EP0328597A1 - Apparatus and method for insertion of cochlear electrode assembly - Google Patents

Apparatus and method for insertion of cochlear electrode assembly

Info

Publication number
EP0328597A1
EP0328597A1 EP88907147A EP88907147A EP0328597A1 EP 0328597 A1 EP0328597 A1 EP 0328597A1 EP 88907147 A EP88907147 A EP 88907147A EP 88907147 A EP88907147 A EP 88907147A EP 0328597 A1 EP0328597 A1 EP 0328597A1
Authority
EP
European Patent Office
Prior art keywords
lead
collar
electrode
gripping tool
electrode lead
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP88907147A
Other languages
German (de)
French (fr)
Other versions
EP0328597A4 (en
Inventor
Janusz Kuzma
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Cochlear Ltd
Original Assignee
Cochlear Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Cochlear Ltd filed Critical Cochlear Ltd
Publication of EP0328597A1 publication Critical patent/EP0328597A1/en
Publication of EP0328597A4 publication Critical patent/EP0328597A4/en
Withdrawn legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0526Head electrodes
    • A61N1/0541Cochlear electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F11/00Methods or devices for treatment of the ears or hearing sense; Non-electric hearing aids; Methods or devices for enabling ear patients to achieve auditory perception through physiological senses other than hearing sense; Protective devices for the ears, carried on the body or in the hand
    • A61F11/20Ear surgery

Definitions

  • This invention relates to an insertion tool for a cochlear implant, and a method for using that tool to insert a cochlear electrode lead into a patient's ear.
  • the stimulating electrode assembly of a cochlear implant is placed inside the cochlear partition, commonly into the scala tympani.
  • a major problem with conventional electrode leads is in inserting them into the cochlea without irreversibly damaging the auditory nerve fibers, and the electrodes and lead wires of the electrode lead.
  • electrode leads are surgically inserted along the line of sight through the round window and along the basal turn of the cochlea, either with an alligator forceps or with Y-shaped claws.
  • the alligator forceps adequately control the force and direction of the electrode insertion, but risk of damage to the electrodes is high.
  • the forceps also must be periodically removed and replaced to correctly orient the electrode array in the cochlea, since it can grip the electrode lead only through a limited angle of rotation.
  • the Y-shaped claws minimize damage to the electrode, but it cannot be used to apply insertion force in the optimum direction, along the line of sight. Since it cannot grip the electrode lead, it also cannot be used to rotate the electrode to correctly place it in the cochlea.
  • An object of my invention is to provide an insertion tool and a technique for insertion of the electrode lead which both protects the electrode assembly and allows successful manipulation of the electrode lead into the cochlea.
  • the electrode lead is provided with a collar, preferably made of silicone rubber.
  • the collar is affixed to the rear of the electrode lead at a predetermined point above the electrode assembly.
  • the collar is expanded in Freon or
  • Glue preferable silastic A
  • the insertion or gripping tool has a rounded end, configured like a thumbnail at the tip, designed to fit between the collar and the lead.
  • a major advantage of my invention is that the squeeze or friction fit of the gripping tool to the electrode lead (through the collar) completely prohibits possible damage to the electrode array as may occur with use of alligator forceps. This mode of attachment also permits optimum application of the insertion force directly along the axis. Further, the surgeon can use the gripping tool to rotate the electrode lead without fear that the tool will slip off the lead and damage the electrode assembly or the delicate tissues of the patient's ear. This contrasts with the prior art Y-shaped claws which cannot be used to apply force along the line of sight or to grip and rotate the electrode lead.
  • My invention can also be used with both symmetric and non-symmetric electrodes.
  • the gripping tool is placed under the collar so that 0 '
  • the active electrodes e.g. 180 degrees away
  • a mark is placed on the front of the handle of the gripping tool so that when the surgeon inserts the electrode lead into the cochlea and the electrode assembly is no longer visible, the surgeon is able to determine he orienta ⁇ tion of the active electrodes and to rotate the electrode lead to correctly place the active electrode assembly in the cochlea.
  • the placement of the tool with respect to the array is not important.
  • the gripping tool is removed by sliding it along the axis of the lead; the lead can be held steady (so that removal of the tool does not remove the lead) by temporary placement of the Y-shaped claws on the collar.
  • FIG. 1A is an illustration of a prior art non- symmetric electrode lead
  • FIG. IB is an illustration of a prior art symmetric electrode lead
  • FIG. 2 illustrates the prior art method of inserting the electrode lead into the cochlea
  • FIGS. 3A-C illustrate the preferred method of
  • FIG. 4A is an illustration of the gripping tool
  • FIG. 4B is an enlarged view of the tip of the gripping tool
  • FIG. 5A-C illustrate the preferred method of u ⁇ in ⁇ the insertion tool with the electrode lead.
  • Fig. 1A is an illustration of a prior art non- symmetric or localized electrode lead 2, with active electrodes 4 and electrode lead wires 6.
  • Fig. IB shows a prior art symmetric or banded electrode lead 8, with active electrodes 10 and electrode lead wires 12.
  • the prior art method of inserting an electrode lead into the cochlea is shown in Fig. 2. To achieve insertion, force must be - 4 -
  • a collar is placed on the electrode lead to the rear of the electrode assembly.
  • Figs. 3A-3C the preferred method of placing collar 20 around electrode lead 8 is illustrated.
  • a 5-6mm length collar 20 made of silastic tubing, silicone rubber or other suitable material, is slipped over the front end of lead 8 to rest at a point approximately 26mm behind the last electrode.
  • Collar 20 is expanded in Freon to produce an inner diameter of 0.6 mm, which is slightly larger than the outer diameter of electrode lead 8, so as to facilitate placement of collar 20 over lead 8 and to allow for a snug friction fit after evaporation of the Freon.
  • Collar 20 has a wall thickness of
  • Fig. 3B shows the placement of collar 20 on lead
  • FIGs. 4A and 4B show gripping tool 24 which is adapted for use with collar 20.
  • FIG. 4A is an illustration of gripping tool 24, with a 110 mm length handle 26 and a
  • Fig. 4B is an enlarged view of the front of tip 28, with all sharp edges removed to form a rounded end
  • rounded end 30 is placed gently under the rear end of collar 20, allowing the tip of the insertion tool to be attached to lead 8, removed - 5 -
  • Fig. 5B is an enlarged view of the location of rounded groove 30 under collar 20.
  • This technique of attachment permits the surgeon to apply force directly along the axis r in the optimum direction along the line of sight through the round window. Possible damage to the electrode lead is minimized, and the surgeon does not need to periodically remove and replace the gripping tool to push the lead forward.
  • the friction fit of the gripping tool to the lead also permits the surgeon to rotate the lead and correctly orient it in- the cochlea without fear that the tool may slip off the lead.
  • the gripping tool is placed 180 degrees from active electrodes 4, and a mark is placed on the front of handle 26, indicated the direction of the active elec ⁇ trodes. This enables the surgeon to determine the location of active electrodes 4 when the lead has been inserted through the round window and the active electrodes are no longer visible, permitting the surgeon to correctly orient the active electrodes with respect to the cochlear nerves.
  • the collar is located outside the round window. Removal of the gripping tool from the collar is accomplished by sliding the tool along the axis of the lead; the lead can be held steady (so that removal of the tool does not remove the electrode assembly from the cochlea) by the temporary placement of prior art Y-shaped claws on the collar.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Otolaryngology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Psychology (AREA)
  • Biophysics (AREA)
  • Acoustics & Sound (AREA)
  • Surgery (AREA)
  • Cardiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Electrotherapy Devices (AREA)
  • Prostheses (AREA)

Abstract

An apparatus and method for insertion of a cochlear implant. The method includes sliding a collar (20) on to the rear end of a cochlear electrode (4) lead (2), applying glue to the forward end of the collar, and putting a gripping tool (24) configured for squeeze-fit placement in the free rear end of the collar (20).

Description

- la -
Description
APPARATUS AND METHOD FOR INSERTION OF COCHLEAR ELECTRODE ASSEMBLY
This invention relates to an insertion tool for a cochlear implant, and a method for using that tool to insert a cochlear electrode lead into a patient's ear.
The stimulating electrode assembly of a cochlear implant is placed inside the cochlear partition, commonly into the scala tympani. A major problem with conventional electrode leads is in inserting them into the cochlea without irreversibly damaging the auditory nerve fibers, and the electrodes and lead wires of the electrode lead. In the prior art, electrode leads are surgically inserted along the line of sight through the round window and along the basal turn of the cochlea, either with an alligator forceps or with Y-shaped claws. The alligator forceps adequately control the force and direction of the electrode insertion, but risk of damage to the electrodes is high. The forceps also must be periodically removed and replaced to correctly orient the electrode array in the cochlea, since it can grip the electrode lead only through a limited angle of rotation. - lb -
The Y-shaped claws minimize damage to the electrode, but it cannot be used to apply insertion force in the optimum direction, along the line of sight. Since it cannot grip the electrode lead, it also cannot be used to rotate the electrode to correctly place it in the cochlea.
An object of my invention is to provide an insertion tool and a technique for insertion of the electrode lead which both protects the electrode assembly and allows successful manipulation of the electrode lead into the cochlea.
In accordance with the principals of my invention, the electrode lead is provided with a collar, preferably made of silicone rubber. The collar is affixed to the rear of the electrode lead at a predetermined point above the electrode assembly. The collar is expanded in Freon or
- 2 -
other suitable gas, so that the inner diameter of the collar is slightly greater than the outer diameter of the electrode lead. This enables the collar to slip over the lead during manufacture. After placement of the collar, the Freon
_ evaporates, and the collar returns to its original 5 dimensions (equivalent to the outer diameter of the lead) . This shrinking results in a snug friction fit. Glue (preferable silastic A) is applied to the forward edges of the collar. The collar is positioned so that it is located outside the round window after insertion is completed.
The insertion or gripping tool has a rounded end, configured like a thumbnail at the tip, designed to fit between the collar and the lead. A major advantage of my invention is that the squeeze or friction fit of the gripping tool to the electrode lead (through the collar) completely prohibits possible damage to the electrode array as may occur with use of alligator forceps. This mode of attachment also permits optimum application of the insertion force directly along the axis. Further, the surgeon can use the gripping tool to rotate the electrode lead without fear that the tool will slip off the lead and damage the electrode assembly or the delicate tissues of the patient's ear. This contrasts with the prior art Y-shaped claws which cannot be used to apply force along the line of sight or to grip and rotate the electrode lead. Although the prior art alligator forceps adequately control the force and direction of the electrode insertion, it must be periodically removed from the lead and replaced at a point further back on the lead in order to completely insert the electrode lead into the cochlea. With my invention, the surgeon may apply constant forward force along the axis without removing the gripping tool at all.
My invention can also be used with both symmetric and non-symmetric electrodes. With non-symmetric elec- trodeε, the gripping tool is placed under the collar so that 0 '
- 3 -
it is directly above the active electrodes (e.g. 180 degrees away) . A mark is placed on the front of the handle of the gripping tool so that when the surgeon inserts the electrode lead into the cochlea and the electrode assembly is no longer visible, the surgeon is able to determine he orienta¬ tion of the active electrodes and to rotate the electrode lead to correctly place the active electrode assembly in the cochlea. With symmetric electrodes, the placement of the tool with respect to the array is not important.
After insertion of the electrode array is completed, the gripping tool is removed by sliding it along the axis of the lead; the lead can be held steady (so that removal of the tool does not remove the lead) by temporary placement of the Y-shaped claws on the collar.
Further objects, features, and advantages of my invention will become apparent upon consideration of the following detailed description in conjunction with the drawings, in which:
FIG. 1A is an illustration of a prior art non- symmetric electrode lead; FIG. IB is an illustration of a prior art symmetric electrode lead;
FIG. 2 illustrates the prior art method of inserting the electrode lead into the cochlea;
FIGS. 3A-C illustrate the preferred method of
§lacing the collar around the electrode lead uring manufacture; FIG. 4A is an illustration of the gripping tool;
FIG. 4B is an enlarged view of the tip of the gripping tool;
FIG. 5A-C illustrate the preferred method of uεinσ the insertion tool with the electrode lead.
Fig. 1A is an illustration of a prior art non- symmetric or localized electrode lead 2, with active electrodes 4 and electrode lead wires 6. Fig. IB shows a prior art symmetric or banded electrode lead 8, with active electrodes 10 and electrode lead wires 12. The prior art method of inserting an electrode lead into the cochlea is shown in Fig. 2. To achieve insertion, force must be - 4 -
applied along the axis of electrode lead 8 (direction I) .
When prior art Y-shaped claws 14 are used, this force is generated from friction between the claws and the lead.
Since the lead is smooth and slippery, a large force F, normal to the axis, is required, which may result in bending or undesirable rotation of the lead. Further, in order to push lead 8 through round window 16 and along basal turn 18 of the cochlea, the surgeon must periodically remove and replace claws 14 (from position A to B in Figure 2) .
In the preferred embodiment of my invention, a collar is placed on the electrode lead to the rear of the electrode assembly. In Figs. 3A-3C, the preferred method of placing collar 20 around electrode lead 8 is illustrated.
In Fig. 3A, a 5-6mm length collar 20, made of silastic tubing, silicone rubber or other suitable material, is slipped over the front end of lead 8 to rest at a point approximately 26mm behind the last electrode. Collar 20 is expanded in Freon to produce an inner diameter of 0.6 mm, which is slightly larger than the outer diameter of electrode lead 8, so as to facilitate placement of collar 20 over lead 8 and to allow for a snug friction fit after evaporation of the Freon. Collar 20 has a wall thickness of
0.2-0.3 mm. Fig. 3B shows the placement of collar 20 on lead
8. In Fig. 3C, an enlarged view of collar 20 and lead B, glue 22 (preferably silastic A) is applied to the front edges of collar 20, permanently affixing collar 20 to lead
8.
Figs. 4A and 4B show gripping tool 24 which is adapted for use with collar 20. Fig. 4A is an illustration of gripping tool 24, with a 110 mm length handle 26 and a
40 mm tip 28. Fig. 4B is an enlarged view of the front of tip 28, with all sharp edges removed to form a rounded end
30, with a length of 3-3.5 mm. In Fig. 5A, rounded end 30 is placed gently under the rear end of collar 20, allowing the tip of the insertion tool to be attached to lead 8, removed - 5 -
from the vicinity of the electrodes themselves. Fig. 5B is an enlarged view of the location of rounded groove 30 under collar 20.
This technique of attachment permits the surgeon to apply force directly along the axisr in the optimum direction along the line of sight through the round window. Possible damage to the electrode lead is minimized, and the surgeon does not need to periodically remove and replace the gripping tool to push the lead forward. The friction fit of the gripping tool to the lead also permits the surgeon to rotate the lead and correctly orient it in- the cochlea without fear that the tool may slip off the lead. When- the tool is used to insert non-symmetric or localized electrode lead 2 in Fig. 5C, the gripping tool is placed 180 degrees from active electrodes 4, and a mark is placed on the front of handle 26, indicated the direction of the active elec¬ trodes. This enables the surgeon to determine the location of active electrodes 4 when the lead has been inserted through the round window and the active electrodes are no longer visible, permitting the surgeon to correctly orient the active electrodes with respect to the cochlear nerves.
After insertion of the electrode assembly is completed, the collar is located outside the round window. Removal of the gripping tool from the collar is accomplished by sliding the tool along the axis of the lead; the lead can be held steady (so that removal of the tool does not remove the electrode assembly from the cochlea) by the temporary placement of prior art Y-shaped claws on the collar.
Although the invention has been described with reference to a particular embodiment it is to be "understood that this embodiment is merely illustrative of the application of the principles of the invention. Numerous modifications may be made therein and other arrangements may be devised without departing from the spirit and scope of the invention.

Claims

- 6 -CLAIMS
1. A cochlear electrode lead comprising an assembly of electrodes at one end and a collar attached to the rear of said assembly which facilitates placement of a gripping tool.
2 . A cochlear electrode lead in accordance with claim 1 wherein said collar is configured to prevent slippage between the gripping tool and the lead as the gripping tool is turned to rotate the lead.
3. A cochlear electrode lead in accordance with claim 1, wherein said collar is a length or tubing affixed to the lead at only its forward end.
4. A cochlear electrode lead in accordance with claim 3 wherein said gripping tool is configured at one end for squeeze-fit placement in the free rear end of the collar.
5. A method of making an insertion mechanism for the lead of a cochlear implant, comprising the steps of:
(a) sliding a collar onto the rear end of the lead, and
(b) applying glue to the forward end of the collar.
6. A cooperating cochlear implant lead and gripping tool, comprising a cochlear implant lead having a collar whose forward end is fixed to the rear of the lead; and a tool having a handle at one end, with the other end being configured for squeeze-fit placement in the free rear end of said collar.
EP19880907147 1987-07-24 1988-07-22 Apparatus and method for insertion of cochlear electrode assembly Withdrawn EP0328597A4 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US7744587A 1987-07-24 1987-07-24
US77445 1987-07-24

Publications (2)

Publication Number Publication Date
EP0328597A1 true EP0328597A1 (en) 1989-08-23
EP0328597A4 EP0328597A4 (en) 1992-07-08

Family

ID=22138097

Family Applications (1)

Application Number Title Priority Date Filing Date
EP19880907147 Withdrawn EP0328597A4 (en) 1987-07-24 1988-07-22 Apparatus and method for insertion of cochlear electrode assembly

Country Status (4)

Country Link
EP (1) EP0328597A4 (en)
JP (1) JPH02500814A (en)
AU (1) AU605343B2 (en)
WO (1) WO1989000870A1 (en)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8452421B2 (en) 2009-07-08 2013-05-28 Advanced Bionics, Llc Lead insertion tools
US8753353B2 (en) 2010-06-25 2014-06-17 Advanced Bionics Ag Tools, systems, and methods for inserting an electrode array portion of a lead into a bodily orifice
US8753352B2 (en) 2010-06-25 2014-06-17 Advanced Bionics Ag Tools, systems, and methods for inserting a pre-curved electrode array portion of a lead into a bodily orifice
US8774944B2 (en) 2010-06-25 2014-07-08 Advanced Bionics Ag Tools, systems, and methods for inserting an electrode array portion of a lead into a bodily orifice
US8915926B2 (en) 2006-11-08 2014-12-23 Advanced Bionics Ag Pre-curved electrode array loading tools
US8939993B1 (en) 2006-11-08 2015-01-27 Advanced Bionics Ag Pre-curved electrode array loading tools
US9474546B1 (en) 2008-04-18 2016-10-25 Advanced Bionics Ag Pre-curved electrode array insertion tools

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP4043049B2 (en) * 1996-02-26 2008-02-06 メド−エル・エレクトロメディジニシェ・ゲレーテ・ゲーエムベーハー Structure of implantable artificial hearing organ and method for manufacturing the same
US6968238B1 (en) 1998-08-26 2005-11-22 Kuzma Janusz A Method for inserting cochlear electrode and insertion tool for use therewith
WO2000071063A1 (en) * 1999-05-21 2000-11-30 Cochlear Limited A cochlear implant electrode array
WO2002074211A1 (en) * 2001-03-19 2002-09-26 Cochlear Limited Insertion tool system for an electrode array
EP1476104B1 (en) 2002-02-22 2011-11-02 Cochlear Limited An insertion device for an electrode array
US8855790B2 (en) 2010-05-07 2014-10-07 Advanced Bionics Ag Systems and methods for loading a pre-curved electrode array onto a straightening member
EP2566425B1 (en) 2010-05-07 2018-12-19 Advanced Bionics AG Systems and methods for loading a pre-curved electrode array onto a straightening member
CN111544771B (en) * 2020-05-18 2023-06-23 中国医学科学院北京协和医院 Artificial cochlea electrode implantation device

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0214527A1 (en) * 1985-08-21 1987-03-18 Minnesota Mining And Manufacturing Company External ear canal electrode to be placed proximate the tympanic membrane
EP0215726A2 (en) * 1985-08-19 1987-03-25 The University Of Melbourne Prosthetic electrode array

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DK140364B (en) * 1977-11-22 1979-08-13 Carl Christian Hansen Electrode for insertion into the cochlea of the ear, method of its manufacture and auxiliary tool for use in connection with the electrode.
AU529974B2 (en) * 1978-05-04 1983-06-30 University Of Melbourne, The Electrode for human cochlea
WO1980002231A1 (en) * 1979-04-24 1980-10-30 J Donachy Long-life flexible electrode lead
GB2057272B (en) * 1979-08-29 1983-10-19 Cardiac Recorders Ltd Defibrillator
DE3134896C2 (en) * 1981-09-03 1985-03-28 W.C. Heraeus Gmbh, 6450 Hanau Cable feed for pacemaker electrodes
US4414986A (en) * 1982-01-29 1983-11-15 Medtronic, Inc. Biomedical stimulation lead
DE3371863D1 (en) * 1982-11-15 1987-07-09 Minnesota Mining & Mfg Anchor and insertion tool for anchoring electrode leads used in cochlear implantation
NL8602043A (en) * 1986-08-08 1988-03-01 Forelec N V METHOD FOR PACKING AN IMPLANT, FOR example AN ELECTRONIC CIRCUIT, PACKAGING AND IMPLANT.
FR2629710B1 (en) * 1988-04-08 1997-10-24 Mxm ELECTRODE HOLDER DEVICES IMPLANTABLE IN THE COCHLEE FOR ELECTRICALLY STIMULATING THE HEARING NERVE

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0215726A2 (en) * 1985-08-19 1987-03-25 The University Of Melbourne Prosthetic electrode array
EP0214527A1 (en) * 1985-08-21 1987-03-18 Minnesota Mining And Manufacturing Company External ear canal electrode to be placed proximate the tympanic membrane

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of WO8900870A1 *

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8915926B2 (en) 2006-11-08 2014-12-23 Advanced Bionics Ag Pre-curved electrode array loading tools
US8939993B1 (en) 2006-11-08 2015-01-27 Advanced Bionics Ag Pre-curved electrode array loading tools
US9474546B1 (en) 2008-04-18 2016-10-25 Advanced Bionics Ag Pre-curved electrode array insertion tools
US8452421B2 (en) 2009-07-08 2013-05-28 Advanced Bionics, Llc Lead insertion tools
US8753353B2 (en) 2010-06-25 2014-06-17 Advanced Bionics Ag Tools, systems, and methods for inserting an electrode array portion of a lead into a bodily orifice
US8753352B2 (en) 2010-06-25 2014-06-17 Advanced Bionics Ag Tools, systems, and methods for inserting a pre-curved electrode array portion of a lead into a bodily orifice
US8774944B2 (en) 2010-06-25 2014-07-08 Advanced Bionics Ag Tools, systems, and methods for inserting an electrode array portion of a lead into a bodily orifice

Also Published As

Publication number Publication date
AU2089388A (en) 1989-03-01
EP0328597A4 (en) 1992-07-08
AU605343B2 (en) 1991-01-10
WO1989000870A1 (en) 1989-02-09
JPH02500814A (en) 1990-03-22

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