System and method for implantable medical device lead shielding

• US 9,731,119 B2
• Filed: 05/18/2015
• Issued: 08/15/2017
• Est. Priority Date: 03/12/2008
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Marshall, Mark T.
• Primary Examiner(s): Moran, Edward
• Assistant Examiner(s): So, Elizabeth K
• Application Number:
  US14/715,271
• Publication Number:
  US 20150246222A1
• Time in Patent Office: 820 Days
• Field of Search: None
• CPC Class Codes: A61N 1/0472 Structure-related aspects
• CPC Class Codes: A61N 1/048 Electrodes characterised by a specific connection between lead and electrode
• CPC Class Codes: A61N 1/0563 specially adapted for defibrillation or cardioversion
• CPC Class Codes: A61N 1/086 Magnetic resonance imaging [MRI] compatible leads

Abstract

An implantable medical device (IMD) can include a cardiac pacemaker or an implantable cardioverter-defibrillator (ICD). Various portions of the IMD, such as a device body, a lead body, or a lead tip, can be provided to reduce or dissipate a current and heat induced by various external environmental factors. According to various embodiments, features can be incorporated into the lead body, the lead tip, or the IMD body to reduce the creation of an induced current, or dissipate the induced current and heat created due to an induced current in the lead. For example, an IMD can include at least one outer conductive member and a first electrode. The first electrode can be in electrical communication with the at least one outer conductive member. The first electrode can dissipate a current induced in the at least one outer conductive member via a first portion of the anatomical structure.

Claims

1. An implantable medical device operable to provide a therapy to an anatomical structure comprising:

a therapy device configured to be implanted in a portion of the anatomical structure and operable to generate the therapy for the anatomical structure;

a lead having a proximal end, a distal end and a lead body that includes a first outer conductive braid, a second outer conductive braid and a multilumen member, the first outer conductive braid and the second outer conductive braid disposed about the multilumen member;

a first electrode fixedly coupled between the proximal end and the distal end of the lead such that the first electrode being configured to be positioned adjacent to a first portion of the anatomical structure, the first electrode in communication with the first outer conductive braid and the second outer conductive braid;

a first inner conductor passing through a portion of the multilumen member and in electrical communication with the first electrode and configured to deliver a therapy to the first portion of the anatomical structure;

a tip electrode extending beyond the distal end of the lead;

a tip inner conductor passing through a portion of the multilumen member and in electrical communication with the tip electrode and configured to deliver a therapy to a second portion of the anatomical structure;

a second electrode coupled adjacent to the tip electrode at the distal end of the lead such that the second electrode being configured to be positioned adjacent to a third portion of the anatomical structure;

a second inner conductor passing through a portion of the multilumen member and in electrical communication with the second electrode and configured to deliver a therapy to the third portion of the anatomical structure; and

wherein the first outer conductive braid being disposed between the proximal end of the lead and the first electrode, the second outer conductive braid being disposed between the first electrode and the second electrode, and the first electrode configured to dissipate a current induced in the first outer conductive braid and second outer conductive braid, via the first portion of the anatomical structure.

2. The device of claim 1, wherein the therapy device being an implantable cardioverter-defibrillator (ICD).

3. The device of claim 2, further comprising:

a ring electrode coupled adjacent to the tip electrode at the distal end of the lead such that the ring electrode being configured to be positioned adjacent to a fourth portion of the anatomical structure, the ring electrode in communication with a ring inner conductor and configured to transmit a signal indicative of electrical activity at the fourth portion of the anatomical structure.

4. The device of claim 1, wherein the first outer conductive braid and the second outer conductive braid shields the at least one inner conductor from an external field.

5. The device of claim 1, wherein the first outer conductive braid and the second outer conductive braid are coated with a biocompatible polymer.

6. The device of claim 5, wherein the first electrode comprises a first defibrillator electrode, and the second electrode comprises a second defibrillator electrode.

7. The device of claim 6, wherein the first defibrillator electrode and the second defibrillator electrode are electrically coupled to the first inner conductor and the second inner conductor, respectively, in such a manner that the lead has a substantially uniform diameter.

8. The device of claim 1, wherein the first electrode has a first surface area, the second electrode has a second surface area, and the tip electrode has a third surface area, and the first surface area being greater than the second surface area and the third surface area.