion circuit is disposed at or adjacent to the proximal end of the implantable lead.

74. The system of claim 73, wherein the energy diversion circuit is disposed in a proximal lead connector.

75. A tuned energy balanced system for providing EMI protection by minimizing heating of an implanted lead subjected to a high power electromagnetic field environment, the energy balanced system comprising:

a) an implantable medical device;

b) an implantable lead having an impedance at a selected RF frequency or frequency band, the lead being electrically connected to the medical device;

c) an energy dissipating surface supported by the medical device, the implantable lead, or both; and

d) an energy diversion circuit electrically coupling the implantable lead to the energy dissipating surface, the energy diversion circuit comprising;

i) a first impedance of the energy diversion circuit that essentially cancels a second impedance of the implantable lead, and

ii) a first reactance of the energy diversion circuit that is vectorally opposite to a second reactance of the implantable lead to thereby facilitate transfer of high frequency energy induced on the implantable lead at the selected RF frequency or frequency band to the energy dissipating surface.

76. The system of claim 75 wherein the energy dissipating surface comprises a housing for an active implantable medical device (AIMD).

77. The system of claim 76, wherein the AIMD is selected from the group consisting of an implantable hearing device, a neurostimulator, a brain stimulator, a cardiac pacemaker, a left ventricular assist device, an artificial heart, a drug pump, a bone growth stimulator, a urinary incontinence device, a spinal cord stimulator, an anti-tremor stimulator, an implantable cardioverter defibrillator, a congestive heart failure device, and a cardio resynchronization therapy device.

78. The system of claim 76, wherein the energy diversion circuit is mounted within the housing for the AIMD.

79. The system of claim 78, wherein the housing is hermetically sealed.

80. The system of claim 78, wherein the active implantable medical device (AIMD) comprises a deep brain stimulator.

81. The system of claim 80, wherein the housing for the AIMD is adapted for mounting in thermal communication with a patient'"'"'s skull.

82. The system of claim 80, further comprising an electrode shaft assembly having a proximal end carried by the housing for the AIMD, the at least one lead extending through the electrode shaft assembly and having the distal electrode adapted for contacting patient brain tissue.

83. The system of claim 76, wherein the energy diversion circuit comprises a short to the housing for the AIMD.

84. The system of claim 75 wherein the energy diversion circuit is electrically couplable to a housing for the medical device (AIMD).

85. The system of claim 84, wherein the energy diversion circuit is disposed within the housing for the AIMD.

86. The system of claim 84, wherein the energy diversion circuit is disposed within a header block for the AIMD.

87. The system of claim 75 wherein the energy diversion circuit has a capacitive reactance as the first energy diversion circuit impedance that is substantially equal and opposite to an inductive reactance as the second impedance of the implantable lead.

88. The system of claim 87 wherein the capacitive reactance and the inductive reactance each have a resistor component.

89. A tuned energy balanced system for providing EMI protection by minimizing heating of an implantable lead subjected to a high power electromagnetic field environment, the energy balanced system comprising:

a) an implantable lead having an impedance at a selected RF frequency or frequency band;

b) an energy dissipating surface; and

c) an energy diversion circuit electrically coupling the implantable lead to the energy dissipating surface, the energy diversion circuit comprising a capacitor having;

i) a first impedance of the capacitor that essentially cancels a second impedance of the implantable lead, and

ii) a first reactance of the capacitor that is vectorally opposite to a second reactance of the implantable lead to thereby facilitate transfer of high frequency energy induced on the implantable lead at the selected RF frequency or frequency band to the energy dissipating surface.