MRI compatible tachycardia lead

• US 9,254,380 B2
• Filed: 09/13/2010
• Issued: 02/09/2016
• Est. Priority Date: 10/19/2009
• Status: Expired due to Fees

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Ameri, Masoud, Li, Yingbo
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): Bays, Pamela M
• Application Number:
  US12/880,703
• Publication Number:
  US 20110093054A1
• Time in Patent Office: 1,975 Days
• Field of Search: 607/2, 607/9, 607/116, 607/119, 607/122
• 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 1/0563 specially adapted for defibrillation or cardioversion
• CPC Class Codes: A61N 1/086 Magnetic resonance imaging [MRI] compatible leads
• CPC Class Codes: A61N 1/37512 Pacemakers
• CPC Class Codes: A61N 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
• CPC Class Codes: A61N 2001/0585 Coronary sinus electrodes

Abstract

A medical device lead includes a proximal connector configured to couple the lead to a pulse generator, an insulative lead body extending distally from the proximal connector, and a conductor assembly extending distally from the proximal connector within the lead body. The conductor assembly includes a conductor having a proximal end electrically coupled to the connector and a distal end electrically coupled to a defibrillation coil. A first portion of the defibrillation coil is exposed at an outer surface of the medical device lead and a second portion of the defibrillation coil is insulated at the outer surface of the medical device lead.

Claims

1. A medical device lead comprising:

a first connector configured to couple the lead to a pulse generator;

an insulative lead body extending distally from the first connector;

a first cable conductor extending distally from the first connector within the lead body and having a first segment having a proximal end coupled to the first connector, a second segment, and a third segment, the first cable conductor extending in a straight configuration within the lead body along each of the first, second, and third segments;

a first defibrillation coil exposed at an outer surface of the medical device lead, the first defibrillation coil having a proximal end that is electrically connected to a distal end of the third segment of the first cable conductor; and

a first high impedance coil connected in series to a second high impedance coil, a distal end of the first segment of the first cable conductor coupled to a proximal end of the first high impedance coil, a proximal end of the second segment of the first cable conductor coupled to a distal end of the first high impedance coil, a distal end of the second segment of the first cable conductor coupled to a proximal end of the second high impedance coil, and a distal end of the second high impedance coil coupled to a proximal end of the third segment of the first cable conductor, wherein each of the first segment of the first cable conductor, the first high impedance coil, the second segment of the first cable conductor, the second high impedance coil, the third segment of the first cable conductor, and the first defibrillation coil are respectively electrically connected to one another in series, wherein each of the first, second, and third segments of the first cable conductor has a respective length that is less than one quarter of a wavelength of a signal carried by the first cable conductor and each of the first high impedance coil and the second high impedance coil is insulated at the outer surface of the medical device lead and has an impedance greater than the first cable conductor.

2. The medical device lead of claim 1, wherein the first defibrillation coil is unifilar.

3. The medical device lead of claim 2, wherein opposing ends of the first defibrillation coil are short circuited.

4. The medical device lead of claim 3, wherein the insulative lead body comprises a layer of insulation that extends over a portion of the first defibrillation coil and terminates proximally of the outer surface to expose the first defibrillation coil distally of the layer of insulation.

5. The medical device lead of claim 4, wherein the first high impedance coil and the first cable conductor have a total DC resistance of less than about 5 Ω

.

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

a second connector configured to couple the lead to the pulse generator;

a second cable conductor having a proximal end electrically coupled to the second connector;

a second defibrillation coil exposed at an outer surface of the medical device lead; and

a third high impedance coil connected between the second conductor and the second defibrillation coil, wherein the third high impedance coil is insulated at the outer surface of the medical device lead and has an impedance greater than the second conductor.