Formable cardiac pacer lead and method of assembly and attachment to a body organ

A cardiac pacer lead adapted for applying electrical stimulation from a cardiac pacer to the ventricular and atrial portions of a patient's heart, said pacer lead having a first, substantially linear configuration, said lead comprising:

• (a) first and second electrically conductive contacts for being coupled to the ventricle and atrium stimulating portions of the patient's cardiac pacer;
• (b) first and second electrically conductive electrodes for being disposed, respectively, in efficient electrical contact with the ventricular and atrial portions of the patient's heart;
• (c) first and second electrical conductors each having leading and trailing end portions and affixed to and electrically coupled, respectively, to said first contact and electrode, and said second contact and electrode;
• (d) first means comprising a covering disposed about said first and second electrical connectors and made of a first flexible, shapeable insulating material and actuable in response to the application of heat of a given temperature for being disposed to a second configuration to impart to said pacer lead a selected, corresponding configuration whereby a portion of said pacer lead corresponding to said leading portion of said conductors is offset with respect to the remaining portion thereof so that said second electrode may be offset with respect to the trailing portion thereof, maintaining said second electrode in efficient electrical contact with the atrial portion of the patient's heart;
• and
• (e) second means for providing a protective surface about said pacer lead and made of a second insulating material resistant to corrosion by the patient's body fluids, said temperature being less than that temperature at which said second insulating material is degraded.

The combination of a body implantable lead adapted to transmit electrical signals, said lead having a first substantially linear configuration, and rigid means for maintaining said body implantable lead in said first linear configuration;

• said lead comprising:
• (a) an electrically conductive electrode for being disposed in an electrical contact with a body organ;
• (b) a flexible electrical conductor having a predetermined length and electrically coupled to said electrode;
• (c) first means coupled to said lead and actuatable in response to the application of heat and force for being shaped initially to impart to said lead a second, non-linear configuration to dispose said electrode in efficient contact with a desired portion of the body organ, said first means comprising a flexible, insulating material;
• (d) second means for providing an electrically insulating protective surface inert to body fluids and tissues and disposed about said lead;
• (e) said insulating material having the property of being shaped at a temperature less than that temperature at which said second means is adversely affected;
• and
• (f) third means for receiving said rigid means, whereby said lead is reformed from said second non-linear configuration to said first linear configuration to facilitate the insertion of said lead into the body.

The method of assembling and accurately locating a body implantable lead within a body to make electrical contact with a body organ, said lead comprising an electrically conductive electrode for making electrical contact with the body organ, a flexible electrical conductor having a pre-determined length and electrically coupled to said electrode, first means coupled to said lead for imparting a first, non-linear configuration to said lead, and second means for providing an electrically insulating, protective surface inert to body fluids and tissues and disposed about said lead;

• said method comprising the steps of:
• (a) incorporating said first means into said body implantable lead and providing said body implantable lead with a second, substantially linear configuration;
• (b) heating said lead to a temperature less than that temperature at which said second means is degraded and shaping said first means from its second linear configuration to its first non-linear configuration;
• (c) reforming and maintaining said lead into its second substantially linear configuration;
• (d) inserting said lead into the body to make electrical contact with the body organ;
• and
• (e) discontinuing the straightening of said body lead to its second substantially linear configuration, whereby said lead resumes its first substantially non-linear configuration, and said lead is maintained in electrical contact with the body organ.