Electrical stimulation leads having RF compatibility and methods of use and manufacture

• US 8,483,844 B2
• Filed: 12/27/2012
• Issued: 07/09/2013
• Est. Priority Date: 09/25/2008
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: McDonald, Matthew Lee, Pianca, Anne Margaret
• Primary Examiner(s): BOCKELMAN, MARK
• Application Number:
  US13/728,579
• Publication Number:
  US 20130138181A1
• Time in Patent Office: 194 Days
• Field of Search: 607116-138, 600373-381
• US Class Current: 607/116
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/086 Magnetic resonance imaging [MRI] compatible leads
• CPC Class Codes: A61N 1/36128 Control systems
• CPC Class Codes: A61N 1/3718 Monitoring of or protection against external electromagnetic fields or currents

Abstract

A neurostimulation lead or lead extension includes a lead body having a proximal end and a distal end. A plurality of first contacts are disposed on the distal end of the lead body. A plurality of second contacts are disposed on a proximal end of the lead body. A plurality of conductors extend along the lead body. Each of the plurality of conductors electrically couples at least one of the first contacts to at least one of the second contacts. At least one of the conductors includes at least one switch disposed along a length of the conductor. The at least one switch is configured and arranged to separate the conductor into a plurality of individual segments when the at least one switch is opened.

Claims

1. A method of neural stimulation, the method comprising:

implanting a lead in a patient, the lead comprising a lead body having a proximal end and a distal end, a plurality of electrodes disposed on the distal end of the lead body, a plurality of terminals disposed on the proximal end of the lead body, and a plurality of conductors extending along the lead body, wherein each of the plurality of conductors electrically couples at least one of the electrodes to at least one of the terminals, wherein at least one of the conductors comprises a plurality of switches disposed along a length of the conductor and configured and arranged to separate the conductor into a plurality of individual segments when the plurality of switches are opened;

providing signals to the electrodes to produce neural stimulation of tissue in the patient; and

opening the plurality of switches when an intensity from at least one of a magnetic field or radio-frequency radiation meets a threshold criterion.

2. The method of claim 1, wherein opening the plurality of switches comprises providing an electrical signal to the plurality of switches to open the plurality of switches.

3. The method of claim 2, wherein providing an electrical signal comprises providing an electrical signal to the plurality of switches along at least one control line disposed in the lead to open the plurality of switches.

4. The method of claim 2, wherein providing an electrical signal comprises providing an electrical signal wirelessly to the plurality of switches to open the plurality of switches.

5. The method of claim 1, wherein opening the plurality of switches comprises mechanically opening the plurality of switches.

6. The method of claim 5, wherein mechanically opening the plurality of switches comprises twisting at least a portion of the lead to open the plurality of switches.

7. The method of claim 5, wherein mechanically opening the plurality of switches comprises squeezing at least a portion of the lead to open the plurality of switches.

8. The method of claim 5, wherein mechanically opening the plurality of switches comprises bending at least a portion of the lead to open the plurality of switches.

9. The method of claim 5, wherein mechanically opening the plurality of switches comprises applying pressure to the plurality of switches to open the plurality of switches.

10. The method of claim 9, wherein applying pressure to the plurality of switches comprises applying pressure to the plurality of switches through a lumen extending along the lead to open the plurality of switches.

11. The method of claim 10, wherein applying pressure to the plurality of switches through a lumen comprises inserting an external instrument into the lumen to apply pressure to the plurality of switches.

12. The method of claim 10, wherein applying pressure to the plurality of switches through a lumen comprises injecting a fluid into the lumen to apply pressure to the plurality of switches.

13. The method of claim 1, wherein each of the conductors comprises the plurality of switches disposed along a length of the conductor and configured and arranged to separate the conductor into a plurality of individual segments when the plurality of switches are opened.

14. The method of claim 1, wherein opening the plurality of switches comprises magnetically opening the plurality of switches.

15. The method of claim 1, further comprising coupling a control module to the lead and implanting the control module.

16. The method of claim 15, wherein coupling a control module to the lead comprising coupling the lead to a lead extension and coupling the lead extension to the control module.

17. The method of claim 15, further comprising monitoring an intensity from at least one of a magnetic field or radio frequency radiation using a sensor disposed in the control module.

18. The method of claim 17, wherein opening the plurality of switches comprises opening the plurality of switches in response to the sensor determining that the intensity from at least one of the magnetic field or the radio-frequency radiation meets a threshold criterion.

19. The method of claim 1, wherein opening the plurality of switches comprises, for each of the plurality of switches when the switch is opened, coupling portions of two of the plurality of conductors together to form, in combination with at least one other of the plurality of switches, a continuous conductor loop comprising the switch and the coupled portions of the two of the plurality of conductors.

20. The method of claim 1, wherein each of the plurality of switches is part of each of two or more of the plurality of conductors.