MRI compatible lead coil

• US 8,958,889 B2
• Filed: 08/30/2013
• Issued: 02/17/2015
• Est. Priority Date: 08/31/2012
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Walker, Joseph, Reddy, G. Shantanu, Arnholt, Devon N., Ameri, Masoud
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): MAHMOOD, NADIA AHMAD
• Application Number:
  US14/015,972
• Publication Number:
  US 20140067030A1
• Time in Patent Office: 536 Days
• Field of Search: 607/116
• US Class Current: 607/116
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/08 Arrangements or circuits for monitoring, protecting, controlling or indicating for external stimulators A61N1/3603; for implantable neurostimulators A61N1/36128; for heart stimulators A61N1/37; for defibrillators A61N1/3925
• CPC Class Codes: A61N 1/086 Magnetic resonance imaging [MRI] compatible leads

Abstract

Various embodiments concern leads having low peak MRI heating for improved MRI compatibility. Various leads include a lead body having at least one lumen, a proximal end configured to interface with an implantable medical device, and a distal end. Such leads can further include a conductor extending along at least a portion of the lead body within the at least one lumen and a defibrillation coil extending along an exterior portion of the lead body and in electrical connection with the conductor, wherein at least a section of the defibrillation coil is under longitudinal compression. The longitudinal compression can lower peak MRI heating along the defibrillation coil. The longitudinal compression may maintain circumferential contact between adjacent turns of the section of the defibrillation coil.

Claims

1. A lead having low peak MRI heating, the lead comprising:

a lead body having at least one lumen, a proximal end configured to interface with an implantable medical device, and a distal end;

a cable conductor extending along at least a portion of the lead body within the at least one lumen;

a coil extending along a portion of the distal end of the lead body, at least a section of coil exposed along the portion of the lead body and configured to deliver electrical stimulation therapy, the section of the coil under longitudinal compression to lower peak MRI heating along the section of the coil; and

at least two couplings mechanically and electrically connecting the cable conductor to the coil, where the at least two couplings maintain longitudinal compression of the section of the coil.

2. The lead of claim 1, wherein the section of the coil is between the at least two couplings.

3. The lead of claim 1, wherein the cable conductor is in tension between the at least two couplings, the tension in the cable conductor maintaining the longitudinal compression within the coil.

4. The lead of claim 1, wherein the longitudinal compression forces each turn of the section of the coil to maintain circumferential contact with adjacent turns of the section of the coil.

5. The lead of claim 1, wherein the coil comprises a second section that is either proximal or distal of the section of the coil, the second section not under longitudinal compression.

6. The lead of claim 1, wherein the at least two couplings comprise at least two rings, the cable conductor extends within each of the rings, and each of the rings is at least partially within a lumen of the coil.

7. The lead of claim 1, wherein each of the at least two couplings are crimped to the cable conductor and welded to the coil.

8. The lead of claim 1, wherein the outer surface of the coil is formed from a non-oxidizing metal.

9. The lead of claim 1, wherein the outer surface of the coil is formed from platinum.

10. The lead of claim 1, further comprising a second coil positioned distally along the lead body with respect to the coil, wherein the second coil is not under longitudinal compression.

11. A lead having low peak MRI heating, the lead comprising:

a lead body having at least one lumen, a proximal end configured to interface with an implantable medical device, and a distal end;

a cable conductor extending along at least a portion of the lead body within the at least one lumen;

a coil extending along a portion of the distal end of the lead body, at least a section of the coil exposed along the portion of the lead body and configured to deliver electrical stimulation therapy;

a proximal coupling mechanically and electrically connecting the cable conductor to the coil; and

a distal coupling mechanically and electrically connecting the cable conductor to the coil distally with respect to the proximal coupling to maintain the proximal coupling and the distal coupling in a spaced apart relationship that lowers peak MRI heating along the coil.

12. The lead of claim 11, wherein the section of the coil is between the proximal coupling and the distal coupling in the spaced apart relationship and is under longitudinal compression.

13. The lead of claim 12, wherein the longitudinal compression maintains circumferential contact between adjacent turns of the section of the coil.

14. The lead of claim 12, wherein the longitudinal compression in the section of the coil is maintained at least in part by tension within the cable conductor.

15. The lead of claim 11, wherein the length of the coil is between about 4 and about 8 centimeters.

16. The lead of claim 11, wherein the coil comprises at least three filars.

17. A lead having low peak MRI heating, the lead comprising:

a lead body having at least one lumen, a proximal end configured to interface with an implantable medical device, and a distal end;

a conductor extending along at least a portion of the lead body within the at least one lumen; and

a coil electrode extending along a portion of the distal end of the lead body and in electrical connection with the conductor, at least a section of the coil electrode under longitudinal compression.

18. The lead of claim 17, wherein the longitudinal compression lowers peak MRI heating along the coil.

19. The lead of claim 18, wherein the longitudinal compression maintains circumferential contact between adjacent turns of the section of the coil electrode.

20. The lead of claim 17, further comprising:

a proximal coupling mechanically connected to the conductor and the coil electrode; and

a distal coupling mechanically connected to the conductor and the coil electrode positioned distal with respect to the proximal coupling.