Paddle lead maximizing lateral target points across a peripheral nerve

• US 9,295,832 B2
• Filed: 07/02/2014
• Issued: 03/29/2016
• Est. Priority Date: 07/02/2013
• Status: Active Grant

• Current Assignee: Greatbatch Limited (Greatbatch Incorporated)
• Original Assignee: Greatbatch Limited (Greatbatch Incorporated)
• Inventors: Bradley, Kerry, Halberg, Leslie
• Primary Examiner(s): GETZOW, SCOTT M
• Application Number:
  US14/322,455
• Publication Number:
  US 20150012071A1
• Time in Patent Office: 636 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 5/064 using markers A61B5/062 takes precedence
• CPC Class Codes: A61B 8/0841 for locating instruments
• 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 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/0553 Paddle shaped electrodes, e.g. for laminotomy
• CPC Class Codes: A61N 1/36017 with leads or electrodes penetrating the skin
• CPC Class Codes: A61N 1/36021 for treatment of pain
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36125 Details of circuitry or electric components
• CPC Class Codes: A61N 1/36139 with automatic adjustment
• CPC Class Codes: A61N 1/36146 specified by the stimulation parameters
• CPC Class Codes: A61N 1/36153 Voltage A61N1/3616 takes precedence
• CPC Class Codes: A61N 1/37223 Circuits for electromagnetic coupling
• CPC Class Codes: A61N 1/37235 Aspects of the external programmer
• CPC Class Codes: A61N 1/37252 Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
• CPC Class Codes: A61N 1/3752 Details of casing-lead connections
• CPC Class Codes: A61N 1/3787 from an external energy source

Abstract

The present disclosure involves a medical system. The medical system an implantable lead configured to deliver an electrical stimulation therapy for a patient. The lead includes an elongate lead body that is configured to be coupled to a pulse generator that generates electrical stimulations pulses as part of the electrical stimulation therapy. The lead also includes a paddle coupled to the lead body. The paddle contains a plurality of electrodes that are each configured to deliver the electrical stimulation pulses to the patient. The plurality of electrodes is arranged into at least three columns that each include a respective subset of the electrodes. The plurality of electrodes each includes a unique centerline, wherein the centerlines extend in directions transverse to the columns.

Claims

1. A medical system, comprising:

an implantable lead configured to deliver an electrical stimulation therapy for a patient, wherein the lead includes;

an elongate lead body that is configured to be coupled to a pulse generator that generates electrical stimulations pulses as part of the electrical stimulation therapy; and

a paddle coupled to the lead body;

wherein;

the paddle contains a plurality of electrodes that are each configured to deliver the electrical stimulation pulses to target nerves of the patient;

the plurality of electrodes are arranged into at least three columns that each include a respective subset of the electrodes, each subset containing a respective plurality of the electrodes; and

the plurality of electrodes each includes a unique centerline, wherein the centerlines extend in directions transverse to the columns.

2. The medical system of claim 1, further comprising a peripheral nerve stimulation (PNS) device that is configured to generate the electrical stimulation pulses, wherein the lead body is configured to be attached to the PNS device.

3. The medical system of claim 1, wherein:

the centerlines are first centerlines; and

the electrodes each include a unique second centerline that is perpendicular to the first centerline.

4. The medical system of claim 1, wherein:

the electrodes collectively define a stimulation region within the paddle; and

no linear path across the stimulation region exists without intersecting at least one of the electrodes.

5. The medical system of claim 1, wherein:

the columns each extend along a respective first direction; and

the centerline of each electrode each extend along a second direction different from the respective first directions.

6. The medical system of claim 5, wherein the respective first directions are parallel to one another and are each perpendicular to the second direction.

7. The medical system of claim 5, wherein at least one of the first directions is non-perpendicular with the second direction.

8. The medical system of claim 7, wherein the respective first directions are not parallel with one another.

9. The medical system of claim 1, wherein each of the electrodes overlaps with at least one other electrode in a first direction and at least another electrode in a second direction different from the first direction.

10. A medical system, comprising:

an implantable lead configured to deliver an electrical stimulation therapy for a patient, wherein the lead includes;

an elongate lead body that is configured to be coupled to a pulse generator that generates electrical stimulations pulses as part of the electrical stimulation therapy; and

a paddle coupled to the lead body;

wherein;

the paddle contains a plurality of electrodes that are each configured to deliver the electrical stimulation pulses to the patient;

the plurality of electrodes each have a respective first centerline extending along a first direction and a respective second centerline extending along a second direction different from the first direction;

each of the electrodes overlaps with at least one other electrode in a first direction and at least another electrode in a second direction different from the first direction;

a substantial majority of the first centerlines are not aligned in the first direction with any of the other first centerlines; and

a substantial majority of the second centerlines are not aligned in the second direction with any of the other second centerlines.

11. The medical system of claim 10, further comprising a peripheral nerve stimulation (PNS) device that is configured to generate the electrical stimulation pulses, wherein the lead body is configured to be attached to the PNS device.

12. The medical system of claim 10, wherein the first direction is perpendicular to the second direction.

13. The medical system of claim 10, wherein the plurality of electrodes are arranged into at least three columns that extend roughly in the first direction or at least three rows that extend roughly in the second direction.

14. The medical system of claim 10, wherein:

the electrodes collectively define a stimulation region on the paddle; and

a substantial majority of straight lines drawn across the stimulation region will intersect at least one of the electrodes.

15. The medical system of claim 14, wherein no straight line extending in the first or second directions can be drawn across the stimulation region without intersecting at least one of the electrodes.

16. A medical system, comprising:

an implantable lead configured to deliver an electrical stimulation therapy for a patient, wherein the lead includes;

an elongate lead body that is configured to be coupled to a pulse generator that generates electrical stimulations pulses as part of the electrical stimulation therapy; and

a paddle coupled to the lead body;

wherein;

the paddle contains a plurality of electrodes that are each configured to deliver the electrical stimulation pulses to the patient;

the electrodes collective define a stimulation region on the paddle; and

every linear path across the stimulation region intersects with at least one of the electrodes.

17. The medical system of claim 16, further comprising a peripheral nerve stimulation (PNS) device that is configured to generate the electrical stimulation pulses, wherein the lead body is configured to be attached to the PNS device.

18. The medical system of claim 16, wherein:

the plurality of electrodes each include a respective first centerline extending along a first axis; and

none of the first centerlines intersect with any of the other first centerlines.

19. The medical system of claim 18, wherein:

the plurality of electrodes each further include a respective second centerline extending along a second axis that is different from the first axis; and

none of the second centerlines intersect with any of the other second centerlines.

20. The medical system of claim 19, wherein the first axis is perpendicular to the second axis.