System and method for providing electrical and/or fluid treatment within a patient's brain

• US 5,843,150 A
• Filed: 10/08/1997
• Issued: 12/01/1998
• Est. Priority Date: 10/08/1997
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated MS 301
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Gubbels, Paulus A. A., Adams, Paulus G., Duysens, Victor P. J., Dreessen, Chrit W.
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US08/947,107
• Time in Patent Office: 419 Days
• Field of Search: 607/57, 607/116, 607/137, 128/897, 128/898, 128/899, 600/378, 604/268, 604/278, 604/175, 604/93, 606/130
• US Class Current: 607/116
• CPC Class Codes: A61N 1/0529 Electrodes for brain stimulation
• CPC Class Codes: A61N 1/0539 Anchoring of brain electrode systems, e.g. within burr hole

Abstract

A system and method for providing electrical and/or fluid treatment within a patient'"'"'s brain, the system and method utilizing a feedthrough assembly made of a compressible material, and a disk-like pinch-on part, or resilient clamping part, which is secured around the feedthrough assembly to provide radially inward compressive force to reliably fix the lead after it has been positioned relative to the patient'"'"'s skull. The feedthrough assembly is suitably made of a compressible biocompatible material such as silicone rubber, and has a annular receiving groove which is located so that it is accessible above the cranium after the feedthrough assembly is fixed within a burr hole in the patient'"'"'s head. The pinch-on part, or clamping means is manufactured in a normally closed position, but can be opened, as by use of a forceps-type instrument, for positioning around the assembly annular groove. The anchored lead or catheter member is operatively connected to an implantable pulse generator or fluid pump, or both, to provide a system for treatment within the patient'"'"'s brain.

Claims

1. A system for anchoring a lead-type member within a cranial burr hole in a patient, comprising:

a feedthrough assembly made of a compressible material, having an axial opening therethrough for receiving the member, a fixation portion for being fixedly positioned within the burr hole, and an annular receiving portion; and

annular clamping means positioned around the receiving portion for compressing the assembly radially inward so as to fix the member relative to the assembly and thus with respect to the burr hole, the clamping means being made of a resilient material and normally biased so that when it engages the receiving portion it exerts a radially inward compressive force on the assembly at the receiving portion.

2. The system as described in claim 1, wherein the receiving portion comprises an inwardly extending circumferential groove having a first predetermined circumference, and the clamping means is moveable between a stretched state and a normal state and comprises an inner surface which engages the groove, the inner surface being substantially annular and having a circumference slightly less than the first circumference when in its normal state.

3. The system as described in claim 2, wherein the clamping means comprises means for facilitating stretching of the means to its stretched state for engaging the receiving portion.

4. The system as described in claim 3, wherein the clamping means comprises locking means for locking the clamping means around the receiving portion.

5. The system as described in claim 1, wherein the feedthrough assembly is made of silicone rubber and comprises suture holes for enabling suturing of the assembly to the patient'"'"'s skull.

6. The system as described in claim 1, comprising strengthening means around the suture holes to prevent breaking of the suture holes.

7. The system as described in claim 6, wherein the strengthening means comprises a DACRON ring.

8. The system as described in claim 1, wherein the fixation portion comprises a ring of highly compression-resistant material.

9. The system as described in claim 1, further comprising a cap for positioned over the feedthrough assembly, the cap having a slot for providing a lateral pathway for the lead-like member.

10. A method of reliably fixing a cranial lead member with respect to a patient'"'"'s skull, comprising:

preparing a burr hole in the patient'"'"'s skull;

providing a compressible feedthrough assembly having an axial aperture for receiving the member, and inserting the assembly into and fixing it within the burr hole;

inserting the lead member axially through the assembly, and determining a proper axial location of the lead; and

engaging a resilient pinch-on part around the assembly to compress the assembly radially inward so as to engage the member while it is at the proper axial location.

11. The method as described in claim 10, wherein the pinch-on part is moveable from a normal closed state to an open state, and wherein the engaging step comprises moving the part to its open state and positioning it around the assembly, and then releasing the part to return to its closed state.

12. The method as described in claim 10, comprising engaging the part around the assembly after inserting the lead member axially through the assembly.

13. The method as described in claim 10, comprising first engaging the part around the assembly, then inserting the assembly into and fixing it within the burr hole, then expanding the part to its open state and inserting the lead member through the assembly, and releasing the part to its closed state after determining the proper lead member location.

14. The method as described in claim 10, comprising expanding the part with forceps in order to first position it around the assembly, and then releasing the part so that it snaps into its closed state around the assembly.

15. The method as described in claim 10, wherein the fixing comprises the step of suturing the assembly to the patient'"'"'s skull.

16. The method as described in claim 15, wherein the suturing comprises the step of drilling a pair of suture holes into the patient'"'"'s skull.

17. The method as described in claim 16, wherein the suturing comprises placing a suture hole gauge element in the burr hole for providing the location of the suture holes.

18. A system providing treatment within a patient'"'"'s brain, the system comprising a lead member, the lead having a proximal and distal ends, a device connected to the lead proximal end for delivering fluid or electrical stimuli to the lead, the lead having delivery means for delivering fluid or electrical stimuli through its distal end to an area within the patient'"'"'s brain, and

anchoring means for anchoring the lead member within a cranial burr hole in the patient'"'"'s skull, the anchoring means further comprising:

a feedthrough assembly made of a compressible material, having an axial opening therethrough for receiving the member, a fixation portion for being fixedly positioned within the burr hole, and an annular receiving portion; and

annular clamping means positioned around the receiving portion for compressing the assembly radially inward so as to fix the member relative to the assembly and thus with respect to the burr hole, the clamping means being made of a resilient material and normally biased so that when it engages the receiving portion it exerts a radially inward compressive force on the assembly at the receiving portion.

19. The system as described in claim 18, wherein the delivery means comprises at least one electrode at about the lead member distal end and at least one conductor for delivering stimuli from the lead member proximal end to the at least one conductor, and the implantable device has stimulus generator means for delivering stimuli to the lead member proximal end.

20. The system as described in claim 18, wherein the delivery means comprises a lumen running from the lead member proximal end to the lead member distal end, and the device comprises pump means for delivering a fluid to the lead member for delivery to the area within the patient'"'"'s brain.