Intra-pericardial medical device

• US 9,293,818 B2
• Filed: 09/09/2011
• Issued: 03/22/2016
• Est. Priority Date: 09/09/2011
• Status: Active Grant

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Inventors: Min, Xiaoyi
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): Morales, Jon Eric C
• Application Number:
  US13/229,548
• Publication Number:
  US 20130066399A1
• Time in Patent Office: 1,656 Days
• Field of Search: 607/5, 607/32
• US Class Current: 1/1
• CPC Class Codes: A61N 1/0587 Epicardial electrode systems; Endocardial electrodes piercing the pericardium
• CPC Class Codes: A61N 1/086 Magnetic resonance imaging [MRI] compatible leads
• CPC Class Codes: A61N 1/3624 occurring in the atrium, i.e. atrial tachycardia
• CPC Class Codes: A61N 1/37229 Shape or location of the implanted or external antenna
• CPC Class Codes: H01Q 1/2225 used in active tags, i.e. provided with its own power source or in passive tags, i.e. deriving power from RF signal
• CPC Class Codes: H01Q 1/44 using equipment having another main function to serve additionally as an antenna , e.g. means for giving an antenna an aesthetic aspectH01Q1/27 - H01Q1/34 take precedence
• CPC Class Codes: Y10T 29/49018 with other electrical component

Abstract

An intra-pericardial medical device is provided that comprises a lead body having a proximal portion, a distal end portion, and an intermediate portion extending between the proximal portion and the distal end portions. An intra-pericardial medical device further includes the control logic housed with the lead body and an energy source housed within the lead body. A stimulus conductor is included and extends along the lead body. An electrode is joined to the stimulus conduct near the distal end portion, where the electrode configured to deliver stimulus pulses. A telemetry conductor is provided within the lead and extends from the proximal portion and along the intermediate portion of the lead body. The telemetry conductor is wound into a series of coil groups to form inductive loops for at least one of receiving and transmitting radio frequency (RF) energy.

Claims

1. An intra-pericardial medical device (IPMD) comprising:

a lead body having a proximal portion, a distal end portion, and an intermediate portion extending along a longitudinal axis between the proximal portion and the distal end portions;

control logic connected to the intermediate portion of the lead body;

an energy source connected to the lead body and electrically connected to the control logic;

a stimulus conductor extending along the lead body and electrically connected to the control logic;

an electrode provided on the lead body and electrically connected to the stimulus conductor, the electrode configured to deliver stimulus pulses; and

a telemetry conductor provided within the lead body and positioned along the intermediate portion of the lead body, the telemetry conductor wound into a series of coil groups to form a plurality of annular, interconnected inductive loops for at least one of receiving or transmitting radio frequency (RF) energy that represents at least one of recharge power or communications signals, wherein at least two of the coil groups includes a number of coil windings wound about a lateral axis of the intermediate portion and stacked co-axially above one another along the lateral axis, the lateral axis extending in a direction transverse to the longitudinal axis of the intermediate portion, the coil groups being connected to one another in series and be distributed apart from one another within and along the lead body forming the plurality of annular interconnected inductive loops.

2. The IPMD of claim 1, wherein the intermediate portion includes series of loop segments distributed along the longitudinal axis, the loop segments having opposed sides aligned in a common plane, the loop segments having a perimeter that is flared in a lateral direction with respect to the longitudinal axis of the lead body, each of the loop segments including at least one of the coil groups.

3. The IPMD of claim 1, wherein the intermediate portion of the lead body includes a series of flared segments joined by linking regions, each of the flared segments having a pair of opposed sides separated by a thickness of the flared segment, each of the flared segments including at least one of the coil groups.

4. The IPMD of claim 1, wherein the at least one coil group includes first and second coil groups wound about different first and second lateral axes such that the first and second groups are aligned parallel to different first and second planes.

5. The IPMD of claim 1, wherein the telemetry conductor is wound in a manner to receive and transmit RF energy that represents communications signals to and from an external programming device.

6. The IPMD of claim 1, wherein the telemetry conductor is wound in a manner to receive RF energy that represents power to charge an implantable medical device joined to the proximal portion of the lead body.

7. The IPMD of claim 1, wherein each of the coil groups includes a series of windings connected in series and distributed along the intermediate portion of the lead body.

8. The IPMD of claim 1, wherein each of the coil groups includes at least one winding of the telemetry conductor.

9. The IPMD of claim 1, wherein at least one of the coil groups includes multiple windings that are at least partially spatially overlapped with one another.

10. The IPMD of claim 1, wherein the intermediate portion of the lead body extends along a longitudinal axis, the coil groups distributed along the intermediate portion and positioned to be centered upon the longitudinal axis.

11. The IPMD of claim 1, wherein the distal end portion represents a precurved distal end portion that has a distal end and a proximal end;

a flexible loop member carried by the distal end portion and having a proximal segment attached to the proximal end of the distal end portion and a distal segment attached to the distal end of the distal end portion, wherein the loop member has a normally expanded state in which side portions of the loop member are spaced from the precurved distal end portion, and is adapted to assume a contracted state in response to the precurved distal end portion assuming a straightened configuration, the electrode carried by the precurved distal end portion.

12. A method to provide an intra-pericardial medical device (IPMD), comprising:

providing a lead body having a proximal portion, a distal end portion, and an intermediate portion extending along a longitudinal axis between the proximal portion and the distal end portions;

extending a stimulus conductor along the lead body;

joining an electrode to the stimulus conduct near the distal end portion, the electrode configured to deliver stimulus pulses;

extending a telemetry conductor within the lead body from the proximal portion and along the intermediate portion of the lead body; and

winding the telemetry conductor into a series of coil groups to form a plurality of annular, interconnected inductive loops for at least one of receiving or transmitting radio frequency (RF) energy that represents at least one of recharge power or communications signals, wherein at least two of the coil groups includes a number of coil windings wound about a lateral axis of the intermediate portion and stacked co-axially above one another along the lateral axis, the lateral axis extending in a direction transverse to the longitudinal axis of the intermediate portion, the coil groups being connected to one another in series and be distributed apart from one another within and along the lead body forming the plurality of annular interconnected conductive loops.

13. The method of claim 12, wherein the intermediate portion includes a series of loop segments distributed along the longitudinal axis, the loop segments having opposed sides aligned in a common plane, the loop segments having a perimeter that is flared in a lateral direction with respect to the longitudinal axis of the lead body, each of the loop segments including at least one of the coil groups.

14. The method of claim 12, wherein the intermediate portion of the lead body includes a series of flared segments joined by linking regions, each of the flared segments having a pair of opposed sides separated by a thickness of the flared segment, each of the flared segments including at least one of the coil groups.

15. The method of claim 12, wherein the intermediate portion of the lead body includes a series of disc-shaped segments configured to lie in a common plane, each of the disc-shaped segments including one of the coil groups enclosed within an insulated shell.

16. The method of claim 12, further comprising transmitting RF energy to the telemetry conductor, the RF energy representing communications signals from an external programming device.

17. The method of claim 12, further comprising transmitting RF energy to the telemetry conductor, the RF energy representing power;

and utilizing the RF energy to charge a battery within the lead.

18. The method of claim 12, further comprising providing, in the coil groups, a series of windings connected in series and distributed along the intermediate portion of the lead body.

19. The method of claim 12, wherein the at least one coil group includes first and second coil groups wound about different first and second lateral axes such that the first and second groups are aligned parallel to different first and second planes.