Systems and methods for making and using leads for electrical stimulation systems with improved RF compatibility

• US 9,155,883 B2
• Filed: 11/10/2014
• Issued: 10/13/2015
• Est. Priority Date: 12/15/2010
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Venook, Ross Daniel, McDonald, Matthew Lee
• Primary Examiner(s): Stice, Paula J
• Application Number:
  US14/537,555
• Publication Number:
  US 20150073519A1
• Time in Patent Office: 337 Days
• Field of Search: 607/2, 607/116, 607/119
• US Class Current: 1/1
• 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

An implantable electrical stimulation lead includes electrodes and terminals disposed on opposing ends of the lead. A liner extends along a longitudinal length of the lead and has at least two different outer diameters. Conductors are coiled around the liner and electrically-couple the electrodes to the terminals. The conductors include a first conductor and a second conductor. The first conductor includes alternating first and second coiled regions. The first coiled regions have tighter pitches than the second coiled regions. The second conductor includes alternating third and fourth coiled regions. The third coiled regions have tighter pitches than the fourth coiled regions. The conductors are arranged into repeating adjacent winding geometries disposed along the longitudinal length of the lead. The repeating adjacent winding geometries each include one of the first coiled regions and one of the third coiled regions axially disposed adjacent to one another.

Claims

1. An implantable electrical stimulation lead comprising:

a lead body having a distal end, a proximal end, and a longitudinal length;

a plurality of electrodes disposed on the distal end of the lead body;

a plurality of terminals disposed on the proximal end of the lead body;

a liner extending along the longitudinal length of the lead body, the liner having at least two different outer diameters; and

a plurality of conductors coiled around the liner and electrically coupling the plurality of electrodes to at least one of the terminals, the plurality of conductors comprising

a first conductor comprising a plurality of alternating first coiled regions and second coiled regions, wherein the first coiled regions have tighter pitches than the second coiled regions, and

a second conductor comprising a plurality of alternating third coiled regions and fourth coiled regions, wherein the third coiled regions have tighter pitches than the fourth coiled regions;

wherein the plurality of conductors are arranged into repeating adjacent winding geometries disposed along the longitudinal length of the lead body, the repeating adjacent winding geometries each comprising one of the plurality of first coiled regions and one of the plurality of third coiled regions axially disposed adjacent to one another.

2. The lead of claim 1, wherein the difference in pitches between the first coiled regions and the second coiled regions are configured and arranged to alter one or more of the capacitance or the inductance of the lead.

3. The lead of claim 1, wherein the first coiled regions have pitches equal to a diameter of the first conductor.

4. The lead of claim 1, wherein the second coiled regions have pitches that make no more than a single revolution around a diameter of the lead between two successive second coiled regions of the first conductor.

5. The lead of claim 1, wherein at least a portion of at least one of the second coiled regions extends over at least a portion of at least one of the third coiled regions.

6. The lead of claim 1, wherein at least a portion of at least one of the second coiled regions extends beneath at least a portion of at least one of the third coiled regions.

7. The lead of claim 1, further comprising a third conductor comprising a plurality of alternating fifth coiled regions and sixth coiled regions, wherein the fifth coiled regions have tighter pitches than the sixth coiled regions.

8. The lead of claim 7, wherein the repeating adjacent winding geometries each comprise one of the plurality of first coiled regions, one of the plurality of third coiled regions, and one of the plurality of fifth coiled regions disposed axially adjacent to one another.

9. The lead of claim 1, wherein the fourth coiled regions of the second conductor are arranged into single layers of coils.

10. The lead of claim 9, wherein at least one of the plurality of fourth coiled regions extends over at least one of the plurality of first coiled regions.

11. The lead of claim 9, wherein at least one of the plurality of fourth coiled regions extends beneath at least one of the plurality of first coiled regions.

12. An electrical stimulating system comprising:

the lead of claim 1;

a control module configured and arranged to electrically couple to the proximal end of the lead body, the control module comprising

a housing, and

an electronic subassembly disposed in the housing; and

a connector for receiving the lead, the connector having a proximal end, a distal end, and a longitudinal length, the connector comprising

a connector housing defining a port at the distal end of the connector, the port configured and arranged for receiving the proximal end of the lead body, and

a plurality of connector contacts disposed in the connector housing, the connector contacts configured and arranged to couple to at least one of the plurality of terminals disposed on the proximal end of the lead body.

13. An implantable lead comprising:

an elongated member having a distal end, a proximal end, and a longitudinal length;

a plurality of electrodes disposed on the distal end of the elongated member;

a plurality of terminals disposed on the proximal end of the elongated member;

a liner extending along the longitudinal length of the elongated member, the liner having alternating first-diameter regions with first diameters and second-diameter regions with second diameters that are larger than the first diameters; and

a plurality of conductors coiled around the liner and electrically coupling the plurality of electrodes to the plurality of terminals, wherein the plurality of conductors each comprise a plurality of common-mode current-suppression units, the plurality of common-mode current-suppression units each comprising

a first conductor segment extending along the elongated member from a beginning point to a first position,

a second conductor segment extending along the elongated member from the first position to a second position, and

a third conductor segment extending along the elongated member from the second position to an endpoint,

wherein the first position is between the second position and the endpoint, and the second position is between the beginning point and the first position;

wherein each of the plurality of common-mode current-suppression units is arranged into a single-layer region and an axially-adjacent multi-layer region.

14. The lead of claim 13, wherein the plurality of conductors are coiled around the liner with at least one of the multi-layer regions of at least one of the common-mode current-suppression units disposed over one of the first-diameter regions of the liner.

15. The lead of claim 13, wherein the plurality of conductors are coiled around the liner with at least one of the single-layer regions of at least one of the common-mode current-suppression units disposed over one of the second-diameter regions of the liner.

16. The lead of claim 13, wherein for each of the plurality of common-mode current-suppression units of at least one of the plurality of conductors the single-layer region is disposed over one of the second-diameter regions of the liner and the multi-layer region is disposed over one of the first-diameter regions of the liner.

17. The lead of claim 13, wherein a difference in diameter between the first-diameter regions of the liner and the second-diameter regions of the liner is equal to a difference in diameter between the single-layer region and the multi-layer region of at least one of the plurality of common-mode current-suppression units of at least one of the plurality of conductors.

18. The lead of claim 13, wherein the plurality of common-mode current-suppression units of at least one of the plurality of conductors are configured and arranged such that the single-layer regions and the axially-adjacent multi-layer regions of that at least one conductor each have an equal diameter.

19. The lead of claim 13, wherein the plurality of common-mode current-suppression units are configured and arranged such that the single-layer regions and the axially-adjacent multi-layer regions each have an equal diameter.