Methods and systems for facilitating stimulation of one or more stimulation sites

• US 7,848,803 B1
• Filed: 03/26/2007
• Issued: 12/07/2010
• Est. Priority Date: 03/14/2005
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Jaax, Kristen N., Watkins, Laurence Dale, Bennett, Daniel S., Makous, James C.
• Primary Examiner(s): Getzow; Scott M
• Assistant Examiner(s): PATTON, AMANDA K
• Application Number:
  US11/728,816
• Time in Patent Office: 1,352 Days
• Field of Search: 607 45- 46, 607 1- 2, 607116-117
• US Class Current: 607/2
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/37211 Means for communicating with stimulators
• CPC Class Codes: A61N 1/3787 from an external energy source
• CPC Class Codes: A61N 2001/0582 Suture sleeves

Abstract

Methods of facilitating stimulation of a stimulation site within a patient include implanting a distal portion of a first stimulating member such that the distal portion of the first stimulating member is in communication with a first stimulation site located within a patient, securing the distal portion of the first stimulating member at a first securing site with a first securing device positioned proximal to the first stimulation site, forming a first loop of at least 360 degrees with a portion of the first stimulating member proximal to the first securing device, securing the first loop with a second securing device at a second securing site having a position that is greater than or equal to substantially 180 degrees but less than or equal to substantially 315 degrees along the first loop from the first securing site, and positioning the second securing device and a stimulator to be coupled to a proximal end of the first stimulating member to maintain a curve in the first stimulating member of at least 45 degrees between the second securing device and the stimulator.

Claims

1. A method comprising:

implanting a distal portion of a first stimulating member such that said distal portion of said first stimulating member is in communication with a first stimulation site located within a patient;

securing said distal portion of said first stimulating member at a first securing site with a first securing device positioned proximal to said first stimulation site;

forming a first loop of at least 360 degrees with a portion of said first stimulating member proximal to said first securing device;

securing said first loop with a second securing device at a second securing site within a neck of the patient, the second securing site having a position that is greater than or equal to substantially 180 degrees but less than or equal to substantially 315 degrees along said first loop from said first securing site, wherein the second securing device defines a lumen within which a portion of the first stimulating member is disposed, wherein the lumen is oriented substantially perpendicularly to a midline of the patient, wherein the midline is defined by a vertical plane that divides a body of the patient into its right side and its left side;

coupling a proximal end of said first stimulating member to a stimulator; and

positioning said stimulator and said second securing device to maintain a curve in said first stimulating member of at least 45 degrees between said second securing device and said stimulator.

2. The method of claim 1, further comprising:

implanting a distal portion of a second stimulating member such that said distal portion of said second stimulating member is in communication with a second stimulation site located within said patient;

securing said distal portion of said second stimulating member at a third securing site with a third securing device positioned proximal to said second stimulation site;

forming a second loop of at least 360 degrees with a portion of said second stimulating member proximal to said third securing device;

securing said second loop with a fourth securing device at a fourth securing site having a position that is greater than or equal to substantially 180 degrees but less than or equal to substantially 315 degrees along said second loop from said third securing site;

coupling a proximal end of said second stimulating member to said stimulator; and

positioning said stimulator and said fourth securing device to maintain a curve in said second stimulating member of at least 45 degrees between said fourth securing device and said stimulator.

3. The method of claim 2, wherein:

said first stimulation site and said first loop are located entirely to the right of the midline of said patient; and

said second stimulation site and said second loop are located entirely to the left of said midline of said patient.

4. The method of claim 1, further comprising:

forming at least one additional loop, of at least 360 degrees, with said proximal portion of said first stimulating member in between said first loop and said proximal end of said first stimulating member.

5. The method of claim 1, wherein said first loop is located within an upper portion of the neck of said patient.

6. The method of claim 1, wherein said first stimulating member comprises a lead with one or more electrodes disposed thereon, and wherein said method further comprises applying a stimulus generated by said stimulator to said stimulation site via at least one of said electrodes.

7. The method of claim 1, wherein said first stimulation site comprises at least one or more of a greater occipital nerve and a lesser occipital nerve.

8. The method of claim 1, wherein said first and second securing devices each comprise a suture sleeve each having a lumen configured to facilitate passage therethrough of said first stimulating member.

9. The method of claim 8, further comprising:

securing said first securing device to said first securing site such that said lumen of said first securing device is substantially collinear with said distal portion of said first stimulating member; and

securing said second securing device to said second securing site such that said lumen of said second securing device is substantially perpendicular to said distal portion of said first stimulating member.

10. The method of claim 8, further comprising filling at least one of said suture sleeves with an adhesive configured to secure said stimulating member within said lumen of said at least one of said suture sleeves.

11. The method of claim 10, further comprising cinching a suture around a main body of at least one of said filled suture sleeves.

12. The method of claim 1, wherein said first stimulating member comprises at least a catheter.

13. The method of claim 1, wherein said positioning of said stimulator and said second securing device comprises positioning said stimulator and said second securing device to maintain a curve in said first stimulating member of at least 90 degrees between said second securing device and said stimulator.

14. A method comprising:

implanting a distal portion of a first stimulating member such that said distal portion of said first stimulating member is in communication with a first stimulation site located within a patient;

securing said distal portion of said first stimulating member at a first securing site with a first securing device positioned proximal to said first stimulation site;

forming a first loop of at least 360 degrees with a portion of said first stimulating member proximal to said first securing device;

securing said first loop with a second securing device at a second securing site within a neck of the patient, the second securing site having a position that is greater than or equal to substantially 180 degrees but less than or equal to substantially 315 degrees along said first loop from said first securing site, wherein the second securing device defines a lumen within which a portion of the first stimulating member is disposed, wherein the lumen is oriented substantially perpendicularly to a midline of the patient, wherein the midline is defined by a vertical plane that divides a body of the patient into its right side and its left side; and

coupling a proximal end of said first stimulating member to a stimulator.

15. The method of claim 14, further comprising curving said first stimulating member proximal to said second securing device to complete said first loop and to create a curve of at least 45 degrees in said first stimulating member between said second securing device and said stimulator.

16. The method of claim 14, further comprising curving said first stimulating member proximal to said second securing device to complete said first loop and to create a curve of at least 90 degrees in said first stimulating member between said second securing device and said stimulator.

17. The method of claim 14, further comprising:

implanting a distal portion of a second stimulating member such that said distal portion of said second stimulating member is in communication with a second stimulation site located within said patient;

securing said distal portion of said second stimulating member at a third securing site with a third securing device positioned proximal to said second stimulation site;

forming a second loop of at least 360 degrees with a portion of said second stimulating member proximal to said third securing device;

securing said second loop with a fourth securing device at a fourth securing site having a position that is greater than or equal to substantially 180 degrees but less than or equal to substantially 31 5 degrees along said second loop from said third securing site; and

coupling a proximal end of said second stimulating member to said stimulator.

18. The method of claim 17, wherein:

said first stimulation site and said first loop are located entirely to the right of the midline of said patient; and

said second stimulation site and said second loop are located entirely to the left of said midline of said patient.

19. The method of claim 14, further comprising:

forming at least one additional loop, of at least 360 degrees, with said proximal portion of said first stimulating member in between said first loop and said proximal end of said first stimulating member.

20. The method of claim 14, wherein said first loop is located within an upper portion of the neck of said patient.

21. The method of claim 14, wherein said first stimulating member comprises a lead with one or more electrodes disposed thereon, and wherein said method further comprises applying a stimulus generated by said stimulator to said stimulation site via at least one of said electrodes.

22. The method of claim 14, wherein said first stimulation site comprises at least one or more of a greater occipital nerve and a lesser occipital nerve.

23. The method of claim 14, wherein said first and second securing devices each comprise a suture sleeve each having a lumen configured to facilitate passage therethrough of said first stimulating member.

24. The method of claim 23, further comprising:

suturing said first securing device to said first securing site such that said lumen of said first securing device is substantially collinear with said distal portion of said first stimulating member; and

suturing said second securing device to said second securing device such that said lumen of said second securing device is substantially perpendicular to said distal portion of said first stimulating member.