NERVE CUFF WITH POCKET FOR LEADLESS STIMULATOR

• US 20170304613A1
• Filed: 07/10/2017
• Published: 10/26/2017
• Est. Priority Date: 06/09/2009
• Status: Active Grant

• Current Assignee: Setpoint Medical Corporation
• Original Assignee: Gerald E. Loeb, Mike A Faltys, Roy C. Martin, Steven E. Scott
• Inventors: FALTYS, Michael A., MARTIN, Roy C., SCOTT, Steven E., LOEB, Gerald E.
• Granted Patent: US 10,220,203 B2
• Time in Patent Office: Days
• CPC Class Codes: A61N 1/0556 Cuff electrodes
• CPC Class Codes: A61N 1/0558 Anchoring or fixation means therefor
• CPC Class Codes: A61N 1/36114 Cardiac control, e.g. by vagal stimulation stimulating the heart A61N1/362
• CPC Class Codes: A61N 1/37205 Microstimulators, e.g. implantable through a cannula
• CPC Class Codes: A61N 1/375 Constructional arrangements, e.g. casings
• CPC Class Codes: A61N 1/37518 Anchoring of the implants, e.g. fixation
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators

Abstract

An extravascular nerve cuff that is configured to hold a leadless, integral, implantable microstimulator. The nerve cuff may include a cuff body having a pocket or pouch for removably receiving the implantable device within. The nerve cuff can be secured around the nerve such that the electrodes of the device are stably positioned relative to the nerve. Furthermore, the nerve cuff drives the majority of the current from the stimulation device into the nerve, while shielding surrounding tissues from unwanted stimulation.

Claims

1. A system for stimulating a nerve in a patient'"'"'s body, the system comprising:

a leadless microstimulator; and

a nerve cuff for enclosing the leadless microstimulator in stable communication with the nerve, the nerve cuff comprising;

a cuff body having a first end, a second end, and a nerve channel extending within the length of the cuff body from the first end to the second end for passage of the nerve;

a pocket within the cuff body, the pocket configured to removably hold the leadless microstimulator; and

an elongate slit extending along the cuff body configured to be opened to provide access to the pocket and the nerve channel, and configured to be closed around the pocket and nerve channel, enclosing the cuff body around the nerve.

2. The system of claim 1, wherein the nerve cuff comprises a pair of electrical contacts on the outer surface of the cuff body that are configured to be in electrical communication with the microstimulator when the microstimulator is disposed within the pocket of the cuff body.

3. The system of claim 2, wherein the pair of electrical contacts are sensing electrodes.

4. The system of claim 2, wherein the pair of electrical contacts are stimulation electrodes.

5. The system of claim 1, wherein the cuff body is made of an electrically insulating material configured to reduce leakage current from escaping from within the cuff body when the microstimulator delivers electrical stimulation to the nerve.

6. The system of claim 1, wherein the nerve cuff comprises one or more conductive surfaces within the nerve channel configured to engage one or more electrical contacts on the microstimulator.

7. The system of claim 1, wherein the cuff body is formed of a flexible and biocompatible polymer.

8. The system of claim 1, wherein the flexible and biocompatible polymer is a silicone based polymer.

9. The system of claim 1, wherein the nerve is the vagus nerve.

10. A system for stimulating a nerve in a patient'"'"'s body, the system comprising:

a leadless microstimulator; and

a nerve cuff for enclosing the leadless microstimulator in stable communication with the nerve, the nerve cuff comprising;

a cuff body having a first end, a second end, and a nerve channel extending within the length of the cuff body from the first end to the second end for passage of the nerve;

a pocket within the cuff body configured to hold the leadless microstimulator; and

an elongate slit extending along the cuff body configured to be opened to provide access to the nerve channel, and configured to be closed around the nerve channel, enclosing the cuff body around the nerve.

11. The system of claim 10, wherein the nerve cuff comprises a pair of electrical contacts on the outer surface of the cuff body that are configured to be in electrical communication with the microstimulator when the microstimulator is disposed within the pocket of the cuff body.

12. The system of claim 11, wherein the pair of electrical contacts are sensing electrodes.

13. The system of claim 11, wherein the pair of electrical contacts are stimulation electrodes.

14. The system of claim 10, wherein the cuff body is made of an electrically insulating material configured to reduce leakage current from escaping from within the cuff body when the microstimulator delivers electrical stimulation to the nerve.

15. The system of claim 10, wherein the nerve cuff comprises one or more conductive surfaces within the nerve channel configured to engage one or more electrical contacts on the microstimulator.

16. The system of claim 10, wherein the cuff body is formed of a flexible and biocompatible polymer.

17. The system of claim 10, wherein the flexible and biocompatible polymer is a silicone based polymer.

18. The system of claim 10, wherein the nerve is the vagus nerve.