Insertion tool for implanting a paddle lead and methods and systems utilizing the tool

• US 9,867,981 B2
• Filed: 11/24/2014
• Issued: 01/16/2018
• Est. Priority Date: 12/04/2013
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Black, James Robert, Pianca, Anne Margaret, Howard, Joshua Dale, Noheji, Carolyn Madeleine
• Primary Examiner(s): Templeton, Christopher L
• Assistant Examiner(s): Ulsh, George J
• Application Number:
  US14/552,328
• Publication Number:
  US 20150151114A1
• Time in Patent Office: 1,149 Days
• Field of Search: 606129
• 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: A61B 2017/00738 part of the tool being offset with respect to a main axis, e.g. for better view for the surgeon
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61N 1/0553 Paddle shaped electrodes, e.g. for laminotomy

Abstract

An insertion tool for a paddle lead includes an insertion tool body having a receiving end portion; a stylet channel extending along the insertion tool body; a stylet disposed in the stylet channel; and an actuator assembly disposed along the handling end portion of the insertion tool body and coupled to the stylet. The actuator assembly controls transitioning of the stylet between a first position and a second position. In some instances, the stylet can be a wire stylet that is inserted into a lumen in the paddle body of the paddle lead. In some instances, the stylet of the insertion tool pushes lead bodies of the paddle lead out of the insertion tool to release the paddle lead. In some instances, the insertion tool includes a paddle envelope to hold the paddle lead.

Claims

1. An insertion tool for a paddle lead, the paddle lead comprising a paddle body and at least one lead body extending from the paddle body, the insertion tool comprising:

an insertion tool body comprising a receiving end portion, a handling end portion, an outer surface, and a longitudinal length, wherein the receiving end portion comprises a distal end, two lead body channels, two opposing exit openings disposed proximal to the distal end on opposite sides of the receiving end portion with each exit opening extending inwardly from the outer surface to a one of the two lead body channels, and two opposing slits with each slit extending from the distal end to a one of the two exit openings and extending inwardly from the outer surface to a one of the lead body channels, wherein each of the two lead body channels is associated with a different one of the two exit openings and a different one of the two slits, wherein each of the two lead body channels is configured and arranged to receive a one of the at least one lead body extending from the paddle body of the paddle lead;

a stylet channel extending along the longitudinal length of the insertion tool body from the receiving end portion to the handling end portion and open to the two lead body channels;

a stylet disposed in the stylet channel and comprising a stylet head disposed in the receiving end portion of the insertion tool body, the stylet configured and arranged for transitioning between a first position and a second position, wherein when the stylet transitions from the first to the second position, the stylet head pushes any lead body in the two lead body channels of the insertion tool body out of the insertion tool through a one of the two slits to release the lead body from the insertion tool; and

an actuator assembly disposed along the handling end portion of the insertion tool body and coupled to the stylet, the actuator assembly configured and arranged to control transitioning of the stylet between the first position and the second position.

2. The insertion tool of claim 1, wherein the first position is a retracted position and the second position is an extended position.

3. The insertion tool of claim 2, wherein the stylet head is tapered with a narrower portion of the stylet head nearer the distal end of the receiving end portion than a wider portion of the stylet head.

4. The insertion tool of claim 1, wherein the first position is an extended position and the second position is a retracted position.

5. The insertion tool of claim 4, wherein the stylet head is tapered with a narrower portion of the stylet head further from the distal end of the receiving end portion than a wider portion of the stylet head.

6. The insertion tool of claim 1, wherein the actuator assembly comprises an actuator handle configured to slide to transition the stylet from the first position to the second position.

7. The insertion tool of claim 1, wherein the actuator assembly comprises an actuator button and a stylet holding mechanism coupled to the actuator button and the stylet.

8. The insertion tool of claim 1, wherein the stylet head is wider than a separation distance between the two lead body channels.

9. The insertion tool of claim 1, wherein the insertion tool body comprises at least one curve.

10. The insertion tool of claim 9, wherein the insertion tool body comprises a first curve positioned along the receiving end portion and a second curve positioned along the handling end portion.

11. The insertion tool of claim 10, wherein the first and second curves are oriented to form an S-shaped configuration along the longitudinal length of the insertion tool body.

12. The insertion tool of claim 1, wherein the stylet head has an arrow-like shape.

13. A system for implanting a paddle lead, the system comprising:

the insertion tool of claim 1, and

the paddle lead comprising a paddle body, at least one lead body extending from the paddle body, and a plurality of electrodes disposed on the paddle body.

14. The system of claim 13, wherein the at least one lead body of the paddle lead is two lead bodies.

15. A method of implanting a paddle lead, the method comprising:

inserting a distal portion of at least one lead body of the paddle lead into at least one of the lead body channels of the insertion tool of claim 1, the at least one lead body coupled to a paddle body of the paddle lead;

inserting the paddle body of the paddle lead into patient tissue; and

operating the actuator assembly of the insertion tool to move the stylet and push the distal portion of the at least one lead body of the paddle lead out of at least one of the two slits of the insertion tool.

16. The method of claim 15, wherein the paddle lead comprises two lead bodies and the inserting step comprises inserting the distal portion of each of the two lead bodies of the paddle lead into different ones of the lead body channels of the insertion tool.

17. The method of claim 15, wherein the inserting step comprises inserting the distal portion of the at least one lead body of the paddle lead into the at least one of the lead body channels of the insertion tool, wherein a remainder of the at least one lead body exits through at least one of the exit openings and is disposed outside of the insertion tool.

18. The method of claim 15, wherein operating the actuator assembly comprises operating the actuator assembly to push the stylet forward.

19. The method of claim 15, wherein operating the actuator assembly comprises operating the actuator assembly to pull the stylet backward.

20. The method of claim 15, further comprising, after pushing the at least one lead body of the paddle lead out of the at least one of the two slits of the insertion tool, withdrawing the insertion tool.