Systems and methods for making and using a side-loading operating room cable of an electrical stimulation system

• US 9,425,537 B2
• Filed: 06/26/2015
• Issued: 08/23/2016
• Est. Priority Date: 10/19/2011
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Barker, John Michael
• Primary Examiner(s): Lavert, Nicole F
• Application Number:
  US14/752,523
• Publication Number:
  US 20150303609A1
• Time in Patent Office: 424 Days
• Field of Search: 607/36, 607/115
• US Class Current: 1/1
• 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 1/048 Electrodes characterised by a specific connection between lead and electrode
• CPC Class Codes: A61N 1/0488 Details about the lead
• 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 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/3752 Details of casing-lead connections
• CPC Class Codes: H01R 13/502 composed of different pieces H01R13/514 takes precedence
• CPC Class Codes: Y10T 29/49117 Conductor or circuit manufacturing

Abstract

An operating room cable for electrically coupling a lead to a trial stimulator includes a trial stimulator connector electrically coupleable with the trial stimulator and a lead connector for receiving the lead. The lead connector includes a housing. A first lead aperture is defined in a second end of the housing in proximity to a first side of the housing. A first inner passage extends along an interior of the housing from the first lead aperture to the second end of the housing. A first stylet slit is defined along the first side of the housing and extends from a first end of the housing to the second end of the housing. The first stylet slit is formed between upper and lower casings of the housing. The first stylet slit is continuous with the first lead aperture and the first inner passage.

Claims

1. An operating room cable for electrically coupling at least one electrical stimulation lead to an external trial stimulator, the operating room cable comprising:

an elongated body having a first end; and

a lead connector disposed at the first end of the body and configured and arranged to mechanically receive a proximal end of at least one electrical stimulation lead, the lead connector comprising

a housing defining an interior and comprising a first end, a second end opposing the first end, and an elongated first side extending between the first end and the second end,

a first lead aperture defined in the first end of the housing,

a first inner passage extending along the interior of the housing from the first lead aperture to the second end of the housing, and

a first stylet slit defined along the first side of the housing and extending from the first end of the housing to the opposing second end of the housing, wherein the first stylet slit is continuous with the first lead aperture and the first inner passage.

2. The operating room cable of claim 1, wherein the housing further defines an elongated second side extending between the first end and the second end and opposite the first side, the housing further comprising

a second lead aperture defined in the first end of the housing and spaced apart from the first lead aperture,

a second inner passage extending along the interior of the housing from the second lead aperture to the second end of the housing, and

a second stylet slit defined along the second side of the housing and extending from the first end of the housing to the opposing second end of the housing, wherein the second stylet slit is continuous with the second lead aperture and the second inner passage.

3. The operating room cable of claim 1, wherein the housing further comprises an upper casing and a lower casing coupled to the upper casing, wherein the first stylet slit is disposed between the upper casing and the lower casing.

4. The operating room cable of claim 1 wherein the housing further comprises a plurality of upper ribs extending along the first inner passage.

5. The operating room cable of claim 4, wherein the housing further comprises a plurality of lower ribs extending the first inner passage opposite the plurality of upper ribs.

6. The operating room cable of claim 1, further comprising a first locking feature disposed on the housing and configured and arranged to move between an unlock position and a lock position, wherein in the unlock position an electrical stimulation lead received in the first lead aperture can be removed from the lead connector and in the lock position an electrical stimulation lead received in the first lead aperture is locked in the lead connector.

7. The operating room cable of claim 6, wherein the first locking feature is configured and arranged, when moved to the lock position, to actuate an electrical connection between the lead connector and an electrical stimulation lead when the lead is received by the first lead aperture.

8. The operating room cable of claim 6, further comprising at least one strut coupled to the first locking feature and extending into the interior of the housing.

9. The operating room cable of claim 8, further comprising a first slide assembly disposed in the housing, the first slide assembly defining at least one curved track that receives the at least one strut.

10. The operating room cable of claim 8, further comprising a plurality of first connector pins coupled to the first locking feature.

11. The operating room cable of claim 10, wherein the first locking feature and the at least one strut are configured and arranged such that when the first locking feature is moved from the unlock position to the lock position, the at least one strut moves with the first locking feature, the movement of the at least one strut causing a corresponding movement of the plurality of first connector pins towards the first inner passage.

12. The operating room cable of claim 10, wherein the first locking feature and the at least one strut are configured and arranged such that when the first locking feature is moved from the lock position to the unlock position, the at least one strut moves with the first locking feature, the movement of the at least one strut causing a corresponding movement of the plurality of first connector pins away from the first inner passage.

13. The operating room cable of claim 11, wherein the first locking feature and the at least one strut are configured and arranged such that when the first locking feature is moved from the unlock position to the lock position, the at least one strut moves with the first locking feature, the movement of the at least one strut causing a corresponding movement of the plurality of first connector pins in a direction that is perpendicular to the movement of the first locking feature.

14. The operating room cable of claim 1, wherein the housing further comprises an end stop disposed along the first inner passage, the end stop configured and arranged to prevent a proximal end of an electrical stimulation lead inserted into the first lead aperture from extending beyond the end stop while enabling a stylet extending from the proximal end of the electrical stimulation lead to extend beyond the end stop.

15. A trial stimulation arrangement for an electrical stimulation system, the trial stimulation arrangement comprising:

the operating room cable of claim 1;

a trial stimulator configured and arranged to generate electrical stimulation signals, the trial stimulator disposed external to a patient and coupleable to the operating room cable; and

an electrical stimulation lead having a distal end, a proximal end, a longitudinal length, and a diameter, the electrical stimulation lead comprising

a plurality of electrodes disposed along the distal end of the electrical stimulation lead.

a plurality of terminals disposed alone the proximal end of the electrical stimulation lead, and

a plurality of conductors coupling the electrodes to the terminals.

16. The trial stimulation arrangement of claim 15, further comprising a stylet having a proximal end, a distal end, and a diameter, the distal end of the stylet insertable into the proximal end of the electrical stimulation lead such that the proximal end of the stylet extends from proximal end of the electrical stimulation lead.

17. The trial stimulation arrangement of claim 16, wherein the stylet comprises a handle disposed at the proximal end of the stylet, the handle having a diameter that is larger than the diameter of the stylet.

18. The trial stimulation arrangement of claim 17, wherein the first stylet slit of the lead connector has a width that is less than a diameter of the electrical stimulation lead and not less than the diameter of the stylet.

19. A method for performing a trial stimulation on a patient, the method comprising:

providing the operating room cable of claim 1;

partially retracting a proximal end of a stylet from a proximal end of an electrical stimulation lead;

inserting an exposed portion of the partially retracted stylet into the first stylet slit of the operating room cable such that the proximal end of the electrical stimulation lead is disposed in proximity to the first end of the lead connector and a portion of the stylet extends from the second end of the lead connector;

inserting the proximal end of the electrical stimulation lead into the first lead aperture of the lead connector; and

moving a first locking feature of the operating room cable to lock a plurality of pin connectors of the lead connector to terminals disposed along the inserted portion of the electrical stimulation lead.

20. The method of claim 19, further comprising

electrically coupling the operating room cable to a trial stimulator.