Devices, systems and methods to reduce coupling of a shield and a conductor within an implantable medical lead

• US 9,993,638 B2
• Filed: 12/12/2014
• Issued: 06/12/2018
• Est. Priority Date: 12/14/2013
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Alford, Jamu K., Bondhus, Spencer M., Kalm, Michael, Olsen, James M., Stolz, Brian T., Stone, Richard T., Stem, Bryan D., Welter, John D.
• Primary Examiner(s): Johnson, Nicole F
• Application Number:
  US14/568,547
• Publication Number:
  US 20150170792A1
• Time in Patent Office: 1,278 Days
• Field of Search: 607 36, 607113
• 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 1/086 Magnetic resonance imaging [MRI] compatible leads

Abstract

Conductors within an implantable medical lead that carry stimulation signal signals are at least partially embedded within a lead body of the medical lead over at least a portion of the length of the conductors while being surrounded by a radio frequency (RF) shield. A space between the shield and the conductors is filled by the presence of the lead body material such that body fluids that infiltrate the lead over time cannot pool in the space between the shield and the conductors. The dielectric properties of the lead body are retained and the capacitive coupling between the shield and the conductors continues to be inhibited such that current induced on the shield is inhibited from being channeled onto the conductors. Heating at the electrodes of the medical lead is prevented from becoming excessive.

Claims

1. A method of providing a medical lead, comprising:

providing a conductor having a diameter;

providing a radio frequency (RF) shield that surrounds the conductor such that a space exists between the shield and the conductor;

providing a lead body with a lumen, the lead body encapsulating the shield and surrounding the conductor with a portion of the conductor diameter being embedded within the lead body such that a first portion of the conductor diameter is present within the lumen and a second portion of the conductor diameter is sunken into a lumen wall forming the lumen, and the lead body filling the space; and

providing an electrode attached to the lead body and electrically coupled to the conductor.

2. The method of claim 1, wherein the conductor is coiled.

3. The method of claim 1, wherein the shield comprises wires.

4. The method of claim 3, wherein half of the diameter of the conductor is embedded within the lead body and half of the diameter of the conductor is present within the lumen.

5. The method of claim 1, wherein the shield terminates prior to the location of the electrode and the portion of the diameter of the conductor is embedded within the lead body in an area of the lead body between the termination of the shield and the electrode.

6. A method of providing a medical lead, comprising:

forming an inner lead body layer of a lead body about a conductor to embed a first lengthwise portion of the conductor within the inner lead body layer such that the first lengthwise portion of the conductor is at least partially sunken into a lumen wall forming the lumen while a second lengthwise portion of the conductor resides in the lumen and is surrounded by the lumen wall;

positioning a radio frequency (RF) shield about the lead body inner layer;

forming an outer lead body layer of the lead body about the shield and the inner lead body layer to encapsulate the shield and to bond with the inner lead body layer; and

providing an electrode attached to the lead body and electrically coupled to the conductor.

7. The method of claim 6, wherein the conductor is coiled.

8. The method of claim 6, wherein the shield comprises wires.

9. The method of claim 8, wherein the shield comprises braided wires.

10. The method of claim 6, wherein the shield terminates prior to the location of the electrode and the first lengthwise portion of the conductor is embedded within the inner lead body layer in an area of the lead body between the termination of the shield and the electrode.

11. An implantable medical lead, comprising:

a conductor having a diameter;

a radio frequency (RF) shield that surrounds the conductor such that a space exists between the shield and the conductor;

a lead body with a lumen, the lead body encapsulating the shield and surrounding the conductor with a portion of the conductor diameter being embedded within the lead body such that a first portion of the conductor diameter is present within the lumen and a second portion of the conductor diameter is sunken into a lumen wall forming the lumen, and the lead body filling the space; and

an electrode attached to the lead body and electrically coupled to the conductor.

12. The lead of claim 11, wherein the conductor is coiled.

13. The lead of claim 11, wherein the shield comprises wires.

14. The lead of claim 13, wherein half of the diameter of the conductor is embedded within the lead body and half of the diameter of the conductor is present within the lumen.

15. The lead of claim 11, wherein the shield terminates prior to the location of the electrode and the portion of the diameter of the conductor is embedded within the lead body in an area of the lead body between the termination of the shield and the electrode.

16. An implantable medical system, comprising:

a pulse generator; and

a medical lead, comprising;

a conductor having a diameter, the conductor being electrically coupled to the pulse generator;

a radio frequency (RF) shield that surrounds the conductor such that a space exists between the shield and the conductor;

a lead body with a lumen, the lead body encapsulating the shield and surrounding the conductor with a portion of the conductor diameter being embedded within the lead body such that a first portion of the conductor diameter is present within the lumen and a second portion of the conductor diameter is sunken into a lumen wall forming the lumen, and the lead body filling the space; and

an electrode attached to the lead body and electrically coupled to the conductor.

17. The system of claim 16, wherein the conductor is coiled.

18. The system of claim 16, wherein the shield comprises wires.

19. The system of claim 18, wherein half of the diameter of the conductor is embedded within the lead body and half of the diameter of the conductor is present within the lumen.

20. The system of claim 16, wherein the shield terminates prior to the location of the electrode and the portion of the diameter of the conductor is embedded within the lead body in an area of the lead body between the termination of the shield and the electrode.

21. An implantable medical lead, comprising:

a conductor having a diameter;

a radio frequency (RF) shield that surrounds the conductor such that a space exists between the shield and the conductor;

a lead body with a lumen, the lead body encapsulating the shield and surrounding the conductor with a first longitudinal section of the conductor diameter being at least partially embedded within the lead body such that the conductor is at least partially sunken into a lumen wall forming the lumen and with a second longitudinal section of the conductor diameter that is distal of the first longitudinal section and being less embedded by the lead body than the first section, and the lead body filling the space between the first section of the conductor and the shield; and

an electrode attached to the lead body and electrically coupled to the conductor.