Epidural lead electrode and insertion needle

• US 4,141,365 A
• Filed: 02/24/1977
• Issued: 02/27/1979
• Est. Priority Date: 02/24/1977
• Status: Expired due to Term

• Current Assignee: Johns Hopkins University
• Original Assignee: Johns Hopkins University
• Inventors: Fischell, Robert E., Powell, William R.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US05/771,442
• Time in Patent Office: 733 Days
• Field of Search: 128/404, 128/408, 128/410, 128/411, 128/418, 128/419 P, 128/419 C, 128/419 E, 128/2.06 E, 128/2.1 E, 128/347
• US Class Current: 600/377
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes

Abstract

Tissue stimulation apparatus for positive positioning of an electrode-bearing lead proximous to tissue which is to be stimulated electrically, the invention particularly includes a body penetration and insertion assembly which carries an elongated flexible strip of physiologically inert plastic material having at least one electrode positioned thereon into contacting relation with said tissue. The insertion assembly comprises a hollow needle having a slot formed longitudinally along the length of one wall thereof, the slot allowing transverse removal of the flexible lead from the needle after proper positioning of the lead and after removal of the needle from the body. The present slotted assembly allows use of a flexible electrode lead having electrical connections at the external end thereof which are too large to pass through the hollow needle.

Claims

1. Apparatus for effecting electrical contact between tissue internal of a living body and a source of electrical stimulation energy, comprising:

rigid sleeve means, forming a longitudinally disposed lumen, for penetrating tissues of said living body to position said apparatus in proximity to selected internal tissue, said sleeve means having a longitudinal slot disposed therein and extending along the length thereof, said slot being in communication with said lumen;

flexible electrically conductive lead means dimensioned so as to be longitudinally slidable through said lumen formed by said sleeve means, said lead means including an elongated body portion formed of a flexible physiologically inert dielectric material, said body portion being substantially oblong in cross-section and having flattened upper and lower surface portions; and

electrode means electrically connected to and carried on a first end of said lead means and adapted to be connected electrically through said lead means to the source of electrical stimulation energy, said electrode means being disposed on one of said flattened surface portions of said substantially oblong body portion.

2. The apparatus of claim 1 wherein said sleeve means and lead means are substantially oblong in cross-section, said lead means further comprising

electrically conductive wire means disposed internally of said body portion for electrically connecting said electrode means to the source of electrical stimulation energy.

3. The apparatus of claim 2 wherein said wire means comprise multiple helical strands formed of electrically conductive material.

4. The apparatus of claim 1 wherein said electrode means comprise at least two electrodes, the electrodes being spaced a fixed distance apart.

5. The apparatus of claim 1 further comprising electrical connector means connected to the end of said lead means opposite said first end thereof, said electrical connector means for connecting said lead means to said source of electrical stimulation energy, said electrical connector means being of larger dimensions than said lumen thereby preventing passage of said electrical connector means through said lumen formed by said sleeve means.

6. The apparatus of claim 2 wherein said lead means at said first end thereof is formed with a sloping tip portion sloping from the upper flat surface portion of said body portion toward the lower flat surface portion thereof along the longitudinal axis of said body portion, said electrode means being disposed on said lower surface portion of said body portion.

7. The apparatus of claim 1 further comprising enlarged head means disposed on one end of said rigid sleeve means, said enlarged head means for facilitating the handling of said rigid sleeve means.

8. The apparatus of claim 7 wherein said head means is slidable along the length of said sleeve means and has a slot longitudinally formed therein, said slot being disposed in a wall of said head means and being aligned with and in communication with said slot disposed in said sleeve means, wherein, said slot disposed in said head means is dimensioned for receiving said sleeve means therein.

9. The apparatus of claim 1 wherein said longitudinal slot disposed in said rigid sleeve means extends along the full length thereof.

10. The apparatus of claim 9 further comprising an enlarged head member carried on one end of said sleeve means said sleeve means further having a sharpened tip portion at the other end thereof, said tip portion of said sleeve means curving away from the longitudinal axis of the major portion of said sleeve means.

11. The apparatus of claim 10 wherein said sleeve means is substantially oblong in cross-section and has upper and lower surface portions which are substantially planar and parallel to each other.

12. The apparatus of claim 10 wherein said curved tip portion of said sleeve means has an aperture opening into and in communication with said lumen formed by said sleeve means, the portions of said tip portion defining said aperture lying in a plane which is substantially parallel to said planar surface portions.

13. The apparatus of claim 12 further comprising stylet means for reception and being longitudinally slidable within said sleeve means, said stylet means having a needle-like body portion receivable within said lumen of said sleeve means, said body portion having a tip member which curves away from the longitudinal axis thereof in conformity with said curved tip portion of said sleeve means, said tip member having a planar surface portion which is adapted to extend into said aperture formed in said tip portion of said sleeve means, the plane of said planar surface portion being essentially coincident with the plane in which said aperture lies.

14. The apparatus of claim 13 wherein that portion of the tip member adjacent to the planar surface portion has a depression formed therein.

15. The apparatus of claim 10 wherein said head member is fixed to said one end of said sleeve means, said head member comprising a semi-circular flat plate having a notch formed therein which aligns with and opens into said lumen of said sleeve means.

16. The apparatus of claim 15 further comprising stylet means for reception and being longitudinally slidable within said sleeve means, said stylet means having a needle-like body portion receivable within said lumen of said sleeve means and an enlarged head portion on one end thereof adapted to be proximous to said head member on said sleeve means, said enlarged head portion comprising a flat plate having a pin extending therefrom, said semi-circular flat plate of said head member having a locating aperture disposed therein, said pin being aligned with and received within said locating aperture formed in said head member on full insertion of said stylet means into said sleeve means.