# US 11,298,528 B2 · Method and apparatus for replacing lead extension without tunneling

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- Number: US 11,298,528 B2
- Document ID: US11298528B2
- Status: Granted
- Kind: B2
- Application number: 15/962,566
- Filed: 2018-04-25
- Published: 2018-09-27
- Granted: 2022-04-12
- Earliest claimed: 2010-12-09
- Assignees: Medtronic, Inc.
- Applicants: Medtronic, Inc.
- Inventors: Peter Appenrodt; Daniel Schmitz; Paul Van Venrooij
- Web page: https://patentgrep.com/patent/US11298528B2

## CPC

- A61N 1/05: for implantation or insertion into the body, e.g. heart electrode (A61N1/06 takes precedence)
- A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B)

## Abstract

Tether apparatus may be used to replace an implanted lead extension with a replacement lead extension without tunneling or the use of tunneling tools.

## Claims

### Claim 1

A tether comprising:
a receptacle configured to receive and secure, but not electrically couple to, a free end portion of a first lead extension, the receptacle having a tapered front portion and a generally opposing back portion such that the free end portion of the first lead extension is configured to be received into a front face of the receptacle;
an elongate body comprising a first end at the back portion of the receptacle and a free end opposing the first end, wherein the elongate body extends from the first end at the back portion of the receptacle to the free end,
wherein the free end is configured to be received and secured in another receptacle of a second lead extension; and
a tapered element disposed about the elongate body at a distance from the receptacle when the first end of the elongate body is at the back portion of the receptacle, the tapered element having a receptacle-facing end and a free end-facing end, the receptacle-facing end having a smaller diametric dimension than the free end-facing end.

### Claim 2 (depends on 1)

The tether of claim 1, wherein the receptacle comprises a body having a longitudinal axis, the body defining a lumen configured to receive the free end portion of the first lead extension.

### Claim 3 (depends on 2)

The tether of claim 2, wherein the receptacle comprises a clamp within the lumen for securing the free end portion of the first lead extension in the lumen.

### Claim 4 (depends on 3)

The tether of claim 3, wherein the clamp comprises a resiliently deflectable arm having teeth configured to engage the free end portion of the first lead extension.

### Claim 5 (depends on 2)

The tether of claim 2, wherein the lumen defined by the body of the receptacle extends from the tapered front portion of the receptacle toward, but not through, the generally opposing back portion of the receptacle.

### Claim 6 (depends on 1)

The tether of claim 1, wherein the tapered element has a portion having a larger diametric dimension and the larger diametric dimension is larger than a diametric dimension of the elongate body.

### Claim 7 (depends on 1)

The tether of claim 1, wherein the front face of the receptacle is a closed circle comprising an aperture defining an opening of the receptacle.

### Claim 8 (depends on 1)

The tether of claim 1, wherein the elongate body comprises the free end while extending from the back portion of the receptacle.

### Claim 9 (depends on 1)

The tether of claim 1, wherein the tapered element has a frustoconical shape.