Intramuscular electrode for neuromuscular stimulation system

• US 4,989,617 A
• Filed: 07/14/1989
• Issued: 02/05/1991
• Est. Priority Date: 07/14/1989
• Status: Expired due to Term

• Current Assignee: Case Western Reserve University
• Original Assignee: Case Western Reserve University
• Inventors: Keith, Michael W., Memberg, William D., Peckham, Paul H.
• Primary Examiner(s): Jaworski, Francis
• Assistant Examiner(s): Manuel, George
• Application Number:
  US07/379,830
• Time in Patent Office: 571 Days
• Field of Search: 128/419 P, 128/785, 128/784, 128/639, 128/642
• US Class Current: 607/116
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 1/057 Anchoring means; Means for fixing the head inside the heart

Abstract

A helix (10) is defined by two lengths of multistrand wire (14) each surrounded by flexible, biocompatible insulation (18). A silicon elastic sheath (30) surrounds the helix and extends to a terminal end of the electrode. At the terminal end, a portion of the wire is wrapped around a periphery of the sheath to define a tissue contacting surface (34). A shaft (42) of a polypropylene anchor (40) is inserted into a hollow core (20) of the helix and thermally deformed into mechanical engagement with the helix. The anchor has a plurality of polypropylene tines or barbs (44) which firmly engage the tissue within which it is inserted but which yield for electrode removal without ripping the tissue.

Claims

1. An electrode for surgical implantation, the electrode comprising:

a multistrand wire extending along a helical path;

a flexible, insulating sheath surrounding and encasing the multistrand wire;

an insulation-free portion of the multistrand wire being wrapped around a periphery of a terminal end of the sheath to form an electrical contact adapted for transmitting electrical energy to tissue surrounding the electrode.

2. An electrode for surgical implantation, the electrode comprising:

two multi-filament wires, each encased in insulation and disposed side by side in a helical configuration;

a flexible sheath surrounding and encasing the two multi-filament wires and the insulation;

an end portion of the multi-filament wires being wrapped around a periphery of a terminal end of the sheath to form an electrical contact adapted for transmitting electrical energy to tissue surrounding the electrode.

3. An electrode adapted for transmitting electrical energy to surrounding tissue after surgical implantation, the electrode comprising:

an electrical conductor wound around a hollow core with gaps between adjacent windings;

a flexible, insulating sheath surrounding and encasing the electrical conductor;

a portion of the electrical conductor being wrapped around a periphery of a terminal end of the sheath to form an electrical contact;

a shaft of thermoplastic material in the hollow core and conforming with gaps between windings of the electrical conductor; and

,

an anchor adapted for anchoring the electrode to tissue within which it is implanted, the anchor being connected with the thermoplastic shaft.

4. The electrode as set forth in claim 3 wherein the anchor includes a plurality of polymeric barbs, the barbs being sufficiently strong to anchor the electrode and sufficiently resilient so as to yield and permit extraction of the electrode.

5. The electrode as set forth in claim 4 wherein the anchor barbs and shaft are constructed of polypropylene.

6. An electrode whose terminal end is implantable into tissue, the electrode comprising:

an insulated electrical conductor wound around an open core;

a flexible, biocompatible sheathing encasing the electrical conductor, which sheathing terminates adjacent an electrode terminal end;

an anchor means having a thermoplastic shaft extending therefrom, the anchor shaft being received in the open core and thermally connected to the electrical conductor adjacent the terminal end;

an uninsulated length of the electrical conductor being wrapped around a periphery of the sheathing adjacent the terminal end.

7. An electrode whose terminal end is implantable into tissue, the electrode comprising:

two lengths of multifilament wire, each sheathed in a biocompatible insulation wrapped with gaps between adjacent windows around a hollow core, the wires being electrically connected with an exposed electrical conductive surface adjacent a terminal end of the electrode adapted for conducting charge into the tissue within which the electrode is implanted;

an anchor means having a thermoplastic shaft extending therefrom, the anchor shaft being thermally deformed into the gaps.

8. The electrode as set forth in claim 7 wherein the exposed conductive surface extends along a peripheral surface of the sheath.

9. An electrode whose terminal end is implantable into tissue, the electrode comprising:

an electrical conductor wrapped about an open core and electrically connected with an exposed electrical conductive surface adjacent a terminal end of the electrode;

an anchor having a thermoplastic shaft extending therefrom, the anchor shaft being received in the open core and thermally connected to the electrical conductor adjacent the terminal end, the anchor having a plurality of flexible tines that are connected with the anchor shaft.

10. The electrode as set forth in claim 9 wherein the shaft and tines are constructed of polypropylene.

11. A method of inserting an electrode which has an anchor and an exposed electrical contact surface adjacent a terminal end thereof into muscle tissue, the method comprising:

inserting a probe into muscle tissue to select a point to which the electrical contact surface is to be inserted;

inserting a sheath over the probe;

removing the probe from the sheath and inserting the electrode into the sheath;

advancing the electrode through the sheath with a carrier until the electrical contact surface is at the selected insertion point;

removing the carrier from the sheath; and

,

removing the sheath from the electrode while the anchor holds the electrode in the muscle tissue.

12. An electrode whose terminal end is implantable into tissue, the electrode comprising:

an electrical conductor wound in a generally spiral configuration;

a flexible, insulating sheath having a generally cylindrical outer surface that surrounds and encases the spiral wound electrical conductor;

an uninsulated length of the electrical conductor being wrapped around the cylindrical periphery of the sheath adjacent a terminal end thereof, which uninsulated length is adapted to transmit electrical energy to adjacent tissue.

13. The electrode as set forth in claim 12 wherein the conductor is wound in loops around a hollow core with gaps between adjacent loops.

14. The electrode as set forth in claim 13 further including an anchor adapted for anchoring the electrode to tissue within which it is implanted, the anchor being connected with the terminal end.

15. An electrode adapted for surgical implantation, the electrode comprising:

an electrical conductor extending along a spiral path, the electrical conductor being electrically connected with an electrically conductive surface adjacent an electrode terminal end, which conductive surface is adapted to conduct charge into surrounding tissue a flexible, insulating sheath having a generally cylindrical outer surface that surrounds and encases the electrical conductor;

a thermoplastic shaft received within and affixed to the spiral electrical conductor adjacent the terminal end, the shaft extending beyond a terminal end of the sheath and the electrically conductive surface;

an anchor connected with the shaft having at least one outward extending anchoring projection, the anchoring projection being adapted to engage adjacent tissue and anchor the electrode against movement relative to the adjacent tissue.