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Optimal pulse defibrillator |
| OF THE PREFERRED EMBODIMENTS FIG. 1A illustrates a particular voltage-time waveform 10 of a ... |
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Multiple electrode deployable lead
| Details |
Inventors: Bush, Mary E.; Mar, Craig E.; Fain, Eric S.;
Assignee: Ventritex, Inc. (Sunnyvale, CA)
Primary Examiner: Kamm; William E.
Assistant Examiner: Getzow; Scott M.
Attorney, Agent or Firm: Mitchell; Steven M., Meltzer; Mark J.
An implantable defibrillator lead comprises a flexible, conductive lead member having proximal and distal end portions. The distal end portion defines a plurality of separate, curvilinear electrodes which naturally extend laterally outwardly in a curved arrangement from the remainder of the lead. However, by desired means, the curvilinear electrodes may be temporarily extended out straight, substantially parallel to the axis of the remainder of said lead member, to facilitate implantation of the lead. This may be preferably accomplished by a flexible sheath that encloses the lead member in longitudinally slidable relation. |
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DETAILED DESCRIPTION That which is claimed is: 1. An implantable defibrillator lead which comprises: a flexible, conductive lead member having proximal and distal and portions; a sheath enclosing said lead member in longitudinally slidable relation, whereby a distal end portion of said lead member is enclosed in said sheath in a first sliding position, and said distal end portion projects from the distal end of said sheath in a second sliding position, said distal end portion defining a plurality of separate, curvilinear defibrillation electrodes which straighten to fit into said sheath in the first position, and which deploy laterally outwardly in a curved arrangement from the remainder of said lead in the second position, said electrodes each comprising a coiled metal wire having an axis extending in a curvilinear direction. 2. The lead of claim 1 wherein the electrodes are made of multifilar coil. 3. The lead of claim 1 wherein each electrode is made of coaxial inner and outer coils, the inner coil being for shape memory and mechanical strength and the outer coil for corrosion resistance. 4. The lead of claim 1 in which said sheath comprises an electrically insulating material. 5. The lead of claim 1 in which said curvilinear electrodes comprise a platinum-iridium alloy. 6. The lead of claim 1 wherein said electrodes comprise essentially 35 weight percent nickel, weight percent cobalt, 20 weight percent chromium and weight percent molybdenum. 7. The lead of claim 1 wherein each electrode has a retaining member running along its length to keep the electrode intact in case of breakage. 8. The lead of claim 1 wherein the electrodes are covered with a corrosion resisting material. 9. The lead of claim 8 wherein the corrosion resisting material is iridium oxide. 10. The lead of claim 1 further comprising a fixation device adjacent the distal end portion. 11. The lead of claim 10 with a screw-in distal end portion for fixation. 12. The lead of claim 10 having a distal end portion with a passive fixation device intended to be caught on trabeculae to hold the lead in place
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