Systems and methods for improving RF compatibility of electrical stimulation leads

• US 9,808,613 B2
• Filed: 08/08/2013
• Issued: 11/07/2017
• Est. Priority Date: 08/24/2012
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: McDonald, Matthew Lee, Govea, Michael X.
• Primary Examiner(s): Johnson, Nicole F
• Application Number:
  US13/962,282
• Publication Number:
  US 20140058487A1
• Time in Patent Office: 1,552 Days
• Field of Search: 607116
• 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 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/057 Anchoring means; Means for fixing the head inside the heart
• CPC Class Codes: A61N 2001/0578 having means for removal or extraction
• CPC Class Codes: F04C 2270/041 Controlled or regulated
• CPC Class Codes: Y10T 29/4922 with molding of insulation

Abstract

An implantable lead for stimulating patient tissue includes a lead body. A jacket is disposed over at least a portion of a length of the lead body. The jacket has an outer surface and an opposing inner surface. At least a portion of the outer surface of the jacket forms at least a portion of an outer surface of the lead. At least a portion of the inner surface of the jacket is open to the lead body. The jacket defines apertures each extending completely through the jacket. Electrodes are disposed along a distal end of the lead body. Terminals are disposed along a proximal end of the lead body. Conductors electrically couple the electrodes to the terminals. Conductor insulation is disposed over each of the conductors. At least a portion of the conductor insulation is in fluid communication with the local environment external to the lead via the apertures.

Claims

1. An implantable lead for stimulating patient tissue, the lead comprising:

a lead body having a distal end, a proximal end, and a longitudinal length;

a jacket disposed over at least a portion of the longitudinal length of the lead body, the jacket having an outer surface and an opposing inner surface, at least a portion of the outer surface of the jacket forming at least a portion of an outer surface of the lead, at least a portion of the inner surface of the jacket open to the lead body, the jacket defining a plurality of apertures along the outer surface of the jacket with each of the plurality of apertures extending completely through the jacket to the inner surface;

a plurality of electrodes disposed along the distal end of the lead body;

a plurality of terminals disposed along the proximal end of the lead body;

a plurality of conductors electrically coupling the plurality of electrodes to at least one of the terminals; and

conductor insulation disposed over each of the plurality of conductors;

wherein at least a portion of the conductor insulation is in fluid communication with the local environment external to the lead via the plurality of apertures, wherein the apertures are spaced-apart and separate from the electrodes and terminals.

2. The lead of claim 1, wherein the plurality of apertures are evenly distributed along the longitudinal length of the lead body.

3. The lead of claim 1, wherein the plurality of apertures are distributed along the jacket with a higher concentration of apertures along the distal end of the lead body than along an intermediate region of the lead body.

4. The lead of claim 1, wherein the plurality of apertures are defined along the jacket with a higher concentration of apertures along the proximal end of the lead body than along an intermediate region of the lead body.

5. The lead of claim 1, wherein the plurality of apertures are each of equal size.

6. The lead of claim 1, wherein the plurality of apertures are each of equal shape.

7. The lead of claim 1, wherein the jacket is formed from at least one of a braided or woven material.

8. The lead of claim 1, wherein the jacket is disposed over the entire longitudinal length of the lead body proximal to a proximal-most electrode of the plurality of electrodes and distal to a distal-most terminal of the plurality of terminals.

9. The lead of claim 1, wherein at least one of the plurality of conductors is arranged into a coiled configuration.

10. The lead of claim 1, wherein at least one of the plurality of conductors is arranged into a plurality of units.

11. An electrical stimulating system comprising:

the lead of claim 1;

a control module configured and arranged to electrically couple to the lead body, the control module comprising

a housing, and

an electronic subassembly disposed in the housing; and

at least one connector configured and arranged for receiving the lead body, the at least one connector having a first end and an opposing second end, the at least one connector comprising

a connector housing defining a port at the first end of the connector, the port configured and arranged for receiving the proximal end of the lead body, and

a plurality of connector contacts disposed in the connector housing, the plurality of connector contacts configured and arranged to couple to the plurality of terminals of the lead body when the lead body is inserted into the port of the connector housing.

12. A method for stimulating patient tissue with an implantable lead, the method comprising:

advancing the lead of claim 1 to a fluid-containing target stimulation location within a patient;

coupling the lead to a control module, the control module comprising a pulse generator;

generating stimulation energy from the pulse generator for stimulating patient tissue via the plurality of electrodes of the lead; and

stimulating patient tissue, via at least one of the plurality of electrodes of the lead, using the generated stimulation energy after sufficient fluid from the fluid-containing target stimulation location has passed through the plurality of apertures defined in the jacket of the lead and filled at least some open spaces within the lead to reduce at least one of the permittivity or the conductivity of the open spaces within the lead to a same level as the fluid from the fluid-containing target stimulation location that is external to the lead.

13. The method of claim 12, wherein stimulating patient tissue after enough fluid from the fluid-containing target stimulation location has passed through the plurality of apertures comprises using fluid from the target stimulation location.

14. The method of claim 12, wherein stimulating patient tissue after enough fluid from the fluid-containing target stimulation location has passed through the plurality of apertures comprises submerging at least a portion of the lead in a liquid prior to advancing the lead to the fluid-containing target stimulation location.