Medical lead with preformed bias
A medical electrical lead and methods of implanting medical electrical leads in lumens. Leads in accordance with the invention employ preformed biases to stabilize the lead within a lumen and to orient electrodes in a preferred orientation.
1. An implantable medical electrical lead comprising:
a lead body having a preformed converging helical bias extending from a proximal portion to a distal end, wherein a coil diameter decreases from the proximal portion toward the distal end of the helical bias: and
at least one electrode disposed on a distal portion of the lead body and having a length parallel to a lead body portion on which it is disposed, wherein a ratio of a coil diameter to the length of the at least one electrode is greater than or equal to 4:1, where the coil diameter is defined as a diameter of a smallest coil of the converging helical bias.
2. The medical electrical lead of claim 1 wherein the ratio of the coil diameter to the length of the at least one electrode is greater than or equal to 5:1.
3. The medical electrical lead of claim 1 , wherein the ratio of the coil diameter to the length of the at least one electrode is greater than or equal to 6:1.
4. The medical electrical lead of claim 1 , wherein the at least one electrode comprises a plurality of electrodes, wherein the length of each electrode of the plurality of electrodes is at least partially located within a single quadrant of the converging helical bias.
5. The medical electrical lead of claim 4 , wherein at least two of the plurality of electrodes are radially offset from each other.
6. The medical electrical lead of claim 4 , wherein each of the plurality of electrodes is radially offset from the other electrodes of the plurality of electrodes.
7. The medical electrical lead of claim 1 , wherein a diameter of the converging helical bias is greater than a diameter of a lumen in which it is to be disposed in a ratio of between 1.1:1 and 1.3:1.
8. An implantable medical electrical lead comprising:
a lead body having a preformed converging helical bias extending from a proximal portion to a distal end, wherein a coil diameter decreases from the proximal portion toward the distal end of the converging helical bias; and
a plurality of electrodes disposed on a distal portion of the lead body and having a length parallel to a lead body portion on which it is disposed, wherein at least a portion of each electrode of the plurality of electrodes is located within a single quadrant of the converging helical bias, wherein at least two of the plurality of electrodes are radially offset from each other; and wherein a ratio of the coil diameter to the length of at least one electrode is greater than or equal to 4:1, where the coil diameter is defined as a diameter of a smallest coil of the converging helical bias.
9. The implantable medical electrical lead of claim 8 , wherein the ratio of the coil diameter to the length of the at least one electrode is greater than or equal to 5:1.
10. The implantable medical electrical lead of claim 8 , wherein the ratio of the coil diameter to the length of the at least one electrode is greater than or equal to 6:1.
11. The medical electrical lead of claim 8 , wherein each of the plurality of electrodes is radially offset from the other electrodes of the plurality of electrodes.
12. The medical electrical lead of claim 8 , wherein a diameter of the converging helical bias is greater than a diameter of a lumen in which it is to be disposed in a ratio of between 1.1:1 and 1.3:1.
13. A method of implanting a medical electrical lead, the method comprising:
inserting a lead body in a first lumen, the lead body comprising:
a lead body having a preformed converging helical bias extending from a proximal portion to a distal end, wherein a coil diameter decreases from the proximal portion toward the distal end of the converging helical bias; and
at least one electrode disposed on a distal portion of the lead body and having a length parallel to a lead body portion on which it is disposed, wherein a ratio of the coil diameter to the length of the at least one electrode is greater than or equal to 4:1, where the coil diameter is defined as a diameter of a smallest coil of the preformed converging helical bias, wherein at least a portion of each of the at least one electrode is within a single quadrant of the preformed converging helical bias; and
positioning the lead within the first lumen at a junction of the first lumen and a second lumen, the first lumen having a first diameter and the second lumen having a second diameter that is less than the first diameter such that the proximal portion of the preformed converging helical bias places a radial fixation force on the first lumen such that the preformed converging helical bias is retained in the junction and such that a tissue of interest is within the quadrant as the quadrant extends outward radially.
14. The method of claim 13 , wherein the first diameter of the first lumen corresponds to a diameter of a subclavian vein and the second diameter of the second lumen corresponds to a diameter of a right brachiocephalic vein.
15. The method of claim 14 , wherein the tissue of interest corresponds to a right phrenic nerve.
16. The method of claim 13 , wherein a diameter of the proximal portion of the preformed converging helical bias is greater than the first diameter of the first lumen in a ratio of between 1.1:1 and 1.3:1.
17. The method of claim 13 , wherein the ratio of the coil diameter to the length of the at least one electrode is greater than or equal to 5:1.
18. The method of claim 13 , wherein the ratio of the coil diameter to the length of the at least one electrode is greater than or equal to 6:1.