Medical devices having deformable structures providing medical lead fixation

• US 10,238,880 B2
• Filed: 11/12/2015
• Issued: 03/26/2019
• Est. Priority Date: 11/12/2014
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Thom, Andrew J., Iyer, Rajesh V., Janzig, Darren A., Roles, Randy S.
• Primary Examiner(s): Carey, Michael
• Application Number:
  US14/939,613
• Publication Number:
  US 20160129267A1
• Time in Patent Office: 1,230 Days
• Field of Search: 607 2, 607 36, 607 37, 607115, 607116
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/3752 Details of casing-lead connections

Abstract

Medical devices include deformable structures that contact a lead upon being compressed. A grip that a clinician may grasp and manipulate is engaged with a nose structure of a header block of the medical device, and manipulation of the grip causes compression of the deformable structure to ultimately create fixation of the lead within the header block.

Claims

1. A method of fixing a proximal end of medical lead into a bore of a medical device, comprising:

inserting the proximal end of the medical lead into the bore while a grip is coupled to the medical device; and

transferring force from the grip that is movable relative to the bore to a deformable structure constrained within the bore by the medical device to cause compression of the deformable structure so that the deformable structure engages the lead within the bore to fix the position of the lead as the deformable structure compresses.

2. The method of claim 1, wherein transferring force from the grip to the deformable structure comprises turning of the grip so that threads of the grip that are engaged with threads of the medical device cause the grip to translate toward the deformable structure.

3. The method of claim 2, further comprising causing a mating structure on the grip to engage a mating structure on the medical device to prevent the grip from turning.

4. The method of claim 1, wherein transferring force from the grip to the deformable structure further comprises moving the grip to force a ferrule to contact and compress the deformable structure.

5. The method of claim 1, wherein transferring force from the grip to the deformable structure further comprises moving the grip into contact with the deformable structure to compress the deformable structure.

6. The method of claim 1, wherein the deformable structure is an O-ring that applies a force in a radial direction of the bore upon being compressed.

7. The method of claim 1, wherein the deformable structure is a conical structure that engages a conical portion of the medical device and that applies a force in a radial direction of the bore upon being compressed.

8. The method of claim 7, wherein the conical portion contacts a ring on the lead.

9. The method of claim 1, wherein transferring force from the grip to the deformable structure comprises forcing the grip so that a protrusion of the grip travels along a slot of the medical device and so that the grip translates toward the deformable structure and twisting the grip to cause the protrusion to follow a turn in the path that locks the grip in place.

10. An medical device, comprising:

a header block having a bore with an engagement surface and a plurality of electrical connectors within the bore, the bore configured to receive a lead;

a grip mechanically engaged with the engagement surface of the header block while the bore is lead-less; and

a deformable structure that is constrained within the bore of the header block, the deformable structure providing a compression force in a radial direction of the bore when a force is applied from the grip to the deformable structure.

11. The medical device of claim 10, wherein the engagement surface is a threaded surface and wherein the grip provides a threaded surface that engages the threaded surface of the header block.

12. The medical device of claim 11, further comprising a mating structure on the grip and a mating structure on the header block, wherein the mating structure on the grip engages the mating structure on the header block to prevent the grip from turning.

13. The medical device of claim 11, wherein the engagement surface is on an exterior of a portion of the header block and the threaded surface of the grip is on an interior portion of the grip.

14. The medical device of claim 11, wherein the engagement surface is on an interior of a portion of the header block and the threaded surface of the grip is on an exterior portion of the grip.

15. The medical device of claim 10, further comprising a ferrule that is movable relative to the bore, the grip abutting the ferrule to move the ferrule when the grip is moved, the ferrule being in contact with the deformable structure.

16. The medical device of claim 10, wherein the grip contacts the deformable structure.

17. The medical device of claim 10, wherein the deformable structure is an O-ring.

18. The medical device of claim 16, wherein the deformable structure is a conical structure that engages a conical portion of the header block and that applies a force in a radial direction of the bore upon being compressed.

19. The medical device of claim 18, wherein the conical structure comprises slits.

20. The medical device of claim 10, wherein a housing of the header block is a polymer.

21. The medical device of claim 10, wherein a housing of the header block is a metal.

22. The medical device of claim 10, wherein the deformable structure contacts the lead body directly.

23. The medical device of claim 10, further comprising a metal ring on the lead and wherein the deformable structure contacts the metal ring.

24. The medical device of claim 10, wherein the header block has a second bore with a second engagement surface and a plurality of electrical connectors within the second bore;

a second grip mechanically engaged with the second engagement surface of the header block; and

a second deformable structure that is constrained by the header block, the deformable structure providing a compression force in a radial direction of the second bore when a force is applied from the second grip to the second deformable structure.

25. The medical device of claim 10, wherein the engagement surface comprises a slot that defines a path with a turn and wherein the grip provides a protrusion that engages the slot of the header block and moves within the slot to become locked in place.

26. A medical system, comprising:

a medical device having a stimulation circuit and a header block, the header block having a bore with an engagement surface and a plurality of electrical connectors within the bore that are electrically coupled to the stimulation circuit;

the medical device further comprising;

a grip mechanically engaged with the engagement surface of the header block; and

a deformable structure that is constrained within the bore of the header block, the deformable structure providing a compression force in a radial direction of the bore when a force is applied from the grip to the deformable structure; and

a medical lead having a lead body surrounding electrical conductors, the lead body having a proximal region that is positioned within the bore of the header block after the grip has mechanically engaged the engagement surface of the header block, the proximal region having a plurality of contacts that engage corresponding electrical connectors in the bore and engage the conductors within the lead body, the deformable structure being compressed into contact with a portion of the proximal region of the medical lead to fix the medical lead within the bore.

27. The medical system of claim 26, wherein the engagement surface is a threaded surface and wherein the grip provides a threaded surface that engages the threaded surface of the header block.

28. The medical system of claim 27, wherein the medical device further comprises a mating structure on the grip and a mating structure on the header block, wherein the mating structure on the grip engages the mating structure on the header block to prevent the grip from turning.

29. The medical system of claim 27, wherein the engagement surface is on an exterior of a portion of the header block and the threaded surface of the grip is on an interior portion of the grip.

30. The medical system of claim 27, wherein the engagement surface is on an interior of a portion of the header block and the threaded surface of the grip is on an exterior portion of the grip.

31. The medical system of claim 26, further comprising a ferrule that is movable relative to the bore, the grip abutting the ferrule to move the ferrule when the grip is moved, the ferrule being in contact with the deformable structure.

32. The medical system of claim 31, wherein the medical device includes a nose structure and wherein the ferrule comprises a collar that abuts the nose structure upon manipulation of the grip to prevent over compression of the deformable structure.

33. The medical system of claim 26, wherein the grip contacts the deformable structure.

34. The medical system of claim 26, wherein the deformable structure is an O-ring.

35. The medical system of claim 33, wherein the deformable structure is a conical structure that engages a conical portion of the header block and that applies a force in a radial direction of the bore upon being compressed.

36. The medical system of claim 35, wherein the conical structure comprises slits.

37. The medical system of claim 26, wherein a housing of the header block is a polymer.

38. The medical system of claim 26, wherein a housing of the header block is a metal.

39. The medical system of claim 26, wherein the deformable structure contacts the lead body directly.

40. The medical system of claim 26, further comprising a metal ring on the lead and wherein the deformable structure contacts the metal ring.

41. The medical system of claim 26, wherein the header block has a second bore with a second engagement surface and a plurality of electrical connectors within the second bore;

a second grip mechanically engaged with the second engagement surface of the header block; and

a second deformable structure that is constrained by the header block, the deformable structure providing a compression force in a radial direction of the second bore when a force is applied from the second grip to the second deformable structure.

42. The medical system of claim 26, wherein the header block includes an integral nose structure that provides the engagement surface.

43. The medical system of claim 26, wherein the deformable structure being compressed into contact with a portion of the proximal region of the medical lead creates a seal.

44. The medical system of claim 26, wherein the engagement surface comprises a slot that defines a path with a turn and wherein the grip provides a protrusion that engages the slot of the header block and moves within the slot to become locked in place.