Establishing continuity between a shield within an implantable medical lead and a shield within an implantable lead extension

• US 9,629,998 B2
• Filed: 04/06/2015
• Issued: 04/25/2017
• Est. Priority Date: 04/30/2009
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Olsen, James M., Mehdizadeh, Bruce R., Kern, Michael J.
• Primary Examiner(s): LEVICKY, WILLIAM J
• Application Number:
  US14/679,064
• Publication Number:
  US 20150209579A1
• Time in Patent Office: 750 Days
• 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

Implantable medical leads and implantable lead extensions include a shield. The implantable medical lead is coupled to the implantable lead extension. Stimulation electrodes of the implantable medical lead contact stimulation connectors within a housing of the implantable extension to establish a conductive pathway for stimulation signals from filars of the implantable extension to filars of the implantable medical lead. Continuity is established between the shield of the implantable medical lead and the implantable extension by providing a radio frequency conductive pathway within the housing. The radio frequency conductive pathway extends from a shield of the implantable extension to a shield connector that contacts a shield electrode of the implantable medical lead. The radio frequency conductive pathway may have various forms such as a jumper wire or an extension of the shield within the implantable extension.

Claims

1. An implantable medical apparatus, comprising:

an implantable lead extension comprising an elongated insulative body surrounding a plurality of filars and a non-conductive housing at a distal end of the elongated body that includes an opening, a connector within the opening, and an RF pathway from the connector to a tubular shield layer within the implantable lead extension, the RF pathway comprising the tubular shield layer extended through the housing to contact the connector, the housing comprising a first layer of non-conductive material, with the tubular shield layer being outside of the first layer of non-conductive material, and a second layer of non-conductive material that surrounds the tubular shield layer and the first layer of non-conductive material, the second layer of non-conductive material having a thickness between 0.5 mils and 5 mils such that a capacitive coupling may exist from the tubular shield layer through the second layer of non-conductive material, the implantable lead extension further comprising a plurality of stimulation connectors within the opening and a plurality of stimulation jumper wires that connect to corresponding stimulation connectors within the housing and that extend through the first layer of the housing so as to be surrounded by the tubular shield that is outside of the first layer while providing stimulation pathways; and

an implantable lead comprising a shield electrode on a proximal end of the implantable lead that has an RF pathway to a shield within the implantable lead, the implantable lead being positioned within the opening so that the connector of the implantable lead extension contacts the shield electrode of the implantable lead.

2. The implantable medical apparatus of claim 1, wherein the connector is distal of the stimulation connectors.

3. The implantable medical apparatus of claim 1,

wherein the conductive stimulation pathways are isolated from the RF pathway from the connector to the tubular shield layer within the implantable lead extension;

and

a plurality of electrodes on the proximal end of the implantable lead and in contact with the plurality of connectors within the housing.

4. The implantable medical apparatus of claim 3, wherein the isolation between the RF pathway and each conductive stimulation pathway within the non-conductive housing is at least a separation of 0.1 millimeters.

5. The implantable medical apparatus of claim 3, wherein non-conductive material of the non-conductive housing that provides the isolation between the RF pathway and each conductive stimulation pathway has a dielectric constant value between 2 and 10.

6. A method of shielding an apparatus comprising an implantable lead coupled to an implantable lead extension, the method comprising:

providing a non-conductive housing at a distal end of the implantable lead extension that includes an opening, a connector within the opening, and a tubular shield layer within the implantable lead extension that extends through the housing to the connector, the housing further including stimulation connectors with the connector being distal of the stimulation connectors, the housing comprising a first layer of non-conductive material, with the tubular shield layer being outside of the first layer of non-conductive material, and a second layer of non-conductive material that surrounds the tubular shield layer and the first layer of non-conductive material, the second layer of non-conductive material having a thickness between 0.5 mils and 5 mils such that a capacitive coupling may exist from the tubular shield layer through the second layer of non-conductive material, the implantable lead extension further comprising a plurality of stimulation connectors within the opening and a plurality of stimulation jumper wires that connect to corresponding stimulation connectors within the housing and that extend through the first layer of the housing so as to be surrounded by the tubular shield that is outside of the first layer while providing stimulation pathways;

providing a shield electrode on a proximal end of the implantable lead that is coupled to the tubular shield layer within the housing; and

inserting the proximal end of the implantable lead into the opening to establish contact between the connector of the implantable lead extension and the shield electrode of the implantable lead.

7. The method of claim 6,

wherein the conductive stimulation pathways are isolated from the tubular shield layer within the implantable lead extension;

and the method further comprising;

providing a plurality of electrodes on the proximal end of the implantable lead and contacting the plurality of electrodes with the connectors within the housing upon inserting the proximal end of the implantable lead into the opening.

8. The method of claim 7, wherein the isolation between the tubular shield layer and each conductive stimulation pathway within the non-conductive housing is at least a separation of 0.1 millimeters.

9. The method of claim 7, wherein non-conductive material of the non-conductive housing that provides the isolation between the tubular shield layer and each conductive stimulation pathway has a dielectric constant value between 2 and 10.