Stimulation cuff and implantation tool

• US 8,983,626 B2
• Filed: 12/27/2013
• Issued: 03/17/2015
• Est. Priority Date: 12/28/2012
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Zarembo, Paul E., Tockman, Bruce A.
• Primary Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US14/141,702
• Publication Number:
  US 20140188202A1
• Time in Patent Office: 445 Days
• Field of Search: 606/129, 607/118
• US Class Current: 607/118
• CPC Class Codes: A61N 1/0556 Cuff electrodes

Abstract

Various embodiments concern wrapping a stimulation cuff around a nerve. The cuff can comprise a main body and at least one electrode. The main body can comprise an inner tab, an outer tab, and an intermediate portion extending between the inner tab and the outer tab, the at least one electrode disposed on the intermediate portion, the main body biased such that the cuff assumes the coiled arrangement. The cuff can be uncoiled by pulling on a first elongate element attached to a first tubular member, the first tubular member encircled within the cuff. The nerve can be engaged with an inner surface of the main body along the intermediate portion while the inner tab is releaseably attached to the first elongate element. The first elongate element can be released to allow the cuff to wrap around the nerve.

Claims

1. A cuff stimulation system comprising:

a cuff comprising a main body and at least one electrode, the main body comprising an inner tab, an outer tab, and an intermediate portion extending between the inner tab and the outer tab, the at least one electrode disposed on the intermediate portion, the main body biased to assume a coiled arrangement in which the main body forms an inner layer and an outer layer, wherein the inner tab is part of the inner layer and the outer tab is part of the outer layer of the coiled arrangement, the cuff configured to be uncoiled from the coiled arrangement; and

a tool configured to uncoil the cuff and wrap the cuff around a target, the tool comprising;

a first tubular member, the first tubular member encircled by the cuff when the cuff is in the coiled arrangement, the first tubular member rotatable as the cuff uncoils; and

a first elongate element attached to first tubular member, the first elongate element configured to pull the first tubular member to uncoil the cuff.

2. The system of claim 1, wherein the inner tab is configured to engage the first elongate element as the cuff is uncoiled to stop the first tubular member from rolling off of the cuff.

3. The system of claim 2, wherein the inner tab comprises one or more projections that engage the first elongate element to stop the first tubular member from rolling off of the cuff.

4. The system of claim 2, wherein the inner tab comprises one or more slots that receive the first elongate element to stop the first tubular member from rolling off of the cuff.

5. The system of claim 2, wherein the inner tab comprises one or more holes through which the first elongate element extends to attach the first tubular member to the inner tab.

6. The system of claim 1, wherein the cuff has an inner surface and an outer surface that is opposite the inner surface, the one or more electrodes are disposed on the inner surface, and the first tubular member rolls along the inner surface as the cuff uncoils.

7. The system of claim 1, wherein the cuff has a first width along the intermediate portion and a second width along the inner tab, and the first width is different than the second width.

8. The system of claim 7, wherein the first tubular member has a length that is about equal to the first width and less than the second width.

9. The system of claim 1, wherein the first elongate element is a string.

10. The system of claim 1, wherein the first elongate element is rigid wire.

11. The system of claim 1, wherein the tool further comprises:

a second tubular member, the second tubular member underneath the outer layer of the main body when the cuff is in the coiled arrangement; and

a second elongate element attached to the second tubular member, the second elongate element configured to pull the second tubular member to uncoil the cuff, wherein the cuff is uncoiled by pulling the first elongate element and the second elongate element in opposite directions.

12. The system of claim 1, wherein the first elongate element comprises a handle that allows a user to pull the first elongate element to roll the first tubular member over at least a portion of the main body to uncoil the cuff.

13. The system of claim 1, wherein the main body is formed by a base portion and a bias portion.

14. The system of claim 13, wherein the bias layer is tapered proximate one or more edges of the main body.

15. The system of claim 1, further comprising a stiffener strip provided along an edge of the main body.