Implantable stimulator

• US 7,920,915 B2
• Filed: 11/16/2005
• Issued: 04/05/2011
• Est. Priority Date: 11/16/2005
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Mann, Alfred E., He, Tom Xiaohai
• Primary Examiner(s): Bockelman; Mark W
• Assistant Examiner(s): Dinga; Roland
• Application Number:
  US11/280,620
• Publication Number:
  US 20070112404A1
• Time in Patent Office: 1,966 Days
• Field of Search: 600/129, 600/427, 600/509, 607/2, 607/3, 607/36, 607/37, 607/45, 607/46, 607/57, 607/61, 607/116
• US Class Current: 607/2
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/37205 Microstimulators, e.g. implantable through a cannula
• CPC Class Codes: A61N 1/37518 Anchoring of the implants, e.g. fixation
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators

Abstract

An implantable stimulator includes a tube assembly that is configured to house a number of components that are configured to apply at least one stimulus to at least one stimulation site within a patient. The tube assembly has a shape that allows the stimulator to be implanted within said patient in a pre-determined orientation. Exemplary methods of stimulating a stimulation site within a patient include applying an electrical stimulation current to a stimulation site via one or more electrodes extending along one or more sides of a stimulator. The stimulator has a shape allowing the stimulator to be implanted within the patient in a pre-determined orientation.

Claims

1. An implantable stimulator comprising:

an elongate casing that defines an interior cavity;

a collection of discrete electrodes disposed at different longitudinal positions along the longitude of the elongate casing;

stimulation circuitry housed in the interior cavity defined by the elongate casing; and

a first electrical conductor joining a first of the discrete electrodes to the stimulation circuitry housed in the interior cavity, wherein at least a portion of the first electrical conductor spans longitudinally along an outer surface of the elongate casing to reach the longitudinal position of the first of the discrete electrodes.

2. The implantable stimulator of claim 1 further comprising a second electrical conductor joining a second of the discrete electrodes to the stimulation circuitry housed in the interior cavity, wherein at least a portion of the second electrical conductor spans longitudinally along the outer surface of the elongate casing to reach the longitudinal position of the second of the discrete electrodes.

3. The implantable stimulator of claim 2 further comprising an electrical insulator that is shared by the portions of the first electrical conductor and the second electrical conductor that span the outer surface of the elongate casing.

4. The implantable stimulator of claim 3, wherein the electrical insulator comprises an insulator film.

5. The implantable stimulator of claim 1, wherein the outer surface of the elongate casing has asymmetric lateral sections effective to hinder rotation of the implantable stimulator within a patient.

6. The implantable stimulator of claim 5, wherein:

the asymmetric lateral sections are generally rounded rectangular; and

the electrodes are each dimensioned to occupy a portion of a long side of the generally rounded rectangular lateral sections.

7. The implantable stimulator claim 1, wherein the stimulation circuitry is adjustable to deliver electrical stimulus to a site within a patient via one or more of the discrete electrodes in the collection.

8. The implantable stimulator of claim 1, wherein the electrodes are dimensioned to occupy less than the entire perimeters of the lateral sections of the outer surface of the elongate casing.

9. The implantable stimulator of claim 1, further comprising a film coupled to the outer surface of the elongate casing, wherein the collection of electrodes are arrayed on the film.

10. The implantable stimulator of claim 1, further comprising a feed through assembly coupled to the elongate casing, the feed through assembly comprising a number of conductive feed throughs that electrically couple the stimulation circuitry housed within the elongate casing to the electrodes.

11. The implantable stimulator of claim 10, further comprising:

a first connecting band hermetically coupled to an end of the elongate casing;

a second connecting band hermetically coupled to an end of the feed through assembly, wherein the first connecting band and the second connecting band are hermetically coupled to each other.

12. The implantable stimulator of claim 10, wherein the feed through assembly is coupled to an end of the elongate casing.

13. The implantable stimulator of claim 1, further comprising a battery coupled to the elongate casing, the battery configured to provide power for the stimulation circuitry housed within the elongate casing.

14. The implantable stimulator of claim 13, further comprising:

a first connecting band coupled to an end of the elongate casing; and

a second connecting band coupled to an end of the battery, wherein the first connecting band and the second connecting band are hermetically coupled to each other.

15. The implantable stimulator of claim 1, further comprising an indifferent electrode for completing one or more stimulation circuits.

16. The implantable stimulator of claim 1, wherein the elongate casing comprises a material configured to allow passage of a magnetic field.

17. The implantable stimulator of claim 1, wherein the elongate casing comprises a ceramic.

18. The implantable stimulator of claim 1, wherein the stimulation circuitry housed within the elongate casing comprises:

a programmable memory unit storing one or more stimulation parameters; and

electrical circuitry configured to generate an electrical stimulus.

19. The implantable stimulator of claim 18, further comprising a sensor device for sensing at least one parameter related to a medical condition of a patient, wherein the stimulation circuitry is configured to adjust the electrical stimulus based on the one or more stimulation parameters.

20. The implantable stimulator of claim 1, wherein the outer surface of the elongate casing has a shape effective to hinder rotation of the implantable stimulator within a patient.

21. The implantable stimulator of claim 1, wherein the shape of the elongate casing is non-cylindrical.

22. The implantable stimulator of claim 1, wherein a height of the implantable stimulator is equal to or less than 4.25 millimeters, a width of the implantable stimulator is equal to or less than 7.25 millimeters, and a length of the implantable stimulator is equal to or less than 28 millimeters.

23. The implantable stimulator of claim 1, wherein the collection of discrete electrodes are disposed on the outer surface of the casing, and the first electrical conductor is disposed on the outer surface of the casing.