Apparatus and system to stimulate a nerve

• US 20060271137A1
• Filed: 03/21/2006
• Published: 11/30/2006
• Est. Priority Date: 05/25/2005
• Status: Abandoned Application

• Current Assignee: Cleveland Clinic Foundation
• Original Assignee: Cleveland Clinic Foundation
• Inventors: Stanton-Hicks, Michael
• Application Number:
  US11/385,399
• Publication Number:
  US 20060271137A1
• Time in Patent Office: Days
• US Class Current: 607/118
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/0553 Paddle shaped electrodes, e.g. for laminotomy
• CPC Class Codes: A61N 1/0556 Cuff electrodes

Abstract

An electrode apparatus can includes an electrode body of a substantially flexible and non-conductive material, the electrode body having a generally cylindrical configuration with a diameter. At least a pair of electrodes along an inner surface of the electrode body are spaced axially apart from each other by a repeat distance that is functionally related to the diameter and that approximates a distance at which a given fascicle of a nerve, having the substantially the same diameter, periodically reconstitutes along an axial length of the nerve.

Claims

1. An electrode apparatus comprising:

an electrode body of a substantially flexible and non-conductive material, the electrode body having a generally cylindrical configuration with a diameter; and

at least a pair of electrodes along an inner surface of the electrode body, the pair of electrodes being spaced axially apart from each other by a repeat distance that is functionally related to the diameter and that approximates a distance at which a given fascicle of a nerve, having the substantially the same diameter, periodically reconstitutes along an axial length of the nerve.

2. The electrode apparatus of claim 1, wherein the repeat distance is defined as approximately

$1$

2 3

times an inner diameter of a cross section of the electrode body.

3. The electrode apparatus of claim 1, wherein the electrode body has a substantially C-shaped cross-section along the axial length thereof formed by an elongated sheet of the substantially flexible and non-conductive material that curves about a central longitudinal axis of the electrode body, side edges of the elongated sheet that extend axially between spaced apart ends of the sheet being spaced apart from each other to define a longitudinal opening.

4. The electrode apparatus of claim 1, wherein each of the electrodes has a circumferential dimension that is greater than an axial dimension thereof.

5. The electrode apparatus of claim 4, wherein the circumferential dimension of each electrode is greater than about 1.5 times the axial dimension.

6. The electrode apparatus of claim 1, wherein a plurality of electrodes are disposed in at least two axially extending rows of electrodes, the electrodes in one of the at least two rows being axially offset relative to the axial position of the electrodes in another of the at least two rows.

7. The electrode apparatus of claim 6, wherein at least one pair of electrodes in each of the at least two rows are spaced axially apart from each other by the repeat distance.

8. The electrode apparatus of claim 6, wherein the electrodes in each of the plurality of rows are spaced apart from adjacent electrodes in each respective row by a first axial distance, the axial offset being approximately one-half the first axial distance.

9. The electrode apparatus of claim 1, further comprising a substantially resilient lead assembly extending outwardly from a substantially central location of the electrode body at an angle that is transverse relative to the exterior sidewall of the electrode body.

12. The electrode apparatus of claim 9, further comprising a signal generator that is electrically coupled to provide at least one electrical signal to the at least a pair of electrodes through a set of at least one lead wire that is attached to the electrode body by the lead assembly.

10. The electrode apparatus of claim 10, wherein the angle is in a range from about five degrees to about 90 degrees relative to the exterior sidewall of the electrode body.

11. The electrode apparatus of claim 10, wherein the lead assembly extends axially from the electrode body toward one of axially spaced apart ends of the electrode body at an angle that is about 45 degrees relative to the exterior sidewall of the electrode body.

13. A stimulation system comprising:

an electrode body of a substantially flexible and non-conductive material, the electrode body having a generally cylindrical configuration with a diameter; and

a plurality of electrodes along an inner surface of the electrode body, at least one pair of the electrodes being spaced axially apart from each other by a repeat distance that is functionally related to the diameter of the electrode body and that approximates a distance at which a given fascicle of a nerve, having the substantially the same diameter, periodically reconstitutes along an axial length of the nerve;

a substantially resilient lead assembly extending outwardly from a substantially central location of the electrode body at an angle that is transverse relative to the exterior sidewall of the electrode body; and

a signal generator that is electrically coupled to provide an electrical signal to the electrodes through lead wires that are attached to the electrode body by the lead assembly.

14. The system of claim 13, wherein the electrode body has a substantially C-shaped cross-section along the axial length thereof formed by an elongated sheet of the substantially flexible and non-conductive material that curves about a central longitudinal axis of the electrode body, side edges of the elongated sheet that extend axially between spaced apart ends of the sheet being spaced apart from each other to define a longitudinal opening.

15. The system of claim 13, wherein each of the electrodes has a circumferential dimension that is greater than an axial dimension thereof.

16. The system of claim 13, wherein the plurality of electrodes are disposed axially in at least two rows of electrodes, the electrodes in one of the at least two rows being axially offset relative to the axial position of the electrodes in another of the at least two rows.

17. The system of claim 13, wherein the lead assembly extends longitudinally, axially toward one of the ends of the electrode body at an angle that is in a range from about five degrees to about 90 degrees relative to the exterior sidewall of the electrode body.

18. An electrode apparatus comprising:

an electrode body of a substantially non-conductive material, the electrode body having a longitudinal sidewall that extends axially between spaced apart ends of the electrode body, the sidewall having an exterior sidewall portion and having an interior sidewall portion that defines a lumen dimensioned and configured for engaging a nerve; and

a plurality of electrodes along the interior sidewall; and

a lead assembly that extends longitudinally from a central portion of the exterior sidewall axially toward one of the ends of the electrode body to resiliently maintain a set of at least one lead wire substantially at a predetermined angle relative to the exterior sidewall portion of the electrode body.

19. The apparatus of claim 18, wherein at least one pair of the plurality of electrodes is spaced axially apart from each other along the interior sidewall portion by a repeat distance that is functionally related to the diameter of the interior sidewall portion and that approximates a distance at which a given fascicle of a nerve, having the substantially the same diameter as the electrode body, periodically reconstitutes along an axial length of the nerve.

20. The apparatus of claim 19, wherein the plurality of electrodes are disposed axially in at least two axially arranged rows of electrodes, at least one pair of electrodes in each of the at least two rows being spaced axially apart from each other by the repeat distance.

21. The apparatus of claim 18, wherein the plurality of electrodes are disposed axially in at least two axially arranged rows of electrodes, the electrodes in one of the at least two rows being axially offset relative to the axial position of the electrodes in another of the at least two rows.

22. The apparatus of claim 18, wherein the lead assembly extends axially toward one of the ends of the electrode body at an angle that is in a range from about five degrees to about 90 degrees relative to the exterior sidewall portion of the electrode body.

23. The apparatus of claim 18, wherein the lead assembly extends axially toward one of the ends of the electrode body at an angle is about 45 degrees relative to the exterior sidewall portion of the electrode body.

24. The apparatus of claim 18, further comprising a signal generator that is electrically coupled to provide an electrical signal to the electrodes through a set of at least one lead wire that is connected to the electrode body by the lead assembly.