Extendable and retractable lead having a snap-fit terminal connector

• US 8,209,035 B2
• Filed: 06/23/2008
• Issued: 06/26/2012
• Est. Priority Date: 07/22/1998
• Status: Expired due to Fees

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Flynn, David M., Brenzel, Michael, Skubitz, Jason, Hum, Larry L., Werlein, Carol, Knapp, Christopher Paul, Ley, Gregory R., Shiroff, Jason Alan, Soltis, Brian David
• Primary Examiner(s): Layno, Carl H.
• Assistant Examiner(s): MORALES, JON ERIC C
• Application Number:
  US12/144,316
• Publication Number:
  US 20080262587A1
• Time in Patent Office: 1,464 Days
• Field of Search: 607/12, 607/122, 607/127
• US Class Current: 607/127
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/0573 chacterised by means penetrating the heart tissue, e.g. helix needle or hook
• CPC Class Codes: A61N 1/3752 Details of casing-lead connections
• CPC Class Codes: Y10S 439/909 Medical use or attached to human body

Abstract

A lead having an extendable and retractable fixation mechanism has a rotating terminal pin at the terminal end which rotates the fixation mechanism at the distal end. As the terminal pin is rotated, the fixation mechanism is extended or retracted from the distal end of the lead. A threaded collar allows for the fixation mechanism to smoothly extend and retract from the lead, and allows for a 1:1 turn ratio between the terminal pin and the fixation mechanism. A fluoroscopic ring disposed at the distal end of the lead provides information during the implantation process.

Claims

1. A lead assembly comprising:

a lead body extending from a distal end portion to a proximal end portion;

at least one conductor disposed within the lead body and extending from the proximal end portion;

an electrically conductive terminal pin disposed at the proximal end portion of the lead body, the electrically conductive terminal pin coupled with the at least one conductor;

an active fixation mechanism disposed proximate to the distal end portion of the lead body and including a fixation helix that is an electrode;

the active fixation mechanism including a movement assembly coupled therewith that extends and retracts the active fixation mechanism, the movement assembly including

a shell, wherein the shell includes an inner surface having an internal helical threaded portion including internal threads extending along a length of the inner surface of the shell; and

a collar disposed within the shell, wherein the collar includes an outer surface having an external helical threaded portion including external threads extending along a length of the outer surface of the collar, wherein the external threads threadingly engage the internal threads of the shell such that the internal helical threaded portion of the shell provides a helical path for the external helical threaded portion of the collar.

2. The lead as recited in claim 1, further comprising a stop that blocks rotation of the external helical threaded portion.

3. The lead as recited in claim 1, wherein the shell is formed of polyetheretherketone.

4. The lead as recited in claim 1, wherein the shell includes a first shell portion and a second shell portion coupled together.

5. The lead as recited in claim 1, wherein the shell is a semi cylindrical collar.

6. The lead as recited in claim 1, further comprising a mesh screen at the distal end portion of the lead body.

7. The lead as recited in claim 1, wherein the terminal pin is part of a terminal assembly including a snap fit coupling.

8. A lead assembly comprising:

a lead body extending from a distal end portion to a proximal end portion;

at least one conductor disposed within the lead body and extending from the proximal end portion;

an electrically conductive terminal pin disposed at the proximal end portion of the lead body, the electrically conductive terminal pin coupled with the at least one conductor;

an active fixation mechanism disposed proximate to the distal end portion of the lead body and including a fixation helix that is an electrode,

an electrode base electrically coupled with the at least one electrical conductor, the electrode base having an outer surface including external helical threads; and

a shell disposed around the electrode base, wherein the shell includes an inner surface having internal helical threads, the internal helical threads extending along a length of the inner surface of the shell, wherein the internal helical threads threadingly engage the external helical threads of the electrode base such that the internal helical threads provide a path for the external helical threads of the electrode base, the shell formed of polyetheretherketone.

9. The lead as recited in claim 8, further comprising a stop that blocks rotation of the external helical threads.

10. The lead as recited in claim 9, wherein the stop is on the internal threads.

11. The lead as recited in claim 9, wherein the stop is on an outer shell.

12. The lead as recited in claim 8, wherein the shell includes a first shell portion and a second shell portion coupled together.

13. The lead as recited in claim 8, wherein the shell is a semi cylindrical collar.

14. The lead as recited in claim 8, further comprising a mesh screen at the distal end portion of the lead body.

15. The lead as recited in claim 8, wherein the terminal pin is part of a terminal assembly including a snap fit coupling.

16. The lead as recited in claim 8, further comprising a fluoroscopy ring disposed about the fixation helix.

17. A method comprising:

rotating a terminal pin of a lead assembly, the lead assembly including a lead body extending from a distal end portion to a proximal end portion, at least one conductor disposed within the lead body and extending from the proximal end portion, an electrically conductive terminal pin disposed at the proximal end portion of the lead body, the electrically conductive terminal pin coupled with the at least one conductor, an active fixation mechanism disposed proximate to the distal end portion of the lead body and including a fixation helix, the fixation helix being an electrode, an electrode base electrically coupled with the at least one electrical conductor, the electrode base including an outer surface having external helical threads extending along a length of the outer surface of the electrode base wherein the electrode base is disposed within a shell, the shell including an inner surface having internal helical threads extending along a length of the inner surface, wherein the internal helical threads threadingly engage the external helical threads of the electrode base such that the internal helical threads provide a path for the external helical threads of the electrode base; and

threadingly engaging the internal helical threads with the external helical threads and translating the electrode base along an axis of the lead assembly.

18. The method as recited in claim 17, wherein the shell is formed of polyetheretherketone.

19. The method as recited in claim 17, further comprising blocking rotation of the active fixation assembly with a stop.

20. The method as recited in claim 19, wherein blocking rotation of the active fixation assembly includes blocking rotation with the stop on the internal threads.