U.S. patent number 3,757,789 [Application Number 05/192,151] was granted by the patent office on 1973-09-11 for electromedical stimulator lead connector.
Invention is credited to Irvin P. Shanker.
United States Patent |
3,757,789 |
Shanker |
September 11, 1973 |
ELECTROMEDICAL STIMULATOR LEAD CONNECTOR
Abstract
An electrode system for use in conjunction with body implantable
electro-medical devices is disclosed. The system includes a socket
having first coupling means. The socket forms an electrical output
terminal of the electro-medical device. A plug forms a part of the
system and is disposed on the proximal end of an electrical
conductor which also forms a part of the system. The plug comprises
an electrical connector secured to the conductor and having second
coupling means, and a compressible resilient means. The resilient
means provides a locking biasing force between the first and second
coupling means when the plug and socket are coupled.
Inventors: |
Shanker; Irvin P. (Huntingdon
Valley, PA) |
Family
ID: |
22708470 |
Appl.
No.: |
05/192,151 |
Filed: |
October 26, 1971 |
Current U.S.
Class: |
607/37; 439/278;
607/122 |
Current CPC
Class: |
A61N
1/056 (20130101); A61N 1/02 (20130101); A61N
1/3752 (20130101) |
Current International
Class: |
A61N
1/02 (20060101); A61N 1/375 (20060101); A61N
1/05 (20060101); A61N 1/372 (20060101); A61n
001/02 () |
Field of
Search: |
;128/404,418,419P
;339/61R,88C,9C,9R,211,213R,6R |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Kamm; William E.
Claims
Having thus described my invention, I claim:
1. An electrical connector assembly for providing an electrical
connection between an electromedical device and an electrical
conductor, the electrical conductor having proximal and distal ends
with the distal end of the conductor being adapted for contact with
a body organ of a patient, the electrical connector assembly
comprising:
a. socket means constructed and arranged to form an electrical
output terminal of the electromedical device, the socket means
having a cylindrical cavity and pair of spaced, oppositely disposed
pin means extending into the cavity; and
b. plug means, the plug means comprising
i. an electrical connector secured to the proximal end of the
conductor, the electrical connector being cylindrical and having
coupling means cooperable with each of the pin means of the socket
means to effect a electrical and positive locking coupling between
the socket means and the plug means, the coupling means of the
electrical connector comprising a pair of oppositely disposed axial
and a pair of oppositely disposed radial grooves all located in the
cylindrical outer surface of the connector, the radial grooves
extending circumferentially in the same direction and each having a
regressed portion into which a pin means of the socket means is
disposed when the plug means and the socket means are coupled;
and
ii. compressible resilient means partially extending over the
electrical connector and having portions thereof engageable with
cooperating portions of the electromedical device for providing a
locking biasing force between the socket means and the electrical
connector when the plug means and the socket means are coupled.
2. An electrical connector assembly as defined in claim 1 wherein
the electrical connector has an axial passage therethrough and
includes a tubular member disposed within the axial passage, the
proximal end of the conductor being located within the tubular
member and secured thereto.
3. In apparatus so defined in claim 1 wherein the compressible
resilient means comprises a body compatible material.
4. In apparatus as defined in claim 3 wherein the compressible
resilient means comprises silicon rubber.
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
This invention relates to an electrode system. The invention will
here be described in most detail in association with a catheter of
the type utilized in connecting a body organ electric stimulator,
such as a cardiac pacer, to a body organ since the electrode system
according to the invention has been particularly developed for use
with such cardiac pacers. The electrode system, however, may be
used in conjunction with other electro-medical devices. It might
perhaps be used in conjunction with an artificial heart pump
system.
2. Description of the Prior Art.
It may be explained that in the past decade body implantable
cardiac pacers have been developed for artificially stimulating a
heart which is beating improperly or which has stopped beating
entirely. Essentially, this is accomplished by conducting current
from an implanted cardiac pacer to the heart muscle by a suitable
electrode system or catheter.
Various types of cardiac pacers as well as various types of
catheters have been heretofore developed. The various designs of
both the pacers and the catheters have in some respects simplified
the surgical procedures required during the implantation of the
pacers.
Typically, a catheter comprises an elongated tube of body
compatable, nonconductive material which contains a helical coil of
conductive material. An electrode tip is secured, as by welding, to
the distal end of the helical coil and a connector of some type is
provided on the proximal end of the catheter for electrically
connecting the helical coil of the catheter with the cardiac pacer.
A stylet is generally located in the lumina of the helical coil to
provide additional stiffness during manipulation of the
catheter.
One surgical procedure used for the implantation of a pacer
includes advancing a catheter transvenously, such as through the
jugular vein, until its distal end, i.e., the electrode tip,
reaches the apex of the right ventricle of the patient's heart
where it is impacted in the multiple trabeculae seen in this area,
so that the electrode tip makes firm contact with the ventricular
myocardium. Once the electrode tip has been properly positioned the
stylet is withdrawn and the pacer is connected to the catheter by
means of the connector provided on the proximal end of the
catheter.
One form of a pacer-catheter connection that is presently used
requires inserting of a catheter connector or contact provided on
the proximal end of the catheter into a socket provided in the
pacer; tightening a set screw provided on the pacer adjacent to the
socket thereof to make electrical contact; tightening a sealing
screw onto an "o" ring, which sealing screw and "o" ring are also
provided on the pacer; then sealing the screw heads with a sealing
compound is required; and finally, the catheter tube must be sealed
in a rubber boot cemented into the pacer by tying the boot with
sutures. This type connector and these elaborate procedures are
required, in part, to assure that the juncture of the catheter and
pacer is sealed against the entrance of body fluids into the pacer
which, if not prevented, would seriously affect the electronic
circuitry of the pacer.
SUMMARY OF THE INVENTION
The present invention eliminates the loose hardware, i.e., screws,
"0" rings, etc., and the required suturing for sealing of the
juncture of the catheter and pacer while at the same time providing
a sealed but releaseable electrical and mechanical coupling at the
juncture of the catheter and pacer.
Briefly, the present invention provides an electrode system for
effecting the electrical connection between an electro-medical
device, i.e., a pacer, and a patient. The electrode system includes
an electrical conductor having proximal and distal ends. The distal
end of the conductor is adapted for contact with a body organ of
the patient. Socket means are provided which include pin means. The
socket means is constructed and arranged to form an electrical
output terminal of the electro-medical device. Finally, plug means
are provided. The plug means is disposed on the proximal end of the
electrical conductor and comprises an electrical connector and a
compressible resilient means. The electrical connector is secured
to the proximal end of the electrical conductor and has coupling
means cooperable with the pin means of the socket means to effect a
releasable electrical and mechanical coupling between the socket
means and the plug means. The compressible resilient means
partially extends over the electrical connector and has portions
thereof engageable with coooperating portions of the
electro-medical device. The compressible resilient means provides a
locking biasing force between the coupling means of the electrical
connector and the pin means of the socket means when the plug means
and the socket means are coupled.
Other features and advantages of the invention will appear in the
ensuing description of the preferred embodiment when taken together
with the accompanying drawings which form a part of this
specification.
DESCRIPTION OF THE DRAWINGS
FIG. 1 is a view partially in section and partially in elevation
illustrating the electrode system in accordance with the invention
in assembled relation with a pacer;
FIG. 2 is a side elevational view of the electrical connector in
accordance with the invention;
FIG. 3 is a view taken along the line III--III of FIG. 2;
FIG. 4 is a longitudinal sectional view of the electrical connector
of FIG. 2;
FIG. 5 is top elevational view of the socket in accordance with the
invnetion;
FIG. 6 is a longitudinal sectional view of the socket of FIG.
5;
FIG. 7 is a view taken along the lines VII--VII of FIG. 6; and
FIG. 8 is an enlargement of a portion of FIG. 1 in the vicinity of
the socket and plug means in accordance with the invention.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
Referring now to the drawings wherein like reference numerals refer
to like parts throughout the several views, the electrical
connector in accordance with the invention is shown generally at
10. The connector 10 is preferably fabricated from stainless steel
such as 316 stainless steel. The connector 10 is provided with a
generally cylindrical outer surface 12 and an axial passage 14. The
right end of the connector 10, as viewed in FIG. 2, is provided
with an enlarged, generally hexagonal surface 16 which projects
radially outwardly from the surface 12. The left end of the
connector, as viewed in FIG. 2, is provided with a coupling means
in the form of oppositely disposed axial aligning grooves 18 and 20
and radial locking grooves 22 and 24 which are all provided in the
outer surface 12 of the connector 10. The locking grooves 22 and 24
extend circumferentially in the same direction. Disposed within the
axial passage 14 is a generally tubular member 26 which is secured
therein as by soldering.
The socket means in accordance with the invention is shown
generally at 30 in FIGS. 5-7. The socket 30 is also preferably
fabricated from stainless steel such as 316 stainless steel. The
socket 30 is provided with a generally hexagonal outer surface 32
and a cylindrical cavity 34. The outer surface 32 has a pair of
openings 36 and 38 provided therein and press fitted within each
opening is a coupling means or pin member 40 each of which extends
into the cavity 34. A tapped hole 42 is also provided in the socket
30 into which a screw (not shown) may be screwed. The screw and
tapped hole 42 serve as a means of making an electrical connection
to the socket 30.
Referring now to FIGS. 1 and 8, there is illustrated the electrode
system, in accordance with the invention, in assembled relation
with an electro-medical device 43, i.e., a pacer. A catheter is
shown generally at 44. The catheter 44 preferably comprises an
electrical conductor 46 having proximal and distal ends, 48 and 50
respectively. The electrical conductor 46 may be fabricated of any
suitable electrically conductive material but is preferably
fabricated of Elgiloy and, it is preferably constructed in the form
of a helix. The distal end 50 of the conductor 46 is provided with
an electrode tip 52 which may be suitably secured to the distal end
by conventional means. The electrode tip 52 is that portion of the
catheter via which electrical impulses are applied to a body organ,
i.e., the heart in the case of a pacer, as it is the portion of the
pacer which is in electrical contact with the patient. The
remaining portions of the electrical conductor 46 are insulated
from contact with the patient. To this end, the conductor 46 is
coated with an insulating sheath 54 which coats substantially the
entire length of the conductor 46 with the exception of exposed
electrode tip 52 and the proximal end 48 which is disposed within
the tube 26 of connector 10. The insulating sheath 54 is enlarged
at the left end, as viewed in FIG. 8 and partially extends over the
electrical connector 10 terminating short of the left end of the
connector 10 in a frusto-conical surface 56. As will be more
apparent hereinafter, the enlarged end of the catheter together
with the connector 10 forms a plug means 55 by which a connection
between the pacer per se and the conductor 46 is made. The sheath
54, while characterized as a coating, may be formed on the
conductor 46 and connector 10 in any suitable manner, as for
example, it may be molded onto these parts in a one step operation
or in multiple molding operations. The sheath 54 is preferably
comprised of a compressible resilient material, i.e., polysiloxane
such as silicon rubber.
The socket 30 is molded into the encapsulation material 58 which
encapsulates the pacer electronic circuitry and the batteries
thereof (not shown), and forms an electrical output terminal for
the pacer. An electrical connection is made between the pacer
circuitry, and the socket 30 via the tapped hole 42, as described,
prior to the encapsulation of the pacer circuitry.
As will be evident from this description, the pacer can be entirely
encapsulated with a suitable body implantable material with the
exception of the cavity 34 which is left exposed for later
insertion of the connector 10. Accordingly, upon subsequent
implantation of the pacer, there will be a minimum opportunity for
body fluids to enter into the pacer via any screw holes or openings
that would otherwise be required in the absence of the present
invention.
The plug 55 and the socket 30 are simply and quickly brought in
operative engagement by inserting the connector 10 of the plug 55
into the cavity 34 with the axial grooves 18 and 20 of the
connector 10 being aligned with the pins 40. The plug 55 is forced
into the cavity until the radial grooves 22 and 24 are in alignment
with the pins 40 which will occur automatically when the extreme
left end 60 of the connector abuts the back wall 62 of the cavity
34. This action of course, will impose a compressive force on the
enlarged portion of the catheter, i.e., the plug 55, due to the
frusto-conical portion of the plug being engaged with the mating
and cooperating portions of the pacer in the vicinity of the socket
30. When the radial grooves are aligned with the pins 40, the plug
is partially rotated so that the pins 40 are located opposite the
regressed portions 64 and 65 of the grooves 22 and 24. Again, this
will automatically occur when the plug is rotated and the pins 40
abut the side walls of the radial grooves. The force being used to
insert the plug 55 is then relaxed, and the pins will enter the
regressed portions 64 and 65 of the radial grooves 22 and 24. The
plug 55, or more specifically, the compressible resilient portion
thereof, will then provide a locking biasing force between the side
walls of the regressed portions of the radially grooves of the
connector 10 and the pins 40.
To separate the plug 55 from the socket 30 requires that the plug
55 be depressed into the socket and a reverse rotation that
effected from that utilized in joining of the plug and socket. The
required dual combined motion, i.e., axial insertion of the plug
into the socket and the rotation thereof to effect a mechanical
coupling, prevents inadvertent disconnection. Further, at the time
of joining of the plug and socket together, if the socket and plug
are not properly joined, when pressure is released during assembly,
the plug and socket will immediately separate. Accordingly, if they
do not separate, the surgeon can be assured that there is in fact a
mechanical coupling between the plug and socket.
* * * * *