Leads with tip electrode for electrical stimulation systems and methods of making and using

• US 8,792,993 B2
• Filed: 05/31/2013
• Issued: 07/29/2014
• Est. Priority Date: 06/01/2012
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Pianca, Anne Margaret, Howard, Joshua Dale, Orinski, William George
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US13/906,776
• Publication Number:
  US 20130325091A1
• Time in Patent Office: 424 Days
• Field of Search: 607/116
• 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 1/0529 Electrodes for brain stimulation
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/0565 Electrode heads
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system

Abstract

An implantable electrical stimulation lead includes a tip electrode disposed on a distal tip of the lead body. One tip electrode has a base and a separate plug attached to the base. The base defines an interior lumen closed at one end by the plug. Another tip electrode has an electrode body, a stem extending from the electrode body, and shaped retention features extending from the stem. Yet another tip electrode has an electrode body, a stem extending from the electrode body, and a flange disposed on the stem opposite the electrode body. A further tip electrode has an electrode body defining an interior lumen and a plurality of protrusions extending into the interior lumen. Another tip electrode has an electrode body and arms extending from the electrode body. The electrode body defines an interior lumen and the arms extend over an opening to the interior lumen.

Claims

1. An implantable electrical stimulation lead, comprising:

a lead body comprising a distal portion, a distal tip, and a proximal portion; and

a plurality of electrodes disposed along the distal portion of the lead body, the plurality of electrodes comprising a tip electrode disposed on the distal tip of the lead body, the tip electrode having a conductive base and a separate conductive plug attached to the base, wherein a portion of the base and the plug are exposed on an exterior of the lead and the base defines an interior lumen closed at one end by the plug, wherein a portion of the lead body extends into the interior lumen of the base;

a plurality of terminals disposed along the proximal portion of the lead; and

a plurality of conductors, each conductor electrically coupling at least one of the electrodes to at least one of the terminals.

2. The implantable electrical stimulation lead of claim 1, wherein the base is in electrical communication with the plug.

3. The implantable electrical stimulation lead of claim 1, wherein the plurality of electrodes further comprises a plurality of segmented electrodes.

4. The implantable electrical stimulation lead of claim 3, wherein the plurality of electrodes further comprises at least one ring electrode.

5. An implantable electrical stimulation lead, comprising:

a lead body comprising a distal portion, a distal tip, and a proximal portion;

a plurality of electrodes disposed along the distal portion of the lead body, the plurality of electrodes comprising a tip electrode disposed on the distal tip of the lead body, the tip electrode having an electrode body, a stem extending from the electrode body, and a plurality of shaped retention features extending from the stem, wherein a portion of the lead body extends around the stein and shaped retention features, wherein the shaped retention features facilitate retention of the tip electrode on the lead body;

a plurality of terminals disposed along the proximal portion of the lead; and

a plurality of conductors, each conductor electrically coupling at least one of the electrodes to at least one of the terminals.

6. The implantable electrical stimulation lead of claim 5, wherein the plurality of shaped retention features comprises at least one shaped retention feature having a sloped edge on one side and a stepped edge on an opposite side.

7. The implantable electrical stimulation lead of claim 5, wherein the plurality of shaped retention features comprises at least one protruding thread.

8. The implantable electrical stimulation lead of claim 5, wherein the plurality of shaped retention features comprises at least one stepped feature.

9. An implantable electrical stimulation lead, comprising:

a lead body comprising a distal portion, a distal tip, and a proximal portion;

a plurality of electrodes disposed along the distal portion of the lead body, the plurality of electrodes comprising a tip electrode disposed on the distal tip of the lead body, the tip electrode having an electrode body, a stem extending from the electrode body, and a flange attached to the stem opposite the electrode body, wherein a portion of the lead body extends around and over the stem and flange, wherein the flange facilitates retention of the tip electrode on the lead body;

a plurality of terminals disposed along the proximal portion of the lead; and

a plurality of conductors, each conductor electrically coupling at least one of the electrodes to at least one of the terminals.

10. The implantable electrical stimulation lead of claim 9, wherein the flange is non-circular and resists rotation of the tip electrode around the distal tip of the lead body.

11. The implantable electrical stimulation lead of claim 10, wherein the flange comprises a plurality of indentations.

12. The implantable electrical stimulation lead of claim 11, wherein the plurality of conductors comprises a tip electrode conductor coupled to the flange of the tip electrode at one of the plurality of indentations.

13. An implantable electrical stimulation lead, comprising:

a lead body comprising a distal portion, a distal tip, and a proximal portion;

a plurality of electrodes disposed along the distal portion of the lead body, the plurality of electrodes comprising a tip electrode disposed on the distal tip of the lead body, the tip electrode having an electrode body, wherein the electrode body defines an interior lumen and a plurality of protrusions extending into the interior lumen, wherein a portion of the lead body extends into the interior lumen of the electrode body and wherein the plurality of protrusions in the interior lumen facilitates retention of the tip electrode on the lead body and hinders rotation of the tip electrode around the distal tip of the lead body;

a plurality of terminals disposed along the proximal portion of the lead; and

a plurality of conductors, each conductor electrically coupling at least one of the electrodes to at least one of the terminals.

14. The implantable electrical stimulation lead of claim 13, wherein the electrode body further defines an opening to the interior lumen with a plurality of protrusions formed around the opening to give the opening a non-circular shape.

15. The implantable electrical stimulation lead of claim 14, wherein the plurality of protrusions formed around the opening provide a flange-like arrangement with respect to an adjacent surface of the interior lumen.

16. The implantable electrical stimulation lead of claim 13, wherein the electrode body further comprises a base and a separate plug attached to the base.

17. An implantable electrical stimulation lead, comprising:

a lead body comprising a distal portion, a distal tip, and a proximal portion;

a plurality of electrodes disposed along the distal portion of the lead body, the plurality of electrodes comprising a tip electrode disposed on the distal tip of the lead body, the tip electrode having an electrode body and a plurality of arms extending from the electrode body, wherein the electrode body defines an interior lumen and an opening to the interior lumen and wherein the plurality of arms extends over the opening to the interior lumen, wherein a portion of the lead body extends into the interior lumen of the electrode body and around the plurality of arms, wherein the plurality of arms facilitates retention of the tip electrode on the lead body;

a plurality of terminals disposed along the proximal portion of the lead; and

a plurality of conductors, each conductor electrically coupling at least one of the electrodes to at least one of the terminals.

18. The implantable electrical stimulation lead of claim 17, wherein the arms are placed at regular intervals around the electrode body.

19. The implantable electrical stimulation lead of claim 17, wherein the plurality of electrodes further comprises a plurality of segmented electrodes.

20. The implantable electrical stimulation lead of claim 17, wherein the electrode body further comprises a base and a separate plug attached to the base.