Modular stimulation lead network

• US 8,185,208 B2
• Filed: 08/27/2009
• Issued: 05/22/2012
• Est. Priority Date: 03/12/2004
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Garabedian, Robert J., Wallace, Michael P.
• Primary Examiner(s): Gedeon, Brian T
• Application Number:
  US12/549,223
• Publication Number:
  US 20090319012A1
• Time in Patent Office: 999 Days
• Field of Search: 607/46, 607115-118
• US Class Current: 607/46
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/36017 with leads or electrodes penetrating the skin
• CPC Class Codes: A61N 1/36021 for treatment of pain
• CPC Class Codes: A61N 1/36071 Pain

Abstract

A medical kit and method for treating an ailment, such as chronic pain is provided. The kit comprises first and second medical leads, e.g., stimulation leads. Each lead comprises an elongated body and at least one operative element. The first medical lead comprises a coupling mechanism, such as a slot, and the second medical lead comprises a complementary mechanism, such as a rail, that slidably engages the coupling mechanism of the first medical lead. The method may comprise delivering the first medical lead into a patient'"'"'s body, e.g., into the epidural space of the patient, and delivering the second medical lead into the patient'"'"'s body by sliding the complementary coupling mechanism of the second medical lead along the coupling mechanism of the first medical lead.

Claims

1. A medical kit, comprising:

a first medical lead comprising a first elongated body, a first operative element, and a first coupling mechanism longitudinally extending along at least a portion of the first elongated body; and

a second medical lead comprising a second elongated body, a second operative element, and a first complementary coupling mechanism configured to slidably engage the first coupling mechanism, wherein the second elongated body is configured for being deployed from the first elongated body by slidably disengaging at least a portion of the complementary coupling mechanism from the coupling mechanism.

2. The medical kit of claim 1, wherein at least one of the first and second elongated bodies is cylindrically-shaped.

3. The medical kit of claim 1, wherein the greatest cross-sectional dimension of at least one of the first and second elongated bodies is 5 mm or less.

4. The medical kit of claim 1, wherein the first and second operative elements are electrodes.

5. The medical kit of claim 1, wherein the first and second operative elements are mounted on the respective first and second elongated bodies.

6. The medical kit of claim 1, wherein the first and second operative elements are configured to face a single direction when the first complementary coupling mechanism slidably engages the first coupling mechanism.

7. The medical kit of claim 1, wherein each of the first and second medical leads comprises a plurality of operative elements.

8. The medical kit of claim 1, wherein the first coupling mechanism and first complementary coupling mechanism are configured to slidably engage each other in a rail and slot arrangement.

9. The medical kit of claim 1, wherein the second complementary coupling mechanism extends along only a distal portion of the second elongated body.

10. The medical kit of claim 1, wherein the second elongated body is shorter than the first elongated body.

11. The medical kit of claim 1, wherein the second elongated body is configured for being actively changed from a first geometry to a second geometry after deployment from the first elongated body.

12. The medical kit of claim 1, wherein the second elongated body is pre-curved.

13. The medical kit of claim 1, wherein the first medical lead comprises another coupling mechanism longitudinally extending along at least a portion of the first elongated body, the medical kit further comprising a third medical lead comprising a third elongated body, an operative element mounted on the third elongated body, and another complementary coupling mechanism configured to slidably engage the other coupling mechanism.

14. The medical kit of claim 1, wherein the second elongated body is shorter than the first elongated body, such that a proximal end of the first elongated body is configured for extending from an opening in the patient'"'"'s back to a location external to the patient when a distal end of the first elongated body is disposed within the patient'"'"'s spine, and the second elongated body is configured for being entirely received within the patient'"'"'s spine when the complementary coupling mechanism is slidably engaged with the coupling mechanism when the proximal end of the first elongated body extends from the opening in the patient'"'"'s back.

15. A method of treating a disorder in a patient using the medical kit of claim 1, comprising:

delivering the first medical lead into the patient;

delivering the second medical lead into the patient by sliding the complementary coupling mechanism along the coupling mechanism.

16. The method of claim 15, wherein the first and second medical leads are delivered into the patient through a percutaneous opening.

17. A medical kit, comprising:

a first medical lead comprising a first elongated body, a first operative element, and a first coupling mechanism longitudinally extending along at least a portion of the first elongated body; and

a second medical lead comprising a second elongated body, a second operative element, and a first complementary coupling mechanism configured to slidably engage the first coupling mechanism, wherein the second elongated body is configured to be actively changed from a first geometry to a second geometry after deployment from the first elongated body.

18. The medical kit of claim 17, further comprising a stylet configured to be introduced through the second elongated body to change the second elongated body from the first geometry to the second geometry.

19. The medical kit of claim 17, wherein the second medical lead comprises a pullwire configured to be pulled to change the second elongated body from the first geometry to the second geometry.

20. A medical kit, comprising:

a first medical lead comprising a first elongated body, a first operative element, and a first coupling mechanism longitudinally extending along at least a portion of the first elongated body; and

a second medical lead comprising a second elongated body, a second operative element, and a first complementary coupling mechanism configured to slidably engage the first coupling mechanism, wherein the complementary coupling mechanism does not extend along a portion of the second elongated body, and the second elongated body is configured to deploy from the first elongated body by bowing the portion of the second elongated body away from the first elongated body.

21. A medical kit, comprising:

a first medical lead comprising a first elongated body, a first operative element, and a first coupling mechanism longitudinally extending along at least a portion of the first elongated body; and

a second medical lead comprising a second elongated body, a second operative element, and a first complementary coupling mechanism configured to slidably engage the first coupling mechanism, wherein the second medical lead comprises a flap on which the respective operative element is disposed, the flap extending along a portion of the complementary coupling mechanism, and configured to be secured by the coupling mechanism when the portion of the complementary coupling mechanism slidably engages the coupling mechanism and released by the coupling mechanism when the portion of the complementary coupling mechanism slidably disengages the coupling mechanism.

22. A method of performing a medical procedure on a patient, comprising:

delivering a first medical lead into the patient;

delivering a second medical lead into the patient by slidably engaging the second medical lead along the first medical lead; and

deploying the second medical lead from the first medical lead.

23. The method of claim 22, wherein the first and second medical leads are delivered into the patient through a percutaneous opening.

24. The method of claim 22, further comprising implanting the first and second medical leads within the patient.

25. The method of claim 22, further comprising delivering a third medical lead into the patient by slidably engaging the third medical lead along the first medical lead.

26. The method of claim 22, further comprising inserting a delivery device into the patient, wherein the first medical lead is introduced through the delivery device into the patient.

27. The method of claim 26, wherein the delivery device is one of an introducer or needle.