Method and apparatus for interfacing to nerves

• US 4,026,300 A
• Filed: 03/14/1975
• Issued: 05/31/1977
• Est. Priority Date: 03/14/1975
• Status: Expired due to Term

• Current Assignee: Liberty Mutual Agency Corporation (Liberty Mutual Holding Company)
• Original Assignee: Liberty Mutual Agency Corporation (Liberty Mutual Holding Company)
• Inventors: Gilmore, L. Donald, DeLuca, Carlo J.
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US05/558,472
• Time in Patent Office: 809 Days
• Field of Search: 128/1 R, 128/2.06 E, 128/2.1 A, 128/2.1 E, 128/2.1 M, 128/404, 128/418, 128/419 C, 128/419 P, 128/DIG. 4, 3/1.1
• US Class Current: 607/118
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/372 Arrangements in connection with the implantation of stimulators

Abstract

A device and a method for anatomic implantation to provide electrical interface to nerves. Included in the device are a pair of electrical leads secured to a coupling formed from a piece of woven sheet material, and having ends connected to spaced apart input terminals disposed adjacent to an inner surface of the coupling. Connected to the opposite ends of the leads are output terminals for interfacing to electrical recording or measuring instruments. During implantation, a subject nerve is embraced by the inner surface of the sheet material which is shaped for juxtaposition the outer surface of the nerve at a minimum spacing therefrom of 0.3 millimeters. In the period following implantation the interstices of the sheet material coupling receive anatomic tissue growth establishing a structurally stable dimensional relationship between the nerve and both the input electrodes and the coupling. The fixed input electrode spacing between the electrode and the nerve improves the quality of the electrical signals received from the nerve while the 0.3 millimeter minimum spacing insures that the nerve will continue living for extended periods of time.

Claims

1. An anatomically implantable electrical device for interfacing to nerves and comprising:

electrical lead means;

coupling means comprising a piece of sheet material secured to one end of said lead means and being shaped to encircle the outer surface of a nerve at a minimum spacing therefrom of 0.3 millimeters, said sheet material having interstices for accommodating vascular flow and receiving anatomic tissue growth after being implanted; and

input terminal means electrically connected to said one end of said lead means and supported by an inner side of said sheet material so as to contact the embraced nerve.

2. A device according to claim 1 wherein said coupling means comprises a hollow cylinder formed from said sheet material and having an internal diameter at least 0.6 millimeters larger than the diameter of the nerve.

3. A device according to claim 2 wherein said input terminal means is positioned within said hollow cylinder, and said lead means extends through said sheet material to the exterior of said cylinder.

4. A device according to claim 3 wherein said cylinder has a diameter in the range of 1-5 mm.

5. A device according to claim 3 wherein said input terminal means further comprises a second pair of input terminals disposed so as to contact spaced apart locations on anatomic tissue outside said cylinder, and said lead means further comprises a separate electrical lead connected to each of said second pair of input terminals.

6. A device according to claim 5 wherein each of said input terminals comprises a limited surface portion in contact with the nerve and said surface portion has an area less than 1/4 the cross-sectional area of the nerve.

7. A device according to claim 6 wherein said surface portions comprise flattened portions of said leads at ends thereof.

8. A device according to claim 1 including output terminal means connected to an opposite end of said electrical lead means and adapted for interface to electrical instruments.

9. A method for providing an electrical interface to nerves and comprising the steps of:

forming input terminal means on one end of a length of electrical lead means;

securing said terminal means to a support comprising a piece of sheet material having interstices for accommodating vascular flow and receiving growing anatomic tissue; and

anatomically implanting said lead means with said terminal means contacting a nerve and said portion of sheet material encircling the nerve and spaced at least 0.3 millimeters therefrom.

10. A method according to claim 9 including the steps of forming with said sheet material a hollow cylinder having an inner diameter at least 0.6 millimeters larger than the diameter of the nerve, and passing said cylinder over a severed end of the nerve.

11. A method according to claim 10 including the steps of positioning said input terminal within said hollow cylinder, and extending said lead means through said sheet material to the exterior of said cylinder.

12. A method according to claim 10 wherein said step of forming input terminal means comprises forming on each of a pair of input leads an input terminal within said cylinder and positioning said input terminals so as to contact spaced apart locations on the nerve.

13. A method according to claim 12 wherein said step of forming input terminal means further comprises forming on each of a second pair of electrical leads an auxiliary input terminal, and positioning said auxiliary input terminals so as to contact spaced apart locations on anatomic tissue outside said cylinder.

14. A method according to claim 12 wherein said step of forming said input terminals comprises flattening said ends of said electrical leads to provide on each an electrode surface area less than 1/4 the cross-sectional area of the nerve.