Termination of a shield within an implantable medical lead

• US 9,452,284 B2
• Filed: 07/21/2014
• Issued: 09/27/2016
• Est. Priority Date: 04/30/2009
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Mehdizadeh, Bruce R., Stolz, Brian T., Klardie, Michael Robert, Olsen, James M., Kern, Michael J., Stone, Richard T., Cai, Chad Q., Bondhus, Spencer M., Conroy, Mark J., Abraham, Timothy R.
• Primary Examiner(s): Bertram, Eric D.
• Application Number:
  US14/336,803
• Publication Number:
  US 20140345132A1
• Time in Patent Office: 799 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 2090/3966 Radiopaque markers visible in an X-ray image
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61N 1/048 Electrodes characterised by a specific connection between lead and electrode
• CPC Class Codes: A61N 1/0488 Details about the lead
• 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 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/08 Arrangements or circuits for monitoring, protecting, controlling or indicating for external stimulators A61N1/3603; for implantable neurostimulators A61N1/36128; for heart stimulators A61N1/37; for defibrillators A61N1/3925
• 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: A61N 1/3752 Details of casing-lead connections
• CPC Class Codes: A61N 2001/058 Fixing tools
• CPC Class Codes: A61N 2001/0582 Suture sleeves
• CPC Class Codes: Y10T 29/49016 Antenna or wave energy "plumbing" making
• CPC Class Codes: Y10T 29/49117 Conductor or circuit manufacturing
• CPC Class Codes: Y10T 29/4921 with bonding
• CPC Class Codes: Y10T 29/49227 Insulator making
• CPC Class Codes: Y10T 29/49826 Assembling or joining

Abstract

A shield located within an implantable medical lead may be terminated in various ways at a metal connector. The shield may be terminated by various joints including butt, scarf, lap, or other joints between insulation layers surrounding the lead and an insulation extension. The shield may terminate with a physical and electrical connection to a single metal connector. The shield may terminate with a physical and electrical connection by passing between an overlapping pair of inner and outer metal connectors. The metal connectors may include features such as teeth or threads that penetrate the insulation layers of the lead. The shield may terminate with a physical and electrical connection by exiting a jacket of a lead adjacent to a metal connector and lapping onto the metal connector.

Claims

1. A method of terminating a shield within a jacket of an implantable medical lead, comprising:

providing an inner insulation layer;

providing an inner metal ring located near a longitudinal end of the inner insulation layer;

providing the shield between the inner insulation layer of the jacket and an outer insulation layer of the jacket, a portion of the shield lapping onto the inner metal ring;

providing an outer metal ring about the inner metal ring with the portion of the shield being positioned between the inner metal ring and the outer metal ring;

bonding an insulation extension layer onto the end of the inner insulation layer; and

positioning a replacement outer insulation layer over the shield and inner insulation layer beyond the inner metal ring and where the outer insulation layer is not present, the replacement outer insulation layer extending longitudinally beyond the longitudinal end of the inner insulation layer to also extend over the insulation extension layer, the replacement outer insulation layer being directly bonded to an end of the outer insulation layer.

2. The method of claim 1, wherein the inner metal ring sits on an outer surface of the inner insulation layer.

3. The method of claim 1, wherein the inner metal ring is sunken into the inner insulation layer so that an outer surface of the metal ring is flush with an outer surface of the inner insulation layer.

4. The method of claim 1, wherein the outer insulation layer terminates adjacent to the outer metal ring such that the outer metal ring wraps directly onto the shield.

5. The method of claim 1, wherein the outer insulation layer covers the inner metal ring, wherein the outer metal ring resides on the outer insulation layer and includes features that protrude through the outer insulation layer to contact the shield.

6. The method of claim 1, wherein the shield includes a plurality of wires having ends and wherein the ends are folded over individually.

7. The method of claim 1, wherein providing the shield between the inner insulation layer of the jacket and outer insulation layer of the jacket comprises providing the shield between the inner insulation layer and the inner metal ring, with the portion of the shield being folded over so that the portion of the shield that is folded over passes over the inner metal ring and under the outer metal ring.

8. The method of claim 1, wherein the inner and outer layers are ablated to form a taper with the shield exposed from the taper, wherein the outer metal ring includes threads that engage the taper to fix the outer metal ring to the taper, wherein the inner metal ring is located at the end of the inner insulation layer, wherein the shield extends from the taper onto the inner metal ring.

9. A method of terminating a shield within a jacket of an implantable medical lead, comprising:

providing an inner insulation layer having a blunt proximal end;

providing an inner metal ring about the inner insulation layer in proximity to the proximal end;

providing an outer insulation layer that surrounds the inner insulation layer and that terminates prior to the proximal end of the inner insulation layer;

providing the shield between the inner insulation layer of the jacket and the outer insulation layer of the jacket, the shield extending beyond the termination of the outer insulation layer with a portion of the shield contacting the metal ring;

bonding an insulation extension layer onto the blunt proximal end of the inner insulation layer; and

positioning a replacement outer insulation layer over the inner insulation layer adjacent to where the shield meets the metal ring and where the outer insulation layer is not present, the replacement outer insulation layer extending beyond the end of the inner insulation layer to also extend over the insulation extension layer, the replacement outer insulation layer being bonded directly to the inner insulation layer.

10. The method of claim 9, further comprising providing an insulation ring that wraps around the portion of the shield that contacts the metal ring.

11. A method of terminating a shield within a jacket of an implantable medical lead, comprising:

providing an inner insulation layer;

providing an inner metal ring located near an end of the inner insulation layer;

providing the shield between the inner insulation layer of the jacket and an outer insulation layer of the jacket, a portion of the shield lapping onto the inner metal ring;

providing an outer metal ring about the inner metal ring with the portion of the shield being positioned between the inner metal ring and the outer metal ring;

bonding an insulation extension layer onto the end of the inner insulation layer; and

positioning a replacement outer insulation layer over the shield and inner insulation layer beyond the inner metal ring and where the outer insulation layer is not present, the replacement outer insulation layer extending beyond the end of the inner insulation layer to also extend over the insulation extension layer, the replacement outer insulation layer being bonded to an end of the outer insulation layer, wherein the inner metal ring is sunken into the inner insulation layer so that an outer surface of the metal ring is flush with an outer surface of the inner insulation layer.

12. A method of terminating a shield within a jacket of an implantable medical lead, comprising:

providing an inner insulation layer;

providing an inner metal ring located near an end of the inner insulation layer;

providing the shield between the inner insulation layer of the jacket and an outer insulation layer of the jacket, a portion of the shield lapping onto the inner metal ring;

providing an outer metal ring about the inner metal ring with the portion of the shield being positioned between the inner metal ring and the outer metal ring;

bonding an insulation extension layer onto the end of the inner insulation layer; and

positioning a replacement outer insulation layer over the shield and inner insulation layer beyond the inner metal ring and where the outer insulation layer is not present, the replacement outer insulation layer extending beyond the end of the inner insulation layer to also extend over the insulation extension layer, the replacement outer insulation layer being bonded to an end of the outer insulation layer, wherein the outer insulation layer covers the inner metal ring, wherein the outer metal ring resides on the outer insulation layer and includes features that protrude through the outer insulation layer to contact the shield.

13. A method of terminating a shield within a jacket of an implantable medical lead, comprising:

providing an inner insulation layer;

providing an inner metal ring located near an end of the inner insulation layer;

providing the shield between the inner insulation layer of the jacket and an outer insulation layer of the jacket, a portion of the shield lapping onto the inner metal ring;

providing an outer metal ring about the inner metal ring with the portion of the shield being positioned between the inner metal ring and the outer metal ring;

bonding an insulation extension layer onto the end of the inner insulation layer; and

positioning a replacement outer insulation layer over the shield and inner insulation layer beyond the inner metal ring and where the outer insulation layer is not present, the replacement outer insulation layer extending beyond the end of the inner insulation layer to also extend over the insulation extension layer, the replacement outer insulation layer being bonded to an end of the outer insulation layer, wherein the shield includes a plurality of wires having ends and wherein the ends are folded over individually.

14. A method of terminating a shield within a jacket of an implantable medical lead, comprising:

providing an inner insulation layer;

providing an inner metal ring located near an end of the inner insulation layer;

providing the shield between the inner insulation layer of the jacket and an outer insulation layer of the jacket, a portion of the shield lapping onto the inner metal ring;

providing an outer metal ring about the inner metal ring with the portion of the shield being positioned between the inner metal ring and the outer metal ring;

bonding an insulation extension layer onto the end of the inner insulation layer; and

positioning a replacement outer insulation layer over the shield and inner insulation layer beyond the inner metal ring and where the outer insulation layer is not present, the replacement outer insulation layer extending beyond the end of the inner insulation layer to also extend over the insulation extension layer, the replacement outer insulation layer being bonded to an end of the outer insulation layer, wherein providing the shield between the inner insulation layer of the jacket and outer insulation layer of the jacket comprises providing the shield between the inner insulation layer and the inner metal ring, with the portion of the shield being folded over so that the portion of the shield that is folded over passes over the inner metal ring and under the outer metal ring.

15. A method of terminating a shield within a jacket of an implantable medical lead, comprising:

providing an inner insulation layer;

providing an inner metal ring located near an end of the inner insulation layer;

providing the shield between the inner insulation layer of the jacket and an outer insulation layer of the jacket, a portion of the shield lapping onto the inner metal ring;

providing an outer metal ring about the inner metal ring with the portion of the shield being positioned between the inner metal ring and the outer metal ring;

bonding an insulation extension layer onto the end of the inner insulation layer; and

positioning a replacement outer insulation layer over the shield and inner insulation layer beyond the inner metal ring and where the outer insulation layer is not present, the replacement outer insulation layer extending beyond the end of the inner insulation layer to also extend over the insulation extension layer, the replacement outer insulation layer being bonded to an end of the outer insulation layer, wherein the inner and outer layers are ablated to form a taper with the shield exposed from the taper, wherein the outer metal ring includes threads that engage the taper to fix the outer metal ring to the taper, wherein the inner metal ring is located at the end of the inner insulation layer, wherein the shield extends from the taper onto the inner metal ring.