Abstract:
An implantable lead includes a first lead assembly with a distal tip and a medial end, a medial section with a first end and a second end, and a first intermediate assembly disposed between the first lead assembly and the first end of the medial section. The first lead assembly includes a plurality of external contacts and at least one conductive wire disposed in the first lead assembly. The at least one conductive wire extends from at least one external contact towards the medial end of the first lead assembly. The medial section includes a plurality of conductors extending from the first end to the second end. The first intermediate assembly includes a plurality of conductive elements. At least one of the conductive elements is configured and arranged to electrically couple the at least one conductive wire to at least one of the conductors.
Abstract:
An exemplary steerable stylet handle assembly includes a housing having first and second side walls defining a channel therebetween, a button in communication with the first and second side walls and configured to move distally and proximally within the channel, and a stylet subassembly having an inner stylet wire located at least partially within an outer tubing. The inner stylet wire has a pre-curved portion and is coupled to a proximal portion of the housing. The outer tubing is coupled to the button. Movement of the button within the channel is configured to selectively expose and cover at least a portion of the pre-curved distal portion of the inner stylet wire with the outer tubing.
Abstract:
A lead connection system includes a connector housing. A plurality of lead retainers disposed in the connector housing are configured and arranged to removably attach to a proximal end of one of a received plurality of leads. The plurality of lead retainers include at least one of a slidable drawer and at least one pivotable hinged panel. A plurality of connector contacts are configured and arranged for making electrical contact with one or more of the terminals of one or more of the plurality of received leads. A single connector cable has a distal end that is electrically coupled to the plurality of connector contacts and a proximal end that is configured and arranged for insertion into a trial stimulator. A cable connector is electrically coupled, via the connector contacts, to at least one terminal of each of the received plurality of leads.
Abstract:
A lead assembly for providing electrical stimulation of patient tissue includes at least one elongated lead body, each of the at least one lead bodies having a distal end and a proximal end. A plurality of electrodes are disposed at the distal end of the at least one lead body, each of the electrodes having an outer surface. A plurality of dimples are defined along the outer surface of at least one of the plurality of electrodes, the plurality of dimples configured and arranged to provide a larger surface area for the at least one dimpled electrode than that of a similarly-sized electrode with a flat outer surface. A plurality of terminal are disposed at the proximal end of the at least one lead body. A plurality of conductive wires couple each of the plurality of electrodes to at least one of the plurality of terminals.
Abstract:
A lead for providing electrical stimulation of patient tissue includes a distal lead element, at least two proximal lead elements, and a junction coupling the distal lead element to each of the at least two proximal lead elements. The distal lead element includes a plurality of electrodes and a plurality of conductive wires coupled to the plurality of electrodes and extending along a longitudinal axis of the distal lead element. Each of the at least two proximal lead elements includes a plurality of terminals and a plurality of conductive wires coupled to the plurality of terminals and extending along a longitudinal axis of the proximal lead element. The junction includes a circuit arrangement electrically coupling each of the conductive wires of the distal lead element to at least one of the conductive wires of at least one of the at least two proximal lead elements.
Abstract:
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.
Abstract:
An implantable lead includes a lead body having a plurality of electrodes disposed on a distal end of the lead body, a plurality of terminals disposed on a proximal end of the lead body, and a plurality of conductors disposed along the lead body such that each conductor electrically couples at least one of the electrodes to at least one of the terminals. At least one of the electrodes or terminals includes a multi-element contact assembly. The multi-element contact assembly includes at least one conductive inner element and at least one conductive outer element disposed over the inner element. At least one of the plurality of conductors is electrically coupled to one of the multi-element contact assemblies such that the conductor is positioned against the at least one inner element. The at least one outer element includes a region that is in contact with the at least one inner element.
Abstract:
A connector assembly includes a lead or a lead extension, a connector, and a retention assembly disposed in the connector. The connector includes a connector housing defining a port at a distal end of the connector, and a plurality of connector contacts disposed in the connector housing. The port is configured and arranged for receiving a proximal end of the lead or the lead extension. The connector contacts are configured and arranged to couple to at least one terminal disposed on the proximal end of the lead or the lead extension. The retention assembly includes a retention mechanism that can be engaged and reversibly disengaged without the use of tools beyond conventional operating-room surgical instruments.
Abstract:
Implantable electrical stimulation leads, lead anchors and suture sleeves, as well as methods of making and using the leads, lead anchors, suture sleeves and electrical stimulation systems are described. The lead anchors and suture sleeves present a number of strategies for anchoring a lead within tissue of a patient.
Abstract:
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.