Self expanding electrode cuff

Patent metadata

Field	Value
Publication number	US-9227053-B2
Application number	US-99070209-A
Country	US
Kind code	B2
Filing date	May 1, 2009
Priority date	May 2, 2008
Publication date	Jan 5, 2016
Grant date	Jan 5, 2016

Abstract

An electrode lead assembly is described. The lead assembly includes an expandable cuff electrode that includes a series of spaced apart electrode elements and a substantially re-closable opening.

First claim

We claim:

1. An electrode assembly comprising:
an elongate cuff body including:
a base member including a top wall and at least one side wall; and
a first flange member including a first end and a second end;
a pair of resilient arcuate-shaped flange members that includes a second flange member and a third flange member,
wherein the respective second and third flange members each include a proximal portion and a distal end portion, with each respective proximal portion extending from the base outwardly and away from the other respective proximal portion, and
wherein the respective distal end portions are biased to extend toward each other and to be in releasable contact with each other when the cuff body is in a nerve-engaging position such that the respective second and third flange members define, in combination with the top wall of the base member, a lumen releasably enclosing a nerve and having a substantially re-closable opening, wherein the at least one side wall of the base member protrudes in first orientation away from the lumen, and
wherein the first end of the first flange member is secured to an outer surface of the third flange member and has a cross-sectional length sufficient to extend from its secured first end to overlap an outer surface of the third flange member and to overlap an outer surface of a portion of the second flange member when the distal end portions of the respective second and third flange members of the cuff body are in the nerve-engaging position, and wherein, when the cuff body is in the nerve-engaging position, at least the second end of the first flange member is in releasable slidable contact against the second flange member and the first flange member also overlaps the substantially re-closable opening between the second and third flange members,
wherein each of the first, second, and third flange members extend a length of the cuff body; and

a row of generally rigid electrode elements embedded within the cuff body and spaced apart from each other along the length of the cuff body, wherein in a cross-sectional orientation, each electrode element includes:
a generally arcuate first portion extending along an inner surface of the second flange member to be exposed at the lumen, wherein the exposed first portion of the electrode element is located generally opposite the substantially re-closable opening of the cuff body; and
a generally straight second portion extending into the base member away from the lumen at a generally obtuse angle relative to the first portion, wherein the second portion is separate from, and independent of, a lead extending from the base member of the cuff body with the second portion being electrically coupled to the lead.

2. The electrode assembly of claim 1 wherein the first portion of each electrode element has an arcuate length limited to a 45 degree arc of the lumen, and wherein the obtuse angle is about 130 degrees.

3. The electrode assembly of claim 1 wherein the generally arcuate shape of the first portion substantially matches a radius of curvature of the inner surface of second flange member, wherein the first portion includes a distal hook portion extending generally away from the inner surface of the second flange member, and wherein the distal hook portion defines a recess that receives a molded portion of the cuff body to secure the respective electrode element relative to the cuff body.

4. The electrode assembly of claim 1 , wherein the cross-sectional length of the first flange member is sufficient for the second end of the first flange member to extend distally beyond the second flange member and at least around a bottom wall of the base member.

5. The electrode assembly of claim 1 , wherein the cross-sectional length of the first flange member is sufficient to wrap the first flange member at least two times about the circumference of the cuff body before the second end of the first flange member terminates at a position overlapping the secured first end of the first flange member.

6. The electrode assembly of claim 1 wherein a diameter of the lumen defined by the electrode cuff body is automatically expandable, in response to an increasing diameter of a nerve in the lumen, via rotation of the distal end portion of the second flange member away from the distal end portion of the third flange member and via slidable movement of the first flange member relative to the second flange member with the first flange member having a length sufficient to maintain overlap with the substantially re-closable opening and with a majority of a length of the second flange member during the automatic expansion.

7. The electrode assembly of claim 1 , wherein the second flange member has a cross-sectional length substantially greater than a cross-sectional length of the third flange member such that the substantially re-closable opening laterally relative to, and not directly opposite, the base member.

8. The electrode assembly of claim 1 wherein the proximal portions of the respective second and third flange members have a thickness substantially greater than the respective distal end portions, and wherein the thickness of the proximal portion of the second flange member is substantially greater than the thickness of the third flange member such that the relative thicknesses of the second and third flange members are asymmetric.

9. The electrode assembly of claim 8 wherein each respective electrode element is positioned within the proximal portion of the second flange member generally at a region of maximum thickness of the second flange member.

10. The electrode assembly of claim 1 wherein the inner surface of the second flange member in the region of the first portion of the respective electrode elements is recessed relative to remaining portions of the inner surface of the second flange member.

11. The electrode assembly of claim 10 wherein the generally straight second portion of the respective electrode elements extends generally parallel to a cross-sectional longitudinal axis of the base member of the cuff body, wherein each electrode element further comprises a generally straight third portion extending within the base member of the cuff body and outwardly from the second portion in a generally opposite direction from the first portion, and wherein the third portion is generally perpendicular to the second portion.

12. An electrode assembly comprising:
an elongate cuff body including:
a base member including a top wall and at least one side wall;
a first flange member including a first end and an opposite second end; and
a pair of resilient arcuate-shaped flange members including a second flange member and a third flange member, the respective flange members each including a proximal portion that extends from the base member outwardly and away from the other respective proximal portion and a distal end portion that extends toward the other respective distal end portion, wherein the top wall of the base member and the two flange members at least partially define a lumen and wherein the distal end portions define an opening providing access to the lumen, wherein the at least one side wall of the base member protrudes in a first orientation away from the lumen and
wherein each of the first, second, and third flange members extend a length of the cuff body,
wherein the first end of the first flange member is secured to an outer surface of the second flange member and has a cross-sectional length sufficient to extend from the secured first end to overlap, and releasably contact, an outer surface of both the second flange member and the third flange member when at least the distal end portions of the respec

Assignees

• Bonde Eric H
• Testerman Roy L
• Herbert Timothy P
• Christopherson Mark A
• Geroy Jesse D
• Medtronic Inc

Inventors

• Bonde Eric H
• Testerman Roy L
• Herbert Timothy P
• Christopherson Mark A
• Geroy Jesse D

Classifications

• A61N1/0556 Primary

  Cuff electrodes · CPC title

• A61N1/05

  for implantation or insertion into the body, e.g. heart electrode (A61N1/06 takes precedence) · CPC title

• A61N1/0558

  Anchoring or fixation means therefor · CPC title

• A61N1/0526

  Head electrodes (A61N1/0551 takes precedence) · CPC title