摘要:
Disclosed herein are apparatus, devices and methods for affixing an implant, plate, or the like to body tissue. Preferred embodiments comprise a plate with a pre-defined hole, fasteners configured for secure attachment to body tissue, and a self-centering tool capable of holding and installing multiple fasteners.
摘要:
In one embodiment, an introducer is provided for implanting an electrical stimulation lead to enable electrical stimulation of nerve tissue. The introducer includes an outer sheath and an inner penetrator. The outer sheath may accommodate insertion of the electrical stimulation lead and may be inserted into a human body near the nerve tissue. The inner penetrator is removably housed within the outer sheath and includes an inner channel configured to accommodate a guide wire, a tip end having a shape and size substantially conforming to that of the guide wire, a body region having a shape and size substantially conforming to that of the outer sheath, and one or more transition regions substantially connecting the tip end with the body region. At least a portion of the transition regions of the inner penetrator may flex to substantially follow flexures in the guide wire during advancement of the inner penetrator.
摘要:
In one embodiment, a method, for fabricating an implantable apparatus for delivering electrical stimulation from a pulse generator, comprises: providing a plurality of conductors, wherein at least one of the plurality of conductors passes through at least one interior passage of a body, wherein the body is formed of a first insulative material having prescribed mechanical properties; coupling at least one terminal to each conductor of the plurality of conductors, the terminals being adapted to receive electrical signals from the pulse generator, wherein adjacent terminals are separated by a second insulative material with prescribed mechanical properties that are consistent with the first insulative material; and over-molding a region of the apparatus containing the terminals with a third insulative material with prescribed mechanical properties that are consistent with the material of the body.
摘要:
An improved needle for use in percutaneous insertion of a lead, and method for insertion of same, is provided. The needle includes a flare or lip on the needle heel proximate the needle orifice.
摘要:
An implantable, substantially isodiametric, low resistance implantable lead having at least one electrode positioned in a stimulation/sensing portion of the lead as well as a method of manufacturing the same. At least the stimulation/sensing portion is unitized through partially surrounding and supporting insulation and conductive element(s) of the stimulation/sensing portion with a fused matrix of material having mechanical properties consistent with a body of the lead.
摘要:
In one embodiment, an introducer is provided for implanting an electrical stimulation lead to enable electrical stimulation of nerve tissue. The introducer includes an outer sheath and an inner penetrator. The outer sheath is configured to accommodate insertion of the electrical stimulation lead through the outer sheath and may be inserted into a human body near the nerve tissue. The inner penetrator is removably housed within the outer sheath and includes an inner channel configured to accommodate a guide wire. The inner penetrator may be advanced along the guide wire to a desired location relative to the nerve tissue and removed from the outer sheath leaving the outer sheath substantially in position for insertion of the electrical stimulation lead through the outer sheath into position proximate the nerve tissue.
摘要:
Disclosed herein are apparatus, devices and methods for affixing an implant, plate, or the like to body tissue. Preferred embodiments comprise a plate with a pre-defined hole, fasteners configured for secure attachment to body tissue, and a self-centering tool capable of holding and installing multiple fasteners.
摘要:
An implantable, substantially isodiametric, low resistance implantable lead having at least one electrode positioned in a stimulation/sensing portion of the lead as well as a method of manufacturing the same. At least the stimulation/sensing portion is unitized through partially surrounding and supporting insulation and conductive element(s) of the stimulation/sensing portion with a fused matrix of material having mechanical properties consistent with a body of the lead.
摘要:
A lead, method of manufacturing same, and system for stimulation is provided. The lead includes an insulative member or layer that masks a portion of the electrode(s) to effectively generate a directional lead that focuses or directs the stimulation to desired location(s). In another embodiment, the lead further includes a marking system to allow a clinician to orient the directional lead, as desired, while the lead is within a body.
摘要:
A lead identification system for tracking a plurality of neurostimulation leads during implantation in a patient, and a method of using the same. The lead identification system includes a plurality of lead indicators each adapted to attach to one of a plurality of epidural needles to identify the leads. At least one clip adapted to releasably attach to proximal ends of the leads is provided with corresponding lead indicators. The trial cable for conducting trial stimulation includes connectors with corresponding lead indicators. A plurality of lead indicator stylets are provided for insertion into lumens at the proximal ends of the leads. The pulse generator also has connectors with corresponding lead indicators. The various lead indicators permit a surgeon to track a particular lead to the corresponding connectors on the pulse generator.