Abstract: An implantable medical device (IMD) may include at least two separate lead connection assemblies, each with electrical connectors for connecting implantable leads to the IMD. In some examples, a IMD may include a first therapy module configured to generate a first electrical stimulation therapy and a second therapy module configured to generate a second electrical stimulation therapy for delivery to the patient. The IMD may include a first lead connection assembly including a first electrical connector electrically coupled to the first therapy module and a second lead connection assembly including a second electrical connector electrically coupled to the second therapy module. In some examples, the first and second lead connection assemblies are distributed around the outer perimeter of the IMD housing.

Abstract: This application discusses, among other things, a header assembly for coupling a medical electrical lead to a medical stimulating device including a header having a capture mechanism within a bore of a lead retention device. In an example, when the lead retention device is retracted from the bore, the capture mechanism prevents the device from falling out. In another example, the header assembly has a vent disposed within the bore of the lead retention device that permits unrestricted flow of air when the lead retention device is retracted from an engagement surface.

Abstract: This application discusses, among other things, a header assembly for coupling a medical electrical lead to a medical stimulating device including a header having a capture mechanism within a bore of a lead retention device. In an example, when the lead retention device is retracted from the bore, the capture mechanism prevents the device from falling out. In another example, the header assembly has a vent disposed within the bore of the lead retention device that permits unrestricted flow of air when the lead retention device is retracted from an engagement surface.

Abstract: Radiopaque markers represent that a lead is suitable for a particular medical procedure such as a magnetic resonance image scan and are added to the lead or related device. The markers may be added after implantation of the lead in various ways including suturing, gluing, crimping, or clamping a radiopaque tag to the lead or to the device. The markers may be added by placing a radiopaque coil about the lead, and the radiopaque coil may radially contract against the lead to obtain a fixed position. The markers may be added by placing a polymer structure onto the lead where the polymer structure includes a radiopaque marker within it. The polymer structure may include a cylindrical aperture that contracts against the lead to fix the position of the structure. The polymer structure may form a lead anchor that includes suture wings that can be sutured to the lead.

Abstract: Medical leads include a lumen body at an end of the lead, and the lumen body includes multiple filar lumens. The lumen body is joined to a lead body, and electrical connectors are longitudinally spaced along the lumen body. Filars within the filar lumens are directed through filar passageways within the lumen body to attach to the electrical connectors on the lumen body. The filar passageways may be aligned with the filar lumens, and slots within the electrical connectors may be aligned with the filar passageways to facilitate assembly. The lumen body may provide additional stiffness to the end of the lead where the lumen body is located to facilitate lead insertion into the medical device. The filar lumens of the lumen body may have a longitudinally straight configuration so that the portions of filars within the filar lumens are held in a longitudinally straight configuration.

Abstract: Implantable medical leads are shielded with a braided shield that surrounds an inner layer of insulation. An outer layer of insulation may also surround the shield. The shield is designed with parameters that limit the passage of radio frequency energy, particularly in the magnetic resonance imaging spectrum, to filars that are surrounded by the inner layer of insulation. The braided shield has a plurality of parameters and corresponding ranges. The parameters include one or more of braid angle, wire size, number of wires wound per direction, number of wires in a bundle, wire spacing in an axial dimension, ultimate tensile strength, cross-sectional wire shape, material, and distance from termination to a nearest electrode. Additional parameters of the lead related to the shielding also include one or more of inner insulation thickness, and outer insulation thickness.

Abstract: A shield located within an implantable medical lead may be terminated in various ways at a metal connector. The shield may be terminated by various joints including butt, scarf, lap, or other joints between insulation layers surrounding the lead and an insulation extension. The shield may terminate with a physical and electrical connection to a single metal connector. The shield may terminate with a physical and electrical connection by passing between an overlapping pair of inner and outer metal connectors. The metal connectors may include features such as teeth or threads that penetrate the insulation layers of the lead. The shield may terminate with a physical and electrical connection by exiting a jacket of a lead adjacent to a metal connector and lapping onto the metal connector.

Abstract: Grounding of a shield that is located in an implantable medical lead may be done in many ways. The shield may be grounded directly to tissue from the lead body at one or more points along the lead body. The pathway for grounding may be a direct current pathway or be capacitively coupled. The pathway for grounding may utilize an exposed or nearly exposed shield at one or more points along the lead body. A jacket forming the lead body may have an outer layer removed at these points to provide the RF pathway to ground. Alternatively, the jacket may be doped with conductive particles at these points. Metal conductors such as ring electrodes and/or lead anchors may be attached to the lead at one or more points to provide the RF pathway to ground.

Abstract: Grounding of a shield that is located in an implantable medical lead may be done in many ways. The ground pathway may couple to the shield at a point that is outside of a header of an implantable medical device to which the implantable medical lead is attached. The ground pathway may couple to the shield at a point that is within the header of the implantable medical device. The ground pathway may terminate at the metal can of the implantable medical device. As another option, the ground pathway may terminate at a ground plate that is mounted to the header. The ground pathway may be direct current coupled from the shield to the can or ground plate. Alternatively, the ground pathway may include one or more capacitive couplings that provide a pathway for induced radio frequency current.

Abstract: An implantable medical lead has a torsional stiffness and is rotationally coupled to a stylet. Applying rotation directly to the lead in turn causes rotation of the stylet. Where the stylet has a bent tip for purposes of steering the lead, the rotation applied to the lead rotates the bent tip so that the lead can be steered by rotating the lead rather than rotating a hub of the stylet. The rotational coupling may be achieved through one or more features provided for the lead and/or the stylet, such as a feature within a lumen of the lead that mates to a feature along the stylet or a feature of the stylet hub that engages the proximal end of the lead. The torsional stiffness of the lead may be provided by adding a feature within the lead body, such as a braided metal wire or an overlapping foil.

Abstract: A shield located within an implantable medical lead may be terminated in various ways. The shield may be terminated by butt, scarf, lap, or other joints between insulation layers surrounding the lead and an insulation extension. For lap joints, a portion of an outer insulation layer may be removed and a replacement outer insulation layer is positioned in place of the removed outer insulation layer, where the replacement layer extends beyond an inner insulation layer and the shield. The replacement layer may also lap onto a portion of the insulation extension. Barbs may be located between the replacement layer and the inner insulation layer or the insulation extension. The shield wires have ends at the termination point that may be folded over individually or may be capped with a ring located within one of the insulation layers of the jacket.

Abstract: Medical leads included coiled filars that have longitudinally straight ends. The coiled filars may be coiled at a constant pitch until reaching the point where the filars become longitudinally straight. The coiled filars may reside within a central lumen of the lead body, while the longitudinally straight portions may reside in a region where electrical connectors are present and where filar passageways provide a pathway for the filars to exit the central lumen and bond with the electrical connectors. The coiled filars may be created with longitudinally straight ends using a body that includes longitudinally straight holes that receive the filars and maintain the longitudinally straight configuration while the remaining portion of the filars is being coiled.

Abstract: An anchor deployment apparatus for deploying an anchor about a therapy delivery element includes an anchor receiving element having an elongate member having a distal opening and a lumen extending proximally in the elongate member from the distal opening. The lumen of the elongate member is configured to slidably receive at least a portion of a therapy delivery element. The anchor deployment tool further includes an anchor engagement element having (i) a body forming a channel in which the elongate member of the anchor receiving element is axially movable, and (ii) an engagement feature forming at least a part of the channel. The engagement feature is configured to engage the anchor when the anchor is disposed about the elongate member and the elongate member is moved distally relative to the engagement element, and to cause the anchor to move distally along the elongate member when the feature is engaged with the anchor and the elongate member is moved distally relative to the engagement element.

Abstract: This application discusses, among other things, an implantable medical device including a setscrew that enables lead tip visibility as an indicator of full lead insertion without requiring a grommet. An example setscrew has a metal core with an insulative coating disposed over the core to electrically isolate it from body fluids and surrounding tissue. In another example, the setscrew incorporates a sealing capability by including a sealing member that is coupled to the setscrew.

Abstract: This application discusses, among other things, a header assembly for coupling a medical electrical lead to a medical stimulating device including a header having a capture mechanism within a bore of a lead retention device. In an example, when the lead retention device is retracted from the bore, the capture mechanism prevents the device from falling out. In another example, the header assembly has a vent disposed within the bore of the lead retention device that permits unrestricted flow of air when the lead retention device is retracted from an engagement surface.

Abstract: An implantable medical device (IMD) may include at least two separate lead connection assemblies, each with electrical connectors for connecting implantable leads to the IMD. In some examples, a IMD may include a first therapy module configured to generate a first electrical stimulation therapy and a second therapy module configured to generate a second electrical stimulation therapy for delivery to the patient. The IMD may include a first lead connection assembly including a first electrical connector electrically coupled to the first therapy module and a second lead connection assembly including a second electrical connector electrically coupled to the second therapy module. In some examples, the first and second lead connection assemblies are distributed around the outer perimeter of the IMD housing.

Abstract: The present invention is an impression cap for use with an implant/abutment impressioning system for taking impressions of cement-on-crown abutments to mirror the contour of the soft tissue and bone in a patient's mouth. The impression cap is configured to uniquely fit over one of an abutment and a dental implant via a novel flange. The flange is located at the bottom of the impression cap forming a bottom rim and is constructed to grasp the collar of an implant in a press, friction fit manner. The flange of the impression cap automatically captures the implant margin by pushing gingival tissue away when the component is seated.

Abstract: An Implant/Abutment Impressioning cap. The impression cap is multi-vented and configured to uniquely fit over an abutment/implant assembly and grasp the implant via a novel flange and internal geometry design. The flange is located at the bottom of the impression cap forming a bottom rim and is constructed to grasp the collar of an implant in a press/friction fit manner. The internal geometry of the impression cap forms surfaces which mirror those of the abutment/implant assembly. The flange of the impression cap automatically captures the implant margin by pushing gingival tissue away when the component is seated.

Abstract: A dental implant may be prepared by roughening or coating a desired portion of a dental implant blank and removing material from the dental implant blank subsequent to roughening the dental implant blank. By removing material, a cutting flute with a cutting edge, cutting surface and collector surface may be formed. The cutting surface and collector surface is relatively smooth compared to the cutting edge.

Abstract: The present invention is an impression cap for use with an implant/abutment impressioning system for taking impressions of cement-on-crown abutments to mirror the contour of the soft tissue and bone in a patient's mouth. The impression cap is configured to uniquely fit over one of an abutment and a dental implant via a novel flange. The flange is located at the bottom of the impression cap forming a bottom rim and is constructed to grasp the collar of an implant in a press, friction fit manner. The flange of the impression cap automatically captures the implant margin by pushing gingival tissue away when the component is seated.