Abstract: A fixation mechanism coupled to an implantable device body extends from a proximal portion of the body to a distal portion of the body and includes a fixation element and a push tube segment. A push tube segment of the mechanism extends proximally from the fixation mechanism to the proximal portion of the body and is adapted to deploy the mechanism.

Abstract: A fixation mechanism coupled to an implantable device body extends from a proximal portion of the body to a distal portion of the body and includes a fixation element and a push tube segment. A push tube segment of the mechanism extends proximally from the fixation mechanism to the proximal portion of the body and is adapted to deploy the mechanism.

Abstract: A medical electrical lead implant tool includes a gripping assembly, terminating a distal end of an elongate shaft, adapted to alternately grasp the lead and release the lead and to rotate the lead, and a user control terminating a proximal end of the shaft. An internal drive cable extends within the shaft coupling the gripping assembly to the user control. The user control facilitates single-handed manipulation of a slidable dial, which may be grasped by fingers of a hand for longitudinal and rotational manipulation when a stationary handle is held in a palm of the hand; the longitudinal manipulation causing the gripping assembly, via the drive cable, to alternately grasp the lead and release the lead and the rotational manipulation causing the gripping assembly, via the drive cable, to rotate the lead.

Abstract: A fixation mechanism coupled to an implantable device body extends from a proximal portion of the body to a distal portion of the body and includes a fixation element and a push tube segment. A push tube segment of the mechanism extends proximally from the fixation mechanism to the proximal portion of the body and is adapted to deploy the mechanism.

Abstract: A medical electrical lead implant tool includes a gripping assembly, terminating a distal end of an elongate shaft, adapted to alternately grasp the lead and release the lead and to rotate the lead, and a user control terminating a proximal end of the shaft. An internal drive cable extends within the shaft coupling the gripping assembly to the user control. The user control facilitates single-handed manipulation of a slidable dial, which may be grasped by fingers of a hand for longitudinal and rotational manipulation when a stationary handle is held in a palm of the hand; the longitudinal manipulation causing the gripping assembly, via the drive cable, to alternately grasp the lead and release the lead and the rotational manipulation causing the gripping assembly, via the drive cable, to rotate the lead.

Abstract: A medical electrical lead implant tool includes a gripping assembly, terminating a distal end of an elongate shaft, adapted to alternately grasp the lead and release the lead and to rotate the lead, and a user control terminating a proximal end of the shaft. An internal drive cable extends within the shaft coupling the gripping assembly to the user control. The user control facilitates single-handed manipulation of a slidable dial, which may be grasped by fingers of a hand for longitudinal and rotational manipulation when a stationary handle is held in a palm of the hand; the longitudinal manipulation causing the gripping assembly, via the drive cable, to alternately grasp the lead and release the lead and the rotational manipulation causing the gripping assembly, via the drive cable, to rotate the lead.

Abstract: A distal tip coupled to a body of an implantable medical device includes a canted passageway extending distally from a lumen of the body and an opening terminating the passageway and positioned in proximity to a distal end of the distal tip; a helical fixation element coupled to an elongated member extending within the lumen of the body is adapted to deflect along the canted passageway of the distal tip. The elongated member is adapted to move the helical member through the passageway of the distal tip and out from the opening and to rotate the helical element thereby affixing the helical element into an implant site.

Abstract: A fixation mechanism coupled to an implantable device body extends from a proximal portion of the body to a distal portion of the body and includes a fixation element and a push tube segment. A push tube segment of the mechanism extends proximally from the fixation mechanism to the proximal portion of the body and is adapted to deploy the mechanism.

Abstract: A method and apparatus for dynamically fixating and removing a lead in a vasculature of a body. At least one segmenting means such as a collar is disposed at a distal end of the lead forming a deployable actuable segment adapted to dynamically assume an engaging and retracted position. In an engaging position, the actuable segment dynamically and varyingly adapts into a shape or shapes to engage a vessel. In a retracted position the shape or shapes collapse thus maintaining the original geometry of the lead in the vasculature. The actuable segment assumes a deployed or retracted position based on the flexural condition of the segment, respectively.

Abstract: An implantable electrical lead having a tip electrode and a ring electrode located proximal to the tip electrode. A flexible spacer is located between the electrodes and includes a tubular plastic member having a thickness gradually increasing proximally and distally of a point intermediate the electrodes. Optionally the spacer includes an inner member of a lower durometer plastic, gradually decreasing in thickness proximally and distally from the intermediate point.

Abstract: A tool for implanting a pacing lead of the type having a fixation helix. The tool is provided a curved, elongated shaft with rotatable tongs mounted at its distal end. The tongs extend distally from the shaft and angle radially outward and slide against a bearing located in a distal portion of the shaft. A cable, rotatable and longitudinally movable relative to the shaft, extends through the shaft and is coupled to the tongs. A handle is mounted at a proximal end of the shaft and includes a mechanism for rotating the cable mechanism relative to the shaft and for moving the cable longitudinally relative to the shaft, so that the tons may grip rotate and release the tongs.

Abstract: A medical electrical lead having an electrode head with an internal lumen mounted to a proximal portion of the lead body and a rotatable fixation helix advanceable from the internal lumen. The helix is mounted to a rotatable shaft which is provided with a central shaft portion and circumferential shoulders proximal and distal to the central shaft portion. A seal is mounted in the lumen of the electrode head, encircling the shaft and C-shaped seal retainers are mounted in the lumen of the electrode head member proximal and distal to the seal.

Abstract: A method of fabricating a radiopaque dissolvable covering for a member on an implantable lead, including the steps of mixing a radiopaque material with a solvent to form a paste, applying the paste to the member and allowing the paste to harden. The lead preferably is provided with a drug incorporated therein which is subject to degradation at high temperature, located adjacent to the member, and the applying step preferably takes place at about room temperature. The member to which the paste is applied may be an active fixation device such as a barb or a helix or may be a deployable member such as a tine or an electrode bearing member.

Abstract: A medical electrical lead and method of manufacturing such a lead for use in cardiac pacing, the lead having a distal end having an active fixation device such as a helix electrode (46) having a distal end and a proximal end, the tissue securing means extending from the lead body distal end, an electrical conductor (15) extending between the proximal and distal ends of the lead, and a longitudinally extending torque indicator (35 or 36) affixed to the lead body (10) proximal to the tissue securing means, the torque indicator (35 or 36) showing rotational movement or distortion of the torque indicator (35 or 36) under fluoroscopy.

Abstract: A cross-over adaptor for reversing the electrical connection of outer and inner coaxial coiled wire conductors is provided in the body of a pacing lead having a physiologic sensor incorporated therein so that the lead may be employed advantageously for conventional pacing functions with or without physiologic sensor function. In a specific embodiment, the adaptor is placed adjacent to a physiologic pressure sensor positioned in line in the lead body between the connector end thereof and the distal pace/sense electrode end thereof. The physiologic pressure sensor possesses an elongated cylindrical outer housing and an axially oriented electrical feed-through to the active components thereof. The cross-over adaptor is coupled at one end thereof to the sensor housing and electrical feed-through and at the other end thereof to the inner and outer coaxial coiled wire lead conductors which extend back to the proximal end of the lead body and are electrically connected to proximal pin and ring connector elements.

Abstract: A connector system for use in coupling an implantable electrical lead to an implantable pulse generator, or other implantable electrical apparatus. The connector system includes a connector pin assembly, typically mounted to the implantable lead and a connector block, typically mounted to the electrical stimulator. The connector block is provided with a lumen, in which a plurality of resilient, elastomeric rings are linearly arranged. The rings are so sized as to frictionally engage a connector pin which is provided with a plurality of conductive pads, each coupled to a conductor within the implantable lead. Certain ones of the elastomeric rings are conductive, and engage with the conductive pads on the connector pin. Others of the rings are nonconductive and act as insulators and fluid seals. The connector pin assembly is also provided with a circumferential groove, which interlocks with the deflectable beam members of a retainer mounted to the connector block.

Abstract: A cardiac pacing lead or other stimulation lead carrying a steroid compounded within a polymer matrix. The steroid is dispersed in thermoplastic or thermoset polyurethane or polyurea forming monomers or prepolymers. The mixture is then chain extended by addition of the appropriate difunctional or multifunctional isocyanate, hydroxyl or amine curing agent to form a solid polymer. The resulting formulation is molded or cast into a desired shape, and incorporated in the distal end of a medical electrical lead, adjacent to or within the electrode. In a preferred embodiment, the medical lead employs an extendable helix which is screwed into body tissue, and the polymer containing the drug takes the form of a generally dimensionally stable annular member mounted to the lead, encircling the helix.

Abstract: A connector system for use in coupling an implantable electrical lead to an implantable pulse generator, or other implantable electrical apparatus. The connector system includes a connector pin assembly, typically mounted to the implantable lead and a connector block, typically mounted to the electrical stimulator. The connector block is provided with a lumen, in which a plurality of resilient, elastomeric rings are linearly arranged. The rings are so sized as to frictionally engage a connector pin which is provided with a plurality of conductive pads, each coupled to a conductor within the implantable lead. Certain ones of the elastomeric rings are conductive, and engage with the conductive pads on the connector pin. Others of the rings are nonconductive and act as insulators and fluid seals. The connector pin assembly is also provided with a circumferential groove, which interlocks with the deflectable beam members of a retainer mounted to the connector block.

Abstract: A connector system for use in coupling an implantable electrical lead to an implantable pulse generator, or other implantable electrical apparatus. The connector system includes a connector pin assembly, typically mounted to the implantable lead and a connector block, typically mounted to the electrical stimulator. The connector block is provided with a lumen, in which a plurality of resilient, elastomeric rings are lineraly arranged. the rings are so sized as to frictionally engage a connector pin which is provided with a plurality of conductive pads, each coupled to a conductor within the implantable lead. Certain ones of the elastomeric rings are conductive, and engage with the conductive pads on the connector pin. Others of the rings are nonconductive and act as insulators and fluid seals. The connector pin assembly is also provided with a circumferential groove, which interlocks with the deflectable beam members of a retainer mounted to the connector block.

Abstract: A service kit for splicing body implantable leads having inner and outer coaxially-arranged coil wire conductors insulated from one another. A conductive pin having a distal portion with an outside diameter less than the inside diameter of the inner coil has a barbed tip that is screwed into the inner conductor coil. A shoulder portion of the conductive pin having a larger diameter bears against and retracts the inner coil with respect to the outer coil as the distal portion is screwed into the coil lumen. An insulating sleeve over the shoulder portion assures that the conductive pin does not contact the outer conductor coil. An adaptor housing physically holds the end of the coaxial lead being spliced, the conductive pin and the insulating sleeve. A first set screw through the adapter housing contacts the conductive pin allowing electrical contact thereto.