DIRECTIONAL LEAD ASSEMBLY

• US 20090204193A1
• Filed: 02/12/2008
• Published: 08/13/2009
• Est. Priority Date: 02/12/2008
• Status: Active Grant

• Current Assignee: IntElect Medical, Inc. (Boston Scientific Corporation)
• Original Assignee: IntElect Medical, Inc. (Boston Scientific Corporation)
• Inventors: Swoyer, John, Kokones, Scott, Geroy, Jesse
• Granted Patent: US 8,019,440 B2
• Time in Patent Office: Days
• US Class Current: 607/116
• CPC Class Codes: A61N 1/0529 Electrodes for brain stimulation
• CPC Class Codes: A61N 1/0531 Brain cortex electrodes
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/0539 Anchoring of brain electrode systems, e.g. within burr hole
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes

Abstract

Leads having directional electrodes thereon. Also provided are leads having directional electrodes as well as anchoring prongs to secure the electrodes to the leads. Also provided are leads with directional electrodes where all the electrodes have the same surface area. Methods of treating conditions and selectively stimulating regions of the brain such as the thalamus and cerebellum are also provided.

Claims

1. An electrical lead comprising:

a cylindrical lead body having an outer surface, a proximal end, a distal end and a longitudinal axis extending therethrough;

a plurality of directional electrodes disposed on the distal end of the outer surface of the cylindrical lead body; and

at least one anchoring prong attached to or otherwise integral with each directional electrode of the plurality of directional electrodes to anchor the directional electrode to the cylindrical lead body.

2. The electrical lead of claim 1, wherein the electrical lead has any one of or any combination of the following characteristics:

the cylindrical lead body having a diameter of about 0.70 millimeters (mm) to about 1.5 mm;

the plurality of directional electrodes being four to twelve electrodes;

each one of the plurality of directional electrodes spanning about 90°

to 150°

circumferentially around the cylindrical lead body;

each one of the plurality of directional electrodes being radially spaced apart from an adjacent one of the plurality of directional electrodes by 30°

to 180°

;

each one of the plurality of directional electrodes being axially spaced apart from an adjacent one of the plurality of directional electrodes by 0.2 mm to 2.00 mm;

each one of the plurality of directional electrodes having a surface area of between about 1 mm² to 7 mm²; and

each one of the plurality of directional electrodes having a length of about 0.75 mm to 3.0 mm.

3. The electrical lead of claim 1, further comprising at least one cylindrical band electrode.

4. The electrical lead of claim 1, wherein the plurality of electrodes are disposed around the outer surface to form a spiral along the length of the cylindrical lead body.

5. The electrical lead of claim 1, wherein the plurality of electrodes include a first pair of electrodes and a second pair of electrodes, wherein the first pair comprises a first electrode being disposed about 180°

relative to a second electrode, and the second pair includes a third electrode being disposed about 180°

relative to a fourth electrode.

6. The electrical lead of claim 5, wherein the first electrode is longitudinally disposed directly opposite the second electrode.

7. The electrical lead of claim 5, wherein the first electrode is longitudinally disposed directly opposite a space between the second electrode and the fourth electrode.

8. The electrical lead of claim 5, wherein the first pair of electrodes is rotated 10°

to 90°

relative to the second pair of electrodes.

9. The electrical lead of claim 5, further comprising a third pair of electrodes comprising a fifth electrode and a sixth electrode, and the third pair is rotated 10°

to 90°

relative to the second pair of electrodes.

10. The electrical lead of claim 5, further comprising at least one cylindrical band electrode disposed longitudinally between the first pair of electrodes and the second pair of electrodes.

11. The electrical lead of claim 1, wherein the plurality of electrodes are located on a first side and a second side of the cylindrical lead body, and the electrodes on the first side have a length L₁ that is greater than the length L₂ of the electrodes on the second side.

12. The electrical lead of claim 1, further comprising at least one distalmost electrode covering a distal end of the cylindrical lead body.

13. The electrical lead of claim 1, wherein each directional electrode spans about 120°

circumferentially around the cylindrical lead body.

14. The electrical lead of claim 3, wherein at least one cylindrical band electrode is proximal to the plurality of directional electrodes.

15. The electrical lead of claim 1, wherein the plurality of electrodes are all disposed within a 180°

cylindrical span of the body.

16. The electrical lead of claim 1, wherein the at least one anchoring prong is on a first length side of the directional electrode.

17. The electrical lead of claim 1, wherein the at least one anchoring prong is located at a proximal end or a distal end of the first length side.

18. The electrical lead of claim 1, wherein the at least one anchoring prong comprises a first prong located at a proximal end of the first length side and a second prong located at a distal end of the first length side.

19. The electrical lead of claim 1, wherein the at least one anchoring prong comprises a first prong located at a proximal or distal end of the first length side and a second prong located at a central portion of a second length side.

20. The electrical lead of claim 1, wherein the at least one anchoring prong comprises a first prong at a proximal end of the first length side, a second prong at a distal end of the first length side, a third prong at a central portion of a second length side, and a fourth prong at the central portion of a second length side.

21. The electrical lead of claim 1, wherein the at least one anchoring prong is located at a central portion of the first length side.

22. The electrical lead of claim 1, wherein the at least one anchoring prong comprises a first prong at a proximal end of the first length side, a second prong at a distal end of the first length side, and a third prong at a central portion of a second length side.

23. A method of selectively stimulating a region of the brain comprising:

providing the electrical lead of claim 1;

positioning the electrical lead of claim 1 adjacent to a region of the brain; and

selectively activating the electrical lead of claim 1 to stimulate the region of the brain.

24. The method of claim 23, wherein the region of the brain is a region of the thalamus.

25. The method of claim 23, wherein the region of the brain is a region of the cerebellum.

26. An electrical lead comprising:

a cylindrical lead body having an outer surface, a proximal end, a distal end and a longitudinal axis extending therethrough; and

a plurality of directional electrodes disposed on the distal end of the outer surface of the cylindrical lead body, wherein each one of the plurality of directional electrodes has the same surface area.