Brain lead anchoring system

• US 5,464,446 A
• Filed: 10/12/1993
• Issued: 11/07/1995
• Est. Priority Date: 10/12/1993
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Adams, Paul, Gubbels, Paul A., Dreessen, Chrit
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US08/134,727
• Time in Patent Office: 756 Days
• Field of Search: 128/642, 128/748, 607/116, 607/139, 604/175
• US Class Current: 607/116
• CPC Class Codes: A61M 2039/025 through bones or teeth, e.g. through the skull
• CPC Class Codes: A61M 2039/0261 Means for anchoring port to the body, or ports having a special shape or being made of a specific material to allow easy implantation/integration in the body
• CPC Class Codes: A61M 2039/0267 comprising sensors or electrical contacts
• CPC Class Codes: A61M 2210/0693 Brain, cerebrum
• CPC Class Codes: A61M 39/0247 Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body peritoneal dialysis catheters A61M1/285; tracheostomy devices A61M16/0465; measuring pressure within the body A61B5/03; colostomy devices A61F5/445; gastrotomy feeding tubes A61J15/0015; means for fixing a feeding tube outside of the body A61J15/0053

Abstract

A system for anchoring a lead within a cranial burr hole. The system provides for a lead to be anchored in either of two sizes of burr holes. In further provides for the lead to remain secured to the stereotactic instrument during the installation of the lead anchoring system. The lead anchoring system consists of three parts: A plug having a central lead passage; a cap configured to fit over the plug while the lead is retained by the stereotactic instrument and thereby seal the burr hole and anchor the lead; and a socket designed to permit the plug to be fitted within a larger sized burr hole. In the preferred embodiment each of the parts, i.e. plug, socket and cap are constructed from silicone. The anchoring system of the present invention may be employed with a stimulation lead, a sensing lead, a combination thereof or any other elongated member requiring passage and fixation through the cranium.

Claims

1. A system for anchoring a brain lead within a cranial burr hole comprising:

a socket having a central lumen, said socket having means for engaging a cranial burr hole to secure said socket to a cranium with said central lumen in general alignment with said burr hole;

a plug having means for fixing said plug within said central lumen, said plug further having means for fixing said plug within said cranial burr hole, said plug further having a lead lumen disposed therethrough, said lead lumen configured to engage a lead, said lead lumen configured to cooperate with said central lumen of said socket for mutual engagement of a lead within said central lumen, said plug further configured to close said central lumen, said plug having a first surface, said first surface having a flange, and

a cap having a lumen designed to have a lead pass therethrough, said cap having means to engage with said flange of said plug.

2. The lead anchoring system of claim 1 wherein said means for engaging a cranial burr hole of said socket comprise a shoulder disposed on a surface of said socket to thereby engage a wall of said cranial burr hole.

3. The lead anchoring system of claim 1 wherein said means for engaging a cranial burr hole of said plug comprise a rib disposed on a surface of said plug to thereby engage a wall of said cranial burr hole.

4. The lead anchoring system of claim 2 wherein said shoulder is circumferentially disposed along said surface.

5. The lead anchoring system of claim 1 wherein means for fixing said plug within said central lumen comprises a rib disposed on a surface of said plug and a recess disposed on a surface of said socket to cooperate with said rib.

6. The lead anchoring system of claim 1 wherein means for fixing said plug within said central lumen are further configured to fix said plug within a differently sized cranial burr hole than said cranial burr hole.

7. The lead anchoring system of claim 4 wherein said system is constructed from a resilient material.

8. The lead anchoring system of claim 1 wherein said system is constructed from silicone.

9. A system for anchoring a brain stimulation lead within either a first size cranial burr hole or a second size cranial burr hole comprising:

a cylindrical socket corresponding to said first size cranial burr hole, said socket having means for engaging said first size cranial burr hole, said socket having a lumen corresponding to said second size cranial burr hole;

a plug corresponding to said second size cranial burr hole, said plug having means for engaging either an inner surface of said lumen of said socket or said second size cranial burr hole, said plug having a passage therethrough, said passage dimensioned to grasp a lead disposed therethrough; and

a cap fitting over said plug, said cap having a first opening, said first opening dimensioned to permit a lead to pass therethrough.

10. The lead anchoring system of claim 9 wherein said means for engaging said first size cranial burr hole comprise a shoulder disposed on a surface of said socket to thereby engage a wall of said first size cranial burr hole.

11. The lead anchoring system of claim 10 wherein said shoulder is circumferentially disposed along said surface.

12. The lead anchoring system of claim 9 wherein said means for engaging said plug within said lumen of said socket comprises a rib disposed on a surface of said plug and a recess disposed on a surface of said socket to cooperate with said rib.

13. The lead anchoring system of claim 9 wherein said means for engaging said plug within said lumen of said socket are further configured to fix said plug within said first size cranial burr hole.

14. The lead anchoring system of claim 9 wherein said system is constructed from a resilient material.

15. The lead anchoring system of claim 14 wherein said material is silicone.

16. A brain stimulation system comprising:

an electrical pulse generator;

a lead having a proximal end and a distal end, said proximal end having a connector connecting said lead to said electrical pulse generator, said distal end having at least one electrode to connect said lead to said brain;

a lead anchor means for anchoring said lead within a first size cranial burr hole or a second size cranial burr hole, in a cranium said lead anchor means having a socket having means to fix said socket within said first size cranial burr hole, said socket having a lumen, a plug having means to fix said plug within said second size cranial burr hole, said plug further having means to fix said plug within said lumen of said socket, and a cap having a central lead passage, said cap having means for fixing said cap to said plug.

17. The brain stimulation system of claim 16 wherein said means to fix said socket within said first size cranial burr hole comprises a shoulder positioned along a surface of said socket.

18. The brain stimulation system of claim 16 wherein said means to fix said plug within said second size cranial burr hole comprises a rib positioned along a surface of said plug.

19. The brain stimulation system of claim 16 wherein said means to fix said plug within said second size cranial burr hole comprises a flange on a surface of said plug, said flange providing a site to install at least one fastener through said plug into said cranium.

20. The brain stimulation system of claim 16 wherein said means to fix said plug within said lumen of said socket comprises a recess within an inner surface of said socket and a rib positioned on said plug to cooperatively engage said recess to thereby fix said plug therewithin.

21. The brain stimulation system of claim 16 wherein said means for fixing said cap to said plug comprises a flange on said plug.

22. A system for anchoring a brain lead within a cranial burr hole comprising:

a plug having means for fixing said plug within a cranial burr hole, said plug further having a lead lumen disposed centrally therethrough, said plug further having a suture groove about said lead lumen, said lead lumen configured to engage a lead, said lead lumen configured to cooperate with a suture disposed about said suture groove and engage a lead within said lead lumen; and

a cap having a lumen designed to have a lead pass therethrough, said cap engaging with said plug.

23. The lead anchoring system of claim 22 further comprising a socket having a central lumen, said socket having means for engaging a cranial burr hole to secure said socket to a cranium with said central lumen in general alignment with said burr hole, said plug having means for fixing said plug within said central lumen of said socket.

24. The lead anchoring system of claim 23 wherein said means for fixing said plug within said central lumen of said socket comprise a shoulder disposed on a surface of said plug to thereby engage said socket burr hole.

25. The lead anchoring system of claim 22 wherein said means for engaging a cranial burr hole of said plug comprise a rib disposed on a surface of said plug to thereby engage a wall of said cranial burr hole.