Treatment devices with deliver-activated inflatable members, and associated systems and methods for treating the spinal cord and other tissues

• US 8,712,552 B2
• Filed: 11/15/2012
• Issued: 04/29/2014
• Est. Priority Date: 04/16/2008
• Status: Active Grant

• Current Assignee: Nevro Corporation
• Original Assignee: Nevro Corporation
• Inventors: Boling, C. Lance, Makous, James
• Primary Examiner(s): Heller, Tammie K
• Application Number:
  US13/678,435
• Publication Number:
  US 20130144305A1
• Time in Patent Office: 530 Days
• Field of Search: 607/116, 607/117, 607/122
• US Class Current: 607/122
• 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 1/0558 Anchoring or fixation means therefor
• CPC Class Codes: Y10T 29/49826 Assembling or joining

Abstract

The present application includes treatment systems having delivery-activated inflatable members, and associated systems and methods for treating the spinal cord and other tissues. A treatment system in accordance with one embodiment includes a lead body having an opening, an inner surface position around the opening, and an inflatable member carried by the lead body, with at least one of the inflatable member and the lead body including a frangible portion accessible from the opening. The inflatable member can have an expandable interior volume bounded at least in part by the frangible portion. The system can further include a delivery device received in the opening of the lead body and positioned to open a passage through the frangible portions between the interior volume of the inflatable member and the opening of the lead body when the delivery device is removed from the opening of the lead body.

Claims

1. A method for positioning a treatment lead in a patient, comprising:

percutaneously passing a lead into the patient'"'"'s body while the lead is carried by a delivery device, the lead including an inflatable volume having a self-expanding material therein, the delivery device being received in an opening of the lead; and

forming a passage between the opening in the lead and the inflatable volume to expose and expand the self-expanding material by at least partially removing the delivery device from the opening.

2. The method of claim 1 wherein forming a passage includes tearing a wall between the opening in the lead and the inflatable volume by at least partially removing the delivery device from the opening.

3. The method of claim 1 wherein forming the passage includes allowing a flowable material into the opening and through the passage into the inflatable volume.

4. The method of claim 3 wherein forming the passage includes allowing a liquid into the inflatable volume.

5. The method of claim 3 wherein forming the passage includes allowing at least one of a gas, a foam, a liquid, a gel, and a curable material into the inflatable volume.

6. The method of claim 1 wherein forming a passage includes puncturing a material bounding the inflatable volume.

7. The method of claim 1 wherein forming a passage includes disrupting an adhesive between the lead and the delivery device.

8. The method of claim 1 wherein forming the passage between the opening in the lead and the inflatable volume to expose and expand the self-expanding material includes positioning the inflatable volume against adjacent tissue to at least restrict motion between the treatment lead and the tissue.

9. The method of claim 8 wherein positioning the inflatable volume against adjacent tissue includes positioning the inflatable volume against bone tissue.

10. The method of claim 8 wherein the inflatable volume carries an electrical contact, and wherein positioning the inflatable volume against the adjacent tissue includes positioning the electrical contact against the adjacent tissue.

11. The method of claim 1 wherein the lead body has an electrical contact, and wherein passing the lead into the patient'"'"'s body includes positioning the electrical contact in electrical communication with neurons in a spinal cord region of the patient.

12. The method of claim 11 wherein the neurons include spinal cord neurons.

13. The method of claim 11 wherein the neurons include dorsal root neurons.

14. The method of claim 11 wherein passing the lead into the patient'"'"'s body includes positioning the lead in a gutter along the spinal cord.

15. The method of claim 11 wherein passing the lead into the patient'"'"'s body includes positioning the lead in a dorsal root entry zone.

16. The method of claim 1 wherein the lead includes an electrical contact positioned adjacent to the inflatable volume, and wherein forming the passage between the opening in the lead and the inflatable volume to expose and expand the self-expanding material includes moving the electrical contact toward a target neural site.

17. The method of claim 1 wherein the lead includes an electrical contact, wherein the method further comprises positioning the electrical contact adjacent to neurons in a spinal cord region of the patient, and wherein forming the passage between the opening in the lead and the inflatable volume to expose and expand the self-expanding material includes expanding the inflatable volume to move the electrical contact toward the neurons.

18. The method of claim 1, further comprising expanding the inflatable volume via the self-expanding material to move an electrode carried by the lead toward a target neural site.

19. The method of claim 1, further comprising moving an electrical contact attached to the lead toward neurons in a spinal cord region of the patient via the expansion of the self-expanding material.

20. The method of claim 1, further comprising urging an electrode carried by the lead toward a target neural site via the expansion of the self-expanding material.