SYSTEMS AND METHODS FOR MAKING AND USING IMPROVED OPERATING-ROOM CABLES FOR ELECTRICAL STIMULATION SYSTEMS

• US 20150025609A1
• Filed: 07/14/2014
• Published: 01/22/2015
• Est. Priority Date: 07/18/2013
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Govea, Michael X.
• Granted Patent: US 9,662,506 B2
• Time in Patent Office: Days
• US Class Current: 607/116
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/3752 Details of casing-lead connections

Abstract

An operating-room-cable assembly includes a lead connector with a lead-connector housing for receiving a lead. The lead-connector housing includes a first housing element and a second housing element that slide relative to one another to transition the lead-connector housing between an open position and a closed position. A connector port is defined in the lead-connector housing and includes a first surface formed by the first housing element and a second surface formed by the second housing element. A lead retainer is disposed along the second surface and receives the lead when the lead-connector housing is in the open position. Connector contacts are disposed along the first surface. The connector contacts couple to terminals disposed along the lead when the lead is received by the lead retainer and the lead-connector housing is in the closed position. Operating-room-cable conductors are coupled to the connector contacts and extend along the elongated body.

Claims

1. An operating-room-cable assembly for electrically coupling at least one implantable electrical stimulation lead to a trial stimulator, the operating-room-cable assembly comprising:

an elongated body having a first end portion and an opposing second end portion;

a trial-stimulator connector disposed along the second end portion of the elongated body; and

a lead connector disposed along the first end portion of the elongated body and electrically coupled to the trial-stimulator connector, the lead connector configured and arranged to mechanically receive a proximal end portion of a first electrical stimulation lead, the lead connector comprising

a lead-connector housing having an interior and a longitudinal length, the lead-connector housing comprising a first housing element and a second housing element that are slidably coupleable to one another along the longitudinal length of the lead-connector housing to transition the lead-connector housing between an open position and a closed position,

a first connector port defined along the interior of the lead-connector housing and extending along the longitudinal length of the lead-connector housing, the first connector port comprising a first longitudinal surface formed by the first housing element and a second longitudinal surface formed by the second housing element,

a first lead retainer disposed along the second longitudinal surface of the first connector port and open to the first connector port, the first lead retainer configured and arranged to receive the proximal end portion of the first electrical stimulation lead when the lead-connector housing is in the open position, and

a first plurality of connector contacts disposed along the first longitudinal surface of the first connector port and open to the first connector port, the first plurality of connector contacts configured and arranged to couple to the plurality of terminals disposed along the proximal end portion of the first electrical stimulation lead when the proximal end portion of the first electrical stimulation lead is received by the first lead retainer and the lead-connector housing is in the closed position; and

a plurality of operating-room-cable conductors coupled to the first plurality of connector contacts and extending along the elongated body.

2. The operating-room-cable assembly of claim 1, wherein the first plurality of connector contacts comprises a plurality of spring contact probes.

3. The operating-room-cable assembly of claim 1, wherein the lead connector further comprises a first elongated support member disposed along the first housing element, and wherein the first plurality of connector contacts are coupled to the first elongated support member.

4. The operating-room-cable assembly of claim 3, wherein the first elongated support member extends along the longitudinal length of the lead-connector housing.

5. The operating-room-cable assembly of claim 1, wherein the first housing element comprises at least one first rail that extends along the longitudinal length of the lead-connector housing and the second housing element comprises at least one second rail that extends along the longitudinal length of the lead-connector housing, and wherein the first rail interlocks with the second rail.

6. The operating-room-cable assembly of claim 5, wherein the first rail is configured and arranged to slide relative the second rail when the lead-connector housing transitions between an open position and a closed position.

7. The operating-room-cable assembly of claim 1, wherein the elongated body is coupled to the lead connector along the first housing element of the lead-connector housing.

8. The operating-room-cable assembly of claim 1, wherein the lead connector further comprises a locking assembly partially disposed on the first housing element and partially disposed on the second housing element, the locking assembly configured and arranged to removably lock the lead-connector housing when the lead-connector housing in the open position.

9. The operating-room-cable assembly of claim 1, wherein the lead connector further comprises a locking assembly partially disposed on the first housing element and partially disposed on the second housing element, the locking assembly configured and arranged to removably lock the lead-connector housing when the lead-connector housing in the closed position.

10. The operating-room-cable assembly of claim 1, wherein the lead-connector housing further defines a second connector port along the interior of the lead-connector housing, the second connector port extending along the longitudinal length of the lead-connector housing.

11. The operating-room-cable assembly of claim 10, wherein the second connector port comprises a first longitudinal surface formed by the first housing element and a second longitudinal surface formed by the second housing element.

12. The operating-room-cable assembly of claim 11, wherein the lead-connector housing further comprises a second lead retainer that is disposed along the second longitudinal surface of the second connector port and that is open to the second connector port, the second lead retainer configured and arranged to receive a proximal end portion of a second electrical stimulation lead when the connector housing is in the open position.

13. The operating-room-cable assembly of claim 12, wherein and the first lead retainer is configured and arranged to receive the proximal end portion of the first electrical stimulation lead and the second lead retainer is configured and arranged to receive the proximal end portion of the second electrical stimulation lead simultaneously with one another.

14. The operating-room-cable assembly of claim 12, wherein the lead-connector housing further comprises a second plurality of connector contacts that are disposed along the first longitudinal surface of the second connector port and that are open to the second connector port, the second plurality of connector contacts configured and arranged to couple to the plurality of terminals disposed along the proximal end portion of the second electrical stimulation lead when the proximal end portion of the second electrical stimulation lead is received by the second lead retainer and the lead-connector housing is in the closed position.

15. The operating-room-cable assembly of claim 14, wherein the lead connector further comprises a second elongated support member disposed along the first housing element, and wherein the second plurality of connector contacts are coupled to the second elongated support member.

16. The operating-room-cable assembly of claim 15, wherein the second elongated support member extends along the longitudinal length of the lead-connector housing.

17. An insertion kit comprising:

the operating-room-cable assembly of claim 1; and

a first electrical stimulation lead having a distal end portion and a proximal end portion, the first lead comprising

a plurality of electrodes disposed along the distal end portion of the first electrical stimulation lead,

a plurality of terminals disposed along the proximal end portion of the first electrical stimulation lead, and

a plurality of conductors, each conductor electrically coupling at least one of the plurality of electrodes to at least one of the plurality of terminals,

wherein the proximal end portion of the first electrical stimulation lead is insertable into the lead-connector housing of the operating-room-cable assembly.

18. The insertion kit of claim 17, further comprising a second electrical stimulation lead configured and arranged for inserting into the lead-connector housing of the operating-room-cable assembly simultaneously with the first electrical stimulation lead.

19. A trial stimulation arrangement for an electrical stimulation system, the trial stimulation arrangement comprising:

the insertion kit of claim 17; and

a trial stimulator configured and arranged to generate electrical stimulation signals, the trial stimulator disposed external to a patient and coupleable to the trial-stimulator connector of the operating-room-cable assembly of the insertion kit.

20. A method for performing a trial stimulation on a patient, the method comprising:

providing the operating-room-cable assembly of claim 1;

advancing a distal end portion of a first electrical stimulation lead into the patient with a proximal end portion of the first electrical stimulation lead extending outward from the patient, wherein the distal end portion of the first electrical stimulation lead is advanced to a position where a plurality of electrodes disposed along the distal end portion of the first electrical stimulation lead are in proximity to a target stimulation location;

placing the proximal end portion of the first electrical stimulation lead onto the first lead retainer of the lead-connector housing of the operating-room-cable assembly while the connector housing is in an open position;

sliding the first housing element of the lead-connector housing relative to the second housing element of the lead-connector housing to transition the lead-connector housing to a closed position and to electrically couple a plurality of terminals that are disposed along the proximal end portion of the first electrical stimulation lead and that are electrically coupled to the plurality of electrodes to the first plurality of connector contacts disposed in the connector housing; and

electrically coupling the trial-stimulator connector of the operating-room-cable assembly to a trial stimulator.