Lead assembly and related methods

• US 9,095,702 B2
• Filed: 12/30/2013
• Issued: 08/04/2015
• Est. Priority Date: 05/07/2008
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Arnholt, Devon N.
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): EDWARDS, PHILIP CHARLES
• Application Number:
  US14/144,076
• Publication Number:
  US 20140109404A1
• Time in Patent Office: 582 Days
• US Class Current: 1/1
• CPC Class Codes: A61L 31/10 Macromolecular materials
• CPC Class Codes: A61N 1/0563 specially adapted for defibrillation or cardioversion
• CPC Class Codes: A61N 1/0568 with drug delivery
• CPC Class Codes: A61N 2001/0578 having means for removal or extraction
• CPC Class Codes: H01R 2201/12 for medicine and surgery
• CPC Class Codes: Y10T 29/49117 Conductor or circuit manufacturing
• CPC Class Codes: Y10T 29/49224 with coating

Abstract

Defibrillator lead designs and methods for manufacturing a lead having attachment between a fibrosis-limiting material covering, a shocking coil electrode, and an implantable lead body are disclosed herein. An electrode coil fitting is disposed within the shocking coil electrode. In an option, the fibrosis limiting material extends past the ends of the electrode coil, and is wrapped between the coil electrode and the electrode coil member.

Claims

1. A method comprising:

forming a lead assembly including coating an external portion of at least one electrode coil with a coating of fibrosis limiting material, wherein the electrode coil includes a first end, an opposite second end, and a length therebetween, and the coating of fibrosis limiting material extends past one or more of the first end portion and the second end portion without extending between contacting portions of adjacent windings of the electrode coil;

disposing the electrode coil over an electrode coil fitting and anchoring the fibrosis limiting material between the electrode coil and the electrode coil fitting;

coupling the at least one electrode coil with at least one conductor; and

disposing an insulative lead body over at least a portion of the at least one conductor and adjacent to the electrode coil and coating.

2. The method as recited in claim 1, wherein anchoring the fibrosis limiting material includes disposing coating end portions of the coating of fibrosis limiting material within the electrode coil.

3. The method as recited in claim 1, further comprising forming at least one through hole through the coil electrode fitting.

4. The method as recited in claim 3, further comprising contacting tubing external to the electrode coil fitting with internal tubing through the at least one through hole.

5. The method as recited in claim 1, further comprising forming one or more tethers along one or more end portions of the fibrosis limiting coating, and disposing the one or more tethers between an exterior surface of the at least one coil electrode fitting and an interior portion of the at least one electrode coil.

6. The method as recited in claim 1, further comprising welding the electrode coil.

7. The method as recited in claim 6, wherein welding the at least one electrode coil includes laser welding one or more end portions of the at least one electrode coil.

8. The method as recited in claim 7, further comprising forming at least one slit in the welded portions.

9. The method as recited in claim 1, further comprising heat sintering the electrode coil and the coating of fibrosis limiting material.

10. The method as recited in claim 1, wherein the fibrosis limiting material includes polytetrafluoroethylene, expanded polytetrafluoroethylene, or expanded ultra-high molecular weight polyethylene.

11. The method as recited in claim 1, wherein coating the external portion of the at least one electrode coil includes wrapping strands of the fibrosis limiting material over the external portion of the at least one electrode coil.

12. A method comprising:

forming a coated electrode coil by applying a coating of fibrosis limiting material to an electrode coil, wherein the electrode coil includes a first end, an opposite second end, and a length therebetween, and wherein the coating of fibrosis limiting material includes a first end portion having a first end, and a second end portion having a second end opposite the first end portion, and wherein applying the coating of fibrosis limiting material to the electrode coil includes;

disposing the fibrosis limiting material over an external surface of the electrode coil without extending between contacting portions of adjacent windings of the electrode coil, and

wrapping the first end portion of the coating of fibrosis limiting material over the first end of the electrode coil so that the first end of the coating of fibrosis limiting material is disposed adjacent an inner surface of the electrode coil, and

disposing the first end of the coated electrode coil over a first electrode coil fitting and anchoring the first end of the coating of fibrosis limiting material between the inner surface of the electrode coil and the first electrode coil fitting;

coupling the at least one electrode coil with at least one conductor; and

disposing an insulative lead body over at least a portion of the at least one conductor and adjacent to the electrode coil and the coating of fibrosis limiting material.

13. The method as recited in claim 12, further comprising forming at least one through hole through the first electrode coil fitting.

14. The method as recited in claim 13, further comprising contacting tubing external to the first electrode coil fitting with internal tubing through the at least one through hole.

15. The method as recited in claim 13, further comprising forming one or more tethers along one or both of the first and second end portions of the coating of fibrosis limiting material, and disposing the one or more tethers between an exterior surface of the first electrode coil fitting and the inner surface of the electrode coil.

16. The method as recited in claim 13, wherein the coating of fibrosis limiting material includes a slit extending longitudinally near the first end thereof.

17. The method as recited in claim 12, wherein applying the coating of fibrosis limiting material further includes wrapping the second end portion of the coating of fibrosis limiting material over the second end of the electrode coil so that the second end of the coating of fibrosis limiting material is disposed adjacent the inner surface of the electrode coil.

18. The method as recited in claim 12, wherein applying the coating of fibrosis limiting material to the electrode coil includes wrapping strands of the fibrosis limiting material over the external surface of the electrode coil.

19. The method as recited in claim 12, further comprising heat sintering the electrode coil and the coating of fibrosis limiting material.

20. A method comprising:

forming a coated electrode coil by applying a coating of fibrosis limiting material to an electrode coil, wherein the electrode coil includes a first end, an opposite second end, and a length therebetween, and wherein the coating of fibrosis limiting material includes a first end portion having a first end, and a second end portion having a second end opposite the first end portion, and wherein applying the coating of fibrosis limiting material to the electrode coil includes;

disposing the fibrosis limiting material over an external surface of the electrode coil, and

wrapping the first end portion of the coating of fibrosis limiting material over the first end of the electrode coil so that the first end of the coating of fibrosis limiting material is disposed adjacent an inner surface of the electrode coil,

wrapping the second end portion of the coating of fibrosis limiting material over the second end of the electrode coil so that the second end of the coating of fibrosis limiting material is disposed adjacent the inner surface of the electrode coil, and

disposing the first end of the coated electrode coil over a first electrode coil fitting and anchoring the first end of the coating of fibrosis limiting material between the inner surface of the electrode coil and the first electrode coil fitting;

disposing the second end of the coated electrode coil over a second electrode coil fitting and anchoring the second end of the coating of fibrosis limiting material between the inner surface of the electrode coil and the second electrode coil fitting;

coupling the at least one electrode coil with at least one conductor; and

disposing an insulative lead body over at least a portion of the at least one conductor and adjacent to the electrode coil and the coating of fibrosis limiting material.