ES2634550T3 - Conductores de paleta - Google Patents
Conductores de paleta Download PDFInfo
- Publication number
- ES2634550T3 ES2634550T3 ES11754814.9T ES11754814T ES2634550T3 ES 2634550 T3 ES2634550 T3 ES 2634550T3 ES 11754814 T ES11754814 T ES 11754814T ES 2634550 T3 ES2634550 T3 ES 2634550T3
- Authority
- ES
- Spain
- Prior art keywords
- conductor
- electrodes
- columns
- vane
- bodies
- 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.)
- Active
Links
- 239000004020 conductor Substances 0.000 claims abstract description 326
- 230000000638 stimulation Effects 0.000 claims abstract description 102
- 238000000926 separation method Methods 0.000 claims abstract description 42
- 230000008878 coupling Effects 0.000 claims abstract description 4
- 238000010168 coupling process Methods 0.000 claims abstract description 4
- 238000005859 coupling reaction Methods 0.000 claims abstract description 4
- 238000003780 insertion Methods 0.000 claims description 8
- 230000037431 insertion Effects 0.000 claims description 8
- 230000004308 accommodation Effects 0.000 claims 1
- 230000000712 assembly Effects 0.000 description 24
- 238000000429 assembly Methods 0.000 description 24
- 210000004126 nerve fiber Anatomy 0.000 description 12
- 230000006870 function Effects 0.000 description 11
- 210000000278 spinal cord Anatomy 0.000 description 10
- 210000001519 tissue Anatomy 0.000 description 10
- 238000002513 implantation Methods 0.000 description 7
- 239000010410 layer Substances 0.000 description 6
- 239000002356 single layer Substances 0.000 description 6
- 210000000273 spinal nerve root Anatomy 0.000 description 6
- 208000002193 Pain Diseases 0.000 description 4
- 238000005094 computer simulation Methods 0.000 description 4
- 230000007423 decrease Effects 0.000 description 4
- 238000009795 derivation Methods 0.000 description 4
- 230000008901 benefit Effects 0.000 description 3
- 239000000560 biocompatible material Substances 0.000 description 3
- 238000005266 casting Methods 0.000 description 3
- 210000004027 cell Anatomy 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 238000000465 moulding Methods 0.000 description 3
- 230000001953 sensory effect Effects 0.000 description 3
- 238000002560 therapeutic procedure Methods 0.000 description 3
- 208000008035 Back Pain Diseases 0.000 description 2
- 208000000094 Chronic Pain Diseases 0.000 description 2
- KDLHZDBZIXYQEI-UHFFFAOYSA-N Palladium Chemical compound [Pd] KDLHZDBZIXYQEI-UHFFFAOYSA-N 0.000 description 2
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 238000001746 injection moulding Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 210000005036 nerve Anatomy 0.000 description 2
- 239000012811 non-conductive material Substances 0.000 description 2
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 2
- 229920002635 polyurethane Polymers 0.000 description 2
- 239000004814 polyurethane Substances 0.000 description 2
- 230000009467 reduction Effects 0.000 description 2
- 230000004936 stimulating effect Effects 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 238000011282 treatment Methods 0.000 description 2
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 1
- 241000288673 Chiroptera Species 0.000 description 1
- 206010021639 Incontinence Diseases 0.000 description 1
- 208000008930 Low Back Pain Diseases 0.000 description 1
- 206010033799 Paralysis Diseases 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- NRTOMJZYCJJWKI-UHFFFAOYSA-N Titanium nitride Chemical compound [Ti]#N NRTOMJZYCJJWKI-UHFFFAOYSA-N 0.000 description 1
- 230000036982 action potential Effects 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 238000004873 anchoring Methods 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000002051 biphasic effect Effects 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 239000003990 capacitor Substances 0.000 description 1
- 229910052799 carbon Inorganic materials 0.000 description 1
- 229920001940 conductive polymer Polymers 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 208000037765 diseases and disorders Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- QHSJIZLJUFMIFP-UHFFFAOYSA-N ethene;1,1,2,2-tetrafluoroethene Chemical group C=C.FC(F)=C(F)F QHSJIZLJUFMIFP-UHFFFAOYSA-N 0.000 description 1
- 229920000840 ethylene tetrafluoroethylene copolymer Polymers 0.000 description 1
- 238000001125 extrusion Methods 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 239000000446 fuel Substances 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 230000001939 inductive effect Effects 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 239000011810 insulating material Substances 0.000 description 1
- 238000011835 investigation Methods 0.000 description 1
- 230000002045 lasting effect Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 150000002739 metals Chemical class 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 210000001087 myotubule Anatomy 0.000 description 1
- 230000007383 nerve stimulation Effects 0.000 description 1
- 210000000944 nerve tissue Anatomy 0.000 description 1
- 230000001537 neural effect Effects 0.000 description 1
- 230000003204 osmotic effect Effects 0.000 description 1
- 238000004806 packaging method and process Methods 0.000 description 1
- 229910052763 palladium Inorganic materials 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 230000000737 periodic effect Effects 0.000 description 1
- 210000000578 peripheral nerve Anatomy 0.000 description 1
- 229910052697 platinum Inorganic materials 0.000 description 1
- HWLDNSXPUQTBOD-UHFFFAOYSA-N platinum-iridium alloy Chemical compound [Ir].[Pt] HWLDNSXPUQTBOD-UHFFFAOYSA-N 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 230000008707 rearrangement Effects 0.000 description 1
- 230000001846 repelling effect Effects 0.000 description 1
- 229910052702 rhenium Inorganic materials 0.000 description 1
- WUAPFZMCVAUBPE-UHFFFAOYSA-N rhenium atom Chemical compound [Re] WUAPFZMCVAUBPE-UHFFFAOYSA-N 0.000 description 1
- 239000000377 silicon dioxide Substances 0.000 description 1
- 125000006850 spacer group Chemical group 0.000 description 1
- 208000020431 spinal cord injury Diseases 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 208000011580 syndromic disease Diseases 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0551—Spinal or peripheral nerve electrodes
- A61N1/0553—Paddle shaped electrodes, e.g. for laminotomy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
- A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
- A61N1/36071—Pain
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/375—Constructional arrangements, e.g. casings
- A61N1/3752—Details of casing-lead connections
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Public Health (AREA)
- Radiology & Medical Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Neurology (AREA)
- Neurosurgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pain & Pain Management (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US38364310P | 2010-09-16 | 2010-09-16 | |
| US383643P | 2010-09-16 | ||
| PCT/US2011/050400 WO2012036925A1 (en) | 2010-09-16 | 2011-09-02 | Systems and methods for making and using electrode configurations for paddle leads |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| ES2634550T3 true ES2634550T3 (es) | 2017-09-28 |
Family
ID=44584695
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ES11754814.9T Active ES2634550T3 (es) | 2010-09-16 | 2011-09-02 | Conductores de paleta |
Country Status (7)
| Country | Link |
|---|---|
| US (2) | US9162055B2 (enExample) |
| EP (1) | EP2616138B1 (enExample) |
| JP (1) | JP2013537090A (enExample) |
| AU (1) | AU2011302472B2 (enExample) |
| CA (1) | CA2810692A1 (enExample) |
| ES (1) | ES2634550T3 (enExample) |
| WO (1) | WO2012036925A1 (enExample) |
Families Citing this family (17)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2013537090A (ja) * | 2010-09-16 | 2013-09-30 | ボストン サイエンティフィック ニューロモデュレイション コーポレイション | パドルリードのための電極形態を製造及び使用するシステム及び方法 |
| WO2014137861A1 (en) * | 2013-03-07 | 2014-09-12 | Imthera Medical, Inc. | Lead splitter for neurostimulation systems |
| US9472916B2 (en) * | 2013-03-14 | 2016-10-18 | Medtronic, Inc. | Distal connector assemblies for medical lead extensions |
| AU2014342534B9 (en) * | 2013-10-30 | 2018-01-25 | Boston Scientific Neuromodulation Corporation | Fractional control to avoid dorsal root stimulation |
| WO2015176778A1 (de) | 2014-05-23 | 2015-11-26 | Albrecht Molsberger | Therapeutisch anwendbare mehrkanal- gleichstromabgabevorrichtung |
| US9974959B2 (en) | 2014-10-07 | 2018-05-22 | Boston Scientific Neuromodulation Corporation | Systems, devices, and methods for electrical stimulation using feedback to adjust stimulation parameters |
| US10543374B2 (en) * | 2016-09-30 | 2020-01-28 | Boston Scientific Neuromodulation Corporation | Connector assemblies with bending limiters for electrical stimulation systems and methods of making and using same |
| US20180110974A1 (en) * | 2016-10-25 | 2018-04-26 | Timothy R. Deer | Dorsal root ganglia surgical leads |
| AU2018231031B2 (en) | 2017-03-09 | 2023-11-02 | Nevro Corp. | Paddle leads and delivery tools, and associated systems and methods |
| WO2020142613A1 (en) | 2019-01-04 | 2020-07-09 | Shifamed Holdings, Llc | Internal recharging systems and methods of use |
| US11298536B2 (en) * | 2019-05-31 | 2022-04-12 | Gimer Medical. Co. Ltd. | Electrical-stimulation device and operation method thereof and electrical-stimulation system |
| WO2021217059A1 (en) | 2020-04-23 | 2021-10-28 | Shifamed Holdings, Llc | Power management for interatrial shunts and associated systems and methods |
| EP4291294A1 (en) | 2021-04-27 | 2023-12-20 | Boston Scientific Neuromodulation Corporation | Systems and methods for automated programming of electrical stimulation |
| EP4313269A1 (en) | 2021-06-15 | 2024-02-07 | Boston Scientific Neuromodulation Corporation | Methods and systems for estimating neural activation by stimulation using a stimulation system |
| US12343547B2 (en) | 2021-08-19 | 2025-07-01 | Boston Scientific Neuromodulation Corporation | Connectors for an electrical stimulation system and methods of making and using |
| EP4415809A2 (en) | 2021-12-10 | 2024-08-21 | Boston Scientific Neuromodulation Corporation | Systems and methods for generating and using response maps for electrical stimulation |
| US20230181089A1 (en) | 2021-12-10 | 2023-06-15 | Boston Scientific Neuromodulation Corporation | Methods and systems for determining and using an intensity index for electrical stimulation |
Family Cites Families (37)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5417719A (en) | 1993-08-25 | 1995-05-23 | Medtronic, Inc. | Method of using a spinal cord stimulation lead |
| US6181969B1 (en) | 1998-06-26 | 2001-01-30 | Advanced Bionics Corporation | Programmable current output stimulus stage for implantable device |
| US6393325B1 (en) | 1999-01-07 | 2002-05-21 | Advanced Bionics Corporation | Directional programming for implantable electrode arrays |
| US6516227B1 (en) | 1999-07-27 | 2003-02-04 | Advanced Bionics Corporation | Rechargeable spinal cord stimulator system |
| US7949395B2 (en) | 1999-10-01 | 2011-05-24 | Boston Scientific Neuromodulation Corporation | Implantable microdevice with extended lead and remote electrode |
| US6236892B1 (en) * | 1999-10-07 | 2001-05-22 | Claudio A. Feler | Spinal cord stimulation lead |
| US6609029B1 (en) | 2000-02-04 | 2003-08-19 | Advanced Bionics Corporation | Clip lock mechanism for retaining lead |
| US6741892B1 (en) | 2000-03-10 | 2004-05-25 | Advanced Bionics Corporation | Movable contact locking mechanism for spinal cord stimulator lead connector |
| US7904161B2 (en) * | 2001-10-22 | 2011-03-08 | Oscor Inc. | Lead adaptor having low resistance conductors and/or encapsulated housing |
| US8364278B2 (en) | 2002-01-29 | 2013-01-29 | Boston Scientific Neuromodulation Corporation | Lead assembly for implantable microstimulator |
| US7697995B2 (en) | 2002-04-25 | 2010-04-13 | Medtronic, Inc. | Surgical lead paddle |
| ES2426255T3 (es) | 2002-06-28 | 2013-10-22 | Boston Scientific Neuromodulation Corporation | Microestimulador que tiene incorporado una fuente de energía y un sistema de telemetría bidireccional |
| US7289846B2 (en) | 2003-07-30 | 2007-10-30 | Medtronic, Inc. | Multi-lumen medical electrical lead body |
| US20050070919A1 (en) | 2003-09-26 | 2005-03-31 | Lieberman Daniel M. | Device for guiding insertion of a medical device into the spinal epidural space and method therefor |
| US20060106440A1 (en) | 2004-11-16 | 2006-05-18 | Perumala Corporation | Epidural electrode for use during spinal surgery |
| US7761165B1 (en) | 2005-09-29 | 2010-07-20 | Boston Scientific Neuromodulation Corporation | Implantable stimulator with integrated plastic housing/metal contacts and manufacture and use |
| US8700178B2 (en) | 2005-12-27 | 2014-04-15 | Boston Scientific Neuromodulation Corporation | Stimulator leads and methods for lead fabrication |
| US7672734B2 (en) | 2005-12-27 | 2010-03-02 | Boston Scientific Neuromodulation Corporation | Non-linear electrode array |
| US7244150B1 (en) | 2006-01-09 | 2007-07-17 | Advanced Bionics Corporation | Connector and methods of fabrication |
| US7979131B2 (en) * | 2006-01-26 | 2011-07-12 | Advanced Neuromodulation Systems, Inc. | Method of neurostimulation of distinct neural structures using single paddle lead to treat multiple pain locations and multi-column, multi-row paddle lead for such neurostimulation |
| GB0604613D0 (en) | 2006-03-07 | 2006-04-19 | Simpson Brian A | Electrostimulation device |
| US8175710B2 (en) | 2006-03-14 | 2012-05-08 | Boston Scientific Neuromodulation Corporation | Stimulator system with electrode array and the method of making the same |
| US7974706B2 (en) | 2006-03-30 | 2011-07-05 | Boston Scientific Neuromodulation Corporation | Electrode contact configurations for cuff leads |
| US7515968B2 (en) * | 2006-04-28 | 2009-04-07 | Medtronic, Inc. | Assembly method for spinal cord stimulation lead |
| US7617006B2 (en) | 2006-04-28 | 2009-11-10 | Medtronic, Inc. | Medical electrical lead for spinal cord stimulation |
| US8666506B2 (en) * | 2006-06-30 | 2014-03-04 | Medtronic, Inc. | Selecting electrode combinations for stimulation therapy |
| US8224450B2 (en) | 2006-09-18 | 2012-07-17 | Boston Scientific Neuromodulation Corporation | Feed through interconnect assembly for an implantable stimulation system and methods of making and using |
| US20080269856A1 (en) | 2007-04-30 | 2008-10-30 | Cross Thomas E | Implantable medical leads with flexibility and extensibility to facilitate body movements |
| US8260434B2 (en) | 2008-01-23 | 2012-09-04 | Boston Scientific Neuromodulation Corporation | Paddle lead configurations for electrical stimulation systems and methods of making and using |
| WO2010027711A2 (en) | 2008-09-02 | 2010-03-11 | Boston Scientfic Neuromodulation Corporation | Systems, devices, and methods for electrically coupling terminals to electrodes of electrical stimulation systems |
| US7941227B2 (en) | 2008-09-03 | 2011-05-10 | Boston Scientific Neuromodulation Corporation | Implantable electric stimulation system and methods of making and using |
| WO2010028084A2 (en) * | 2008-09-04 | 2010-03-11 | Boston Scientific Neuromodulation Corporation | Multiple tunable central cathodes on a paddle for increased medial-lateral and rostral-caudal flexibility via current steering |
| US9717910B2 (en) * | 2008-09-04 | 2017-08-01 | Boston Scientific Neuromodulation Corporation | Multiple tunable central cathodes on a paddle for increased medial-lateral and rostral-caudal flexibility via current steering |
| WO2010048422A2 (en) * | 2008-10-22 | 2010-04-29 | Advanced Neuromodulation Systems, Inc. | Method for processing electrodes for stimulation lead |
| US9623232B2 (en) | 2008-12-03 | 2017-04-18 | Boston Scientific Neuromodulation Corporation | Method and apparatus for identifying middle lead in a tri-lead configuration |
| JP2013537090A (ja) * | 2010-09-16 | 2013-09-30 | ボストン サイエンティフィック ニューロモデュレイション コーポレイション | パドルリードのための電極形態を製造及び使用するシステム及び方法 |
| EP2616137B1 (en) | 2010-09-16 | 2016-12-21 | Boston Scientific Neuromodulation Corporation | Paddle lead assembly for electrical stimulation systems |
-
2011
- 2011-09-02 JP JP2013529188A patent/JP2013537090A/ja active Pending
- 2011-09-02 EP EP11754814.9A patent/EP2616138B1/en active Active
- 2011-09-02 CA CA 2810692 patent/CA2810692A1/en not_active Abandoned
- 2011-09-02 US US13/224,817 patent/US9162055B2/en active Active
- 2011-09-02 AU AU2011302472A patent/AU2011302472B2/en not_active Ceased
- 2011-09-02 WO PCT/US2011/050400 patent/WO2012036925A1/en not_active Ceased
- 2011-09-02 ES ES11754814.9T patent/ES2634550T3/es active Active
-
2015
- 2015-09-25 US US14/866,054 patent/US9327111B2/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| EP2616138B1 (en) | 2017-05-10 |
| AU2011302472A1 (en) | 2013-03-07 |
| US9327111B2 (en) | 2016-05-03 |
| JP2013537090A (ja) | 2013-09-30 |
| CA2810692A1 (en) | 2012-03-22 |
| US9162055B2 (en) | 2015-10-20 |
| US20120071948A1 (en) | 2012-03-22 |
| AU2011302472B2 (en) | 2016-03-10 |
| US20160015967A1 (en) | 2016-01-21 |
| EP2616138A1 (en) | 2013-07-24 |
| WO2012036925A1 (en) | 2012-03-22 |
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