INSERTION SYSTEM AND LEAD FOR TREATMENT OF A TARGET TISSUE REGION

• US 20100152747A1
• Filed: 06/03/2008
• Published: 06/17/2010
• Est. Priority Date: 06/04/2007
• Status: Abandoned Application

• Current Assignee: Sapiens Steering Brain Stimulation B.V. (Medtronic Plc)
• Original Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Inventors: Padiy, Alexander, Decre, Michel Marcel Jose
• Application Number:
  US12/600,489
• Publication Number:
  US 20100152747A1
• Time in Patent Office: Days
• US Class Current: 606/129
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation

Abstract

The present disclosure provides for systems and methods enabling the insertion of leads (as used e.g., in a framework of the brain treatment therapies) through a target anatomy for conforming with a target tissue region. An exemplary lead includes at least a partially curved portion for conforming with a geometry defined by the target tissue region. In an exemplary embodiment, the system relates to stimulating targets in the brain for improved post-operative steering of an applied electric field. The leads can be either pre-curved or put under transversal mechanical strain during insertion such that a certain curved curvature of the insertion trajectory is achieved. The system includes at least a first insertion tool removably engaged with respect to the lead for guiding and providing mechanical support to the lead during insertion.

Claims

1. A target tissue insertion system comprising:

(a) a lead adapted to access a target tissue region associated with a target anatomy;

(b) at least a first insertion tool removably engaged with the lead; and

(c) a second insertion tool surrounding the first insertion tool and removeably positioned internally with respect to the lead;

wherein the target tissue region defines a geometry and the lead defines a curved portion adapted to conform with the geometry of the target tissue region, the lead further being substantially tube shaped having an opening at a distal end and a closed portion at a proximal end, wherein the at least first insertion tool and second insertion tool are adapted to be positioned internally with respect to the lead, the lead still further being fabricated to be substantially soft and flexible having mechanical properties similar to properties of the target tissue region and adapted to curve so as to conform with the geometry of the target tissue region after being inserted into the target anatomy;

wherein the first and second insertion tool in combination is adapted to insert the lead into the target anatomy to engage with the target tissue region; and

wherein the first and second insertion tool combination is removable once the lead is positioned with respect to the target tissue region.

2. The system according to claim 1, wherein the insertion tool is adapted to provide guidance and mechanical support to the lead during insertion.

3. The system according to claim 1, wherein the lead accesses the target tissue region to perform a function selected from the group consisting of stimulating the target tissue region, recording activity associated with the target tissue region and delivering a drug and/or chemical to the target tissue region.

6. The system according to claim 1, wherein the target tissue region is at least a portion of a brain enclosed within a skull of a patient.

14. The system according to claim 1, wherein the lead defines a lead tip that moves along a path through the target anatomy during insertion and all parts of the lead follow the same path as the lead tip.

16. The system according to claim 1, wherein the at least first insertion tool is a guide wire.

18. The system according to claim 1, wherein the first insertion tool is a guide wire and the second insertion tool is a syringe.

19. The system according to claim 1, wherein the first insertion tool is a guide wire and the second insertion tool is a cannula.

20. The system according to claim 1, wherein a cross section of the first insertion tool defines a first geometry and a cross section of the second insertion tool surrounding the first insertion tool defines a second geometry and the first and second geometries are similar.

21. The system according to claim 1, wherein a cross section of the first insertion tool defines a first geometry and a cross section of the second insertion tool surrounding the first insertion tool defines a second geometry and the geometric relationship between the first and second geometries is a non-circularly symmetric relationship.

22. The system according to claim 21, wherein the second geometry is circular and the first geometry is selected from the group consisting of square, elliptical and triangular.

27. The system according to claim 1, wherein the at least first insertion tool includes a substantially straight portion at a distal end with respect to the target tissue region and a curved portion at a proximal end with respect to the target tissue region.

28. The system according to claim 27, wherein the lead includes a straight portion and a curved portion such that the curved portion is at a proximal end with respect to the target tissue region and the straight portion is at a distal end with respect to the target tissue region.

30. The system according to claim 28, wherein the second insertion tool is fabricated so as to be substantially inflexible defining a substantially straight trajectory.

31. The system according to claim 30, wherein the first insertion tool and the lead are straightened by the inflexible second insertion tool during insertion and then moving along a substantially curved trajectory path as the second insertion tool is being removed.

33. The system according to claim 1, wherein the at least first insertion tool is a guide wire and defines a substantially helical or cork-screw geometry.

35. The system according to claim 1, wherein the at least first insertion tool is a guide wire and includes a substantially straight portion at a distal end with respect to the target tissue region and a helical or corkscrew portion at a proximal end with respect to the target tissue region.

36. The system according to claim 1, wherein the lead includes a substantially straight portion at a distal end with respect to the target tissue region and a helical or corkscrew portion at a proximal end with respect to the target tissue region.

38. The system according to claim 1, wherein the at least first insertion tool further includes a plurality of wires running through the insertion tool in a substantially longitudinal direction for inducing transversal mechanical strain at least in a distal end of the first insertion tool during insertion.

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