Nerve cuff

• US 10,286,206 B2
• Filed: 01/13/2015
• Issued: 05/14/2019
• Est. Priority Date: 09/01/2011
• Status: Active Grant

• Current Assignee: Inspire Medical Systems, Inc.
• Original Assignee: Inspire Medical Systems, Inc.
• Inventors: Johnson, Blake D., Christopherson, Mark, Rondoni, John, Ni, Quan
• Primary Examiner(s): Tejani, Ankit D
• Application Number:
  US14/595,771
• Publication Number:
  US 20150273210A1
• Time in Patent Office: 1,582 Days
• Field of Search: None
• CPC Class Codes: A61N 1/0556 Cuff electrodes
• CPC Class Codes: A61N 1/0558 Anchoring or fixation means therefor
• CPC Class Codes: A61N 1/3611 Respiration control stimulating respiratory organs A61N1/3601
• CPC Class Codes: A61N 1/36135 using physiological parameters
• CPC Class Codes: A61N 1/37217 characterised by the communication link, e.g. acoustic or tactile

Abstract

An electrode cuff includes a first elongate portion and a second elongate portion. The first elongate portion is configured to removably contact a length of a nerve while the second elongate portion extends outwardly at an angle relative to a first side edge of the first elongate portion to at least partially wrap about the nerve. The electrode cuff includes a first series of electrodes that is spaced apart longitudinally along the first elongate portion. A width of the second elongate portion is sized to fit between adjacent branches extending from a nerve.

Claims

1. An electrode system comprising:

an implantable cuff body at least partially self-wrappable about a nerve;

a plurality of rows of selectively activatable electrodes supported by the cuff body and including a first row and a second row, wherein at least some of the selectively activatable electrodes of the first row extend generally perpendicular to at least some of the selectively activatable electrodes of the second row; and

an anchor spaced longitudinally from all of the respective electrodes, with the anchor extending longitudinally from, and spaced apart from, the cuff body to secure the cuff body relative to a body structure, wherein the anchor comprises a coiled portion configured to secure the anchor relative to the body structure, and wherein the anchor is associated with a freestanding cuff module, including the cuff body.

2. The electrode system of claim 1, wherein the at least some selectively activatable electrodes of the first row are spaced apart and configured to extend along a length of the nerve, and wherein the at least some selectively activatable electrodes of the second row are spaced apart and configured to extend circumferentially about the nerve.

3. The electrode system of claim 2, wherein the second row of selectively activatable electrodes bifurcates the first row of selectively activatable electrodes and one of the selectively activatable electrodes of the second row defines one of the selectively activatable electrodes of the first row of selectively activatable electrodes.

4. The electrode system of claim 2, wherein the second row of selectively activatable electrodes is located at an end of the first row of selectively activatable electrodes and one of the selectively activatable electrodes of the second row defines one of the first row of selectively activatable electrodes.

5. The electrode system of claim 2, wherein the at least some selectively activatable electrodes of the second row are equidistant from each other while extending circumferentially about the nerve.

6. The electrode system of claim 5, wherein the at least some selectively activatable electrodes of the second row are arranged to encircle the nerve.

7. The electrode system of claim 1, comprising:

a controller to send control signals to at least some of the selectively activatable electrodes.

8. The electrode system of claim 7, wherein the controller is an external controller located external to a patient'"'"'s body.

9. The electrode system of claim 8, comprising:

a non-wearable patient support associated with the external controller and to removably place the external controller in close proximity to the patient.

10. The electrode system of claim 9, wherein the non-wearable patient support is associated with at least one of pillow and a bed.

11. The electrode system of claim 1, comprising:

a wireless communication portion, associated with at least one of the cuff body and the selectively activatable electrodes of the respective first and second rows, to receive the control signals from an external controller to selectively activate at least some of the selectively activatable electrodes of at least one of the respective first and second rows of selectively activatable electrodes.

12. The electrode system of claim 1, wherein the wireless communication portion includes an antenna and circuitry.

13. The electrode system of claim 1, wherein the cuff body includes:

a first elongate portion configured with a length to removably contact, and be aligned generally parallel to, a length of a nerve, wherein the selectively activatable electrodes of the first row are disposed on and spaced apart longitudinally along the length of the first elongate portion.

14. The electrode system of claim 13, wherein the cuff body includes:

a second elongate portion to extend outwardly from, and perpendicular relative to, the first elongate portion, wherein the second elongate portion is biased to, and has a length sufficient to, releasably encircle the nerve.

15. The electrode system of claim 1, comprising:

a sensing portion to sense physiologic information regarding a patient, wherein the sensing portion is separate from, and independent of, at least the selectively activatable electrodes.

16. The electrode system of claim 15, wherein stimulation of the nerve via the selectively activatable electrodes is triggered independent of the sensed physiologic information.

17. The electrode system of claim 15, wherein stimulation of the nerve via the selectively activatable electrodes is triggered based on the sensed physiologic information.

18. The electrode system of claim 15, wherein the sensed physiologic information includes cardiac-related information.