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

• US 8,423,155 B1
• Filed: 08/08/2008
• Issued: 04/16/2013
• 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., DiGiore, Andrew
• Primary Examiner(s): Lavert, Nicole F
• Application Number:
  US12/188,781
• Time in Patent Office: 1,712 Days
• Field of Search: 607/1, 607/2, 607/45, 607/46, 607/116, 607/117, 60/1, 60/2, 60/45, 60/46, 601/16, 601/17
• US Class Current: 607/116
• CPC Class Codes: A61N 1/0526 Head electrodes A61N1/0551 takes precedence
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/0558 Anchoring or fixation means therefor
• 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 and systems of facilitating stimulation of a stimulation site within a patient include implanting a distal portion of a stimulating member such that the distal portion of the stimulating member is in communication with a stimulation site located within a patient, securing the distal portion of the stimulating member at a first securing site with a first securing device, forming at least two curves of opposite concavity with a proximal portion of the stimulating member, securing the stimulating member at a second securing site with a second securing device, and coupling a proximal end of the stimulating member to a stimulator. In some examples, the at least two curves of opposite concavity are located in between the first and second securing devices.

Claims

1. A system comprising:

a stimulating member having a distal portion configured to be in communication with a stimulation site located within a patient and a proximal portion formed into an s-curve with only two curves of opposite concavity;

a stimulator coupled to a proximal end of said stimulating member;

a first securing device coupled to said stimulating member and configured to secure said stimulating member to a first securing site to maintain said distal portion of said stimulating member in communication with said stimulation site; and

a second securing device coupled to said stimulating member and configured to secure said stimulating member at a second securing site, wherein the first securing device is unattached to the second securing device;

wherein said proximal portion, formed into said s-curve with only two curves of oppisite concavity, extends from said first securing device to said second securing device.

12. A method comprising:

providing the system of claim 1, wherein the stimulating member comprises a lead;

implanting a distal portion of the lead such that said distal portion of said lead is in communication with a stimulation site located within a patient;

securing said distal portion of said lead at a first securing site with the first securing device of the system;

securing said lead at a second securing site with the second securing device of the system; and

coupling a proximal end of said lead to the stimulator of the system.

13. The method of claim 12, further comprising:

implanting a distal portion of another lead such that said distal portion of said another lead is in communication with another stimulation site located within a patient;

securing said distal portion of said another lead at a third securing site with a third securing device;

forming at least two curves of opposite concavity with a proximal portion of said another lead;

securing said another lead at a fourth securing site with a fourth securing device; and

coupling a proximal end of said another lead to said stimulator;

wherein said at least two curves of opposite concavity of said another lead are located in between said third and fourth securing devices.

14. The method of claim 12, further comprising applying a stimulus generated by said stimulator to said stimulation site via at least one electrode disposed on said lead.

15. The method of claim 12, wherein said stimulation site comprises at least one or more of a greater occipital nerve and a lesser occipital nerve.

16. The system of claim 1, further comprising:

another stimulating member having a distal portion configured to be in communication with another stimulation site located within a patient, a proximal portion formed into an s-curve with only two curves of opposite concavity, and a proximal end configured to be coupled to said stimulator;

a third securing device coupled to said another stimulating member and configured to secure said another stimulating member to a third securing site to maintain said distal portion of said another stimualting member in communication with said another stimulatin site; and

a fourth securing device coupled to said another stimulating member and configured to secure said another stimulating member at a fourth securing site;

wherein said proximal portion of said another stimulating member, formed into said s-curve with only two curves of opposite concavity, extends from said third securing device to said fourth securing device.

17. The system of claim 1, wherein said stimulating member comprises a lead having at least one electrode disposed thereon, and wherein said stimulator is configured to apply a stimulus to said stimulation site via said at least one electrode.

18. The system of claim 1, wherein said stimulating member comprises a catheter, and wherein said stimulator is configured to apply one or more drugs to said stimulation site via said catheter.

19. The system fo claim 1, wherein said first and second securing devices each comprise a suture sleeve having a lumen configued to facilitate passage therethrough of said stimulating member.

20. The system of claim 1, wherein the first securing device comprises a body defining a lumen extending from a first end of the body to a second end of the body along and axis, the lumen configured and arranged for receiving a portion ot the stimulating member, the body further defining a slit through the body to the lumen, the slit extending partway along the axis of the first securing device.

2. A method comprising:

A method comprising;

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

securing said distal portion of said stimulating member at a first sectoring site with the -first securing device of the system;

securing said stimulating member at a second securing site with the second securing device of the system; and

coupling a proximal end of said stimulating member to the stimulator of the system.

3. The method of claim 2, further comprising:

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

securing said distal portion of said another stimulating member at a third securing site with a third securing device;

forming at least two curves of opposite concavity with a proximal portion of said another stimulating member;

securing said another stimulating member at a fourth securing site with a fourth securing device; and

coupling a proximal end of said another stimulating member to said stimulator;

wherein said at least two curves of opposite concavity of said another stimulating member are located in between said third and fourth securing devices.

4. The method of claim 2, further comprising:

forming a loop with said proximal portion of said stimulating member in between said second securing device and said stimulator.

5. The method of claim 2, wherein said 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.

6. The method of claim 2, wherein said stimulation site comprises at least one or more of a greater occipital nerve and a lesser occipital nerve.

7. The method of claim 2, wherein said first and second securing devices each comprise a suture sleeve each having a lumen configured to facilitate passage therethrough of said stimulating member.

8. The method of claim 7, 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.

9. The method of claim 2, wherein said stimulating member comprises a catheter, and wherein said method further comprises delivering one or more drugs to said stimulation site via said catheter.

10. The method of claim 2, further comprising positioning said distal portion of said stimulating member such that said stimulating member is substantially perpendicular to a midline of said patient.

11. The method of claim 2, further comprising positioning at least one of said first and second securing device substantially perpendicular to a midline of said patient.