System and method for making and using a lead introducer for an implantable electrical stimulation system

• US 9,510,857 B2
• Filed: 03/02/2011
• Issued: 12/06/2016
• Est. Priority Date: 03/10/2010
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Barker, John Michael
• Primary Examiner(s): Yabut, Diane
• Assistant Examiner(s): TON, MARTIN TRUYEN
• Application Number:
  US13/038,929
• Publication Number:
  US 20110224680A1
• Time in Patent Office: 2,106 Days
• Field of Search: 606/129, 604/164.01, 604/164.05, 607/117
• US Class Current: 1/1
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61M 25/0102 Insertion or introduction using an inner stiffening member, e.g. stylet or push-rod
• CPC Class Codes: A61M 25/0668 splittable, tear apart
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/36071 Pain

Abstract

A lead introducer includes a multi-piece insertion needle insertable into a splitable member. The multi-piece insertion needle includes an outer insertion needle that defines an open channel that extends along substantially entirely a length of the outer insertion needle and an inner insertion needle configured and arranged for insertion into the open channel of the outer insertion needle. The splitable member includes at least two pull-apart tabs and at least one weakened region extending along at least a portion of a length of the splitable member from between the at least two pull-apart tabs. The at least one weakened region is configured and arranged for separating when the at least two pull-apart tabs are pulled apart.

Claims

1. A lead introducer comprising:

a multi-piece insertion needle comprising

an outer insertion needle comprising a proximal hub and defining an open channel that extends along an entire length of the outer insertion needle and the proximal hub, and

an inner insertion needle comprising a proximal hub and defining a lumen that extends from the proximal hub along the inner insertion needle, the inner insertion needle configured and arranged for insertion into the open channel of the outer insertion needle; and

a splitable member comprising a proximal hub and defining a lumen configured and arranged for receiving at least a portion of the multi-piece insertion needle, the splitable member comprising

at least two pull-apart tabs disposed on the proximal hub of the splitable member, and

at least one weakened region extending along at least a portion of a length of the splitable member from between the at least two pull-apart tabs, the at least one weakened region configured and arranged for separating when the at least two pull-apart tabs are pulled apart from one another in directions approximately orthogonal to the splitable member.

2. The implantation system of claim 1, further comprising an obturator configured and arranged for insertion into the lumen of the inner insertion needle.

3. The implantation system of claim 2, wherein the obturator comprises a blunt distal tip and a proximal hub that aligns axially with the proximal hub of the inner insertion needle when the obturator is inserted into the lumen of the inner insertion needle.

4. The implantation system of claim 1, wherein the inner insertion needle comprises at least one protrusion configured and arranged for insertion into the open channel of the outer insertion needle.

5. The implantation system of claim 1, wherein the proximal hub of the inner insertion needle comprises a luer fitting.

6. The implantation system of claim 5, further comprising a luer lock collar configured and arranged for disposing over at least a portion of the proximal hub of the inner insertion needle.

7. The implantation system of claim 1, wherein outer insertion needle is more rigid than the splitable member.

8. An insertion kit comprising:

the implantation system of claim 1;

a neurostimulation lead with a distal end configured and arranged for implantation into a patient, the neurostimulation lead comprising

a lead body having a distal end and a proximal end,

a plurality of electrodes disposed at the distal end of the lead body,

a plurality of terminals disposed at the proximal end of the lead body, and

a plurality of conductive wires coupling the plurality of electrodes electrically to the plurality of terminals; and

wherein the open channel of the outer insertion needle is configured and arranged such that, when the inner insertion needle is not inserted in the open channel, the distal end of the lead body is insertable into the open channel such that the lead body is laterally separatable from the outer insertion needle through the open channel.

9. The insertion kit of claim 8, wherein the distal end of the lead body is insertable into the open channel such that the lead body is laterally separatable from the outer insertion needle through the open channel without moving the lead body axially along a length of the outer insertion needle during separation.

10. The insertion kit of claim 8, wherein the lead body is non-isodiametric.

11. The insertion kit of claim 8, wherein the neurostimulation lead further comprises one or more elements disposed along a length of the lead body that has a transverse cross-sectional shape or size that is different from the transverse cross-sectional shape or size of the lead body.

12. An electrical stimulation system comprising:

the insertion kit of claim 8;

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 neurostimulation lead of the insertion kit, the connector comprising

a connector housing defining a port for receiving the proximal end of the lead body of the neurostimulation lead, and

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

13. The electrical stimulation system of claim 12, wherein the connector is disposed on the control module.

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

15. The electrical stimulation system of claim 14, wherein the proximal end of the lead extension is configured and arranged for insertion into another connector.

16. A method for implanting a neurostimulation lead into a patient, the method comprising:

providing the lead introducer of claim 1;

guiding the splitable member with the inner insertion needle and the outer insertion needle to a position within the patient;

removing the inner insertion needle from the patient, leaving the outer insertion needle and splitable member in the patient;

inserting into the open channel of the outer insertion needle a distal end of a neurostimulation lead, the neurostimulation lead comprising a plurality of electrodes disposed along a distal end of the neurostimulation lead and a plurality of terminals disposed along at least one proximal end of the neurostimulation lead;

separating the outer insertion needle from the neurostimulation lead by passing the neurostimulation lead laterally through the open channel of the outer insertion needle;

removing the outer insertion needle from the patient, leaving the neurostimulation lead disposed in the splitable member;

separating the splitable member into at least two parts along the length of the lumen of the splitable member; and

removing the splitable member from the patient, leaving the distal end of the neurostimulation lead implanted in the patient at a target stimulation location.

17. The method of claim 16, wherein the steps of separating the outer insertion needle from the neurostimulation lead and removing the outer insertion needle from the patient are performed subsequent to separating the splitable member into at least two parts along the length of the lumen of the splitable member and removing the splitable member from the patient.

18. The method of claim 17, wherein guiding the splitable member with the inner insertion needle and the outer insertion needle to a position within the patient comprises

guiding the splitable member, the inner insertion needle, and the outer insertion needle to the position within the patient, wherein an obturator is disposed in the inner insertion needle, and

removing the obturator from the inner insertion needle.

19. The method of claim 16, wherein guiding the splitable member with the outer insertion needle and the neurostimulation lead to a target stimulation location within the patient comprises using the outer insertion needle to guide the splitable member and the neurostimulation lead to the target stimulation location within the patient.

20. The implantation system of claim 1, wherein the lumen of the inner insertion needle extends an entire length of the inner insertion needle.