Lead insertion devices and associated systems and methods

• US 10,213,229 B2
• Filed: 03/30/2016
• Issued: 02/26/2019
• Est. Priority Date: 12/10/2012
• Status: Active Grant

• Current Assignee: Nevro Corporation
• Original Assignee: Nevro Corporation
• Inventors: Chitre, Yougandh, Walker, Andre B., Sharma, Vivek
• Primary Examiner(s): Nguyen, Victor
• Application Number:
  US15/085,913
• Publication Number:
  US 20160302827A1
• Time in Patent Office: 1,063 Days
• CPC Class Codes: A61B 17/3401 Puncturing needles for the peridural or subarachnoid space or the plexus, e.g. for anaesthesia local anaesthesia A61M19/00
• CPC Class Codes: A61B 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes

Abstract

Insertion devices and associated systems and methods for the percutaneous placement of patient leads are disclosed herein. A system in accordance with a particular embodiment includes a cannula having a lumen and a first dilator. The first dilator can be positioned within the lumen and the first dilator and the cannula can be used to create a percutaneous entry point. An additional dilator can be positioned over the first dilator and advanced into the percutaneous entry point to expand the percutaneous entry point. A final dilator can be inserted into the patient and two leads can be advanced into the patient through the final dilator.

Claims

1. A method for percutaneously implanting medical devices in a patient, the method comprising:

inserting or instructing insertion of a cannula into a patient, wherein the cannula includes a lumen;

inserting or instructing insertion of a preceding dilator into the patient via the lumen of the cannula;

removing or instructing removal of the cannula;

inserting or instructing insertion of a subsequent dilator into the patient via advancement of the subsequent dilator over the preceding dilator;

removing or instructing removal of the preceding dilator;

inserting or instructing insertion of a first medical device and a second medical device side by side into a final dilator; and

advancing or instructing advancement of the first medical device and the second medical device into the patient.

2. The method of claim 1 wherein inserting or instructing insertion of the first medical device and the second medical device side by side into the final dilator includes inserting or instructing insertion of the first medical device and the second medical device side by side into a lumen of the final dilator, wherein the lumen of the final dilator includes an elliptical cross-sectional shape.

3. The method of claim 2 wherein the first medical and the second medical device comprise leads, each lead having a diameter, wherein the elliptical cross-sectional shape includes a major axis and a minor axis, wherein inserting or instructing insertion of the first medical device and the second medical device side by side into the lumen of the final dilator includes inserting or instructing insertion of the first medical device and the second medical device positioned side by side on the major axis.

4. The method of claim 1 wherein inserting or instructing insertion of the cannula into the patient includes inserting or instructing insertion of the cannula into the patient with a stylet positioned within the lumen of the cannula.

5. The method of claim 4, further comprising removing or instructing removal of the stylet prior to inserting or instructing insertion of the preceding dilator into the patient via the lumen of the cannula.

6. The method of claim 1 wherein the subsequent dilator comprises the final dilator.

7. The method of claim 1, further comprising inserting or instructing insertion of at least one additional dilator into the patient, prior to inserting or instructing insertion of the first medical device and the second medical device side by side into the final dilator.

8. The method of claim 1 wherein inserting or instructing insertion of a cannula into a patient includes aligning or instructing alignment of a stylet tip with a tip of the cannula to produce a percutaneous entry point in the patient without coring a hole in the patient.

9. The method of claim 8 wherein aligning or instructing alignment of the stylet tip with the tip of the cannula includes mating or instructing mating of a hub on the stylet with a hub on the cannula.

10. The method of claim 1 wherein the first medical device and the second medical device comprise spinal cord stimulation leads having electrical contacts, and wherein the method further comprises positioning or instructing positioning of the spinal cord stimulation leads to deliver electrical signals via the contacts to a spinal cord region of the patient.