Entries |
Document | Title | Date |
20080200972 | COMBINATION ELECTRICAL STIMULATING AND INFUSION MEDICAL DEVICE AND METHOD - A combined electrical and chemical stimulation lead is especially adapted for providing treatment to the spine and nervous system. The stimulation lead includes electrodes that may be selectively positioned along various portions of the stimulation lead in order to precisely direct electrical energy to ablate or electrically stimulate the target tissue. The invention also includes a method of activating electrodes in the electrical stimulation lead whereby an ablative lesion can be formed in a desired shape and size. The invention further includes a method of managing pain in a sacrum of a patient, and a method of assembling an electrical stimulation device. | 08-21-2008 |
20080215126 | Medical Electrode System - An electrode system includes an implantable flexible electrode, especially an epidural electrode, having at least one distal electrical contact ( | 09-04-2008 |
20080228250 | PADDLE LEAD COMPRISING OPPOSING DIAGONAL ARRANGEMENTS OF ELECTRODES AND METHOD FOR USING THE SAME - In one embodiment, a paddle lead for electrical stimulation of a patient comprises a lead body of insulative material; a plurality of electrical terminals disposed at a proximal end of the lead body; a paddle structure disposed at distal end of the lead body; a plurality of electrodes disposed on the paddle structure; a plurality of conductors disposed within the lead body, wherein the plurality of conductors electrically couple the plurality of terminals with the plurality of electrodes; wherein the plurality of electrodes are arranged in at least two sets that are disposed in opposing generally diagonal arrangements relative to a longitudinal axis of the paddle structure. | 09-18-2008 |
20080234791 | Spinal cord implant systems and methods - A system for transferring spinal cord signals comprises a superior electrode and an inferior electrode. The superior electrode interfaces with a first portion of a spinal cord of a human body; and the inferior electrode interfaces with a second portion of the spinal cord. The superior electrode has at least one superior contact for receiving signals from the first portion of the spinal cord to transmit to the inferior electrode; and the inferior electrode has at least one inferior contact for transmitting signals received from the superior electrode to the second portion of the spinal cord. | 09-25-2008 |
20080262583 | METHOD FOR TREATING INTERVERTEBRAL DISC - A device is described that may be positioned at a location in an intervertebral disc for diagnosis or treatment of the disc. Treatment may include, for example, applying energy or removing material, and may decrease intradiscal pressure. Radiofrequency energy may be applied. A percutaneous method of repairing a fissure in the annulus pulposus comprises placing an energy source adjacent to the fissure and providing sufficient energy to the fissure to raise the temperature to at least about 45-70° C. and for a sufficient time to cause the collagen to weld. An intervertebral fissure also can be treated by placing a catheter with a lumen adjacent to the fissure and injecting sealant into the fissure via the catheter, thereby sealing the fissure. An intervertebral fissure additionally can be treated by providing a catheter having a distal end, a proximal end, a longitudinal axis, and an intradiscal section at the catheter's distal end on which there is at least one functional element. The next step is applying a force longitudinally to the proximal of the catheter which is sufficient to advance the intradiscal section through the nucleus pulposus and around an inner wall of an annulus fibrosus, but which force is insufficient to puncture the annulus fibrosus. Next the functional element is positioned at a selected location of the disc by advancing or retracting the catheter and optionally twisting the proximal end of the catheter. Then the functional unit treats the annular fissure. Optionally, there is an additional step of adding a substance to seal the fissure. An externally guidable intervertebral disc apparatus also is disclosed. | 10-23-2008 |
20090018631 | Surgical insertion apparatus - This invention is an apparatus for inserting and reinserting a medical device in a patient comprising a medical device such as a intrathecal catheter, electrical lead and lead wire, a sheath for being inserted into the patient using a hollow medical device so that once the sheath is inserting subcutaneously into the patient, the sheath receives the medical device and the medical device can be position in the patient; and, a separation portion carried by the sheath so that after the sheath receives the medical device. The sheath can be removed from around the medical device by using the separation portion so that the medical device can be inserted in the patient without having to remove the medical completely from the patient thus eliminating the requirement for a second incision. | 01-15-2009 |
20090054962 | METHODS FOR TREATING THE THORACIC REGION OF A PATIENT'S BODY - A method is disclosed for the treatment of a thoracic region of a patient's body. Embodiments of the method comprise positioning an energy delivery portion of an electrosurgical device to face a segment of a thoracic vertebra at a distance from the segment; and cooling the energy delivery portion and delivering energy through the energy delivery portion. | 02-26-2009 |
20090112301 | Strain Relief System For Spinal Cord Stimulation Lead - An anchor for spinal electrical stimulation leads having a first, extended portion adapted to be inserted through the spine and into the spinal column, and a second, shorter portion adapted to be sutured to the fascia on the outside of the spine. The extended portion assists with positioning of the electrode tip onto the spinal cord on provides strain relief for the electrode. The anchor further comprises an inner tube disposed inside of the housing along an intermediate portion between the extended portion and the shorted portion. When the outside portion of the tubular housing is sutured to the fascia of a patient, the inner tube is compressed against the electrical lead, thereby locking it in place and preventing migration over time. | 04-30-2009 |
20090118807 | Strain Relief System For Spinal Cord Stimulation Lead - An anchor for spinal electrical stimulation leads having a first, extended portion adapted to be inserted through the spine and into the spinal column, and a second, shorter portion adapted to be sutured to the fascia on the outside of the spine. The extended portion assists with positioning of the electrode tip onto the spinal cord on provides strain relief for the electrode. The anchor further comprises an inner tube disposed inside of the housing along an intermediate portion between the extended portion and the shorted portion. When the outside portion of the tubular housing is sutured to the fascia of a patient, the inner tube is compressed against the electrical lead, thereby locking it in place and preventing migration over time. | 05-07-2009 |
20090132017 | STIMULATION/SENSING LEAD ADAPTED FOR PERCUTANEOUS INSERTION - The present invention relates to a percutaneous insertion-capable lead, wherein insertion made through a percutaneous insertion structure. For one embodiment of such lead, the electrode-supporting stimulation portion of the lead includes at least one waisted region, relative to a transverse dimension of the lead, to facilitate lead steerability. | 05-21-2009 |
20090143846 | PADDLE-STYLE MEDICAL LEAD AND METHOD - A medical lead for electrical stimulation or sensing. The medical lead has a generally flat paddle on the distal end of the lead body. An electrode array is provided on the paddle, with the electrode array displaced along the length of the paddle toward the distal end. Advantages include allowing the electrode array may be advanced into position for electrical stimulation or sensing with the flat paddle extending through connective tissue, such as the ligamentum flavum, thus facilitating repositioning, withdrawal or explanting the medical lead, as well as using the flat features of the paddle to anchor the lead to the connective tissue. | 06-04-2009 |
20090210041 | METHODS FOR STIMULATING A DORSAL ROOT GANGLION - Some embodiments of the present invention provide stimulation systems and components for selective stimulation and/or neuromodulation of one or more dorsal root ganglia through implantation of an electrode on, in or around a dorsal root ganglia. Some other embodiments of the present invention provide methods for selective neurostimulation of one or more dorsal root ganglia as well as techniques for applying neurostimulation to the spinal cord. Still other embodiments of the present invention provide stimulation systems and components for selective stimulation and/or neuromodulation of one or more dorsal root ganglia through implantation of an electrode on, in or around a dorsal root ganglia in combination with a pharmacological agent. | 08-20-2009 |
20090216306 | TEMPORARY NEUROSTIMULATION LEAD IDENTIFICATION DEVICE - An implantable lead assembly kit and method of performing a medical procedure on a patient are provided. The kit comprises a lead including a lead body, at least one electrode, and a lumen disposed within the lead body. The kit further comprises identification devices, each of which includes a handle having a different identifier and a shaft extending from the handle. Each shaft is sized to be firmly and removably received within the lumen of the lead. The method comprises introducing at least one lead into the patient, mounting identification devices, each including a handle having a different identifier and a shaft, to the lead(s) by inserting the shafts within the lumens of the lead bodies, advancing the lead bodies into and out of a tube, identifying the lead bodies by examining the identification devices, and removing the identification devices from the lumens of the lead bodies. | 08-27-2009 |
20090264973 | Treatment Devices with Delivery-Activated Inflatable Members, and Associated Systems and Methods for Treating the Spinal Cord and Other Tissues - Treatment systems with delivery-activated inflatable members, and associated systems and methods for treating the spinal cord and other tissues are disclosed. A treatment system in accordance with one embodiment includes a lead body having an opening, an inner surface position around the opening, and an inflatable member carried by the lead body, with at least one of the inflatable member and the lead body including a frangible portion accessible from the opening. The inflatable member can have an expandable interior volume bounded at least in part by the frangible portion. The system can further include a delivery device received in the opening of the lead body and positioned to open a passage through the frangible portions between the interior volume of the inflatable member and the opening of the lead body when the delivery device is removed from the opening of the lead body. | 10-22-2009 |
20090270960 | SYSTEMS AND METHODS FOR DELIVERING ELECTRIC CURRENT FOR SPINAL CORD STIMULATION - Various system embodiments comprise a lead having a distal end and a proximal end. The distal end includes a plurality of electrodes. The lead is configured to be fed into a dorsal epidural space of a human to a desired region of a spinal column and to be fed laterally to at least partially encircle a spinal cord in the desired region to place at least one stimulation electrode in position to stimulate a dorsal nerve root and at least another stimulation electrode in position to stimulate a ventral nerve root. The desired region may include cervical vertebrae, thoracic vertebrae, or lumbar vertebrae. Some embodiments stimulate the spinal cord in the T1-T5 region. | 10-29-2009 |
20090319013 | IMPLANTABLE NEURAL STIMULATION ELECTRODE ASSEMBLIES AND METHODS FOR STIMULATING SPINAL NEURAL SITES - An implantable neurostimulation electrode assembly comprises a first electrode unit and a second electrode unit configured to be arranged in a side-by-side configuration. The first electrode unit includes a dielectric first paddle, a plurality of first electrodes carried by the first paddle, and a guideline. The guideline has a distal section affixed to the first paddle and a proximal section having a length configured to extend externally of a patient. The second electrode unit has a dielectric second paddle and a plurality of second electrodes carried by the second paddle. The second paddle is configured to travel along the guideline and contact the first paddle in the side-by-side configuration. As a result, the first and second electrode units of this embodiment can be passed percutaneously through the same percutaneous entry hole and assembled in vivo at the stimulation site to form a larger paddle-type electrode array without surgical implantation. | 12-24-2009 |
20100004721 | NEUROSTIMULATION UTILIZING A TREE CONFIGURATION - A neurostimulator conduit introducer is provided. The neurostimulator conduit introducer includes a central lead having a proximal end and a distal end; one or more secondary leads each having a proximal end and a distal end; and a biocompatible conduit enclosing the central lead and the one or more secondary leads, wherein the biocompatible conduit is moveable along the central lead and the one or more secondary leads. Methods of using the neurostimulator conduit introducer and kits including the neurostimulator conduit introducer are also provided. | 01-07-2010 |
20100023103 | Systems and Methods for Treating Essential Tremor or Restless Leg Syndrome Using Spinal Cord Stimulation - A method for treating essential tremor or restless leg syndrome using spinal cord stimulation includes implanting a lead near a spinal cord of a patient. The lead includes a plurality of electrodes disposed on a distal end of the lead and electrically coupled to at least one contact terminal disposed on a proximal end of the lead. Electrical signals are provided from a control module coupled to the lead to stimulate a portion of the spinal cord of the patient using at least one of the electrodes. The electrical signals reduce, alleviate, or eliminate at least one adverse effect of essential tremor or restless leg syndrome. | 01-28-2010 |
20100030309 | EVOKED SPINAL CORD POTENTIAL MONITORING APPARATUS AND EVOKED SPINAL CORD POTENTIAL MONITORING SYSTEM - The evoked spinal cord potential monitoring apparatus of the present invention includes: a pair of electrodes | 02-04-2010 |
20100030310 | METHOD OF NEUROSTIMULATION OF DISTINCT NEURAL STRUCTURES USING SINGLE PADDLE LEAD TO TREAT MULTIPLE PAIN LOCATIONS AND MULTI-COLUMN, MULTI-ROW PADDLE LEAD FOR SUCH NEUROSTIMULATION - In some embodiments, a paddle lead is implanted within a patient such that the electrodes are positioned within the cervical or thoracic spinal levels. An electrode combination on a first row of electrodes can be determined that is effective for a first pain location with minimal effects on other regions of the body. The first pain location can be addressed by stimulating a first dorsal column fiber due to the relatively fine electrical field resolution achievable by the multiple columns. Then, another electrode combination on a second row of electrodes can be determined for a second pain location with minimal effects on other regions. The second pain location could be addressed by stimulating a second dorsal column fiber. After the determination of the appropriate electrodes for stimulation, the patient's IPG can be programmed to deliver pulses using the first and second rows according to the determined electrode combinations. | 02-04-2010 |
20100036469 | Self-Folding Paddle Lead and Method of Fabricating a Paddle Lead - In one embodiment, a medical lead comprises a lead body for conducting electrical pulses and a paddle. The paddle includes an intermediate metal layer, at least an insulative polymer backing layer, and an insulative polymer covering layer. The intermediate metal layer comprises a plurality of features defined by gaps in the metal material in the metal layer such that each feature is electrically isolated from each other feature, wherein each feature includes a respective connector element that is electrically coupled to at least one conductor within the lead body, wherein a portion of the insulative polymer covering layer is exposed above each feature to define a respective electrode for the corresponding feature. Also, the paddle possesses shape memory to cause the paddle to assume a substantially planar orientation when the shape memory is in a relaxed state. | 02-11-2010 |
20100042193 | Cervical Spinal Cord Stimulation for the Treatment and Prevention of Cerebral Vasospasm - The present invention relates to a method of prevention and treatment of narrowing of cerebral blood vessels after subarachnoid hemorrhage, and in particular, to a method of applying electrical energy through electrical stimulation electrodes particularly positioned in the cervical region of a patient to affect the sympathetic tone of the blood vessels supplying the brain. | 02-18-2010 |
20100057176 | IMPLANTABLE ELECTRIC STIMULATION SYSTEM AND METHODS OF MAKING AND USING - An insertion kit includes a lead and a splitable member configured and arranged for receiving the lead when implanting the lead into a patient. The lead has a distal end and at least two proximal ends. The lead includes a plurality of electrodes disposed at the distal end, a plurality of terminals disposed at the proximal ends, and a plurality of conductive wires coupling the plurality of electrodes electrically to the plurality of terminals. The lead also includes a junction coupling the distal end of the lead to the proximal ends of the lead. The splitable member defines a lumen for receiving the distal end of the lead and is configured and arranged to divide into at least two parts for removal of the splitable member from the lead upon implantation of the lead into the patient. | 03-04-2010 |
20100057177 | MULTIPLE TUNABLE CENTRAL CATHODES ON A PADDLE FOR INCREASED MEDIAL-LATERAL AND ROSTRAL-CAUDAL FLEXIBILITY VIA CURRENT STEERING - A neurostimulation paddle lead, method of neurostimulation, and neurostimulation system are provided. The neurostimulation paddle lead carries a plurality of electrodes comprising at least four columns of electrodes having a spacing between two inner electrode columns less than a spacing between the inner electrode columns and adjacent outer electrode columns. The inner electrode columns may also be longitudinally offset from the outer electrode columns. The methods and neurostimulation systems steer current between the electrodes to modify a medial-lateral electrical field created adjacent spinal cord tissue. | 03-04-2010 |
20100057178 | METHODS AND APPARATUS FOR SPINAL CORD STIMULATION USING EXPANDABLE ELECTRODE - The present invention provides systems, apparatus and methods for selectively applying electrical energy to body tissue. More specifically, systems and methods are provided for introducing a spinal cord stimulation electrode device into a patient's epidural space through a small portal, such as a percutaneous penetration, and then expanding the electrode device once inside the epidural space to achieve a larger footprint of contact on the dura. This substantially prevents migration of the electrode within the epidural space and provides for more efficient and effective treatment. | 03-04-2010 |
20100070009 | IMPLANTABLE ELECTRIC STIMULATION SYSTEM AND METHODS OF MAKING AND USING - A lead assembly includes a lead with a distal end and a proximal end. The lead includes a plurality of electrodes disposed at the distal end and a plurality of terminals disposed at the proximal end. The lead also defines at least one central lumen and a plurality of outer lumens. The central and outer lumens extend from the proximal end to the distal end such that the plurality of outer lumens extend laterally from the at least one central lumen. The lead further includes a plurality of conductive wires. Each conductive wire couples at least one of the plurality of electrodes electrically to at least one of the plurality of terminals. At least two conductive wires are disposed in each of the plurality of outer lumens. | 03-18-2010 |
20100070010 | Electrostimulation Device - An electrostimulation device (e.g., | 03-18-2010 |
20100082086 | EXPANDABLE NEUROMODULAR STIMULATION LEAD - A medical stimulation lead is provided. The medical stimulation lead includes an elongated lead body including a substantially rounded cross-section and including a first biased portion forming a first section of the substantially rounded cross-section and a second biased portion forming a second section of the substantially rounded cross-section. A plurality of electrodes are provided connected to the elongated lead body. A restraining body is removably connected to the elongated lead body releasably exerting a force substantially counter to the biases of the first biased portion and the second biased portion. The retraining body releasably maintains the substantially rounded cross-section of the elongated lead body, wherein removal of the restraining body permits the first biased portion and the second biased portion to expand, dividing the substantially rounded cross-section. The present invention further provides a method for providing spinal cord stimulation and a stimulation lead including an elongated plate. | 04-01-2010 |
20100087904 | NOVEL MEDICAL ELECTRICAL LEAD FOR SPINAL CORD STIMULATION - A medical electrical lead for spinal cord stimulation includes a first column of electrode surfaces and a second columns of electrode surfaces extending alongside and spaced apart from the first column. | 04-08-2010 |
20100100165 | METHOD FOR PROCESSING ELECTRODES FOR STIMULATION LEAD - In one embodiment, a method, of fabricating a stimulation lead for stimulating tissue of a patient, comprises: providing a lead body, the lead body comprising a plurality of conductors embedded within insulating material; providing a plurality of terminals; electrically coupling the plurality of terminals with the plurality of conductors; providing a plurality of electrodes, the plurality of electrodes comprising a plurality of substantially continuous longitudinal trenches on a surface of the electrodes, the electrodes comprising areas of reflow material forming microstructures substantially continuously along walls of the longitudinal trenches; and electrically coupling the plurality of electrodes with the plurality of conductors. | 04-22-2010 |
20100114283 | IMPLANTABLE MEDICAL LEAD - An implantable medical lead includes an elongate central body having an axis and a first extendable member pivotably moveable relative to the central body such that a portion of the extendable member is configured to move from a retracted position relative to the axis of the elongate central body to an extended position where the portion of the extendable member extends laterally beyond the central body. The lead includes a first electrode disposed on the central body and second and third electrodes disposed on the extendable member. The lead is configured such that the centers of the first, second and third electrodes are linearly arranged when the extendable member is in the extended position. | 05-06-2010 |
20100145428 | METHOD OF USING SPINAL CORD STIMULATION TO TREAT NEUROLOGICAL DISORDERS OR CONDITIONS - The present invention involves methods and systems for using electrical stimulation to treat neurological disorders. More particularly, the method comprises surgically implanting an electrical stimulation lead that is in communication with spinal nervous tissue associated with a first, second, or third cervical vertebral segment to result in spinal nervous tissue stimulation, thus treating a wide variety of neurological disorders. | 06-10-2010 |
20100228329 | NOVEL MEDICAL ELECTRODE MOUNTING - A medical electrical lead electrode assembly includes an insulative carrier and at least one conductive component. The at least one conductive component includes an electrode portion disposed on a first side of the carrier and at least one tab extending away from the electrode portion, through the carrier to a second side of the carrier. The electrode portion of the at least one component includes an outward facing contact surface and an inward facing surface, the inward facing surface being disposed opposite the contact surface and against a surface of the first side of the carrier. The electrode assembly further includes a joint coupling a flexible elongate conductor to the tab of the at least one component on the second side of the carrier, and an insulative layer extending over the joint and the tab and the conductor, the insulative layer being bonded to the second side of the carrier. | 09-09-2010 |
20100274336 | TORQUE LOCK ANCHOR AND METHODS AND DEVICES USING THE ANCHOR - A lead anchor includes a body defining a lead lumen having a first opening and a second opening through which a lead can pass. The body further defines a transverse lumen that intersects the lead lumen. An exterior member is disposed around at least a portion of the body. The exterior member is formed of a biocompatible material. A fastener anchors the lead to the body through the transverse lumen by deforming a portion of the lead. The transverse lumen is configured and arranged to receive the fastener. At least one suture element is defined by the exterior member and is configured and arranged for receiving a suture to suture the lead anchor to patient tissue. | 10-28-2010 |
20100292769 | METHODS, SYSTEMS AND DEVICES FOR NEUROMODULATING SPINAL ANATOMY - Devices, systems and methods for treating pain or other conditions while minimizing possible complications and side effects. Treatment typically includes electrical stimulation and/or delivery of pharmacological or other agents with the use of a lead or catheter. The devices, systems and methods provide improved anchoring which reduces migration of the lead yet allows for easy repositioning or removal of the lead if desired. The devices, systems and methods also provide for simultaneous treatment of multiple targeted anatomies. This shortens procedure time and allows for less access points, such as needle sticks to the epidural space, which in turn reduces complications, such as cerebral spinal fluid leaks, patient soreness and recovery time. Other possible complications related to the placement of multiple devices are also reduced. | 11-18-2010 |
20100298919 | WINGED ELECTRODE BODY FOR SPINAL CORD STIMULATION - An implantable stimulation system including epidural lead for spinal cord stimulation that includes a paddle having a curved proximal end and lateral winged tips and an array of electrodes coupled to conductors within a lead body. The conductors couple to a pulse generator or other stimulation device. The curved and winged paddle provides more complete electrical stimulation coverage to targeted human tissue by minimizing the potential gap between electrodes and targeted fibers. | 11-25-2010 |
20100318165 | MEDICAL LEAD AND METHOD - A medical lead for electrical stimulation or sensing. The medical lead has a generally flat paddle on the distal end of the lead body. An electrode array is provided on the paddle. The electrode array having directional electrical field properties relative to the first and major surfaces of the paddle (e.g., the electrodes are exposed through only one of the major surfaces). An orientation marker for determining orientation of the lead, with the orientation marking including fluoroscopically viewable material. | 12-16-2010 |
20100324641 | NOVEL FEATURES FOR ROUTING CONDUCTORS IN MEDICAL ELECTRICAL LEAD ELECTRODE ASSEMBLIES - An insulative body of a medical electrical lead electrode assembly includes a pre-formed channel having a section extending at an angle to a longitudinal axis of the body. An electrode portion of a conductive component has an electrode contact surface facing outward from a first side of the body and a coupling portion embedded in the body. A conductor, which is coupled to the coupling portion of the component, is disposed in the channel. | 12-23-2010 |
20110009937 | METHOD FOR RESTORING AN EJACULATORY FAILURE - A method for eliciting ejaculation in a male individual, comprising delivering one or more stimulation pulses to lumbar spinothalamic (LSt) cells. | 01-13-2011 |
20110022141 | SPRING PASSIVE LEAD ANCHOR AND METHODS AND DEVICES USING THE ANCHOR - A lead anchor includes a body defining at least one first portion of a lead lumen, the body having a first opening and a second opening. An obstructing member is disposed within the body. The obstructing member defines a second portion of the lead lumen. A spring is disposed in the body and configured and arranged to operate on the obstructing member so that the second portion of the lead lumen is coterminous with the at least one first portion of the lead lumen and forms a continuous lead path when the spring is compressed and the second portion of the lead lumen is offset from the at least one first portion of the lead lumen when the spring is not compressed. | 01-27-2011 |
20110022142 | TUBULAR LEAD ANCHOR AND METHODS AND DEVICES USING THE ANCHOR - A lead anchor includes a plurality of parallel tubular members and at least one suture element configured and arranged for receiving a suture to suture the lead anchor to patient tissue. Each tubular member defines a lead lumen having a first opening and a second opening through which a lead can pass. | 01-27-2011 |
20110022143 | Spinal cord stimulation lead anchor - Disclosed is an implantable anchor for anchoring a catheter, including (by way of non-limiting example) an implantable lead, such as may be used for spinal cord stimulation, to the body of a patient, along with a method for its use. The anchor comprises an elongate body have a central lumen extending through the body from its proximal end to its distal end, which central lumen is configured to snugly receive the catheter body. In addition to the central lumen, a second lumen is provided in the proximal end of the anchor and is configured to receive an injector so that adhesive may be injected into the anchor surrounding at least a portion of the catheter body. In doing so, the anchor may be fixed to the catheter body, such that when the anchor is sutured in place within the patient's body, migration of the catheter may be avoided. | 01-27-2011 |
20110029056 | EXPANDABLE SYSTEMS FOR MEDICAL ELECTRICAL STIMULATION - A medical system for electrical stimulation includes a first column of electrodes, a second column of electrodes, an expandable member disposed between first and second columns, and an expansion mechanism adapted to transmit an externally applied pressure to the expandable member. The pressure expands the expandable member in order to force the first column of electrodes apart from the second column of electrodes. The first and second columns, disposed side-by-side, may be inserted through a percutaneous needle and into a epidural space, alongside a spinal cord; after insertion, the first column may be forced apart from the second column by applying the pressure to the expandable member. | 02-03-2011 |
20110098795 | NEUROLOGIC SCREENING CONNECTOR - A medical lead screening connector includes a housing, a plurality of electrical contacts disposed within the housing, and a lead receptacle element pivotly connected to the housing. The lead receptacle has a lead aperture along a length of the lead receptacle element. The lead receptacle element engages the plurality of electrical contacts in a first closed position and disengages from the plurality of electrical contacts in a second open position. | 04-28-2011 |
20110264180 | SPINAL CORD STIMULATOR LEAD ANCHOR - The lead of a spinal cord stimulator implanted along the spinal cord of a recipient is secured by an anchor staple at a selected location. The anchor staple comprises a loop that receives and holds the lead at the selected location along the spine. A pair of spaced legs extend from the loop and present an initially open configuration for receiving an anchor point presented by bone, ligament, fascia or skin. The legs are closed to engage the anchor point and thereby positively secure the lead to prevent migration of the implanted lead. Several staples may be applied in a row to assure optimal positioning of the lead. | 10-27-2011 |
20110264181 | Spinal Cord Stimulator Lead Anchor - The lead of a spinal cord stimulator implanted along the spinal cord of a recipient is secured by an anchor staple at a selected location. The anchor staple comprises a loop that receives and holds the lead at the selected location along the spine. A pair of spaced legs extend from the loop and present an initially open configuration for receiving an anchor point presented by bone, ligament, fascia or skin. The legs are closed to engage the anchor point and thereby positively secure the lead to prevent migration of the implanted lead. Several staples may be applied in a row to assure optimal positioning of the lead. | 10-27-2011 |
20120016453 | METHOD OF NEUROSTIMULATION OF DISTINCT NEURAL STRUCTURES USING SINGLE PADDLE LEAD TO TREAT MULTIPLE PAIN LOCATIONS AND MULTI-COLUMN, MULTI-ROW PADDLE LEAD FOR SUCH NEUROSTIMULATION - The present invention relates to a multi-column paddle structure and its uses thereof to provide neuromodulation therapy to a patient. | 01-19-2012 |
20120059446 | COLLAPSIBLE/EXPANDABLE TUBULAR ELECTRODE LEADS - A medical lead and method of treating a patient are provided. The medical lead comprises an electrically insulative tubular membrane, a resilient spring element associated with the insulative membrane, and at least one electrode associated with the insulative membrane. The medical lead is configured to be collapsed into a compact form for percutaneous delivery into the patient, thereby obviating the need to perform an invasive surgical procedure on the patient. The body formed by these elements, when expanded, can be sized to fit within the epidural space of a patient. The patient can be treated by placing the medical lead into a collapsed state by applying a compressive force to the medical lead, percutaneously delivering the collapsed medical lead into the patient adjacent tissue to be treated, and placing the medical lead into an expanded state by releasing the compressive force. | 03-08-2012 |
20120071956 | IMPLANTABLE LEAD BANDSTOP FILTER EMPLOYING AN INDUCTIVE COIL WITH PARASITIC CAPACITANCE TO ENHANCE MRI COMPATIBILITY OF ACTIVE MEDICAL DEVICES - A medical lead system includes at least one bandstop filter for attenuating current flow through the lead across a range of frequencies. The bandstop filter has an overall circuit Q wherein the resultant 3 dB bandwidth is at least 10 kHz. The values of capacitance and inductance of the bandstop filter are selected such that the bandstop filter is resonant at a selected center frequency or range of frequencies. Preferably, the bandstop filter has an overall circuit Q wherein the resultant 10 dB bandwidth is at least 10 kHz. Such bandstop filters are backwards compatible with known implantable deployment systems and extraction systems. | 03-22-2012 |
20120185026 | PERCUTANEOUS LEADS WITH LATERALLY DISPLACEABLE PORTIONS, AND ASSOCIATED SYSTEMS AND METHODS - Percutaneous leads with laterally displaceable sections, and associated systems and methods are disclosed. A device in accordance with a particular embodiment includes a lead body that in turn includes first, second and third percutaneous portions. The first portion can carry an electrical contact, the second portion can be spaced apart from the first portion, and the third portion can be positioned between the first and second portions along a deployment axis. The third portion can have a stiffness in a direction transverse to the deployment axis that is less than a stiffness of both the first and second portions transverse to the deployment axis, and a diameter that is less than corresponding diameters of the first and second portions. | 07-19-2012 |
20120185027 | TORQUE LOCK ANCHOR AND METHODS AND DEVICES USING THE ANCHOR - A lead anchor includes a body having an outer surface, a top end, a front side, a first end, and a second end opposite to the first end. The body defines a lead slot configured and arranged to receive a lead. The lead slot defines an elongated opening extending along the front side of the body from the first end to the second end. A transverse lumen extends from the top end of the body and intersects the lead slot. An exterior member is disposed around at least a portion of the body. The exterior member is formed of a biocompatible material. A fastener is disposed in the transverse lumen. The fastener is configured and arranged for fastening the received lead to the lead anchor by deforming a portion of the lead. | 07-19-2012 |
20120197369 | SELECTIVE HIGH FREQUENCY SPINAL CORD MODULATION FOR INHIBITING PAIN WITH REDUCED SIDE EFFECTS, AND ASSOCIATED SYSTEMS AND METHODS - Selective high-frequency spinal chord modulation for inhibiting pain with reduced side affects and associated systems and methods are disclosed. In particular embodiments, high-frequency modulation in the range of from about 1.5 KHz to about 50 KHz may be applied to the patient's spinal chord region to address low back pain without creating unwanted sensory and/or motor side affects. In other embodiments, modulation in accordance with similar parameters can be applied to other spinal or peripheral locations to address other indications. | 08-02-2012 |
20120203319 | SELECTIVE HIGH FREQUENCY SPINAL CORD MODULATION FOR INHIBITING PAIN WITH REDUCED SIDE EFFECTS, AND ASSOCIATED SYSTEMS AND METHODS - Selective high-frequency spinal chord modulation for inhibiting pain with reduced side affects and associated systems and methods are disclosed. In particular embodiments, high-frequency modulation in the range of from about 1.5 KHz to about 50 KHz may be applied to the patient's spinal chord region to address low back pain without creating unwanted sensory and/or motor side affects. In other embodiments, modulation in accordance with similar parameters can be applied to other spinal or peripheral locations to address other indications. | 08-09-2012 |
20120245664 | THIN PROFILE STACKED LAYER CONTACT - A connector is described herein that includes a plurality of layers patterned in two dimensions and joined in a stack with a bore there through. At least a subset of the plurality of layers are contact layers that include deflectable members (e.g., springs) that deflect in plane or out of plane upon insertion of a lead into the bore through the connector. The deflectable members form redundant electrical connections with the lead when the lead is inserted into the bore. For example, the connector can be incorporated into an implantable medical device (e.g., IPG). Moreover, methods of manufacturing a connector are set forth herein. | 09-27-2012 |
20120259398 | SPRING PASSIVE LEAD ANCHOR AND METHODS AND DEVICES USING THE ANCHOR - A lead anchor includes a body defining at least one first portion of a lead lumen, the body having a first opening and a second opening. An obstructing member is disposed within the body. The obstructing member defines a second portion of the lead lumen. A spring is disposed in the body and configured and arranged to operate on the obstructing member so that the second portion of the lead lumen is coterminous with the at least one first portion of the lead lumen and forms a continuous lead path when the spring is compressed and the second portion of the lead lumen is offset from the at least one first portion of the lead lumen when the spring is not compressed. | 10-11-2012 |
20120271392 | ELECTRIC STIMULATION DEVICE - An electric stimulation device includes a main body portion having a stimulation electrode stimulating nerves or muscles inside the living body, a stimulation circuit portion with a stimulation circuit electrically connected to the stimulation electrode and applying a stimulation signal to the stimulation electrode, and a support body connected to the stimulation circuit portion and holding the implant position of the stimulation electrode inside the living body. The electric stimulation device also includes a fixing body connectable to the base end portion of the main body portion. The fixing body includes a fixing body side coil portion that receives an electromagnetic wave transmitted from an external device. When the fixing body is connected to the main body portion, the fixing body side coil portion is electrically connected to the stimulation circuit to enable power feeding and/or communication with respect to the stimulation circuit in response to the electromagnetic wave. | 10-25-2012 |
20120271393 | ANCHORING UNITS FOR LEADS OF IMPLANTABLE ELECTRIC STIMULATION SYSTEMS AND METHODS OF MAKING AND USING - A nerve stimulation lead has a distal end, a proximal end, and a longitudinal length. The nerve stimulation lead includes a plurality of electrodes disposed at the distal end, a plurality of terminals disposed at the proximal end, and a plurality of conductive wires electrically coupling the plurality of electrodes electrically to the plurality of terminals. The nerve stimulation lead also includes at least one anchoring unit disposed on the nerve stimulation lead. The at least one anchoring unit is configured and arranged for anchoring the nerve stimulation lead against a bony structure. | 10-25-2012 |
20120283808 | IMPLANTABLE PADDLE LEAD COMPRISING STRETCHING ELECTRICAL TRACES AND METHOD OF FABRICATION - In one embodiment, a paddle-style lead for implantation in the epidural space through an insertion tool, the paddle-style lead comprises: a paddle structure that comprises: (i) a frame of rigid material, the frame comprising a spring member adapted to bias the frame to assume a first width and a first length, the frame being adapted to elongate to assume a second width and a second length under application of a compressive force; and (ii) elastic material disposed across an interior surface area defined the frame, wherein a plurality of electrodes and a plurality of electrical traces are provided on the elastic material, wherein the plurality of electrical traces are electrically coupled to a plurality of lead conductors and the plurality of electrodes; wherein the plurality of electrical traces comprises a plurality of alternating curves that elongate when the elastic material is stretched. | 11-08-2012 |
20120290059 | SYSTEM AND METHOD FOR ELECTRICAL MODULATION OF THE POSTERIOR LONGITUDINAL LIGAMENT - A method for treating a patient having discogenic pain includes implanting a neurostimulation lead within an anterior portion of the epidural space adjacent to the posterior longitudinal ligament. A plurality of electrodes is attached to the lead and the lead is implanted with at least a portion of the electrodes facing the posterior longitudinal ligament. The lead may be implanted in the lumbar region of the patient's spine, posterior and parallel to the posterior longitudinal ligament. Electrical stimulation energy applied to the patient through the electrode lead implanted in this manner inhibits the pain signals traveling within the posterior longitudinal ligament. Thus, the applied electrical stimulation energy has an anesthetic effect on the pain fibers adjacent to the posterior longitudinal ligament. | 11-15-2012 |
20120330391 | SYSTEM AND METHOD FOR SPINAL CORD STIMULATION TO TREAT MOTOR DISORDERS - A method for using spinal cord stimulation to treat symptoms of motor disorders includes implanting a stimulation lead within a ventral portion of the epidural space. The lead is implanted with at least a portion of the electrodes facing the spinal cord. In a method for providing therapy to a patient suffering from a motor disorder, electrical stimulation energy is applied to at least one ventral column nerve fiber through the implanted stimulation lead. A peripheral region of the patient's body exhibits the symptoms of the motor disorder, and the ventral column nerve fiber to which the stimulation is applied innervates that peripheral region. | 12-27-2012 |
20130006341 | METHOD OF NEUROSTIMULATION OF DISTINCT NEURAL STRUCTURES USING SINGLE PADDLE LEAD TO TREAT MULTIPLE PAIN LOCATIONS AND MULTI-COLUMN, MULTI-ROW PADDLE LEAD FOR SUCH NEUROSTIMULATION - In some embodiments, a paddle lead is implanted within a patient such that the electrodes are positioned within the cervical or thoracic spinal levels. An electrode combination on a first row of electrodes can be determined that is effective for a first pain location with minimal effects on other regions of the body. The first pain location can be addressed by stimulating a first dorsal column fiber due to the relatively fine electrical field resolution achievable by the multiple columns. Then, another electrode combination on a second row of electrodes can be determined for a second pain location with minimal effects on other regions. The second pain location could be addressed by stimulating a second dorsal column fiber. After the determination of the appropriate electrodes for stimulation, the patient's IPG can be programmed to deliver pulses using the first and second rows according to the determined electrode combinations. | 01-03-2013 |
20130013044 | NEURAL STIMULATION LEAD FIXATION - An implantable lead having at least one electrode contact at or near its distal end prevents undesirable movement of the electrode contact from its initial implant location. One embodiment relates to a spinal cord stimulation (SCS) lead. A first injectable material is injected into the dura space to mechanically position the electrode array with respect to the spinal cord. Conjunctively for use with adhesives, or alternatively for use instead of the adhesives, a balloon may be positioned on the electrode lead array. The balloon is filled with air, liquid or a compliant material. When inflated, the balloon stabilizes the lead with respect to the spinal cord and holds the lead in place. An elastic aspect of the balloon serves as an internal contained relief valve to limit the pressure the balloon may place on the surrounding tissues when the epidural space is constrained. | 01-10-2013 |
20130023974 | IMPLANTABLE LEAD WITH TETHERS - An implantable lead for electrical stimulation of a spinal cord is disclosed. The implantable lead has a paddle having a surface and a first and a second end, an electrode array positioned and arranged on the surface of the paddle, and at least one tether having an end that extends from one of the first and the second end of the paddle. The electrode array has at least one electrode contact configured to communicate with a corresponding electrode and a conductor. The implantable lead may be included in a kit that also has a securing device and instructions for implanting the implantable lead into the spinal cord. A method of making the implantable lead configured for electric stimulation of a spinal cord is also disclosed. A method of implanting the implantable lead in a spinal canal is also disclosed. | 01-24-2013 |
20130041445 | STIMULATION/SENSING LEAD ADAPTED FOR PERCUTANEOUS INSERTION - The present invention relates to a percutaneous insertion-capable lead, wherein insertion made through a percutaneous insertion structure. For one embodiment of such lead, the electrode-supporting stimulation portion of the lead includes at least one waisted region, relative to a transverse dimension of the lead, to facilitate lead steerability. | 02-14-2013 |
20130053935 | METHOD FOR PROCESSING ELECTRODES FOR STIMULATION LEAD - In one embodiment, a method, of fabricating a stimulation lead for stimulating tissue of a patient, comprises: providing a lead body, the lead body comprising a plurality of conductors embedded within insulating material; providing a plurality of terminals; electrically coupling the plurality of terminals with the plurality of conductors; providing a plurality of electrodes, the plurality of electrodes comprising a plurality of substantially continuous longitudinal trenches on a surface of the electrodes, the electrodes comprising areas of reflow material forming microstructures substantially continuously along walls of the longitudinal trenches; and electrically coupling the plurality of electrodes with the plurality of conductors. | 02-28-2013 |
20130066411 | SELECTIVE HIGH FREQUENCY SPINAL CORD MODULATION FOR INHIBITING PAIN, INCLUDING CEPHALIC AND/OR TOTAL BODY PAIN WITH REDUCED SIDE EFFECTS, AND ASSOCIATED SYSTEMS AND METHODS - Selective high-frequency spinal chord modulation for inhibiting pain with reduced side affects and associated systems and methods are disclosed. In particular embodiments, high-frequency modulation in the range of from about 1.5 KHz to about 50 KHz may be applied to the patient's spinal cord region from an epidural, cervical location to address at least one of high back pain, mid-back pain, low back pain, and leg pain without creating paresthesia in the patient. | 03-14-2013 |
20130096662 | Spinal Cord Stimulation Paddle Lead and Method of Making The Same - In one embodiment, a method of fabricating an implantable stimulation paddle comprises: providing a sheet of conductive material coupled to a first insulative layer; laser removing portions of the conductive material to form a pattern of conductive material, the pattern of conductive material including a plurality of isolated metal traces; providing a second insulative layer over the pattern of conductive material so that the pattern of conductive material is interposed between the first and second insulative layers; and exposing portions of the metal traces to form electrodes on the paddle for delivering electrical stimulation. | 04-18-2013 |
20130110210 | PERCUTANEOUS ELECTRODE | 05-02-2013 |
20130110211 | PADDLE LEAD WITH INDICIA AND RELATED METHODS OF USE | 05-02-2013 |
20130116763 | MEDICAL DEVICE COMMUNICATION AND CHARGING ASSEMBLIES FOR USE WITH IMPLANTABLE SIGNAL GENERATORS, AND ASSOCIATED SYSTEMS AND METHODS - Communication and charging assemblies for medical devices are disclosed herein. A communication and charging assembly in accordance with a particular embodiment includes a support element, with a communication antenna and a charging coil coupled to the support element. The charging coil can include wire loops having a plurality of wires and the support element can include a mounting surface shaped to match the charging coil and the communication antenna. In one embodiment, the communication and charging assembly are mounted in a header of an implantable signal generator. | 05-09-2013 |
20130123894 | IMPLANTABLE PADDLE LEAD COMPRISING STRETCHING ELECTRICAL TRACES AND METHOD OF FABRICATION - In one embodiment, a paddle-style lead for implantation in the epidural space through an insertion tool, the paddle-style lead comprises: a paddle structure that comprises: (i) a frame of rigid material, the frame comprising a spring member adapted to bias the frame to assume a first width and a first length, the frame being adapted to elongate to assume a second width and a second length under application of a compressive force; and (ii) elastic material disposed across an interior surface area defined the frame, wherein a plurality of electrodes and a plurality of electrical traces are provided on the elastic material, wherein the plurality of electrical traces are electrically coupled to a plurality of lead conductors and the plurality of electrodes; wherein the plurality of electrical traces comprises a plurality of alternating curves that elongate when the elastic material is stretched. | 05-16-2013 |
20130131769 | PRINTED CIRCUIT BOARD CONNECTION TO FEEDTHROUGH - An implantable electronic device includes a housing wall defining an interior surface and an exterior surface. A feedthrough assembly includes a body coupled to the housing and defining an aperture, and a pin at least partially disposed within the aperture and passing through the housing wall from the interior surface to the exterior surface such that the pin has an interior portion and an exterior portion. A printed circuit board (PCB) has a substantially rigid portion defining a plane and a substantially flexible portion. The flexible portion has a distal end and a proximal end. The proximal end is coupled to the substantially rigid portion. The flexible portion is coupled to the pin interior portion adjacent the distal end. The flexible portion defines a bend between the proximal end and the distal end. At least one line tangent to the flexible portion is substantially perpendicular to the plane. | 05-23-2013 |
20130138192 | METHOD AND APPARATUS FOR DETERMINING RELATIVE POSITIONING BETWEEN NEUROSTIMULATION LEADS - A method and medical system for operating two leads disposed adjacent tissue of a patient are provided. A first one of a pair of electrodes respectively carried by the two leads is activated to generate an electrical field within the tissue. An electrical parameter in response to the generated electrical field is measured at a second one of the pair of electrodes. A reference electrical parameter is measured in response to the generated electrical field at a reference electrode carried by the same one of the two leads that carries the first electrode. A reference distance between the first electrode and the reference electrode is known prior to the generation of the electrical field. The ratio between the measured electrical parameter and the measured reference electrical parameter is computed, and the distance between the pair of electrodes is computed as a function of the computed ratio and the reference distance. | 05-30-2013 |
20130144369 | FLEXIBLE-BASE ELECTRODE ARRAY AND SURROGATE NEURAL TISSUE - A flexible-base electrode array for implantation within neural tissue, method of making the electrode array and use thereof, is provided. A surrogate neural tissue, method of making same and use thereof, is further provided. The use of the present flexible-base electrode array for implantation into the surrogate neural tissue for stimulation or recording neural activity, wherein the array is biocompatible with the surrogate tissue. | 06-06-2013 |
20130172972 | IMPLANTABLE PADDLE LEAD COMPRISING COMPRESSIVE LONGITUDINAL MEMBERS FOR SUPPORTING ELECTRODES AND METHOD OF FABRICATION - In one embodiment, a paddle-style lead for implantation in the epidural space, the paddle-style lead comprising: a paddle structure that comprises a frame of rigid material, the frame comprising first, second, and third longitudinal members, a distal linking portion that is mechanically coupled to the first, second, and third longitudinal members, and a proximal linking portion that is mechanically coupled to the first, second, and third longitudinal members; wherein a respective plurality of electrodes are provided for each of the first, second, and third longitudinal members, each plurality of electrodes being electrically coupled to conductors of a lead body; wherein the distal and proximal linking portions are adapted to permit compression of the first and third longitudinal members toward each other and to permit the second longitudinal member to move out of plane relative to the first and third longitudinal members when a compressive force is applied to the paddle. | 07-04-2013 |
20130204336 | LEAD ANCHORS AND ASSOCIATED SYSTEMS AND METHODS - The present technology is directed generally to a lead anchor for positioning and securing spinal cord modulation leads and associated systems and methods. In at least some contexts, the lead anchor includes a central lumen surrounded by a restriction feature. The restriction feature can interface with a tightening screw or other actuator and can be configured to provide a radial compressive fit around the lead body. In some embodiments, the clamp can be disengaged upon twisting or other unlocking motion to release the lead. | 08-08-2013 |
20130204337 | MRI-Safe Implantable Medical Device - A medical lead is provided for use in a pulse stimulation system of the type which includes a pulse generator for producing electrical stimulation therapy. The lead comprises an elongate insulating body and at least one electrical conductor within the insulating body. The conductor has a proximal end configured to be electrically coupled to the pulse generator and has a DC resistance in the range of 375-2000 ohms. At least one distal electrode is coupled to the conductor. | 08-08-2013 |
20130211487 | MULTI-FREQUENCY NEURAL TREATMENTS AND ASSOCIATED SYSTEMS AND METHODS - Multi-frequency neural treatments and associated systems and methods are disclosed. A method in accordance with a particular embodiment includes at least reducing patient pain by applying a first electrical signal to a first target location of the patient's spinal cord region at a frequency in a first frequency range of up to about 1,500 Hz, and applying a second electrical signal to a second target location of the patient's spinal cord region at a frequency in a second frequency range of from about 2,500 Hz to about 100,000 Hz. | 08-15-2013 |
20130218248 | MULTIPLE TUNABLE CENTRAL CATHODES ON A PADDLE FOR INCREASED MEDIAL-LATERAL AND ROSTRAL-CAUDAL FLEXIBILITY VIA CURRENT STEERING - A neurostimulation paddle lead, method of neurostimulation, and neurostimulation system are provided. The neurostimulation paddle lead carries a plurality of electrodes comprising at least four columns of electrodes having a spacing between two inner electrode columns less than a spacing between the inner electrode columns and adjacent outer electrode columns. The inner electrode columns may also be longitudinally offset from the outer electrode columns. The methods and neurostimulation systems steer current between the electrodes to modify a medial-lateral electrical field created adjacent spinal cord tissue. | 08-22-2013 |
20130245739 | SELF-ANCHORED STIMULATOR LEAD AND METHOD OF INSERTION - An implantable electrical lead comprising an elongate lead body comprising first and second ends and an outer housing defining an interior channel. At least one electrical contact is positioned along the elongate lead body. An anchoring system is disposed at one end of the elongate lead body. The anchoring system is movable between an elongate configuration and a compressed configuration. The compressed configuration has a greater diameter than the elongate configuration. A linkage is provided having a first end attached to the anchoring system, an intermediate portion disposed within the interior channel of the elongate lead body, and a second end disposed outside of the elongate lead body adjacent to the second end of the elongate lead body. Movement of the linkage away from the elongate lead body moves the anchoring system from the elongate configuration to the compressed configuration. | 09-19-2013 |
20130268041 | ELECTRICAL LEAD PLACEMENT SYSTEM - Electrical lead positioning systems, devices, and methods are disclosed. Systems include an implantation tool having a malleable portion to allow a user to customize the configuration of the implantation tool to navigate to the target site of a patient's body. Electrical leads are also provided with retention features to secure the implantation tool to the lead during use. | 10-10-2013 |
20130274845 | SYSTEMS, DEVICES AND METHODS FOR DISTAL FIXATION OF A MEDICAL DEVICE - Systems, devices and methods to anchor the distal portion of an implantable electrical lead using a coupling system to prevent or minimize lead migration. Magnetic-assisted anchoring systems are disclosed. | 10-17-2013 |
20130274846 | METHODS, DEVICES AND SYSTEMS FOR TREATING PAIN - Methods and devices for stimulating the spinal cord are provided. The method involves positioning an electrical lead in the intrathecal space adjacent to the desired level of the spinal cord. Electrical leads are provides that help stabilize the lead in the intrathecal space and provide for focal stimulation of the spinal cord. | 10-17-2013 |
20130289685 | IMPLANTATION TOOLS FOR SPINAL CORD STIMULATOR LEADS AND RELATED METHODS - Implantation tools for spinal cord stimulator leads and related methods are disclosed. According to an aspect, an implantation tool may include an elongated body having first and second ends. The elongated body may define an interior extending between the first and second ends. The first end may be configured for connection to a vacuum pump for drawing air through the interior in a direction generally from the second end towards the first end. The second end may define an opening for engaging a lead of the spinal cord stimulator when air is drawn by the vacuum pump. | 10-31-2013 |
20130310911 | PARYLENE-BASED MICROELECTRODE ARRAY IMPLANT FOR SPINAL CORD STIMULATION - An implantable electrode array assembly configured to apply electrical stimulation to the spinal cord. A substantially electrically nonconductive layer of the device has a first portion positionable alongside the spinal cord that includes a plurality of first openings. The layer has a second portion that includes a plurality of second openings. Electrodes and traces are positioned inside a peripheral portion of a body portion of the device and alongside the layer. At least one of the first openings is adjacent each of the electrodes to provide a pathway through which the electrode may provide electrical stimulation to the spinal cord. At least one of the second openings is adjacent each of the traces to provide a pathway through which the trace may receive electrical stimulation. At least one trace is connected to each electrode and configured to conduct electrical stimulation received by the trace(s) to the electrode. | 11-21-2013 |
20130317585 | SYSTEMS AND METHODS FOR ELECTRICALLY STIMULATING PATIENT TISSUE ON OR AROUND ONE OR MORE BONY STRUCTURES - An implantable lead assembly for providing electrical stimulation to a patient includes a lead body; a terminal disposed along a proximal end of the lead body; and an orthopedic implant coupled to a distal end of the lead body. The orthopedic implant is configured and arranged for anchoring to a bony structure. At least one mounting region is disposed along the orthopedic implant. The at least one mounting region is configured and arranged for anchoring the orthopedic implant to the at least one bony structure. An electrode is disposed along a stimulation region of the orthopedic implant. A conductor electrically couples the terminal to the electrode. | 11-28-2013 |
20130317586 | SYSTEMS AND METHODS FOR PROVIDING ELECTRICAL STIMULATION OF MULTIPLE DORSAL ROOT GANGLIA WITH A SINGLE LEAD - A method for implanting an electrical stimulation lead into a patient includes advancing a distal end of a multi-armed lead into an epidural space of the patient. The multi-armed lead includes first and second stimulation arms extending from a main body portion. The first stimulation arm is guided into and through a first intervertebral foramen. The first stimulation arm is positioned in proximity to a first dorsal root ganglion. The first stimulation arm is positioned with electrodes disposed along the first stimulation arm in operational proximity to the first dorsal root ganglion. The second stimulation arm is guided into and through a second intervertebral foramen. The second stimulation arm is positioned in proximity to a second dorsal root ganglion. The second stimulation arm is positioned with electrodes disposed along the second stimulation arm in operational proximity to the second dorsal root ganglion. | 11-28-2013 |
20130325092 | COUPLINGS FOR IMPLANTED LEADS AND EXTERNAL STIMULATORS, AND ASSOCIATED SYSTEMS AND METHODS - Couplings for implanted leads and external stimulators, and associated systems and methods are disclosed. A system in accordance with a particular embodiment includes a cable assembly that in turn includes an electrical cable having a proximal end and a distal end. A first connector is attached to the cable toward the proximal end and has a plurality of first connector contacts positioned to releasably connect to an external patient device. A second connector is attached by the cable toward the distal end, and includes a first portion and a second portion pivotably connected to the first portion. The first portion has a slot elongated along a slot axis and positioned to receive an implantable patient signal delivery element axially along the slot axis. The second portion has a plurality of second connector contacts positioned to releasably, electrically contact the signal delivery element when the signal delivery element is positioned within the slot and the first and second portions are placed in a secured position. At least one of the first and second portions is pivotable relative to the other between the secured position and an unsecured position. | 12-05-2013 |
20130331918 | ANCHORING UNITS FOR LEADS OF IMPLANTABLE ELECTRIC STIMULATION SYSTEMS AND METHODS OF MAKING AND USING - A nerve stimulation lead has a distal end, a proximal end, and a longitudinal length. The nerve stimulation lead includes a plurality of electrodes disposed at the distal end, a plurality of terminals disposed at the proximal end, and a plurality of conductive wires electrically coupling the plurality of electrodes electrically to the plurality of terminals. The nerve stimulation lead also includes at least one anchoring unit disposed on the nerve stimulation lead. The at least one anchoring unit is configured and arranged for anchoring the nerve stimulation lead against a bony structure. | 12-12-2013 |
20130345783 | HARD TISSUE ANCHORS AND DELIVERY DEVICES - The present invention provides devices, systems and methods for anchoring medical devices to hard tissues, such as bones or bony structures, particularly vertebrae. By anchoring these medical devices directly to the surrounding hard tissue, the devices are anchored closer to the source of treatment. This provides additional stability and reduces migration of the device at the treatment site. Also, by attaching to hard tissue rather than soft tissue, a stronger attachment is often able to be made. | 12-26-2013 |
20140025146 | SELECTIVE HIGH FREQUENCY SPINAL CORD MODULATION FOR INHIBITING PAIN WITH REDUCED SIDE EFFECTS, AND ASSOCIATED SYSTEMS AND METHODS - Selective high-frequency spinal cord modulation for inhibiting pain with reduced side effects and associated systems and methods are disclosed. In particular embodiments, high-frequency modulation in the range of from about 1.5 KHz to about 50 KHz may be applied to the patient's spinal cord region to address low back pain without creating unwanted sensory and/or motor side effects. In other embodiments, modulation in accordance with similar parameters can be applied to other spinal or peripheral locations to address other indications. | 01-23-2014 |
20140031908 | SYSTEM AND METHOD FOR ENHANCING LARGE DIAMETER NERVE FIBER STIMULATION USING SEQUENTIAL ACTIVATION OF ELECTRODES - A system and method of providing therapy to a patient with electrodes extending along the longitudinal axes of large and small diameter nerve fibers. Electrical energy is delivered from a first electrode at an initial axial location, thereby evoking initial action potentials in the large and small fibers. The initial action potentials are allowed to be conducted along the large and small fibers in a first axial direction. Electrical energy is delivered from a second electrode at a second axial location at an instant in time when the initial action potential conducted along the large fiber has passed the second axial location and the initial action potential conducted along the small fiber is at the second axial location, thereby allowing a subsequent action potential to be evoked in the large fiber while preventing a subsequent action potential from being evoked in the small fiber. | 01-30-2014 |
20140031909 | MINIMALLY INVASIVE METHODS FOR IMPLANTING A SACRAL STIMULATION LEAD - Methods and apparatus for implanting a neural stimulation lead in a patient's body are described. A lead assembly comprises a pointed-tip stylet, a stimulation lead, and an optional tube to deploy a fixation element attached to the lead. One embodiment of the implant methods starts with inserting the pointed-tip lead assembly directly into tissue. After the desired implant position is determined, the pointed-tip component is separated from the stimulation lead and removed from the tissue, leaving the stimulation lead implanted. After confirmation that the stimulation lead is in the right, tissue location, the pointed-tip component is removed from the body, leaving the stimulation lead in place. The stimulation lead can be connected to a neurostimulator to delivery therapies to treat neural disorders, such as urinary control disorders, fecal control disorders, sexual, dysfunction, and pelvic pain, etc. | 01-30-2014 |
20140046419 | NEURAL BLOCKING THERAPY - A method and apparatus are disclosed for treating a variety of conditions include treating a disorder associated with neural activity near a region of a brain. In such condition, the method includes placing an electrode to create a field near said region, creating said field with parameters selected to at least partially block neural activity within said field. For treating a tissue sensation, the method includes identifying a target area of tissue to be treated and placing an electrode to create a field near the target area, and creating the field with parameters selected to at least partially block neural activity within the target area. For treating a condition associated with neural activity of a spinal cord, the method includes placing an electrode to create a field near a nerve associated with the spinal cord, and creating the field with parameters selected to at least partially block neural activity within the nerve. | 02-13-2014 |
20140058490 | BIPOLAR SPINAL CORD STIMULATION TO ACTIVATE THE EXPIRATORY MUSCLES TO RESTORE COUGH - Methods and devices are provided for electrical stimulation of the expiratory muscles in humans or other mammals to produce cough in patients with spinal cord injuries resulting in paralysis of the expiratory muscles. An electrode, or a group of two or more electrodes (i.e. wire lead electrodes, disc electrodes, etc.) are positioned along the spinal cord, usually along the dorsal epidural surface. The electrodes can be located at different spinal cord levels and can be located in a parallel arrangement. Electrical stimulation, such as bipolar electrical stimulation, is then applied to activate the expiratory muscles and produce cough. | 02-27-2014 |
20140081366 | MEDICAL DEVICE ANCHORING SYSTEMS AND METHODS - An anchor assembly includes an anchoring member having a body portion. The anchoring member defines a longitudinal lumen in the body portion to slidably receive a portion of an electrode assembly. The anchor assembly also includes a shell assembly having first and second mating shell portions to be disposed on opposites sides of the anchoring member and to be coupled together to anchor the electrode assembly within the anchoring member. Each of the first and second mating shell portions includes a center portion and two lateral portions. The center portion fits over the anchoring member. The lateral portions of the first mating shell portion each have a prong member and the lateral portions of the second mating shell portion each have an aperture. The prong members and apertures mate to form a locking arrangement. | 03-20-2014 |
20140088674 | METHOD FOR EPIDURAL STIMULATION OF NEURAL STRUCTURES - A method for treating a patient having nociceptive pain in a body region using at least one electrode implanted within a spinal column of the patient. The method comprises conveying electrical stimulation energy from the at least one implanted electrode to an efferent motor neural structure innervating the body region, thereby inducing an endogenous chemical response within a spinal cord of the patient that treats the nociceptive pain. Another method for treating a patient suffering from a medical ailment. The other method comprises applying electrical stimulation energy to an efferent neural structure, thereby increasing the activation threshold of the efferent neural structure relative an afferent neural structure, and applying electrical stimulation energy to the afferent neural structure while the activation threshold of the efferent neural structure is increased, thereby modulating activity of the afferent neural structure to treat the medical ailment while minimizing stimulation of the efferent neural structure. | 03-27-2014 |
20140094886 | METHOD FOR TREATING DEPRESSION BY INDIRECTLY STIMULATING RAPHE NUCLEI - A method for treating a patient suffering from depression, the method including applying electrical stimulation energy to afferent nerve fibers leading to the medial preoptic region of the hypothalamus of the patient, thereby activating serotonin in the raphe nuclei to treat depression. | 04-03-2014 |
20140100643 | Current Output Architecture for an Implantable Stimulator Device - Disclosed herein are current output architectures for implantable stimulator devices. Current source and sink circuitry is divided into a plurality of stages, each of which is capable via an associated switch bank of sourcing or sinking an amount of current to or from any one of the electrodes of the device. The current source circuitry is distinct from the current sink circuitry, and the two share no common circuit nodes prior to connection to the electrodes. In other words, the current source circuitry and the current sink circuitry do not share a common node other than the electrodes. Each stage is preferably formed of a current mirror for receiving a reference current and outputting a scaled version of current to that stage's switch bank. The scalar at each stage can be set by wiring a desired number of output transistors in parallel. | 04-10-2014 |
20140107752 | Current Generation Architecture for an Implantable Stimulator Device Having Coarse and Fine Current Control - A current generation architecture for an implantable stimulator device such as an Implantable Pulse Generator (IPG) is disclosed. Current source and sink circuitry are both divided into coarse and fine portions, which respectively can provide coarse and fine current resolutions to a specified electrode on the IPG. The coarse portion is distributed across all of the electrodes and so can source or sink current to any of the electrodes. The coarse portion is divided into a plurality of stages, each of which is capable via an associated switch bank of sourcing or sinking a coarse amount of current to or from any one of the electrodes on the device. The fine portion of the current generation circuit preferably includes source and sink circuitry dedicated to each of the electrode on the device, which can comprise digital-to-analog current converters (DACs). | 04-17-2014 |
20140114385 | DEVICES, SYSTEMS AND METHODS FOR MODULATION OF THE NERVOUS SYSTEM - Devices, systems and methods are provided to modulate portions of neural tissue of the nervous system, such as portions of the central nervous system or portions of the peripheral nervous system. In some embodiments, the systems and devices of the present invention are used to stimulate one or more dorsal root ganglia, dorsal roots, dorsal root entry zones, or portions thereof, while minimizing or excluding undesired stimulation of other tissues, such as surrounding or nearby tissues, ventral root and portions of the anatomy associated with body regions which are not targeted for treatment. In other embodiments, the systems and devices are used to stimulate portions of the peripheral nervous system. In some embodiments, the modulation generates a massaging sensation, particularly when stimulating neural tissue on particular spinal levels, such as L2 or L3. | 04-24-2014 |
20140114386 | NOVEL FEATURES FOR ROUTING CONDUCTORS IN MEDICAL ELECTRICAL LEAD ELECTRODE ASSEMBLIES - An insulative body of a medical electrical lead electrode assembly includes a pre-formed channel having a section extending at an angle to a longitudinal axis of the body. An electrode portion of a conductive component has an electrode contact surface facing outward from a first side of the body and a coupling portion embedded in the body. A conductor, which is coupled to the coupling portion of the component, is disposed in the channel. | 04-24-2014 |
20140128955 | REMOTELY CONTROLLED AND/OR LATERALLY SUPPORTED DEVICES FOR DIRECT SPINAL CORD STIMULATION - A method for treating intractable pain via electrical stimulation of the spinal cord. Remote, non-contact stimulation of a selected region of spinal cord is achieved by placement of a transceiver patch directly on the surface of that region of spinal cord, with said patch optionally being inductively coupled to a transmitter patch of similar size on either the outer or inner wall of the dura surrounding that region of the spinal cord. By inductively exchanging electrical power and signals between said transmitter and transceiver patches, and by carrying out the necessary electronic and stimulus signal distribution functions on the transceiver patch, the targeted dorsal column axons can be stimulated without the unintended stray stimulation of nearby dorsal rootlets. Novel configurations of a pliable surface-sheath and clamp or dentate ligament attachment features which realize undamaging attachment of the patch to the spinal cord are described. | 05-08-2014 |
20140128956 | SYSTEM AND METHOD FOR INCREASING RELATIVE INTENSITY BETWEEN CATHODES AND ANODES OF NEUROSTIMULATION SYSTEM - A method and neurostimulation system for providing therapy to a patient is provided. A plurality of electrodes is placed adjacent to tissue of the patient. The electrodes include first and second electrodes, with the first electrode having a first tissue contacting surface area and the second electrode having a second tissue contact surface area greater than the first tissue contacting surface area. Anodic electrical current is simultaneously sourced from one of the first and second electrodes to the tissue and while cathodic electrical current is sunk from the tissue to another of the first and second electrodes to provide the therapy to the patient. | 05-08-2014 |
20140142673 | SELECTIVE HIGH FREQUENCY SPINAL CORD MODULATION FOR INHIBITING PAIN WITH REDUCED SIDE EFFECTS, AND ASSOCIATED SYSTEMS AND METHODS - Selective high-frequency spinal cord modulation for inhibiting pain with reduced side effects and associated systems and methods are disclosed. In particular embodiments, high-frequency modulation in the range of from about 1.5 KHz to about 50 KHz may be applied to the patient's spinal cord region to address low back pain without creating unwanted sensory and/or motor side effects. In other embodiments, modulation in accordance with similar parameters can be applied to other spinal or peripheral locations to address other indications. | 05-22-2014 |
20140155973 | TISSUE-CAPTURED ANCHORS AND METHODS OF USE - Devices, systems and methods are provided for anchoring implantable medical devices to maintain an implanted position. In some embodiments, the medical devices are stimulation leads which are implanted near a portion of the neural anatomy for providing stimulation thereto. To maintain position of the lead, the lead is anchored with the use of a tissue-captured anchor which is attached to the lead at a desired point of anchoring. The anchor maintains position of the lead by resisting movement of the anchor between tissue layers at the point of anchoring. | 06-05-2014 |
20140163660 | MULTI-FREQUENCY NEURAL TREATMENTS AND ASSOCIATED SYSTEMS AND METHODS - Multi-frequency neural treatments and associated systems and methods are disclosed. A method in accordance with a particular embodiment includes at least reducing patient pain by applying a first electrical signal to a first target location of the patient's spinal cord region at a frequency in a first frequency range of up to about 1,500 Hz, and applying a second electrical signal to a second target location of the patient's spinal cord region at a frequency in a second frequency range of from about 2,500 Hz to about 100,000 Hz. | 06-12-2014 |
20140257446 | ELECTRODE HAVING ERECTABLE LEAD - Disclosed is an electrode, such as an SCS paddle electrode, having a lead attached thereto along an interior portion of the electrode. The lead and electrode are configured such that the lead may be positioned generally coplanar with a top surface of the electrode, and may likewise be erected from such coplanar orientation up and away from the top surface of the electrode. Thus, the lead can maintain the typical configuration of emerging from the back end of the electrode, but because at least portions of the lead are not permanently bonded into the electrode paddle, the lead (when desired) can be pulled upward, with or without surrounding strain relief material, to emerge from the top surface of the paddle at an angle or curve to such top surface. This allows the base of the paddle to engage a bony opening, such as when the electrode is inserted into a patient's spine, skull, plane of fascia, etc. | 09-11-2014 |
20140257447 | SYSTEMS AND METHODS FOR ELECTRICALLY STIMULATING PATIENT TISSUE ON OR AROUND ONE OR MORE BONY STRUCTURES - An implantable lead assembly for providing electrical stimulation to a patient includes a lead body; a terminal disposed along a proximal end of the lead body; and an orthopedic implant coupled to a distal end of the lead body. The orthopedic implant is configured and arranged for anchoring to a bony structure. At least one mounting region is disposed along the orthopedic implant. The at least one mounting region is configured and arranged for anchoring the orthopedic implant to the at least one bony structure. An electrode is disposed along a stimulation region of the orthopedic implant. A conductor electrically couples the terminal to the electrode. | 09-11-2014 |
20140277320 | SYSTEMS AND METHODS FOR MAKING AND USING PADDLE LEAD ASSEMBLIES FOR ELECTRICAL STIMULATION SYSTEMS - A paddle lead assembly for providing electrical stimulation of patient tissue includes a paddle body. The paddle body includes tour columns of electrodes, each column including at least one electrode. The columns include two outer columns flanking two inner columns. The paddle lead assembly further includes a plurality of lead bodies coupled to the paddle body. At least one terminal is disposed on each of the plurality of lead bodies. A plurality of conductive wires couple each of the electrodes to at least one of the plurality of terminals. | 09-18-2014 |
20140316503 | PARYLENE-BASED MICROELECTRODE ARRAY IMPLANT FOR SPINAL CORD STIMULATION - An implantable electrode array assembly configured to apply electrical stimulation to the spinal cord. A substantially electrically nonconductive layer of the device has a first portion positionable alongside the spinal cord that includes a plurality of first openings. The layer has a second portion that includes a plurality of second openings. Electrodes and traces are positioned inside a peripheral portion of a body portion of the device and alongside the layer. At least one of the first openings is adjacent each of the electrodes to provide a pathway through which the electrode may provide electrical stimulation to the spinal cord. At least one of the second openings is adjacent each of the traces to provide a pathway through which the trace may receive electrical stimulation. At least one trace is connected to each electrode and configured to conduct electrical stimulation received by the trace(s) to the electrode. | 10-23-2014 |
20140324144 | MINIMALLY INVASIVE METHODS FOR IMPLANTING A SACRAL STIMULATION LEAD - Methods and apparatus for implanting a neural stimulation lead in a patient's body are described. A lead assembly comprises a pointed-tip stylet, a stimulation lead, and an optional tube to deploy a fixation element attached to the lead. One embodiment of the implant methods starts with inserting the pointed-tip lead assembly directly into tissue. After the desired implant position is determined, the pointed-tip component is separated from the stimulation lead and removed from the tissue, leaving the stimulation lead implanted. After confirmation that the stimulation lead is in the right tissue location, the pointed-tip component is removed from the body, leaving the stimulation lead in place. The stimulation lead can be connected to a neurostimulator to delivery therapies to treat neural disorders, such as urinary control disorders, fecal control disorders, sexual dysfunction, and pelvic pain, etc. | 10-30-2014 |
20140343655 | SYSTEM AND METHOD FOR SPINAL CORD MODULATION TO TREAT MOTOT DISORDER WITHOUT PARESTHESIA - A method for of performing a medical procedure on a patient suffering from a movement disorder. The method comprises delivering electrical current having a defined pulse rate equal to or greater than 1500 Hz and/or a defined pulse duration equal to or less than 200 Hz to spinal cord tissue of the patient in a manner that modulates neuronal traffic in at least one dorsal column (DC) nerve fiber of the patient, thereby treating symptoms of the movement disorder without causing the patient to perceive paresthesia from the delivered electrical current. | 11-20-2014 |
20140343656 | ELECTRICAL STIMULATION LEADS WITH ANCHORING UNIT AND ELECTRODE ARRANGEMENT AND METHODS OF MAKING AND USING - An electrical stimulation lead includes a lead body having a distal end portion, a proximal end portion, and a longitudinal length; and electrodes disposed along the distal end portion of the lead body. The electrodes include a first set of electrodes and a second set of electrodes. The electrodes of the first set are spaced apart by a first distance and the electrodes of the second set are spaced apart by a second distance that is greater than the first distance and the first set is spaced apart from the second set by a third distance that is greater than or equal to the second distance. The lead also includes terminals disposed along the proximal end portion of the lead body; conductors electrically coupling the terminals to the electrodes; and anchoring units disposed along the distal end portion of the lead body and proximal to the first set of electrodes. | 11-20-2014 |
20140350655 | LEAD IDENTIFICATION SYSTEM - In some examples, a lead identification system includes a first set of first lead indicators and a second set of second lead indicators. Each of the first lead indicators is configured to removably attach to at least one of a first therapy delivery element, a first epidural needle, or a first connector to uniquely identify at least one of the first therapy delivery element, the first epidural needle, or the first connector during implantation of the first therapy delivery element in the patient. Each of the second lead indicators is configured to removably attach to at least one of a second therapy delivery element, a second epidural needle, or a second connector to uniquely identify at least one of the second therapy delivery element, the second epidural needle, or the second connector during implantation of the second therapy delivery element in the patient. | 11-27-2014 |
20140371830 | SYSTEM THAT SECURES AN ELECTRODE ARRAY TO THE SPINAL CORD FOR TREATING BACK PAIN - This invention provides a device for implantation directly into the spinal cord for the purpose of treating back pain. Electrodes on a backing that conforms directly to the spinal cord are installed as a source of electrical stimulation and pain relief. The electrode array is maintained on the spinal cord at a chosen location by way of a spring or support structure that is anchored to an anatomical structure outside the spinal cord but near the site of implantation. Suitable anchoring structures include the vertebrae and the dura. Secured in this fashion, the support structure maintains a gentle pressure of the electrode array against the spinal cord so as to stay in electrical contact but minimize injury or inflammation. The device may accommodate and buffer movement of the spinal cord both laterally and in a caudal-rostral fashion so that the electrode array remains in place. | 12-18-2014 |
20150012077 | SYSTEMS AND METHODS FOR DETECTING INTRATHECAL PENETRATION - Systems and methods for detecting intrathecal penetration are disclosed. A method in accordance with one embodiment includes detecting a value corresponding to an impedance of an electrical circuit that in turn includes an electrical contact located within the patient, and patient tissue adjacent to the electrical contact. The method further includes comparing the detected value to a predetermined criterion, and, if the detected value meets the predetermined criterion, identifying penetration of the patient's dura based at least in part on the detected value. | 01-08-2015 |
20150051681 | METHODS AND SYSTEMS FOR ANODAL STIMULATION TO AFFECT CRANIAL AND OTHER NERVES - A method of stimulating patient nerve tissue includes implanting an electrical stimulation lead in a patient. The electrical stimulation lead includes multiple electrodes disposed thereon and the electrodes are implanted in an epidural space adjacent a spinal cord of the patient. The method further includes coupling the electrical stimulation lead to a control module; implanting the control module in the patient; and generating stimulation current in the control module and delivering the stimulation current to at least one of the electrodes on the electrical stimulation lead. That electrode is an anode and a cathode is provided on the control module. The method also includes electrically stimulating at least one patient nerve tissue using the stimulation current. The stimulated patient nerve tissue is disposed beyond the spinal cord and dorsal and ventral roots extending from the spinal cord. | 02-19-2015 |
20150134041 | IMPLANTABLE MEDICAL LEAD FOR STIMULATION OF MULTIPLE NERVES - In various examples, an apparatus includes a stimulation lead including an elongate body including a distal end and a proximal end. At least one first electrode is disposed proximate the distal end of the elongate body and is configured to stimulate a first target nerve. At least one second electrode is disposed between the at least one first electrode and the proximal end of the elongate body and is configured to stimulate a second target nerve. At least one first fixation structure is disposed between the at least one second electrode and the proximal end of the elongate body. The at least one first fixation structure is configured to anchor the stimulation lead proximate the sacrum, wherein the at least one first fixation structure is located on the elongate body and spaced a first distance proximally along the elongate body from the at least one first electrode. | 05-14-2015 |
20150374995 | CARDIAC NEUROMODULATION AND METHODS OF USING SAME - The present invention relates in general to methodologies for the treatment quenching preconditioning and communication between the intrinsic cardiac nervous system and an electrical stimulus. In particular, the present invention utilizes spinal cord stimulation to alter and/or affect the intrinsic cardiac nervous system and thereby protect the myocytes, stabilize myocardial electrical instability and/or alleviate or diminish cardiac pathologies. | 12-31-2015 |
20160015967 | SYSTEMS AND METHODS FOR MAKING AND USING ELECTRODE CONFIGURATIONS FOR PADDLE LEADS - A paddle lead assembly for providing electrical stimulation of patient tissue includes a paddle body having a longitudinal axis and a lateral axis transverse to the longitudinal axis. The paddle body includes a plurality of electrodes disposed into at least four columns extending parallel with the longitudinal axis. The at least four columns include two lateral columns and at least two medial columns disposed therebetween. The electrodes of the at least two medial columns are arranged into rows aligned along the transverse axis. The electrodes of the two lateral columns are each longitudinally offset from the rows of electrodes of the at least two medial columns. An array of terminals are disposed on each of at least one lead body coupled to the paddle body. A plurality of conductive wires couple each of the electrodes to at least one terminal of the terminal arrays. | 01-21-2016 |
20160038735 | NOVEL FEATURES FOR ROUTING CONDUCTORS IN MEDICAL ELECTRICAL LEAD ELECTRODE ASSEMBLIES - An insulative body of a medical electrical lead electrode assembly includes a pre-formed channel having a section extending at an angle to a longitudinal axis of the body. An electrode portion of a conductive component has an electrode contact surface facing outward from a first side of the body and a coupling portion embedded in the body. A conductor, which is coupled to the coupling portion of the component, is disposed in the channel. | 02-11-2016 |
20160067477 | IMPLANTABLE LEAD WITH FLEXIBLE PADDLE ELECTRODE ARRAY - A neurostimulation system is disclosed herein. The neurostimulation system includes an implantable pulse generator and an implantable therapy lead configured to be electrically coupled to the implantable pulse generator. The implantable therapy lead includes a flexible paddle electrode array with flexible electrodes. Each flexible electrode has a segmented configuration having first and second electrode segments and a flexible bridge or living hinge joining together the first and second electrode segments. | 03-10-2016 |
20170232255 | SYSTEMS AND METHODS FOR SPINAL CORD STIMULATION TRIAL | 08-17-2017 |