Lead connection system for an implantable electrical stimulation system and methods for making and using the systems

• US 8,666,510 B2
• Filed: 09/06/2013
• Issued: 03/04/2014
• Est. Priority Date: 09/15/2008
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Chinn, Kenny Kinyen, Barker, John Michael
• Primary Examiner(s): Patel, Niketa
• Assistant Examiner(s): LEVICKY, WILLIAM J
• Application Number:
  US14/020,340
• Publication Number:
  US 20140012358A1
• Time in Patent Office: 179 Days
• Field of Search: 607/27, 607/38, 607/116, 607/117, 607/119, 607/152, 439/347, 439/909
• US Class Current: 607/116
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 1/0553 Paddle shaped electrodes, e.g. for laminotomy
• CPC Class Codes: A61N 1/3752 Details of casing-lead connections

Abstract

A lead connection system includes a connector housing. A plurality of lead retainers disposed in the connector housing are configured and arranged to removably attach to a proximal end of one of a received plurality of leads. The plurality of lead retainers include at least one of a slidable drawer and at least one pivotable hinged panel. A plurality of connector contacts are configured and arranged for making electrical contact with one or more of the terminals of one or more of the plurality of received leads. A single connector cable has a distal end that is electrically coupled to the plurality of connector contacts and a proximal end that is configured and arranged for insertion into a trial stimulator. A cable connector is electrically coupled, via the connector contacts, to at least one terminal of each of the received plurality of leads.

Claims

1. A lead connection system comprising:

a connector housing having a first end, a second end opposite to the first end, a first side, and a second side opposite to the first side;

a first lead retainer disposed along the first side of the connector housing, the first lead retainer configured and arranged to receive a first lead of the plurality of leads, the first lead retainer comprising a first pivotable hinged panel that cooperates with the connector housing to removably retain the first lead when pivoted to a closed position, and

a second lead retainer disposed along the second side of the connector housing, the second lead retainer configured and arranged to receive a second lead of the plurality of leads, the second lead retainer comprising a second pivotable hinged panel that cooperates with the connector housing to removably retain the second lead when pivoted to a closed position;

a first plurality of connector contacts disposed along the first side of the connector housing, the first plurality of connector contacts configured and arranged for electrically coupling with a plurality of terminals disposed along a proximal end portion of the first lead when the first lead is received by the first lead retainer and the first pivotable hinged panel is pivoted to the closed position;

a second plurality of connector contacts disposed along the second side of the connector housing, the second plurality of connector contacts configured and arranged for electrically coupling with a plurality of terminals disposed along a proximal end portion of the second lead when the second lead is received by the second lead retainer and the second pivotable hinged panel is pivoted to the closed position; and

a connector cable having a proximal end and a distal end, the distal end electrically coupled to each of the first plurality of connector contacts and the second plurality of connector contacts, the proximal end configured and arranged for coupling to a trial stimulator.

2. The lead connection system of claim 1, wherein the first lead retainer comprises at least one cantilever snap-fit boss and at least one undercut notch, and wherein the first lead retainer is configured and arranged for removably retaining the first lead within the first lead retainer via a snap fit between the at least one cantilever snap-fit boss and the at least one undercut notch when the first pivotable hinged panel is pivoted to the closed position.

3. The lead connection system of claim 1, wherein the first lead retainer is configured and arranged to removably retain the first lead with portions of the first lead extending from the first end of the connector housing.

4. The lead connection system of claim 1, wherein the first lead retainer comprises a plurality of spaced-apart lead-retention members disposed along an inner surface of the first pivotable hinged panel.

5. The lead connection system of claim 4, wherein the connector housing further comprises a plurality of spaced-apart lead-retention members disposed along an inner surface of the first side of the connector housing.

6. The lead connection system of claim 5, wherein the first lead retainer is configured and arranged to removably retain the first lead by sandwiching the first lead between the plurality of lead-retention members of the inner surface of the first pivotable hinged panel and the plurality of lead-retention members of the first side of the connector housing when the first pivotable hinged panel is pivoted to the closed position.

7. The lead connection system of claim 1, wherein the first plurality of connector contacts are disposed along a first contact element, the first contact element configured and arranged to place the first plurality of connector contacts in an arrangement that aligns with the plurality of terminals of the first lead when the first lead is retained by the first lead retainer.

8. The lead connection system of claim 1, further comprising at least one printed circuit board disposed in the connector housing, the at least one printed circuit board electrically coupled to the connector cable and to the first plurality of connector contacts.

9. An electrical-stimulator testing kit comprising:

the lead connection system of claim 1; and

a trial stimulator electrically coupleable to the proximal end of the connector cable of the lead connection system, the trial stimulator configured and arranged for providing electrical signals to the plurality of retained leads.

10. A lead assembly comprising:

the lead connection system of claim 1; and

a plurality of leads comprising a first lead and a second lead, each lead of the plurality of leads having a proximal end portion and a distal end portion, each lead of the plurality of leads comprising

a plurality of electrodes disposed along the distal end portion of the lead,

a plurality of terminals disposed along the proximal end portion of the lead, and

a plurality of conductor wires extending along the lead and coupling the plurality of electrodes to the plurality of terminals.

11. The lead assembly of claim 10, further comprising a first stylet insertable into the proximal end portion of the first lead and extendable therefrom when the first lead is retained by the first lead retainer.

12. The lead assembly of claim 11, wherein the first lead retainer of the lead connection system is configured and arranged to removably retain the first lead with the first stylet extending from the second end of the connector housing when the first stylet is inserted into the proximal end portion of the first lead.

13. The lead assembly of claim 11, wherein the first lead retainer of the lead connection system is configured and arranged to removably retain the first lead with the first stylet extending from the second end of the connector housing such that the first stylet is usable to guide the distal end portion of the first lead while the first lead is retained by the first lead retainer.

14. The lead assembly of claim 10, further comprising a second stylet insertable into the proximal end portion of the second lead and extendable therefrom when the second lead is retained by the second lead retainer.

15. The lead assembly of claim 14, wherein the second lead retainer of the lead connection system is configured and arranged to removably retain the second lead with the second stylet extending from the second end of the connector housing when the second stylet is inserted into the proximal end portion of the second lead.

16. A method for stimulating patient tissue, the method comprising:

providing the lead connection system of claim 1;

advancing a distal end portion of a first lead into a patient, the first lead comprising a plurality of electrodes disposed along the distal end portion of the first lead and a plurality of terminals disposed along a proximal end portion of the first lead;

disposing the proximal end portion of the first lead into the first lead retainer of the lead connection system;

pivoting the first pivotable hinged panel of the first lead retainer to a closed position to removably retain the first lead within the first lead retainer;

inserting the proximal end of the connector cable into a trial stimulator; and

providing electrical signals from the trial stimulator to the plurality of electrodes of the first lead.

17. The method of claim 16, further comprising inserting a first stylet into the proximal end portion of the first lead with a portion of the stylet extending outwardly from the proximal end portion of the first lead.

18. The method of claim 17, further comprising moving the distal end portion of the first lead using the portion of the first stylet extending outwardly from the proximal end portion of the first lead while the first lead is retained by the first lead retainer.

19. The method of claim 17, wherein the step of inserting a first stylet into the proximal end portion of the first lead with a portion of the stylet extending outwardly from the proximal end portion of the first lead occurs prior to the step of disposing the proximal end portion of the first lead into the first lead retainer of the lead connection system.

20. The method of claim 16, further comprising advancing a distal end portion of a second lead into a patient, the second lead comprising a plurality of electrodes disposed along the distal end portion of the second lead and a plurality of terminals disposed along a proximal end portion of the second lead;

disposing the proximal end portion of the second lead into the second lead retainer of the lead connection system; and

pivoting the second pivotable hinged panel of the second lead retainer to a closed position to removably retain the second lead within the second lead retainer.