Means and method for the placement of brain electrodes

• US 6,006,124 A
• Filed: 05/01/1998
• Issued: 12/21/1999
• Est. Priority Date: 05/01/1998
• Status: Expired due to Term

• Current Assignee: Neuropace Inc.
• Original Assignee: Neuropace Inc.
• Inventors: North, Richard B., Fischell, Robert E.
• Primary Examiner(s): COHEN, LEE S
• Application Number:
  US09/071,055
• Time in Patent Office: 599 Days
• Field of Search: 600/377, 600/378, 604/175, 606/129, 606/130, 607/116, 607/139
• US Class Current: 600/378
• CPC Class Codes: A61B 5/291 for electroencephalography [EEG]
• CPC Class Codes: A61B 5/293 Invasive
• CPC Class Codes: A61B 5/6864 Burr holes
• CPC Class Codes: A61N 1/0529 Electrodes for brain stimulation
• CPC Class Codes: A61N 1/0531 Brain cortex electrodes
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/0539 Anchoring of brain electrode systems, e.g. within burr hole

Abstract

Disclosed are a means and a method for the placement of insulated electrical wires beneath the human scalp in such a way that they will experience no flexing after implantation thus disallowing wire breakage. Specifically, this intracranial system uses wires to connect a control module containing various electronic systems to brain electrodes. These wires are placed in grooves that are made by a surgeon in an outer portion of the patient'"'"'s cranium by means of a specially shaped burr rotated at high speed by means of a router. At the end of the groove, the surgeon would drill a burr hole in the cranium at the site where a brain electrode is to be placed. A distal portion of each electrical wire would be in the form of a helical coil; one helical coil would be placed in each burr hole. The grooves and burr holes could be filled with an adhesive filler type of material to form a smooth outer surface for the cranium. Also, a special cap could be placed over the burr hole. The function of the cap would be to form a smooth outer surface for the cranium. The electrodes at the end of the wires could be placed at various locations such as deep into the brain, on the brain surface, or in close proximity to the brain.

Claims

1. A system for electrically connecting an implantable control module to brain electrodes, the system comprising:

at least one brain electrode adapted to be placed onto, within or in close proximity to the brain;

a control module adapted to be implanted within a human subject; and

an electrical wire joining each of the at least one electrodes to the control module, the electrical wire having a proximal portion, a distal portion and a distal end, the proximal portion being generally straight and the distal portion being formed into a helical coil, and the distal end of the electrical wire being attached to the brain electrode.

2. The system of claim 1 wherein there are at least two brain electrodes.

3. The system of claim 1 wherein the helical coil is adapted to be placed inside a burr hole within the cranium, the outside diameter of the helical coil being less than 2.5 centimeters so as to be able to be placed within a burr hole that is less than 2.5 centimeters in diameter.

4. The system of claim 3 wherein a burr hole cap having a disk-shaped top is adapted to be placed into the burr hole.

5. The system of claim 4 wherein the burr hole cap has a cylindrical portion connected to the disk-shaped top which cylindrical portion is adapted to be placed in the burr hole.

6. The system of claim 5 wherein the burr hole cap has a side hole in its cylindrical portion through which the electrical wire can be placed.

7. The system of claim 5 wherein the burr hole cap has a slot cut into the cylindrical portion so that the burr hole cap can be placed into the burr hole after the helical coil has been placed in the burr hole.

8. A method for the placement of brain electrodes beneath the scalp of a human patient, the method comprising:

(a) performing a surgical procedure to expose the cranium,

(b) removing bone from the cranium to form a hole into which a control module with attached wires can be placed,

(c) drilling one or more burr holes in the cranium at the site(s) where a brain electrode is to be implanted,

(d) using a router to form one or more grooves in the cranium, which grooves connect the control module hole to each burr hole,

(e) placing a control module with fixed lengths of wires into the hole in the cranium formed for the control module, at least some of the wires having a brain electrode located at the wire'"'"'s distal end,

(f) placing one wire into each of the grooves formed by the router,

(g) placing a distal portion of each wire into a burr hole, the distal portion of the wire being in the form of a helical coil,

(h) placing each brain electrode at an appropriate location.

9. The method of claim 8 including the filling of each burr hole with a filler material.

10. The method of claim 8 including placing a burr hole cap onto at least one burr hole.

11. The method of claim 8 including the filling of the one or more grooves with a filler material.