Nerve cuff

• US 8,934,992 B2
• Filed: 08/31/2012
• Issued: 01/13/2015
• Est. Priority Date: 09/01/2011
• Status: Active Grant

• Current Assignee: Inspire Medical Systems, Inc.
• Original Assignee: Inspire Medical Systems, Inc.
• Inventors: Johnson, Blake D., Christopherson, Mark, Rondoni, John, Ni, Quan
• Primary Examiner(s): Gedeon, Brian T
• Assistant Examiner(s): TEJANI, ANKIT D
• Application Number:
  US13/600,572
• Publication Number:
  US 20130231726A1
• Time in Patent Office: 865 Days
• Field of Search: None
• US Class Current: 607/118
• CPC Class Codes: A61N 1/0556 Cuff electrodes
• CPC Class Codes: A61N 1/0558 Anchoring or fixation means therefor
• CPC Class Codes: A61N 1/3611 Respiration control stimulating respiratory organs A61N1/3601
• CPC Class Codes: A61N 1/36135 using physiological parameters
• CPC Class Codes: A61N 1/37217 characterised by the communication link, e.g. acoustic or tactile

Abstract

An electrode cuff includes a first elongate portion and a second elongate portion. The first elongate portion is configured to removably contact a length of a nerve while the second elongate portion extends outwardly at an angle relative to a first side edge of the first elongate portion to at least partially wrap about the nerve. The electrode cuff includes a first series of electrodes that is spaced apart longitudinally along the first elongate portion. A width of the second elongate portion is sized to fit between adjacent branches extending from a nerve.

Claims

1. An electrode cuff comprising:

a first elongate portion configured with a length to removably contact, and be aligned generally parallel to, length of a nerve, the first elongate portion having a first side edge and a second opposite side edge, both of which extend generally parallel to the length of the first elongate portion;

a second elongate portion to extend outwardly from, and perpendicular relative to, the first edge of the first elongate portion, wherein the second elongate portion is biased to, and has a length sufficient to, releasably encircle the nerve and at least partially overlap the second opposite side edge of the first elongate portion; and

a first single series of at least three electrodes disposed on and spaced apart longitudinally along the length of the first elongate portion,

wherein the at least partially overlapping portion of the second elongate portion has a width less than the length of the first elongate portion, with the width being less than a distance of separation between two outer electrodes of the at least three electrodes extending along the length of the first elongate portion.

2. The cuff of claim 1 comprising:

a second series of electrodes disposed on, and extending along a length of, the second elongate portion.

3. The cuff of claim 2, wherein the second single series of electrodes bifurcates the first single series of electrodes and a respective one of the second single series of electrodes defines a respective one of the first single series of electrodes.

4. The cuff of claim 2, wherein the second single series of electrodes is located at an end of the first single series of electrodes and a respective one of the second single series of electrodes defines a respective one of the first single series of electrodes.

5. The cuff of claim 1, wherein the first elongate portion defines a cuff body including a distal end, a proximal end, and a midportion, and wherein a base of the second elongate portion extends from the mid portion of the cuff body, and wherein the width of the second elongate portion is at least twice a width of the central electrode of the at least three electrodes.

6. The cuff of claim 1, wherein the second elongate portion comprises a single member and an only elongate portion extending from the respective opposite side edges of the first elongate portion.

7. The cuff of claim 1, wherein the first elongate portion defines a cuff body including a distal end, a proximal end, and a mid-portion, and wherein a base of the second elongate portion extends from the mid portion of the cuff body,

wherein the second elongate portion includes a distal portion, a proximal portion, and a waist portion interposed between the respective distal and proximal portions,

wherein a width of the waist portion is at least twice a width of the central electrode of the at least three electrodes, and

wherein the distal portion and the proximal portion each have a width substantially greater than the width of the waist portion and greater than a gap between adjacent nerve branches through which the waist portion extends with the respective distal and proximal portions of the second elongate portion positionable on opposite sides of the gap.

8. The cuff of claim 7, wherein the second elongate portion does not include any electrodes.

9. An electrode cuff comprising:

a first elongate portion configured with a length to removably contact, and be aligned generally parallel to, a length of a nerve, the first elongate portion having a first side edge and a second opposite side edge, both of which extend generally parallel to the length of the first elongate portion;

a second elongate portion to extend outwardly at an angle between 40 to 50 degrees relative to the first side edge of the first elongate portion, wherein the second elongate portion is biased to, and has a length sufficient to, releasably encircle the nerve and at least partially overlap the second opposite side edge of the first elongate portion; and

a first single series of at least three electrodes disposed on and spaced apart longitudinally along the length of the first elongate portion,

wherein the at least partially overlapping portion of the second elongate portion has a width less than the length of the first elongate portion, with the width being less than a distance of separation between two outer electrodes of the at least three electrodes that extend along the length the first elongate portion.

10. The cuff of claim 9, wherein the first elongate portion includes a distal end and a proximal end, wherein the second elongate portion comprises an only elongate portion extending from respective opposite side edges of the first elongate portion, wherein the second elongate portion includes a base and a tip, with the base of the second elongate portion extending only from the proximal end of the first elongate portion and the second elongate portion sized and shaped to cause the tip of the second elongate portion to releasably contact only the distal end of the first elongate portion.

11. The cuff of claim 10, wherein the first elongate portion includes a side edge defining a notched portion extending from the distal end of the first elongate portion proximally for a distance that is one-quarter to one-third of a length of the first elongate portion.

12. The cuff of claim 9, wherein the first elongate portion includes a distal end and a proximal end, and the second elongate portion includes a base and a tip, wherein the base of the second elongate portion is connected to, and extends only from, the distal end of the first elongate portion, and wherein the tip of the second elongate portion releasably contacts only the proximal end of the first elongate portion.

13. A method of implanting a nerve electrode cuff, comprising:

maneuvering an electrode cuff within a body to position a length of a first elongate portion of the electrode cuff to be aligned generally parallel to, and removably contact, a length of a first nerve, wherein the first elongate portion includes a first side edge and a second opposite side edge, both of which extend generally parallel to the length of the first elongate portion;

providing the electrode cuff to include a first single series of at least three electrodes disposed on and spaced apart longitudinally along the first elongate portion;

providing the electrode cuff to include a second elongate portion to extend outwardly at an angle relative to a first side edge of the first elongate portion;

maneuvering the second elongate portion to extend between adjacent nerve branches extending outward from the first nerve, wherein the second elongate portion is biased to, and has a length sufficient to, encircle the first nerve with a distal end of the second elongate portion at least partially overlapping with a second opposite side edge of the first elongate portion,

wherein a width of the at least partially overlapping portion of the second elongate portion is less than the length of the first elongate portion and less than a distance of separation between two outer electrodes of the at least three electrodes extending along the length of the first elongate portion, and

wherein the width of the second elongate portion is less than a gap between the two adjacent nerve branches.

14. The method of claim 13, wherein the angle is 40 to 50 degrees, and wherein the method comprises:

arranging a proximal end of the second elongate portion to be connected to, and extend from, only a proximal end of the first elongate portion and arranging the opposite distal end of the second elongate portion to be in releasable contact with only an opposite distal end of the first elongate portion.

15. The method of claim 13, wherein the angle is 90 degrees, and comprising:

arranging a first end of the second elongate portion to be connected to, and extend from, only midportion of the first elongate portion.

16. The method of claim 15, comprising:

arranging the second elongate portion to include a second single series of at least three electrodes extending along a length of the second elongate portion.