Tissue electrode for recording and stimulation

• US 5,902,236 A
• Filed: 09/03/1997
• Issued: 05/11/1999
• Est. Priority Date: 09/03/1997
• Status: Expired due to Term

• Current Assignee: PMT Corporation
• Original Assignee: PMT Corporation
• Inventors: Iversen, Alfred Abner
• Primary Examiner(s): COHEN, LEE S
• Application Number:
  US08/922,902
• Time in Patent Office: 615 Days
• Field of Search: 600/378, 600/377, 600/373, 600/393, 607/117, 607/116
• US Class Current: 623/23.65
• CPC Class Codes: A61B 2562/0215 Silver or silver chloride containing
• CPC Class Codes: A61B 2562/043 in a linear array
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/4094 Diagnosing or monitoring seizure diseases, e.g. epilepsy
• CPC Class Codes: A61B 5/6864 Burr holes
• CPC Class Codes: A61N 1/0529 Electrodes for brain stimulation
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes

Abstract

An improved tissue electrode for monitoring tissue electrical activity and for tissue electrical stimulation and adapted to conform closely to the tissue, thereby optimizing tissue electrical contact. The electrode consists of an elongated electrode body with a polygonal cross-section with a tissue-engaging surface having a pair of tissue-engaging members confronting each other at an obtuse angle and a non-tissue-engaging surface meeting each of the tissue-engaging members at an acute angle. In one embodiment, the non-tissue-engaging surface is substantially flat, and the electrode thus is a half-rhombus in cross-section. In a second embodiment, the non-tissue-engaging surface is also a half-rhombus, so that the electrode is a rhombus in cross-section. An improved electrical connector for connecting lead wires from the electrode to external monitoring equipment is also disclosed. A device for inserting the electrode into body tissue is also disclosed, the device having a stylet pre-curved to conform to the tissue and a sheath surrounding the stylet for receiving the electrode.

Claims

1. An improved tissue electrode for monitoring tissue electrical activity and for tissue electrical stimulation and adapted to conform closely to the tissue, thereby optimizing tissue electrical contact, the electrode comprising:

(a) an elongated electrode body with a polygonal cross-section, the electrode body further comprising a tissue-engaging surface having a pair of tissue-engaging members confronting each other at an obtuse angle and a non-tissue-engaging surface meeting each of the tissue-engaging members at an acute angle;

(b) a plurality of electrical contact areas along the tissue-engaging surface for making electrical contact with the tissue; and

(c) lead wires engaging the electrical contact areas and exiting the electrode body from a proximal end portion

the acute angle between the non-tissue-engaging surface and the tissue-engaging members being optimized to promote maximal contact between the tissue-engaging surface and the tissue.

2. The electrode of claim 1, wherein the non-tissue engaging surface is substantially flat and the acute angle is in the range of 5 degrees to 30 degrees.

3. The electrode of claim 2, wherein the non-tissue engaging surface is substantially flat and the acute angle is in the range of 5 degrees to 15 degrees.

4. The electrode of claim 1, wherein the non-tissue-engaging surface further comprises a pair of non-tissue-engaging members confronting each other at an obtuse angle.

5. The electrode of claim 4, wherein the length of the non-tissue-engaging members is substantially equal to the length of the tissue-engaging members, so that the cross-section of the electrode is a rhombus.

6. The electrode of claim 1, wherein the electrode is a subdural electrode for insertion between the dura and the brain, the non-tissue-engaging surface confronting the dura and the tissue-engaging surface confronting the brain.

7. The electrode of claim 1, wherein the electrode is a subdural electrode for insertion between the dura and the spinal cord, the non-tissue-engaging surface confronting the dura and the tissue-engaging surface confronting the spinal cord.

8. The electrode of claim 1, wherein the electrode body is composed of a material selected from the group consisting of silicone rubber, latex, and polyurethane.

9. The electrode of claim 1, wherein the electrical contact areas are a conductive metal.

10. The electrode of claim 9, wherein the electrical contact areas are of a material selected from the group consisting of platinum, platinum/iridium, silver, and stainless steel.

11. The electrode of claim 1, wherein the electrical contact areas are a conductive polymer.

12. An improved tissue electrode for monitoring tissue electrical activity and for tissue electrical stimulation and adapted to conform closely to the tissue, thereby optimizing tissue electrical contact, the electrode comprising:

(a) an elongated electrode body with a polygonal cross-section, the electrode body further comprising a tissue-engaging surface having a pair of tissue-engaging members confronting each other at an obtuse angle and a non-tissue-engaging surface meeting each of the tissueengaging members at an acute angle;

(b) a plurality of electrical contact areas along the tissue-engaging surface for making electrical contact with the tissue;

(c) lead wires engaging the electrical contact areas and exiting the electrode body from a proximal end portion; and

(d) a plurality of terminal contacts engaging the lead wires, the terminal contacts each having flat sides adapted to engage a flat-sided electrode connector

the acute angle between the non-tissue-engaging surface and the tissue-engaging members being optimized to promote maximal contact between the tissue-engaging surface and the tissue.

13. The electrode of claim 12, wherein the non-tissue engaging surface is substantially flat and the acute angle is in the range of 5 degrees to 30 degrees.

14. The electrode of claim 13, wherein the non-tissue engaging surface is substantially flat and the acute angle is in the range of 5 degrees to 15 degrees.

15. The electrode of claim 12, wherein the non-tissue-engaging surface further comprises a pair of non-tissue-engaging members confronting each other at an obtuse angle.

16. The electrode of claim 15, wherein the length of the non-tissue-engaging members is substantially equal to the length of the tissue-engaging members, so that the cross-section of the electrode is a rhombus.

17. The electrode of claim 12, wherein the terminal contacts have a square cross-section and the connector has a square cross-section.