Medtronic, Inc.

Cardiac Pacemakers, Inc.

Cvrx, Inc.

Mary Lee Cole

Jeffrey T Bartig

Randall M Peterfeso

Aaron W Janke

Ronald W Heil, Jr

Brian T Stolz

Xavier Pardo

Gary W Goebel

Douglas A Heitkamp

Qingsheng Zhu

Avram Scheiner

Gerrard Merrill Carlson

Jay A Warren

William Hsu

David M Flynn

Yayun Lin

John E Heil

Peter T Kelley

Curtis Charles Lindstrom

Carol Werlein

Robert S Booker, Iii

Martin A Rossing

Thomas C Bischoff

Jordon D Honeck

Larry L Hum

Jeffrey John Hagen

Kevin J Persuitti

James Michael Iknayan

Paul M Becker

Michael P Campbell

Greg L Sundberg

Devices and implantation methods utilizing subcutaneous placement into a patient are disclosed for the insertion, advancement and positioning of a subcutaneous implantable medical device (SIMD) such as a medical electrical lead. The SIMD is releasably-engaged with a device in accordance with embodiments of this disclosure, and advanced from an incision of the patient to an implant location. The implantation device may be disengaged from the SIMD without moving the SIMD from the implant location.

Methods and devices for subcutaneous lead implantation

A connection made between a contact and a conductor in an implantable lead assembly includes a slot, formed in the contact, and a crimp sleeve, attached to the contact; wherein the crimp sleeve includes a contact coupling, which rests within the contact slot, and a conductor coupling, crimped around the conductor, within a body of the lead assembly. The conductor coupling of the crimp sleeve may be pushed through the contact slot, anywhere along a length of the slot, so that the contact coupling comes to rest between opposing edges of the slot. A preferred profile of the contact coupling of the crimp sleeve is such that the contact coupling rests within the contact slot, without falling through to the inside diameter of the contact, prior to attachment thereto.

Implantable lead with coplanar contact coupling

An implantable lead for a medical device with an isolated contact connection for connecting a conductor to a contact reduces the opportunity for conductor material to migrate to a contact or into a patient. The implantable lead comprises a lead body having a proximal end and a distal end, at least one conductor, at least one contact carried on the proximal end, at least one contact carried on the distal end, at least one coupling. The lead has an exterior surface. The conductor is contained in the lead body and extends from the lead proximal end to the distal end. The conductor is electrically insulated. The contact carried on the proximal end is electrically connected to the conductor. The coupling has a conductor coupling and a contact coupling. The conductor coupling is placed over the conductor and attached to the conductor. The contact coupling exits the lead body and has a weld to connect the contact coupling to the contact. There is an isolation space created between the conductor and the contact to prevent the weld from containing conductor material.

Implantable lead with isolated contact coupling

An implantable lead for a medical device with a coplanar coupling for connecting a conductor to a contact reduces conductor bending moments to improve lead reliability. The implantable lead comprises a lead body having a proximal end and a distal end, at least one conductor, at least one contact carried on the proximal end, at least one contact carried on the distal end, and at least one coupling. The lead body has an exterior surface. The conductor is contained in the lead body and extends from the lead proximal end to the distal end. The conductor is also electrically insulated. The contact carried on the proximal end is electrically connected to the conductor. The coupling has a conductor coupling and a contact coupling. The conductor coupling is placed over the conductor and attached to the conductor. The contact coupling exits the lead body and has a weld to connect the contact coupling to the contact. The contact coupling is configured to exit the conductor lumen and mate with the contact while retaining the conductor coplanar to the lead body.

A method of manufacturing a medical electrical device is presented. An inner diameter and an outer diameter of a connector ring is machined to form a first and a second flange extending from the inner diameter. An electric discharge machining wire burner is used to form a conductor channel in the inner diameter of the connector ring. A conductor is positioned within the conductor channel. A first distal end of the first flange is coupled to a second distal end of the second flange.

Method for manufacturing a medical electrical lead connector ring

Method for performing a coplanar connection between a conductor and a contact on an implantable lead

Methods and apparatus for generating an electric field inside a patient include at least a first electrode and a second electrode on a common implantable substrate. Each of the electrodes has a respective proximal end and a respective distal end. Electrical energy can be applied that causes electrical current to flow simultaneously through the first and second electrodes preferentially from the proximal end of one electrode to the distal end of the other electrode.

Implantable electrode assembly having reverse electrode configuration

An implantable electrical connector system, which may be used as part of an electrical lead, a connector block on an implantable pulse generator, or the connector of a lead extension. The distal most electrical contact on the proximal end of the lead (or lead extension) is adapted to provide registration or alignment of all of the electrical contacts of the proximal end of the lead (or lead extension) with electrical contacts of the distal connector of a lead extension or the electrical contacts of a connector block of an implantable pulse generator (IPG). In an exemplary embodiment, the distal most electrical contact on the proximal end portion of the lead may have a flange or shoulder that is adapted to engage the distal electrical contact of the female connection section of a lead extension or connector block. Most preferably, in this exemplary embodiment, the flange or shoulder is an integral part of the distal most electrical contact.

Implantable electrical connector system

Single pass lead system

An implantable lead, being either a fixed or retractable/extendable lead, having a distal tip electrode is adapted for implantation on or about the heart and for connection to a system for monitoring or stimulating cardiac activity. The electrode includes a mechanical fastener such as a fixation helix for securing the electrode to cardiac tissue, which may or may not be electrically active. The implantable electrode with a helical tip includes an electrode which has a distal end and a proximal end. A helix is disposed within the electrode, where the helix is aligned along a radial axis of the electrode. The electrode further includes one or more of the following features: the helix having a coating of an insulating material on a surface of the helix, a porous conductive surface at a base of the helix, a porous conductive element at the end of the electrode having an insulating coating covering from 5-95% of the surface of the porous conductive element. The electrode may farther include an electrode tip having a porous electrical conductive element, such as a mesh screen, disposed on a surface at the distal end of the electrode tip, which can be used as a sensing or pacing interface with the cardiac tissue.

High impedance electrode tip

A medical device is insertable and/or implantable into a body of a patient. The medical device includes a plurality of hollow and/or collapsible tines which are adapted to assist in deployment of the medical device into the body and in preventing inadvertent removal or dislodging of the medical device from the body. The tines are coupled to the medical device body at a coupling end and extend away from the device to a free end. The tines can have a number of configurations such as cylindrical or cone shaped. In addition, the cross section of the free end of the tines can be elliptical, where the free end extends to a tip. Another cross section includes a semi-circle including an open portion which can face towards or away from the medical device body. The tines also include coiled structures which can have a radial axis perpendicular to the radial axis of the medical device.

System and apparatus having low profile collapsible tines

A single-pass endocardial lead electrode adapted for implantation in, on or about the heart and for connection to a system for monitoring or stimulating cardiac activity includes a lead body which is adapted for implantation within a single chamber of the heart, or multiple chambers of the heart. The lead includes a first distal end electrode which has a first electrical conducting surface. The lead body also has a second electrode which has a second electrical conducting surface. The first and second electrodes are either passively or actively attached to the wall of the heart. The lead body also includes a curved portion which facilitates the positioning of the second electrode. The main lead body alternatively includes a recess into which an atrial lead body and an active fixation element attached to one end can travel from a recessed position to a position for fixation to the wall of the heart. The active fixation element can also be moved by turning the terminal pin. The lead body can also include multiple legs, each leg carrying an electrode. The lead is attached to a pulse generator for producing pulses to the multiple sites within the heart. A movement assembly for advancing a helix is also included within the legs and comprises an externally threaded collar which engages with an internally threaded housing or housing insert. The lead further includes a helical tip which has high impedance. The electrode has at least one features of the group: the helix having a coating of an insulating material on its surface, the helix having its surface beyond the distal end of the electrode and the distal end of the electrode having a porous conductive surface at a base of the helix, a porous conductive element at a base of the helix, and a porous conductive element at the end of the electrode having an insulating coating cover from 5-95% of the surface of the porous conductive element. The porous element may further provide a guiding mechanism for the helix as it travels out of the electrode for securing the electrode to the heart.

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Saint Paul, MN, United States of America

Mary Lee Cole