Neurostimulator for treating occipital neuralgia with housing sized and curved to conform to a subcutaneous neck region

• US 9,149,628 B2
• Filed: 12/20/2013
• Issued: 10/06/2015
• Est. Priority Date: 03/11/2005
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Wahlstrand, Carl D., Skime, Robert M.
• Primary Examiner(s): Schaetzle, Kennedy
• Application Number:
  US14/137,195
• Publication Number:
  US 20140107749A1
• Time in Patent Office: 655 Days
• US Class Current: 1/1
• CPC Class Codes: A61N 1/0456 Specially adapted for transcutaneous electrical nerve stimulation [TENS]
• CPC Class Codes: A61N 1/0476 Array electrodes (including any electrode arrangement with more than one electrode for at least one of the polarities)
• CPC Class Codes: A61N 1/0492 Patch electrodes A61N1/0412, A61N1/0428 take precedence
• CPC Class Codes: A61N 1/0502 Skin piercing electrodes
• CPC Class Codes: A61N 1/0504 Subcutaneous electrodes
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators

Abstract

The disclosure describes an implantable neurostimulator device for delivery of neurostimulation to treat head, neck, or facial pain or tension, including pain or tension caused by occipital neuralgia. The device may be a neurostimulation device having a miniaturized housing with a low profile that permits subcutaneous implantation at a stimulation site directly adjacent a neuralgic region at the back of the neck of a patient. For example, the device may be subcutaneously implanted at the back of the neck of a patient to relieve symptoms of occipital neuralgia.

Claims

1. An implantable neurostimulator device comprising:

a pulse generator that generates neurostimulation pulses configured to treat occipital neuralgia;

a set of electrodes, coupled to the pulse generator, that delivers the neurostimulation pulses; and

a device housing that houses the pulse generator, wherein the device housing is sized and curved to fit within and to at least partially conform to a subcutaneous region within a back of a neck of a patient when the device housing is implanted in the subcutaneous region, and wherein the electrodes are arranged in a two-dimensional array on a surface of the housing.

2. The device of claim 1, wherein the device housing comprises a first side and a second side, wherein the electrodes are formed on the second side of the device housing for placement adjacent a neuralgic region within the back of the neck of the patient.

3. The device of claim 1, wherein the device housing has a thickness substantially smaller than a width of the device housing.

4. The device of claim 1, further comprising a flexible member that at least partially encapsulates the device housing.

5. The device of claim 4, wherein at least one electrode of the set of electrodes protrudes through the flexible member.

6. The device of claim 1, wherein the device housing is bendable to at least partially conform to the subcutaneous region within the back of the neck of the patient.

7. The device of claim 1, wherein the housing comprises a degree of curvature to conform to a radius of a stimulation site in the subcutaneous region within the back of the neck of the patient.

8. The device of claim 1, wherein the device housing defines one or more holes to receive a suture to anchor the housing at the stimulation site.

9. The device of claim 1, further comprising:

a rechargeable battery within the device housing; and

an inductive coil to receive energy from an external power source to recharge the battery.

10. The device of claim 1, further comprising a telemetry coil to support communication with an external device.

11. The device of claim 1, wherein the device housing has a thickness of less than or equal to approximately 4.5 millimeters.

12. The device of claim 1, wherein the device housing has a length of less than or equal to approximately 50 millimeters, a width of less than or equal to approximately 20 millimeters, and a thickness of less than or equal to approximately 6 millimeters.

13. The device of claim 1, wherein the two-dimensional array comprises one of an array of electrodes arranged in rows and columns of electrodes or an array of electrodes arranged in a recurring diagonal pattern of electrodes.

14. An implantable neurostimulator device comprising:

a neurostimulation generator that generates neurostimulation configured to treat occipital neuralgia;

a set of electrodes, coupled to the neurostimulation generator, that delivers the neurostimulation;

a device housing that houses the neurostimulation generator, wherein the device housing is sized and curved to fit within and at least partially conform to a subcutaneous region within a back of a neck of a patient when the device housing is implanted in the subcutaneous region; and

a flexible member that at least partially encapsulates the device housing, wherein at least one electrode of the set of electrodes protrudes through the flexible member.

15. The device of claim 14, wherein the electrodes are arranged in a two-dimensional array on a surface of the device housing.

16. The device of claim 14, wherein the housing comprises a first side and a second side, and wherein the electrodes are formed on the second side of the housing for placement adjacent a neuralgic region within the back of the neck of the patient.

17. The device of claim 14, wherein the device housing is bendable to at least partially conform to the subcutaneous region within the back of the neck of the patient.

18. The device of claim 14, wherein the device housing comprises a degree of curvature to at least partially conform to a radius of a stimulation site in the subcutaneous region within the back of the neck of the patient.

19. The device of claim 14, wherein the device housing defines one or more holes to receive a suture to anchor the device housing at the stimulation site.

20. The device of claim 14, wherein the device housing has a thickness of less than or equal to approximately 4.5 millimeters.

21. The device of claim 14, wherein the device housing has a length of less than or equal to approximately 50 millimeters, a width of less than or equal to approximately 20 millimeters, and a thickness of less than or equal to approximately 6 millimeters.

22. The device of claim 21, wherein the two-dimensional array comprises one of an array of electrodes arranged in rows and columns of electrodes or an array of electrodes arranged in a recurring diagonal pattern of electrodes.

23. The device of claim 14, further comprising:

a rechargeable battery within the device housing; and

an inductive coil to receive energy from an external power source to recharge the battery.

25. The device of claim 23, wherein the two-dimensional array comprises one of an array of electrodes arranged in rows and columns of electrodes or an array of electrodes arranged in a recurring diagonal pattern of electrodes.

26. The device of claim 23, wherein the device housing is curved to at least partially conform to a radius of a stimulation site in the subcutaneous region within the back of the neck of the patient.

27. The device of claim 23, wherein the device housing comprises a first side and a second side, and wherein the electrodes are formed on the second side of the device housing for placement adjacent a neuralgic region within the back of the neck of the patient.

28. The device of claim 23, further comprising a flexible member that at least partially encapsulates the device housing, and wherein at least one electrode of the set of electrodes protrudes through the flexible member.

29. The device of claim 23, wherein the device housing is bendable to at least partially conform to the subcutaneous region within the back of the neck of the patient.

30. The device of claim 23, wherein the device housing comprises a degree of curvature to conform to a radius of a stimulation site in the subcutaneous region within the back of the neck of the patient.

31. The device of claim 23, further comprising:

a rechargeable battery within the device housing; and

an inductive coil to receive energy from an external power source to recharge the battery.

33. The device of claim 31, wherein the electrodes are arranged in a two-dimensional array on a surface of the device housing.

34. The device of claim 31, wherein the two-dimensional array comprises one of an array of electrodes arranged in rows and columns of electrodes or an array of electrodes arranged in a recurring diagonal pattern of electrodes.

35. The device of claim 31, wherein the device housing comprises a first side and a second side, and wherein the electrodes are formed on the second side of the device housing for placement adjacent a neuralgic region within the back of the neck of the patient.

36. The device of claim 31, wherein the device housing is bendable to at least partially conform to the subcutaneous region within the back of the neck of the patient.

37. The device of claim 31, wherein the device housing comprises a degree of curvature to at least partially conform to a radius of a stimulation site in the subcutaneous region within the back of the neck of the patient.

38. The device of claim 31, further comprising:

a rechargeable battery within the device housing; and

an inductive coil to receive energy from an external power source to recharge the battery.

24. An implantable neurostimulator device comprising:

a neurostimulation generator that generates neurostimulation configured to treat occipital neuralgia;

a set of electrodes, coupled to the neurostimulation generator, that delivers the neurostimulation; and

a device housing that houses the neurostimulation generator, wherein the device housing is sized to fit within and at least partially conform to a subcutaneous region within a back of a neck of a patient when the device housing is implanted in the subcutaneous region,

wherein the electrodes are arranged in a two-dimensional array on a surface of the device housing.

32. A device comprising:

a pulse generator that generates neurostimulation pulses configured to treat occipital neuralgia;

a set of electrodes, coupled to the pulse generator, that delivers the neurostimulation pulses;

a device housing that houses the pulse generator, wherein the device housing is sized and curved to fit within and at least partially conform to a subcutaneous region within a back of a neck of a patient when the device housing is implanted in the subcutaneous region; and

a flexible member that at least partially encapsulates the device housing, wherein at least one electrode of the set of electrodes protrudes through the flexible member.