Cannula configured to deliver test stimulation

Patent metadata

Field	Value
Publication number	US-10413736-B2
Application number	US-201615200275-A
Country	US
Kind code	B2
Filing date	Jul 1, 2016
Priority date	Apr 25, 2007
Publication date	Sep 17, 2019
Grant date	Sep 17, 2019

Abstract

The disclosure is directed to an implant tool and cannula used to facilitate the implantation of a medical device into a patient. The implant tool includes a housing that is held by a user and a needle attached to the housing. The cannula may be positioned over the needle and delivered to a target tissue within the patient. The cannula includes an electrode at a distal portion to deliver test stimulation to confirm the location of the target site or placement of the implant tool relative to the target site before removing the needle of the implant tool. In this manner, the cannula may be repositioned within the patient until the position of the implant tool and cannula relative to the target site is verified with the test stimulation.

First claim

The invention claimed is:

1. A method comprising:
introducing a cannula and needle assembly into a patient, wherein the needle is at least partially disposed within a lumen of the cannula, and wherein the lumen is configured to allow passage of a medical device, the cannula comprising:
an elongated housing defining the lumen; and
at least one of a partial ring electrode or a segmented electrode positioned on a distal portion of the elongated housing, the at least one of the partial ring electrode or the segmented electrode extending around less than an entire outer perimeter of the elongated housing;

advancing the cannula to a target site within the patient; and
delivering test stimulation to the patient via the at least one of the partial ring electrode or the segmented electrode.

2. The method of claim 1 , wherein advancing the cannula comprises tunneling the cannula through tissue with a piercing tip of the needle.

3. The method of claim 2 , wherein tunneling the cannula through the tissue with the piercing tip of the needle comprises defining an insertion path through the tissue with a portion of the needle extending past the at least one of the partial ring electrode or the segmented electrode.

4. The method of claim 1 , wherein delivering test stimulation comprises delivering test stimulation to tissue of the patient located adjacent to a circumferential subsection of the cannula.

5. The method of claim 1 , further comprising:
removing the needle from the cannula after delivering test stimulation; and
passing the medical device to the target site through the lumen of the cannula.

6. The method of claim 5 , wherein removing the needle from the cannula comprises:
moving the cannula off of the needle in a first direction with a release mechanism coupled to the needle; and
simultaneously retracting the needle from the patient in a second direction opposite the first direction.

7. The method of claim 5 , wherein, after removing the needle from the cannula, the cannula changes from a first shape to a second shape.

8. The method of claim 1 , wherein the test stimulation comprises a first test stimulation, the method further comprising rotating the cannula and delivering a second test stimulation to the patient.

9. The method of claim 1 , further comprising adjusting a position of the needle within the patient after delivering the test stimulation.

10. The method of claim 9 , wherein adjusting the position of the needle comprises adjusting a depth of the needle and the cannula within the patient.

11. The method of claim 1 , wherein delivering the test stimulation to the patient comprises delivering a first test stimulation to the patient in a first direction, the method further comprising, after delivering the first test stimulation:
rotating the cannula within the patient about a longitudinal axis of the cannula; and
delivering a second test stimulation to the patient via the at least one of the partial ring electrode or the segmented electrode in a second direction different than the first direction.

12. The method of claim 1 , wherein the cannula further comprises a radiographic marker aligned with the at least one of the partial ring or the segmented electrode to indicate a direction in which the at least one of the partial ring or the segmented electrode faces.

Assignees

• Medtronic Inc

Inventors

• Bonde Eric H
• Gerber Martin T

Classifications

• A61B17/3415 Primary

  for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters (A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06) · CPC title

• A61B2017/00039

  Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect · CPC title

• A61N1/0551

  Spinal or peripheral nerve electrodes · CPC title

• A61N1/3605

  Implantable neurostimulators for stimulating central or peripheral nerve system · CPC title

• A61B2090/3937

  Visible markers · CPC title