Implantable lead connector

• US 8,706,230 B2
• Filed: 04/23/2010
• Issued: 04/22/2014
• Est. Priority Date: 04/23/2009
• Status: Active Grant

• Current Assignee: Impulse Dynamics NV
• Original Assignee: Impulse Dynamics NV
• Inventors: Rousso, Benny, Mika, Yuval, Ben-Haim, Shlomo, Burkhoff, Daniel, Prutchi, David
• Primary Examiner(s): Porter, Jr., Allen
• Application Number:
  US13/265,874
• Publication Number:
  US 20120041508A1
• Time in Patent Office: 1,460 Days
• Field of Search: 607 2- 14, 607/36, 607/37
• US Class Current: 607/37
• CPC Class Codes: A61N 1/025 Digital circuitry features of electrotherapy devices, e.g. memory, clocks, processors
• 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 1/362 Heart stimulators heart defibrillators A61N1/39
• CPC Class Codes: A61N 1/372 Arrangements in connection with the implantation of stimulators
• CPC Class Codes: A61N 1/3752 Details of casing-lead connections
• CPC Class Codes: A61N 1/378 Electrical supply
• CPC Class Codes: A61N 1/3785 generated by biological activity or substance, e.g. body movement
• CPC Class Codes: A61N 1/39622 Pacing therapy

Abstract

An implantable lead connector configured for long term implantation and to electrically interconnect multiple medical devices and to channel electrical signals between said interconnected devices and a target organ, comprising: a first port adapted to receive a first signal suitable to stimulate a target tissue, a second port adapted to receive a second signal suitable to stimulate a target tissue, and a third port configured to connect to a target organ, wherein at least one of said first and second ports is configured to connect to a signal generator not integrated with said connector.

Claims

1. An implantable lead connector configured for long term implantation and to electrically interconnect multiple active medical devices and to channel electrical signals between said active medical devices and a target organ, comprising:

a first port adapted to channel a first signal between a first active medical device and the target organ;

a second port adapted to channel a second signal between a second active medical device and the target organ; and

a third port configured to receive said first and second signals and adapted to electrically connect said first and second ports to said target organ,

wherein at least one of said first and second active medical devices is a signal generator not integrated with said connector; and

wherein at least one of said first and second active medical devices is a pacemaker or an ICD.

2. A connector according to claim 1, comprising interconnection circuitry configured to selectively and alternately connect one of said first and second ports to said third port at a low impedance and to the other of said first and second ports at a high impedance.

3. A connector according to claim 2, wherein said interconnection circuitry is configured to isolate said active medical devices from each other.

4. A connector according to claim 2, wherein said interconnection circuitry is configured to allow one of said active medical devices to detect stimulation signals by the other of said active medical devices, via said first, second and third ports.

5. A connector according to claim 2, wherein said interconnection circuitry comprises a switch.

6. A connector according to claim 2, wherein said interconnection circuitry is powered by and responds to said first and second signals.

7. A connector according to claim 6, wherein said interconnection circuitry comprises voltage-responding impedance circuits.

8. A connector according to claim 2, wherein said interconnection circuitry includes a logic circuitry and includes a memory for storing a device state or a time of said active medical devices.

9. A connector according to claim 2, wherein said interconnection circuitry is configured to generate a blanking having duration on one of said first and second ports in response to a signal on another of said first and second ports.

10. A connector according to claim 1, wherein at least one of said first and second ports are male connectors and said third port is a female connector.

11. A connector according to claim 1, wherein all of said ports are standard implantable cardiac lead connectors.

12. A connector according to claim 1, wherein said third port is integrated with a cardiac lead.

13. A connector according to claim 1, wherein said connector is integrated with one of said active medical devices.

14. A connector according to claim 13, wherein the one of said active medical devices is configured to deliver signals to a heart in, a manner synchronized with an ICD or pacemaker attached to said second port.

15. An implantable lead connector according to claim 14, wherein said first active medical device is configured to deliver cardiac contractility modulation signals.

16. An implantable lead connector according to claim 14, wherein said first active medical device is configured to deliver a non-excitatory signal.

17. An implantable lead connector according to claim 14, wherein said synchronized delivery comprises synchronized with a delay.

18. An implantable lead connector according to claim 14, wherein said synchronized delivery comprises inhibiting delivery, in response to signals from said second port.

19. An implantable lead connector according to claim 14, wherein said synchronized delivery comprises inhibiting delivery in response to activity of said second active medical device.

20. An implantable lead connector according to claim 13, wherein the one of said active medical devices includes sense amplifiers resistant to a voltage of at least 2 volts.

21. An implantable lead connector according to claim 1 wherein said implantable lead connector is configured to deliver electrical signals from said first or second active device to the target organ.

22. An implantable lead connector according to claim 1 wherein at least one of said ports is a wired electrical connection embedded within electrical circuitry.

23. An implantable lead connector according to claim 1 wherein said first and second active medical devices are attached to one another.

24. An implantable lead connector according to claim 1, comprising synchronization circuitry which controls signal passage of signals associated with one of said first and second active medical devices device according to a synchronization with an activity of the other of said first and second active medical devices.

25. An implantable lead connector according to claim 1, comprising synchronization circuitry which controls signal passage of signals associated with one of said first and second active medical devices device according to signals received from tissue.

26. An implantable lead connector according to claim 1, wherein the third port comprises a connection for a single lead connecting that is adapted to connect to the target organ.

27. An implantable lead connector according to claim 26, wherein the single lead is configured to transfer a physiological signal from the target organ to said connector.

28. An implantable lead connector according to claim 26, wherein the single lead is configured to transfer a stimulation signal from said connector to the target organ.

29. An implantable connector according to claim 1, wherein the stimulation first and second signals are above 2 volts.

38. A method according to claim 20, wherein coupling comprises further comprising conveying physiological signals from said tissue to one of said first and second active medical devices.

30. A method of electrical device interconnection for an implantable connector having a plurality of electrical ports for attaching to a target tissue, comprising:

selecting a first active medical device for electrically stimulating said target tissue;

selecting a second active medical device for electrically stimulating said target tissue,

wherein at least one of said first and second active medical devices is a pacemaker or an ICD; and

electrically coupling said first active medical device to a first port of an electrical interconnector and said second active medical device to a second port of said electrical interconnector,

wherein a third port of said electrical interconnector is electrically coupled to said first and second torts and said tissue such the third port is configured to receive stimulation signals from said first and second ports in order to electrically stimulate said target tissue.

31. A method according to claim 30, wherein said electrical interconnector is integral with said second active medical device.

32. A method according to claim 30, further comprising selectively isolating the first active medical device from the second active medical device.

33. A method according to claim 30 comprising implanting the first active medical device and the second active medical device in different locations in a user'"'"'s body.

34. A method according to claim 30 comprising implanting the first active medical device and the second active medical device in a same location in a user'"'"'s body.

35. A method according to claim 30, wherein coupling comprises further comprising identifying the operation of one of the first and second active medical devices and raising an impedance to a connection of the second active medical device to said interconnector.

36. A method according to claim 30, wherein coupling comprises further comprising selectively blanking one of said first and second active medical devices according to an operation of the other of said first and second active medical devices device.

37. A method according to claim 30, wherein coupling comprises further comprising providing at least one of said first and second active medical devices with circuitry capable of resisting damage from a signal generated by the other of said first and second active medical devices device.

39. A method according to claim 30, wherein coupling comprises further comprising conveying physiological signals from said tissue to both of said first and second active medical devices.

40. A method according to claim 30, wherein coupling comprises further comprising conveying an indication of an operation of one of said first and second active medical devices to the other of said first and second active medical devices via said interconnector.

41. A method according to claim 30, wherein coupling comprises further comprising causing one of said first and second active medical devices to act as a slave device to the an operation of the other of said first and second active medical devices device.

42. A method according to claim 30, wherein coupling comprises further comprising programming at least one of said first and second active medical devices with an operational parameter for desired operation with the other of said first and second active medical devices.

43. A method according to claim 30, wherein said first active medical device is a contractility modulator and wherein said second active medical device is a pacemaker or an ICD.

44. An electrical stimulator system, comprising:

a first active implantable electrical stimulator;

a second active implantable electrical stimulator separate and including separate implantable housing from said first active implantable electrical stimulator; and

implantable interconnection circuitry electrically and physically interconnecting said first and second active implantable electrical stimulators to a target tissue, said implantable interconnection circuitry comprising;

a first port adapted to channel a first signal between said first active implantable electrical stimulator and the target tissue;

a second port adapted to channel a second signal between said second active implantable electrical stimulator and the target tissue; and

a third port configured to receive said first and second signals and adapted to electrically connect to said first and second ports to a said target tissue,

wherein at least one of said first and second active implantable electrical stimulators is a signal generator not integrated with said connector; and

wherein at least one of said first and second active implantable electrical stimulators is a pacemaker or an ICU.

45. A system according to claim 44, wherein said implantable interconnection circuitry is integrated with said first active implantable electrical stimulator.

46. A system according to claim 44, wherein said first active implantable electrical stimulator is a contractility modulator and wherein said second stimulator is an ICD or a pacemaker.

47. A system according to claim 44, wherein said system comprises only a single lead connected to said third port and that is adapted to be attached to said target tissue.

48. A system according to claim 44, wherein said interconnection circuitry selectively and alternately isolates one active implantable electrical stimulator from the other.

49. A system according to claim 44 wherein said implantable interconnection circuitry is separate from said first and second active implantable electrical stimulators.