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

• US 8,644,954 B2
• Filed: 04/15/2013
• Issued: 02/04/2014
• 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., Whitehurst, Todd K.
• Primary Examiner(s): Lavert, Nicole F
• Application Number:
  US13/863,157
• Publication Number:
  US 20130231636A1
• Time in Patent Office: 295 Days
• Field of Search: 607/36, 607/37
• 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 suture sleeve, comprising:

a body defining a lumen extending along the body and configured and arranged to receive a portion of a lead within the lumen,

a first groove disposed on the body of the suture sleeve;

a first wing member extending away from the body of the suture sleeve, and

a first hole disposed in the first wing member for suturing the suture sleeve to a securing site, wherein the first wing member intersects with the first groove and the first hole disposed in the first wing member is in an in-line alignment with the first groove.

2. The suture sleeve of claim 1, further comprising

a second groove disposed on the body of the suture sleeve;

a second wing member extending away from the body of the suture sleeve, and

a second hole disposed in the second wing member for suturing the suture sleeve to the securing site, wherein the second wing member intersects with the second groove and the second hole disposed in the second wing member is in an in-line alignment with the second groove.

3. The suture sleeve of claim 2, wherein the first and second wing members extend away from the body of the suture sleeve in opposite directions.

4. The suture sleeve of claim 3, wherein the first and second wing members are disposed in a staggered arrangement along a length of the suture sleeve.

5. The suture sleeve of claim 2, further comprising a third groove disposed on the body of the suture sleeve and between the first and second grooves.

6. The suture sleeve of claim 1, further comprising a first slit disposed in the body of the suture sleeve, wherein the first slit is bound on four sides by the body and extends from an exterior of the body to the lumen defined in the body.

7. The suture sleeve of claim 6, wherein the first slit intersects the first groove.

8. A system, comprising:

a lead; and

the suture sleeve of claim 1 which is configured and arranged to receive a portion of the lead.

9. The system of claim 8, wherein the system comprises a plurality of the suture sleeves.

10. The system of claim 8, further comprising a stimulator coupleable to the lead.

11. A method comprising:

implanting a distal portion of the lead within a patient adjacent to a stimulation site;

securing the lead to at least one securing site within the patient using at least one suture sleeve, wherein each of the at least one suture sleeve is the suture sleeve of claim 1; and

coupling a proximal end of the lead to a stimulator.

12. The method of claim 11, wherein the at least one suture sleeve is a plurality of suture sleeves and the at least one securing site is a plurality of securing sites, wherein each of the plurality of suture sleeves secures the lead to a different one of the plurality of securing sites.

13. The method of claim 11, further comprising securing the suture sleeve with a suture that passes through the first hole and along the first groove.

14. The method of claim 11, wherein securing the lead comprises forming a loop of at least 360 degrees with a portion of the lead and securing the loop using at least one of the at least one suture sleeve.

15. The method of claim 14, wherein the at least one suture sleeve comprises a first suture sleeve and a second suture sleeve and the at least one securing site comprises a first securing site and a second securing site, wherein securing the loop comprises securing the loop at the first and second securing sites along the loop using the first and second suture sleeves, respectively, wherein the second securing site is at least 180 degrees, but no more than 315 degrees, further along the loop from the first securing site.

16. The method of claim 11, wherein said stimulation site comprises at least one or more of a greater occipital nerve and a lesser occipital nerve.

17. The method of claim 11, wherein the lead comprises a catheter, and wherein the method further comprises delivering one or more drugs to the stimulation site via the catheter.

18. The method of claim 11, wherein the lead comprises one or more electrodes disposed thereon, and wherein the method further comprises applying a stimulus generated by the stimulator to the stimulation site via at least one of the one or more electrodes.

19. The method of claim 18, wherein applying a stimulus comprises applying the stimulus to treat a headache.

20. The method of claim 11, further comprising using current steering to identify at least one stimulation parameter for the patient.