The present invention relates to an implantable system having an implantable lead having a connector port. More specifically, the invention relates to a connector port and components arranged within the connector port that provide a simplified core assembly.
Implantable medical systems for stimulating a target area or for diagnostic purposes may include different lead configurations that require different industry standards. The systems may include an implantable lead assembly and an implantable pulse generator connected with the implantable lead assembly. The implantable lead assembly may comply with one or more of industry standards (e.g., IS-1, IS4, DF4). Further, a header of the implantable pulse generator generally includes corresponding connector ports that are configured to comply with one or more of the standards so that the implantable lead assembly may be effectively coupled with the implantable pulse generator. A proper connection between the implantable leads and the corresponding connector ports is required to allow proper functioning of the implantable system.
In Example 1, a connector port subassembly for a medical device includes a connector bore arranged within the core subassembly including a proximal end and a distal end; one or more connector blocks arranged within the connector bore; and one or more seal rings moulded to an interior surface of the connector bore and arranged adjacent to the one or more connector blocks and comprising two or more materials.
In Example 2, further to the connector port subassembly of Example 1, the one or more seal rings arranged comprise a moulded composite of the two or more materials.
In Example 3, further to the connector port subassembly of Example 2, the two or more materials includes a first material and a second material, and the first material and the second material comprise a common material.
In Example 4, further to the connector port subassembly of Example 3, the common material is silicone and the moulded composite comprises a silicone-silicone composite.
In Example 5, further to the connector port subassembly of Example 2, the two or more materials includes a first material and a second material, and the first material and the second material comprise different materials.
In Example 6, further to the connector port subassembly of Example 5, the first material is silicone and the second material is a polymer and the moulded composite comprises a silicone-polymer composite.
In Example 7, further to the connector port subassembly of Example 5, the first material is silicone and the second material is a non-polymeric material and the moulded composite comprises a silicone-non-polymeric composite.
In Example 8, the connector port subassembly of any one of Examples 1-7, the one or more seal rings include a substantially smooth outer surface.
In Example 9, the connector port subassembly of any one of Examples 1-8, the one or more seal rings includes interior ribs having substantially curved apices.
In Example 10, the connector port subassembly of any one of Examples 1-9, the one or more seal rings includes a first interlock and the connector bore includes a second interlock, and the first interlock and the second interlock are configured to engage to maintain a position of the one or more seal rings within the connector bore.
In Example 11, a method of manufacturing one or more connector port subassemblies includes arranging one or more connector blocks within a connector bore, the connector bore being arranged within a core subassembly and having a proximal end and a distal end; and moulding one or more seal rings comprising two or more materials to an interior surface of the connector bore adjacent to the one or more connector blocks.
In Example 12, the method of Example 11, moulding the one or more seal rings includes moulding by dual shot moulding the two or more materials.
In Example 13, the method of any one of Examples 11-12, the two or more materials includes a first material and a second material, and the first material and the second material comprise a common material.
In Example 14, the method of any one of Examples 11-12, the two or more materials includes a first material and a second material, and the first material and the second material different materials.
In Example 15, the method of any one of Examples 11-14, the one or more seal rings include a substantially smooth outer surface, interior ribs having substantially curved apices, and substantially uniform surfaces on opposing sides of the interior ribs.
In Example 16, a connector port subassembly for a medical device includes a connector bore arranged within the core subassembly including a proximal end and a distal end; one or more connector blocks arranged within the connector bore; and one or more composite seal rings arranged adjacent to the one or more connector blocks and comprising a moulded composite of two or more different materials.
In Example 17, the connector port subassembly of Example 16, the one or more composite seal rings are moulded to an interior surface of the connector bore, and two or more materials includes a first material and a second material, and the first material and the second material comprise a common material.
In Example 18, the connector port subassembly of Example 17, the common material is silicone and the moulded composite comprises a silicone-silicone composite.
In Example 19, the connector port subassembly of Example 16, the two or more materials includes a first material and a second material, and the first material and the second material comprise different materials.
In Example 20, the connector port subassembly of Example 19, the first material is silicone and the second material is a polymer and the moulded composite comprises a silicone-polymer composite.
In Example 21, the connector port subassembly of Example 19, the one or more seal rings includes a first interlock and the connector bore includes a second interlock, and the first interlock and the second interlock are configured to engage to maintain a position of the one or more seal rings within the connector bore.
In Example 22, the connector port subassembly of Example 19, the one or more seal rings include a substantially smooth outer surface, interior ribs having substantially curved apices, and substantially uniform surfaces on opposing sides of the interior ribs.
In Example 23, a connector port subassembly for a medical device includes a connector bore arranged within the core subassembly including a proximal end and a distal end formed by one or more core sections having a substantially uniform inner surface; one or more connector blocks arranged within the connector bore; and one or more composite seal rings arranged adjacent to the one or more connector blocks, the one or more composite seal rings comprising a moulded composite of materials having a substantially uniform outer surface configured to engage the substantially uniform inner surface of the one or more core sections, interior ribs having substantially curved apices configured to engage a portion of a lead, and substantially uniform surfaces on opposing sides of the interior ribs parallel with the substantially uniform outer surface of the one or more composite seal rings.
In Example 24, the connector port subassembly of Example 22, the moulded composite of materials includes a first material and a second material, and the first material and the second material comprise a common material.
In Example 25, the connector port subassembly of Example 23, the common material is silicone and the moulded composite of materials comprises a silicone-silicone composite.
In Example 26, the connector port subassembly of Example 22, the moulded composite of materials includes a first material and a second material, and the first material and the second material comprise different materials.
In Example 27, the connector port subassembly of Example 26, the first material is silicone and the second material is a polymer and the moulded composite of materials comprises a silicone-polymer composite.
In Example 28, the connector port subassembly of Example 26, the first material is silicone and the second material is a non-polymeric material and the moulded composite of materials comprises a silicone-non-polymeric composite.
In Example 29, the connector port subassembly of Example 26, the moulded composite of materials includes a first material and a second material, and the substantially uniform outer surface is formed by the first material and the substantially uniform surfaces and the interior ribs are formed of the second material.
In Example 30, the connector port subassembly of Example 26, wherein the one or more composite seal rings are moulded to an interior surface of the connector bore.
In Example 31, a method of manufacturing one or more connector port subassemblies includes arranging one or more connector blocks within a connector bore, the connector bore being arranged within a core subassembly and having a proximal end and a distal end; and moulding one or more seal rings comprising two or more materials to an interior surface of the connector bore adjacent to the one or more connector blocks.
In Example 32, the method of Example 31, moulding the one or more seal rings includes moulding by dual shot moulding the two or more materials.
In Example 33, the method of Example 31, the two or more materials includes a first material and a second material, and the first material and the second material comprise a common material.
In Example 34, the method of Example 31, the two or more materials includes a first material and a second material, and the first material and the second material different materials.
In Example 35, the method of Example 31, the one or more seal rings include a substantially smooth outer surface, interior ribs having substantially curved apices, and substantially uniform surfaces on opposing sides of the interior ribs.
While multiple embodiments are disclosed, still other embodiments of the present invention will become apparent to those skilled in the art from the following detailed description, which shows and describes illustrative embodiments of the invention. Accordingly, the drawings and detailed description are to be regarded as illustrative in nature and not restrictive.
While the invention is amenable to various modifications and alternative forms, specific embodiments have been shown by way of example in the drawings and are described in detail below. The intention, however, is not to limit the invention to the particular embodiments described. On the contrary, the invention is intended to cover all modifications, equivalents, and alternatives falling within the scope of the invention as defined by the appended claims.
The IMD 104 may include one or more connector ports 110, 112. In certain instances, the IMD (e.g., pulse generator 104) includes a header 108 with the connector port(s) 110, 112. As shown, for example, the header 108 includes a first connector port 110 and a second connector port 112. In addition, the implantable lead assembly 106 includes a first implantable lead 120 connected to the first connector port 110 and a second implantable lead 122 connected to the second connector port 112. In some instances, the implantable lead assembly 106 may also include a third implantable lead (not shown) and the header 108 may include a corresponding third connector port (not shown and up to five connector ports may be used). The IMD 104 also includes a housing 116 that is connected to the header 108. The housing 116 can include a source of power as well as electronic circuitry. The header 108 may be overmoulded to the housing 116 and may be formed of a rigid polymer that is a non-conductive polymer such as, for example, an aromatic polyether-based thermoplastic polyurethane, polyether ether ketone, epoxy, or a polyethersulfone.
Each of the first and second implantable leads 120, 122 includes a flexible lead body, a plurality of conductor wires, a plurality of electrodes, and a terminal connector assembly. For example, as shown, the first implantable lead 120 includes a flexible lead body 130 having a proximal end 132, a distal end portion 134, and a plurality of conductor lumens 136 extending axially within the flexible lead body 130 from the proximal end 132 to the distal end portion 134. The first implantable lead 120 also includes a plurality of conductor wires 138, each conductor wire extending within one of the conductor lumens 136 in the flexible lead body 130. The first implantable lead 120 further includes a plurality of electrodes 140 coupled to the distal end portion 134 of the flexible lead body 130. Each of the electrodes 140 is electrically coupled to at least one of the plurality of conductor wires 138. The first implantable lead 120 also includes a terminal connector assembly 142 (or terminal pin) coupled to the proximal end 132 of the flexible lead body 130. The terminal connector assembly 142 is sized to be inserted into and received by the first connector port 110 of the header 108.
Similarly, the second implantable lead 122 includes a flexible lead body 150 having a proximal end 152, a distal end portion 154, and a plurality of conductor lumens 156 extending axially within the flexible lead body 150 from the proximal end 152 to the distal end portion 154. The second implantable lead 122 also includes a plurality of conductor wires 158, each conductor wire extending within one of the conductor lumens 156 in the flexible lead body 150. Further, the second implantable lead 122 includes a plurality of electrodes 160 coupled to the distal end portion 154 of the flexible lead body 150. Each of the electrodes 160 is electrically coupled to at least one of the plurality of conductor wires 158. The second implantable lead 122 also includes a terminal connector assembly 162 coupled to the proximal end 152 of the flexible lead body 150. The terminal connector assembly 162 is sized to be inserted into and received by the second connector port 112 of the header 108.
As an example of implant locations for one or more leads, the first implantable lead 120 is shown extending into a right ventricle of the heart, and the second implantable lead 122 extending through the coronary sinus and into a coronary vein disposed outside the left ventricle of the heart. The electrical signals and stimuli conveyed by the IMD 104 are carried to the electrode at the distal end of the lead by the conductors. The IMD 104 is typically implanted subcutaneously within an implantation location or pocket in the patient's chest or abdomen. As shown in
In certain instances, the seal ring 202 includes two or more materials. The seal ring 202 may be formed of a moulded composite of the two or more materials. The two or more materials may include a first material and a second material with the first material and the second material being a common material (e.g., silicone, a polymer material, a non-polymer material such as metal or ceramic). In instances where the common material is silicone, the seal ring 202 may be formed of a moulded composite that is a silicone-silicone composite. In instances where the common material is a polymer, the seal ring 202 may be formed of a moulded composite that is a polymer-polymer composite. In instances where the common material is non-polymeric, the seal ring 202 may be formed of a moulded composite that is a ceramic-ceramic composite or a metal-metal composite. In certain instances, the material (e.g., silicone) may be the same, but the composition of the material may be different. For example and as explained in further detail below, the seal ring 202 may be formed of a common material with the first material having a different material (e.g., stiffness, flexibility) property than the second material.
The seal ring 202, in these instances, may be formed of a composite of two or more portions or two or more sections of the same material type. In addition, the seal ring 202 may be formed of two or more materials that are moulded together. The two or more materials may be formed together using a dual-shot moulding processing. The dual shot moulding process may apply the first material on the second material to form the seal ring 202.
In certain instances, the seal ring 202 may be formed two or more materials that are different materials. For example, the seal ring 202 may be formed of a moulded composite that includes a silicone-polymer composite. In other instances, the seal ring 202 may be formed of a moulded composite that includes a silicone-non-polymeric composite. The non-polymeric material may be a ceramic or metal material. The two or more materials may be formed together using a dual-shot moulding processing. The dual shot moulding process may apply the first material on the second material to form the seal ring 202.
In certain instances, the inner surface 208 of the core section 204 may be substantially uniform. In addition and as shown, the outer surface 206 of the seal ring 202 may be substantially uniform (in addition to being a substantially smooth outer surface 206). The substantially uniform outer surface 206 may be configured to engage the substantially uniform inner surface 208 of the core section 204. In addition, the seal ring 202 may include interior ribs 210, 212 having substantially curved apices. The interior ribs 210 may extend around the interior of the seal ring 202 and be configured to engage a portion of a lead. The seal ring 202 being a moulded composite of two or more materials may facilitate the interior ribs 210, 212 having curved apices as opposed to a more abrupt peak. For example, the seal ring 202 include substantially uniform surfaces 214, 216 on opposing sides of the interior ribs 210, 212. Other prior seal rings may include an abrupt angle change leading to ribs. These prior seal rings may have a greater insertion force for the lead to pass through and engage with the prior seal rings as compared to the seal rings 202 shown and discussed herein. In certain instances, the substantially uniform surfaces 214, 216 may be parallel with the substantially uniform outer surface 206 of the seal ring 202 (which are circumferential about the seal ring 202).
In certain instances, as noted above, the seal ring 202 is moulded to the inner surface 208 of the core section 204. The seal ring 202 may be dual shot moulded into with the inner surface 208 of the core section 204. The first material of the seal ring 202 (silicone) may be moulded to the inner surface 208 of the core section 204 and then the second material of the seal ring 202 may be moulded to the first material. In certain instances, the seal ring 202 being dual shot moulded to the inner surface 208 of the core section 204 may improve the concentricity of the bore alignment, therefore reducing the spread of an insertion force of a lead within the core section 204. In certain instances, the seal ring 202 being moulded to the inner surface 208 of the core section 204 may reduce stack up tolerance to which the seal ring 202 accounts for (in relation to electrical isolation/sealing between one or more seal rings 202 and connector blocks as described in further detail below). Moulding the seal ring 202 to the core section 204 can enable are slight larger inner diameter of the seal ring 202, which reduces insertion force of the lead into the core section 204.
As noted above, the seal ring 202 may be formed of a common material with the first material having a different material (e.g., stiffness, flexibility) property than the second material. In certain instances, the first material may be less flexible than the second material of the seal ring 202. More specifically, the first material may include a high durometer and the second material includes a low durometer. In certain instances, ribs 210, 212 (and the substantially uniform surfaces 214, 216) may be formed of the second material and the outer surface 206 may be formed of the first material. The outer surface 206 being formed of a stiffer material than the ribs 210, 212 (and the substantially uniform surfaces 214, 216) may facilitate maintaining a position of the seal ring 202 within the core section 204. In instances where the seal ring 202 includes two different materials, the outer surface 206 being formed of a stiffer material (e.g., polymer, ceramic, plastic, metal) than the ribs 210, 212 and the substantially uniform surfaces 214, 216 (e.g., silicone).
The one or more seal rings 312 and one or more connector blocks 308 may be arranged between the proximal end 304 and distal end 306 of the connector bore 302. In certain instances and as shown, the seal rings 312 include a plurality of seal rings 312a, 312b, 312c and 312d and the one or more connector blocks 308 includes a plurality of connector blocks 308a, 308b, 308c. The number of connector blocks 308a, 308b, 308c and seal rings 312a, 312b, 312c and 312d is dependent on the industry standard desired for the core subassembly 300. As shown, the core subassembly 300 includes three connector blocks 308a, 308b, 308c separated by four seal rings 312a, 312b, 312c and 312d.
In certain instances, the seal rings 312a, 312b, 312c and 312d include a substantially smooth or uniform outer surface 318. The outer surface 318 of the seal rings 312a, 312b, 312c and 312d engage an inner surface of the connector bore 302 as is described in further detail below with reference to
In certain instances, as noted above, the seal rings 312a, 312b, 312c and 312d are moulded to the inner surface of the connector bore 302. The seal rings 312a, 312b, 312c and 312d may be dual shot moulded into with the inner surface of the connector bore 302. The first material of the seal rings 312a, 312b, 312c and 312d (silicone) may be moulded to the inner surface of the connector bore 302 and then the second material of the seal rings 312a, 312b, 312c and 312d may be moulded to the first material. In certain instances, the seal rings 312a, 312b, 312c and 312d being dual shot moulded to the inner surface of the connector bore 302 may improve the concentricity of the bore alignment, therefore reducing the spread of an insertion force of a lead within the connector bore 302. In certain instances, the seal rings 312a, 312b, 312c and 312d being moulded to the inner surface of the connector bore 302 may reduce stack up tolerance to which the seal rings 312a, 312b, 312c and 312d account for (in relation to electrical isolation/sealing between seal rings 312a, 312b, 312c and 312d and connector blocks 308a, 308b, 308c). Moulding the seal rings 312a, 312b, 312c and 312d to the connector bore 302 can enable are slight larger inner diameter of the seal rings 312a, 312b, 312c and 312d, which reduces insertion force of the lead into the connector bore 302.
In certain instances and as shown in
A retaining sleeve 330 may be arranged adjacent a proximal most one of the seal rings 312c, as shown. In other instances, the retaining sleeve 330 may be arranged adjacent a proximal most one of connector blocks 308c. In either instance, the retaining sleeve 330 is arranged proximal to each of the connector blocks 308a, 308b, 308c and seal rings 312a, 312b, 312c. The retaining sleeve 330 may facilitate maintaining a position of the connector blocks 308a, 308b, 308c and seal rings 312a, 312b, 312c within the connector bore 302.
To manufacture the core subassembly 300, the connector blocks 308a, 308b, 308c may be arranged within the connector bore 302 with the seal rings 312a, 312b, 312c being arranged adjacent to and separating the connector blocks 308a, 308b, 308c. The seal rings 312a, 312b, 312c include two or more materials and may be formed from dual shot moulding. The seal rings 312a, 312b, 312c may be placed within the connector bore 302 while reducing adhesion between the connector bore 302 and the outer surface 318 of the seal rings 312a, 312b, 312c. As noted above, the composite seal rings 312a, 312b, 312c may be formed from a dual shot moulding process. In addition, the composite seal rings 312a, 312b, 312c allow for a harder exterior (e.g., as discussed above with reference to
In certain instances, the seal ring 402 may be formed two or more materials that are different materials. For example, the seal ring 402 may be formed of a moulded composite that includes a silicone-polymer composite. In other instances, the seal ring 402 may be formed of a moulded composite that includes a silicone-non-polymeric composite. The non-polymeric material may be a ceramic or metal material. The two or more materials may be formed together using a dual-shot moulding processing. The dual shot moulding process may apply the first material on the second material to form the seal ring 402. As discussed in detail above, the seal ring 402 may include ribs 406 and a substantially uniform outer surface 408.
In certain instances, the seal ring 402 includes a first interlock 410. The first interlock 410 may be arranged along a perimeter or end portion of the substantially uniform outer surface 408. The connector bore (by way of the core section 404) may include a second interlock 412. In certain instances, the first interlock 410 and the second interlock 412 are configured to engage to maintain a position of the one or more seal ring 402 within the connector bore. The first interlock 410 and the second interlock 412 may be used in the absence of a bond (e.g., chemical or adhesive) or in addition to the bond.
In certain instances and as is shown in
Various modifications and additions can be made to the exemplary embodiments discussed without departing from the scope of the present invention. For example, while the embodiments described above refer to particular features, the scope of this invention also includes embodiments having different combinations of features and embodiments that do not include all of the described features. Accordingly, the scope of the present invention is intended to embrace all such alternatives, modifications, and variations as fall within the scope of the claims, together with all equivalents thereof.
This application claims priority to Provisional Application No. 63/048,857, filed Jul. 7, 2020, which is herein incorporated by reference in its entirety.
Number | Date | Country | |
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63048857 | Jul 2020 | US |