Electrode cuffs

• US 20100010603A1
• Filed: 07/09/2008
• Published: 01/14/2010
• Est. Priority Date: 07/09/2008
• Status: Abandoned Application

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Cohen, Ehud, Ben-David, Tamir, Ayal, Shai
• Application Number:
  US12/217,930
• Publication Number:
  US 20100010603A1
• Time in Patent Office: Days
• US Class Current: 607/118
• CPC Class Codes: A61N 1/0556 Cuff electrodes
• CPC Class Codes: A61N 1/36114 Cardiac control, e.g. by vagal stimulation stimulating the heart A61N1/362

Abstract

Apparatus is provided for application to a nerve of a subject, including a housing, which is configured to be placed at least partially around the nerve so as to define an inner surface of the housing that faces the nerve. A plurality of insulating elements are coupled to the inner surface of the housing at respective insulating element longitudinal positions along the housing, such that the inner surface of the housing and pairs of the insulating elements define one or more respective cavities at respective cavity longitudinal positions along the housing. One or more electrodes are fixed to the housing in fewer than all of the cavities. Other embodiments are also described.

Claims

1. Apparatus for application to a nerve of a subject, comprising:

a housing, configured to be placed at least partially around the nerve so as to define an inner surface of the housing that faces the nerve;

a plurality of insulating elements coupled to the inner surface of the housing at respective insulating element longitudinal positions along the housing, such that the inner surface of the housing and pairs of the insulating elements define one or more respective cavities at respective cavity longitudinal positions along the housing; and

one or more electrodes, fixed to the housing in fewer than all of the cavities.

2. The apparatus according to claim 1, wherein the insulating elements are shaped so as to define respective contact surfaces, and wherein the housing and the insulating elements are configured such that the contact surfaces are positioned less than 0.5 mm from a surface of the nerve when the housing is placed at least partially around the nerve.

3. The apparatus according to claim 1, wherein the insulating elements are shaped so as to define respective contact surfaces, and wherein the housing and the insulating elements are configured such that the contact surfaces at least partially come in physical contact with the nerve when the housing is placed at least partially around the nerve.

4. The apparatus according to claim 1, wherein a length that at least one of the insulating elements protrudes from the housing toward the nerve when the housing is placed at least partially around the nerve is at least 0.5 mm.

5. The apparatus according to claim 1, wherein the electrodes are fixed to the housing in a number of the cavities, wherein a difference between the number of the cavities and a total number of the cavities is an integer between 1 and 3, inclusive, such that between 1 and 3 of the cavities do not have any of the electrodes fixed therein.

6. The apparatus according to claim 1,

wherein the housing has a length of between 10 mm and 14 mm, an outer radius of between 4 mm and 8 mm, an inner radius of between 3 mm and 6 mm,

wherein the insulating elements have an outer radius of between 3 mm and 6 mm, and an inner radius of between 2 mm and 3.5 mm, and

wherein the plurality of insulating elements comprises exactly seven insulating elements, respective edges of which are positioned within the cuff at the following respective distances from one end of the cuff:

0.0 mm, between 1.3 and 1.7 mm, between 2.7 and 3.3 mm, between 5.1 and 6.3 mm, between 7.1 and 8.7 mm, between 8.5 and 10.3 mm, and between 10.2 and 12.4 mm, and the insulating elements having the following respective widths;

between 0.7 and 0.9 mm, between 0.7 and 0.9 mm, between 1.4 and 1.8 mm, between 0.7 and 0.9 mm, between 0.7 and 0.9 mm, between 1.1 and 1.3 mm, and between 0.7 and 0.9 mm.

7. The apparatus according to claim 1, wherein at least two of the electrodes are fixed to the housing in one of the cavities.

8. The apparatus according to claim 1, wherein the electrodes comprise ring electrodes.

9. The apparatus according to claim 1, wherein the electrodes are fixed to the housing in none of the cavities.

10. The apparatus according to claim 1, wherein the one or more cavities include at least three cavities, and wherein the electrodes are fixed to the housing in at least two of the cavities.

11. The apparatus according to claim 10, wherein the one or more cavities include at least four cavities, and wherein the electrodes are fixed to the housing in at least three of the cavities.

12. The apparatus according to claim 1, further comprising a control unit, coupled to the electrodes, and configured to drive at least a portion of the electrodes to apply a current to the nerve.

13. The apparatus according to claim 12, wherein the plurality of electrodes comprises at least one cathode electrode, at least one anode electrode, and two or more passive electrodes, and wherein the apparatus further comprises a conducting element, which electrically couples the passive electrodes to one another.

14. The apparatus according to claim 13,

wherein the plurality of insulating elements includes at least seven insulating elements, which are arranged along the housing such that the inner surface of the housing and the pairs of insulating elements define first, second, third, fourth, fifth, and sixth cavities, the first cavity closest to an end of the housing, the second adjacent to the first, the third adjacent to the second, the fourth adjacent to the third, the fifth adjacent to the fourth, and the sixth adjacent to the fifth,

wherein the at least one cathode electrode comprises at least one first cathode electrode and at least one second cathode electrode,

wherein at least a first one of the passive electrodes is fixed to the housing in the first cavity,

wherein the at least one anode electrode is fixed to the housing in the second cavity,

wherein the at least one first cathode electrode is fixed to the housing in the third cavity,

wherein no electrodes are fixed to the housing in the fourth cavity,

wherein the at least one second cathode electrode is fixed to the housing in the fifth cavity, and

wherein at least a second one of the passive electrodes is fixed to the housing in the sixth cavity.

15. Apparatus for application to a nerve, comprising:

a cuff shaped so as to define along a longitudinal axis thereof one or more cavities open to the nerve when the cuff is placed at least partially around the nerve; and

one or more electrodes, fixed to the cuff in fewer than all of the cavities.

16. The apparatus according to claim 15, wherein the cuff is shaped so as to define a plurality of elements, respective pairs of which define the cavities, wherein the elements are shaped so as to define respective contact surfaces, and wherein the cuff is configured such that the contact surfaces are positioned less than 0.5 mm from a surface of the nerve when the cuff is placed at least partially around the nerve.

17. The apparatus according to claim 15, wherein the electrodes are fixed to the cuff in a number of the cavities, wherein a difference between the number and a total number of the cavities is an integer between 1 and 3, inclusive, such that between 1 and 3 of the cavities do not have any of the electrodes fixed therein.

18. The apparatus according to claim 15, wherein the electrodes comprise ring electrodes.

19. The apparatus according to claim 15, wherein at least two of the electrodes are fixed to the cuff in one of the cavities.

20. The apparatus according to claim 15, wherein the electrodes are fixed to the cuff in none of the cavities.

21. The apparatus according to claim 15, wherein the one or more cavities include at least three cavities, and wherein the electrodes are fixed to the cuff in at least two of the cavities.

22. The apparatus according to claim 21, wherein the one or more cavities include at least four cavities, and wherein the electrodes are fixed to the cuff in at least three of the cavities.

23. The apparatus according to claim 15, further comprising a control unit, coupled to the electrodes, and configured to drive at least a portion of the electrodes to apply a current to the nerve.

24. The apparatus according to claim 23, wherein the plurality of electrodes comprises at least one cathode electrode, at least one anode electrode, and two or more passive electrodes, and wherein the apparatus further comprises a conducting element, which electrically couples the passive electrodes to one another.

25. A method comprising:

placing, at least partially around a nerve, a cuff shaped so to define along a longitudinal axis thereof one or more cavities open to the nerve, the cuff including one or more electrodes fixed to the cuff in few than all of the cavities; and

applying a current to the nerve using at least a portion of the electrodes.