Neurological stimulation lead extension

• US 6,980,863 B2
• Filed: 03/20/2003
• Issued: 12/27/2005
• Est. Priority Date: 03/20/2003
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: van Venrooij, Paul, Duysens, Victor
• Primary Examiner(s): Getzow, Scott M.
• Application Number:
  US10/395,321
• Publication Number:
  US 20040186542A1
• Time in Patent Office: 1,013 Days
• Field of Search: 607/9, 607/37, 607115-117, 439/223, 439/287, 439/909, 439/557, 439/668, 439/669
• US Class Current: 607/116
• CPC Class Codes: A61N 1/0529 Electrodes for brain stimulation
• 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
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/3752 Details of casing-lead connections
• CPC Class Codes: H01R 13/025 formed by the conductors of a cable end
• CPC Class Codes: H01R 13/10 Sockets for co-operation with pins or blades
• CPC Class Codes: H01R 13/62 Means for facilitating engagement or disengagement of coupling parts or for holding them in engagement
• CPC Class Codes: H01R 13/6271 Latching means integral with the housing H01R13/6276, H01R13/6277, H01R13/6278 take precedence
• CPC Class Codes: H01R 13/6273 comprising two latching arms
• CPC Class Codes: H01R 13/629 Additional means for facilitating engagement or disengagement of coupling parts, e.g. aligning or guiding means, levers, gas pressure electrical locking indicators, manufacturing tolerances separate tools or apparatus H01R43/26
• CPC Class Codes: H01R 13/62905 comprising a camming member H01R13/62933 and H01R13/641 take precedence
• CPC Class Codes: H01R 13/639 Additional means for holding or locking coupling parts together, after engagement, e.g. separate keylock, retainer strap
• CPC Class Codes: H01R 2107/00 Four or more poles
• CPC Class Codes: H01R 2201/12 for medicine and surgery
• CPC Class Codes: H01R 24/58 Contacts spaced along longitudinal axis of engagement

Abstract

The invention is directed to neurological lead extensions without set screws, set screw blocks, or set screw inserts. Such elimination of set screws, blocks and inserts can reduce the amount of metal and ferromagnetic material in the extension. The neurological lead extension may include a proximal end configured to couple to a neurological device and a distal end configured to couple to an implanted neurological lead. A set of electrical contacts are disposed in proximity to the distal end to provide electrical contact to an inserted end of the implanted neurological lead. Various elements and structures are described which can mechanically secure the inserted end of the implanted neurological lead to the distal end of the extension.

Claims

1. A medical lead extension comprising:

a proximal end configured for attachment to a neurological device;

a distal end formed to receive an implanted medical lead and electrically couple the implanted medical lead to the neurological device, wherein the distal end forms a laterally accessible channel sized to receive the implanted medical lead; and

a set of electrical contacts disposed within the channel to electrically couple to corresponding electrical contacts disposed along a major axis of an inserted end of the implanted medical lead, wherein the laterally accessible channel allows the medical lead to be laterally placed in the channel such that the set of electrical contacts electrically couple to the corresponding electrical contacts disposed along a major axis of the inserted end of the medical lead when the medical lead is mechanically secured within the channel.

2. The medical lead of claim 1, further comprising a sleeve positioned over the distal end once the implanted medical lead is laterally placed in the channel such that the set of electrical contacts electrically couple to the corresponding electrical contacts disposed along the major axis of the inserted end of the medical lead, wherein the sleeve mechanically secures the implanted medical lead in the channel.

3. The medical lead extension of claim 2, wherein the sleeve includes a slit that corresponds to the channel and wherein the sleeve can be rotated to cover the channel once the implanted medical lead is laterally placed in the channel through the slit.

4. The medical lead extension of claim 2, wherein the sleeve is molded to define a conduit sized and shaped to correspond to a bottom portion of the distal end and the lead inserted within the channel.

5. The medical lead extension of claim 1, wherein the distal end comprises a top portion and a bottom portion, wherein the channel is formed in the bottom portion and the top and bottom portions assemble to form a bore around the medical lead once the medical lead is laterally placed in the channel.

6. The medical lead extension of claim 5, wherein the top portion and the bottom portion are hinged to one another such that the top portion moves relative to the bottom portion about an axis parallel to the channel.

7. The medical lead extension of claim 5, wherein one of the top and bottom portions includes a protruding element to mate with a hole formed in the other of the top and bottom portions.

8. The medical lead extension of claim 5, further comprising a sleeve positioned about the top and bottom portions following assembly of the top and bottom portions to form the bore around the medical lead.

9. The medical lead extension of claim 1, further comprising a depression formed in the channel and sized relative to a protrusion on the medical lead.

10. The medical lead extension of claim 1, further comprising a protrusion formed in the channel and sized to mate with a depression on the medical lead.

11. The medical lead extension of claim 1, wherein the medical lead extension comprises a neurological lead extension and the medical lead comprises a neurological lead.

12. The medical lead extension of claim 11, wherein the medical lead extension comprises a percutaneous neurological lead extension and the proximal end is configured for attachment to a cable that in turn attaches to an external neurological device.

13. The medical lead extension of claim 1, wherein the set of electrical contacts comprise wires molded into the distal end of the medical lead extension.

14. A medical lead assembly comprising:

a neurological stimulation lead; and

a lead extension for attachment to the neurological stimulation lead, the lead extension including;

a proximal end configured for attachment to a neurological device;

a distal end formed to receive the neurological stimulation lead and electrically couple the implanted medical lead to the neurological device, wherein the distal end forms a laterally accessible channel sized to receive the implanted medical lead; and

a set of electrical contacts disposed within the channel to electrically couple to corresponding electrical contacts disposed along a major axis of an inserted end to contact an inserted end of the neurological stimulation lead, wherein the laterally accessible channel allows the medical lead to be laterally placed in the channel such that the set of electrical contacts electrically couple to the corresponding electrical contacts disposed along a major axis of the inserted end of the medical lead when the medical lead is mechanically secured within the channel.

15. The medical lead assembly of claim 14, further comprising a sleeve positioned over the distal end once the implanted medical lead is laterally placed in the channel such that the set of electrical contacts electrically couple to the corresponding electrical contacts disposed along the major axis of the inserted end of the medical lead, wherein the sleeve mechanically secures the implanted medical lead in the channel.

16. The medical lead assembly of claim 15, wherein the sleeve includes a slit that corresponds to the channel and wherein the sleeve can be rotated to cover the channel once the implanted medical lead is laterally placed in the channel through the slit.

17. The medical lead assembly of claim 15, wherein the sleeve is molded to define a conduit sized and shaped to correspond to a bottom portion of the distal end and the lead inserted within the channel.

18. The medical lead assembly of claim 14, wherein the distal end comprises a top portion and a bottom portion, wherein the channel is formed in the bottom portion and the top and bottom portions assemble to form a bore around the medical lead once the medical lead is laterally placed in the channel.

19. The medical lead assembly of claim 18, wherein the top portion and the bottom portion are hinged to one another such that the top portion moves relative to the bottom portion about an axis parallel to the channel.

20. The medical lead assembly of claim 18, wherein one of the top and bottom portions includes a protruding element to mate with a hole formed in the other of the top and bottom portions.

21. The medical lead assembly of claim 18, further comprising a sleeve positioned about the top and bottom portions following assembly of the top and bottom portions to form the bore around the medical lead.

22. The medical lead assembly of claim 14, further comprising a protrusion formed in the channel and sized to mate with a depression on the neurological stimulation lead.

23. The medical lead assembly of claim 14, wherein the lead extension comprises a percutaneous neurological lead extension.

24. The medical lead assembly of claim 14, wherein the set of electrical contacts comprise wires molded into the distal end of the lead extension.

25. A medical device comprising:

a neurological device;

a neurological stimulation lead; and

a lead extension for attaching the neurological stimulation lead to the neurological device, the lead extension including;

a proximal end configured for attachment to the neurological stimulation device;

a distal end formed to receive the neurological stimulation lead and electrically couple the implanted medical lead to the neurological device, wherein the distal end forms a laterally accessible channel sized to receive the implanted medical lead; and

a set of electrical contacts disposed within the channel to electrically couple to corresponding electrical contacts disposed along a major axis of an inserted end of the implanted medical lead, wherein the laterally accessible channel allows the medical lead to be laterally placed in the channel such that the set of electrical contacts electrically couple to the corresponding electrical contacts disposed along a major axis of the inserted end of the medical lead when the medical lead is mechanically secured within the channel.

26. The medical device of claim 25, further comprising a sleeve positioned over the distal end once the implanted medical lead is laterally placed in the channel such that the set of electrical contacts electrically couple to the corresponding electrical contacts disposed along the major axis of the inserted end of the medical lead, wherein the sleeve mechanically secures the implanted medical lead in the channel.

27. The medical device of claim 26, wherein the sleeve includes a slit that corresponds to the channel and wherein the sleeve can be rotated to cover the channel once the implanted medical lead is laterally placed in the channel through the slit.

28. The medical device of claim 26, wherein the sleeve is molded to define a conduit sized and shaped to correspond to a bottom portion of the distal end and the lead inserted within the channel.

29. The medical device of claim 25, wherein the distal end comprises a top portion and a bottom portion, wherein the channel is formed in the bottom portion and the top and bottom portions assemble to form a bore around the medical lead once the medical lead is laterally placed in the channel.

30. The medical device of claim 29, wherein the top portion and the bottom portion are hinged to one another such that the top portion moves relative to the bottom portion about an axis parallel to the channel.

31. The medical device of claim 29, wherein one of the top and bottom portions includes a protruding element to mate with a hole formed in the other of the top and bottom portions.

32. The medical device of claim 29, further comprising a sleeve positioned about the top and bottom portions following assembly of the top and bottom portions to form the bore around the medical lead.

33. The medical device of claim 25, further comprising a depression formed in the channel and sized to mate with a protrusion on the medical lead.

34. The medical device of claim 25, wherein the lead extension comprises a percutaneous lead extension.

35. The medical device of claim 25, wherein the set of electrical contacts comprise wires molded into the distal end of the medical lead extension.