Flat interface nerve electrode and a method for use

• US 6,456,866 B1
• Filed: 09/28/1999
• Issued: 09/24/2002
• Est. Priority Date: 09/28/1999
• Status: Expired due to Term

• Current Assignee: Case Western Reserve University
• Original Assignee: Dominique M. Durand, Dustin Tyler
• Inventors: Durand, Dominique M., Tyler, Dustin
• Primary Examiner(s): COHEN, LEE S
• Application Number:
  US09/409,315
• Time in Patent Office: 1,092 Days
• Field of Search: 600/377, 607/118
• US Class Current: 600/377
• CPC Class Codes: A61B 5/24 Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
• CPC Class Codes: A61N 1/0556 Cuff electrodes

Abstract

A flat interface nerve electrode is provided along with a method for its use. The electrode provides a plurality of conductive elements embedded in a non-conductive cuff structure, which acts to gently and non-evasively redefine the geometry of a nerve through the application of a force so as to apply pressure to a nerve in a defined range, namely from 2 to 40 mmHG and more preferably from 15 to 30 mmHG and most preferably from 15 mmHG to 20 MMHG. This range is selected to minimize the reduction of blood flow within the tissue, which preferably is at least 70% of the initial value, more preferably 90% of the initial value. The cuff has an opening, which is elongated relative to the diameter of the nerve to which it is applied. Preferably, the cuff is constructed from an elastic bio-compatible material having top and bottom beam members configured to define a nerve opening. The cuff is open at one side and has a connection at the other side which results in a spring force being applied through the surfaces of the nerve opening to the subject nerve. During implantation the open sides of the cuff are closed so as to capture the nerve in the cuff. As the nerve is reshaped, specific nerve axons become more easily addressed through the epineurium by the embedded conductive elements.

Claims

1. A system for functional electrical stimulation and recording comprising

a cuff for a nerve or muscle filament, the filament having an external configuration with a height Y and a width X, the cuff comprising an elastic collar member defining an internal opening which has an internal configuration having a height less than Y and a width greater than X, said collar member including a material that exerts a force on said filament which will cause the filament to gradually reshape to the internal configuration of said opening and wherein the resulting pressure in said filament is less than 80 mmHG, and

an electrode interface carried by the elastic collar member including a plurality of electrodes spaced side by side for contact along a surface of the filament;

an array of conductors coupled to the electrodes;

a stimulation apparatus coupled to at least one of the conductors and that can be operated to stimulate the filament; and

a property monitoring apparatus coupled to at least one of the conductors and that can be operated to monitor a biological property of the filament.

2. A system as set forth in claim 1, wherein said collar member has a top beam and a bottom beam.

3. A system as set forth in claim 2, wherein said top beam has a first side joined to a first side of said bottom beam by a web member.

4. A system as set forth in claim 1, wherein said collar member comprises an elastomeric material.

5. A system as set forth in claim 4, wherein said collar member comprises a silicon elastomer.

6. A system as set forth in claim 1, wherein said collar member exerts a force which results in a pressure in said filament of from about 2 to about 50 mmHG.

7. A system as in claim 1

wherein the nerve or muscle filament has a blood flow Z, and

wherein the blood flow in the nerve or muscle filament is not reduced to less than 70% Z.

8. A system as set forth in claim 7, wherein said internal opening has a radiused area so as to define a gradual tapering toward the center of said internal opening.

9. A system as set forth in claim 8, wherein said blood flow is not reduced to less than 85% of Z.

10. A method of functional electrical stimulation and recording comprising the steps of;

providing a stimulation apparatus, which, when operated, stimulates a nerve or muscle filament;

providing a monitoring apparatus, which, when operated, monitors a biological property of a nerve or muscle filament;

placing a cuff around a nerve or muscle filament, the nerve or muscle filament having a height Y and a width X the cuff comprising

an elastic collar member defining an internal opening which has an internal configuration having a height less than Y and a width longer than X, the collar member including a material that exerts a force on the nerve or muscle filament which will cause the nerve or muscle filament to gradually reshape to the internal configuration of the opening and wherein the resulting pressure in the nerve or muscle filament is less than 80 mmHG, and

an electrode interface carried by the elastic collar member including a plurality of electrodes spaced side by side for contact along a surface of the nerve or muscle filament;

an array of conductors coupled to the electrodes;

coupling at least one of the conductors to the stimulation apparatus;

coupling at least one of the conductors to the monitoring apparatus;

applying a gradual force to the nerve or muscle filament by means of the cuff which results in a pressure in the nerve or muscle filament of less than 80 mmHg;

operating the stimulation apparatus and;

operating the monitoring apparatus.

11. A method as forth in claim 10, wherein said cuff comprises an elastic material.

12. A method as set forth in claim 11, wherein said elastic material is a silicon elastomer.

13. A method as set forth in claim 10, wherein said nerve filament is part of the hypo-glossal nerve.

14. A method as in claim 10

wherein the nerve or muscle filament has a blood flow Z, and

wherein the blood flow in the nerve or muscle filament is not reduced to less than 70% Z.

15. A method as set forth in claim 14, wherein said nerve filament is part of the hypo-glossal nerve.

16. A method as in claim 10

wherein the stimulation apparatus and the monitoring apparatus are operated simultaneously.

17. A method as set forth in claim 16, wherein said simultaneous operating of the monitoring and stimulating apparatus is intermittent with no operation of the monitoring or stimulation apparatus, or with operating only the monitoring apparatus or only the stimulating apparatus.