Systems and methods for making and using bendable paddles with implantable electrical stimulation systems

• US 8,849,414 B2
• Filed: 01/06/2011
• Issued: 09/30/2014
• Est. Priority Date: 01/14/2010
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Lee, Dongchul
• Primary Examiner(s): DIETRICH, JOSEPH M
• Application Number:
  US12/985,896
• Publication Number:
  US 20110172751A1
• Time in Patent Office: 1,363 Days
• Field of Search: 607/45, 607/46, 607/115, 607/116, 607/117
• US Class Current: 607/115
• CPC Class Codes: A61N 1/0553 Paddle shaped electrodes, e.g. for laminotomy

Abstract

An implantable paddle lead includes a paddle body coupled to a distal end of an elongated lead body. A plurality of contacts are disposed on a front surface of the paddle body. At least one manually bendable shape-retaining member is interconnected with the paddle body. The at least one shape-retaining member is formed from a deformable material that is stiff enough to maintain a given shape for at least one day. The at least one bendable shape-retaining member is interconnected with the paddle body such that bending the at least one shape-retaining member causes a corresponding bend of at least a portion of the paddle body in proximity to the at least one shape-retaining member.

Claims

1. An implantable paddle lead comprising:

an elongated lead body with a proximal end and a distal end;

a plurality of terminals disposed at the proximal end of the lead body;

a paddle body coupled to the distal end of the lead body, the paddle body having a length, a width, and front surface, the paddle body disposed in a flat configuration;

a plurality of contacts disposed on the front surface of the paddle body;

at least one manually-bent, adjustable shape-retaining member interconnected with the paddle body, the at least one shape-retaining member formed from a deformable material, wherein the at least one shape-retaining member is interconnected with the paddle body such that bending the at least one shape-retaining member into a bent configuration causes the paddle body to bend from the flat configuration into a corresponding bent configuration, wherein the paddle lead is configured and arranged for implantation into a patient with the paddle body disposed in the bent configuration, wherein the plurality of contacts are configured and arranged to stimulate patient tissue while the paddle body is disposed in the bent configuration, wherein the at least one shape-retaining member is stiff enough to maintain the same bent configuration of the at least one paddle body for at least one day after implantation of the paddle lead, and wherein the bent configuration that the at least one shape-retaining member is configured and arranged for bending the paddle body into prior to implantation of the paddle lead into the patient corresponds to a shape of a portion of an anatomical structure disposed at, or in proximity to, a target stimulation region within the patient; and

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

2. The paddle lead of claim 1, wherein the at least one shape-retaining member is interconnected with the paddle body such that the at least one shape-retaining member is disposed at least partially within the paddle body.

3. The paddle lead of claim 1, wherein the at least one shape-retaining member is disposed entirely within the paddle body.

4. The paddle lead of claim 1, wherein the at least one shape-retaining member is disposed entirely external to the paddle body and is coupled thereto.

5. The paddle lead of claim 1, wherein the at least one shape-retaining member extends across at least 75% of the width of the paddle body.

6. The paddle lead of claim 1, wherein the at least one shape-retaining member extends across at least 75% of the of length of the paddle body.

7. The paddle lead of claim 1, wherein the at least one shape-retaining member extends around a portion of the paddle body.

8. The paddle lead of claim 1, wherein the plurality of contacts disposed on the front surface of the paddle body comprises at least one anode and at least one cathode.

9. The paddle lead of claim 1, wherein the deformable material is stiff enough to maintain a given shape for at least one year.

10. The paddle lead of claim 1, wherein the deformable material is separate from and distinct from the paddle lead.

11. An electrical stimulation system comprising

the paddle lead of claim 1;

a control module configured and arranged to electrically couple to the proximal end of the lead body, the control module comprising

a housing, and

an electronic subassembly disposed in the housing; and

a connector for receiving the lead body, the connector having a proximal end, a distal end, and a longitudinal length, the connector configured and arranged to receive the lead body, the connector comprising

a connector housing defining a port at the distal end of the connector, the port configured and arranged for receiving the proximal end of the lead body, and

a plurality of connector contacts disposed in the connector housing, the connector contacts configured and arranged to couple to at least one of the plurality of terminals disposed on the proximal end of the lead body.

12. The electrical stimulation system of claim 11, further comprising a lead extension having a proximal end and a distal end, the connector disposed on the distal end of the lead extension.

13. The electrical stimulation system of claim 12, wherein the proximal end of the lead extension is configured and arranged for insertion into another connector.

14. A method for implanting a paddle lead into a patient, the method comprising:

providing an implantable paddle lead comprising

an elongated lead body with a proximal end and a distal end;

a plurality of terminals disposed at the proximal end of the lead body;

a paddle body coupled to the distal end of the lead body, the paddle body having a length, a width, and front surface, the paddle body disposed in a flat configuration;

a plurality of contacts disposed on the front surface of the paddle body;

at least one manually-bent, adjustable shape-retaining member interconnected with the paddle body, the at least one shape-retaining member formed from a deformable material, wherein the at least one shape-retaining member is interconnected with the paddle body such that bending the at least one shape-retaining member into a bent configuration causes the paddle body to bend from the flat configuration into a corresponding bent configuration, wherein the paddle lead is configured and arranged for implantation into a patient with the paddle body disposed in the bent configuration, wherein the plurality of contacts are configured and arranged to stimulate patient tissue while the paddle body is disposed in the bent configuration, and wherein the at least one shape-retaining member is stiff enough to maintain the same bent configuration of the at least one paddle body for at least one day after implantation of the paddle lead; and

a plurality of conductors, each conductor electrically coupling at least one of the contacts to at least one of the terminals;

bending the at least one shape-retaining member of the paddle lead, wherein bending the at least one shape-retaining member causes the paddle body of the paddle lead to bend from the flat configuration into a bent configuration that conforms to at least a portion of an internal anatomical structure of the patient;

inserting the paddle lead, with the paddle body disposed in the bent configuration, into the patient such that at least a portion of the paddle body abuts the anatomical structure; and

electrically stimulating the anatomical structure using at least one of the plurality of contacts while the paddle body is disposed in the bent configuration;

wherein the at least one shape-retaining member is stiff enough to maintain the paddle body in the same bent configuration for at least one day.

15. The method of claim 14, wherein bending the at least one shape-retaining member comprises bending the paddle body into a bent configuration that conforms to at least a portion of the patient'"'"'s dura mater.

16. The method of claim 14, wherein inserting the paddle lead into the patient such that at least a portion of the paddle body abuts the anatomical structure comprises inserting the paddle lead into the patient such that at least one of the plurality of contacts abuts the anatomical structure.

17. The method of claim 16, wherein bending the at least one shape-retaining member comprises bending the paddle body into a bent configuration such that at least one of the plurality of contacts is directed towards a target stimulation region in, on, or in proximity to the anatomical structure.

18. The method of claim 17, wherein insetting the paddle lead into the patient such that at least one of the contacts abuts the anatomical structure comprises inserting the paddle lead into the patient such that at least one cathode and at least one anode abut the anatomical structure.

19. The method of claim 18, wherein inserting the paddle lead into the patient such that at least one cathode and at least one anode abut the anatomical structure comprises inserting the paddle lead into the patient such that at least one of the at least one cathodes and at least one of the at least one anodes are disposed along a given width of the paddle body and are positioned a similar distance from the target stimulation region.