Abstract: A method and apparatus for affixing implantable catheters and leads to body tissue. An electrode located on the lead or catheter is coupled to an RF signal generator, of the type employed to perform electrosurgical procedures such as electrocoagulation. The RF signal causes the electrode to adhere to body tissue, thus stabilizing the location of the catheter or lead. The electrode may be an electrode normally employed for other purposes, such as cardiac pacing, or may be a dedicated electrode employed only for affixation. Contact between the electrode and the RF signal generator may be made by a conductor permanently mounted within the catheter or lead, or by a removable conductor.

Abstract: An implantable active fixation lead system which connects a source of electrical energy, such as a pacemaker, to the cardiac tissue. The lead system includes a lead, an introducer and a guide catheter. The lead has a small diameter lead body, and an active fixation device for engaging the cardiac tissue. The lead body has an overall straight, uncoiled configuration, and an outer diameter of about 13 mils. The lead body includes a plurality of infinitesimal, bio-compatible, bio-stable electrically conductive strands which are tightly bundled together in a cable-like fashion to form a single conductor. A dielectric bio-compatible insulation coating surrounds the conductor to provide an insulation layer between the conductor and the body environment. The fixation device includes a crank portion which engages the introducer.The introducer is assembled to the lead and includes a coupler which engages the crank portion of the lead fixation device.