JP5538367B2 - 電極リードシステム - Google Patents
電極リードシステム Download PDFInfo
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- JP5538367B2 JP5538367B2 JP2011507688A JP2011507688A JP5538367B2 JP 5538367 B2 JP5538367 B2 JP 5538367B2 JP 2011507688 A JP2011507688 A JP 2011507688A JP 2011507688 A JP2011507688 A JP 2011507688A JP 5538367 B2 JP5538367 B2 JP 5538367B2
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- lead
- flange member
- cuff
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- electrode
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- 210000005036 nerve Anatomy 0.000 claims description 52
- 230000000638 stimulation Effects 0.000 description 14
- 230000029058 respiratory gaseous exchange Effects 0.000 description 8
- 210000001169 hypoglossal nerve Anatomy 0.000 description 6
- WABPQHHGFIMREM-OUBTZVSYSA-N lead-208 Chemical compound [208Pb] WABPQHHGFIMREM-OUBTZVSYSA-N 0.000 description 6
- 210000003205 muscle Anatomy 0.000 description 6
- WABPQHHGFIMREM-OIOBTWANSA-N lead-204 Chemical compound [204Pb] WABPQHHGFIMREM-OIOBTWANSA-N 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- 210000000038 chest Anatomy 0.000 description 4
- 230000000241 respiratory effect Effects 0.000 description 4
- 201000002859 sleep apnea Diseases 0.000 description 4
- 210000002435 tendon Anatomy 0.000 description 4
- WYTGDNHDOZPMIW-RCBQFDQVSA-N alstonine Natural products C1=CC2=C3C=CC=CC3=NC2=C2N1C[C@H]1[C@H](C)OC=C(C(=O)OC)[C@H]1C2 WYTGDNHDOZPMIW-RCBQFDQVSA-N 0.000 description 3
- 210000003484 anatomy Anatomy 0.000 description 3
- 239000013013 elastic material Substances 0.000 description 3
- 238000001914 filtration Methods 0.000 description 3
- 208000001797 obstructive sleep apnea Diseases 0.000 description 3
- 210000004224 pleura Anatomy 0.000 description 3
- 210000001562 sternum Anatomy 0.000 description 3
- 238000001514 detection method Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 210000003238 esophagus Anatomy 0.000 description 2
- 230000001537 neural effect Effects 0.000 description 2
- 230000004044 response Effects 0.000 description 2
- 230000004936 stimulating effect Effects 0.000 description 2
- 210000003437 trachea Anatomy 0.000 description 2
- 238000004873 anchoring Methods 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 230000000747 cardiac effect Effects 0.000 description 1
- 239000004020 conductor Substances 0.000 description 1
- 210000002808 connective tissue Anatomy 0.000 description 1
- 238000002716 delivery method Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 230000003434 inspiratory effect Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 230000007383 nerve stimulation Effects 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 230000003252 repetitive effect Effects 0.000 description 1
- 230000000284 resting effect Effects 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 230000005641 tunneling Effects 0.000 description 1
Images
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
- A61N1/0556—Cuff electrodes
-
- 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
- A61N1/0558—Anchoring or fixation means therefor
-
- 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
-
- 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
- A61N1/0526—Head electrodes
Landscapes
- Health & Medical Sciences (AREA)
- Neurology (AREA)
- Neurosurgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Electrotherapy Devices (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
Description
Claims (7)
- カフ電極と、
前記カフ電極から延びており、蛇行した構成を有している第1のリード部と、
蛇行した構成を有しており、前記第1のリード部の長さよりも大きい長さを有している第2のリード部と、
前記第1のリード部と前記第2のリード部との間に介装され、神経以外の身体構造に対して固定されるように構成されている第1のアンカーと、
前記第2のリード部から近位方向に延びており、埋め込み式のパルス発生器へと電気的に接続されるように構成されたコネクターと、
前記第2のリード部へと接続され、前記第2のリード部と前記コネクターとの間に介装された第2のアンカーであって、第2の神経以外の身体構造に対して固定されるように構成されている第2のアンカーと、
を備えており、
前記第1のリード部が、該第1のリード部の少なくとも一部分が蛇行した構成のままであるように、前記カフ電極が取り付けられる神経と前記第1のアンカーが固定される前記神経以外の身体構造との間の距離よりも大きい長さを有していると共に、
前記カフ電極は、
細長いカフ本体と、
前記カフ本体に埋め込まれ、前記カフ本体の長さに沿って互いに間隔を空けて位置している3つの剛な電極部材からなる列と、
を備え、
前記細長いカフ本体は、
ベース部材と、
第1の端部及び第2の端部を含む第1のフランジ部材と、
第2のフランジ部材および第3のフランジ部材を含んでいる1対のアーチ形の弾性フランジ部材であって、前記第2及び第3のフランジ部のそれぞれのフランジ部の近位部は、前記ベース部材から外方向に、他方のフランジ部材の近位部から離れるように延びるとともに、前記第2及び第3のフランジ部のそれぞれのフランジ部の遠位部は、他方のフランジ部材の遠位部に向かって延び、互いに解放可能に接触して、再閉鎖可能な開口部を有する円形の管腔を形成するようにバイアスされている、1対のアーチ形の弾性フランジ部材と、
を含み、
前記第1、第2及び第3のフランジ部材は、前記カフ本体の長さまで延びていると共に、
前記第1のフランジ部材の前記第1の端部は、前記第3のフランジ部材の外表面へと固定されており、
前記それぞれのフランジ部材の互いに関連する少なくとも1つの部分において、前記第1のフランジ部材は、前記第1のフランジ部材の固定された前記第1の端部から少なくとも前記第2のフランジ部材と重複するように延び、前記第3のフランジ部材の前記外表面と、再閉鎖可能な前記開口部と、前記第2のフランジ部材の外表面の大部分と、解放可能に接触する断面長さを有する、
リードシステム。 - 前記第2のリード部が、前記第1のリード部の長さの約7倍の長さを有している請求項1に記載のリードシステム。
- 各々の電極部材が、
前記管腔に露出されるように前記第2及び第3のフランジ部材のそれぞれのフランジ部材の少なくとも一方の内表面に沿って延びているアーチ形の第1の部位と、
前記ベースの中へと前記第1の部位から離れるように前記第1の部位に対して鈍角で延びている真っ直ぐな第2の部位と、
を含んでおり、
前記電極部材の前記露出された第1の部位が、前記カフ本体の前記再閉鎖可能な開口の反対側に位置している請求項1に記載のリードシステム。 - 当該細長いカフ本体が完全に係合した状態にあるときに、前記第1のフランジ部材が、該第1のフランジ部材の少なくとも一部分が前記再閉鎖可能な開口を横切って延びて該開口を覆うよう、前記第2のフランジ部材に対して摺動移動可能であり、かつ前記第2のフランジ部材に解放可能に接している請求項1に記載のリードシステム。
- 神経に固定された前記カフ電極と、神経でない身体構造に固定された第1のアンカーについて、前記カフ電極及び前記第1のアンカーは、同じ垂直面に延びるように構成され、前記第1のリード部は、蛇行状態を維持しながら、前記垂直面について垂直に延びるように構成されている、請求項1に記載のリードシステム。
- 前記ベース部材は、上壁と、前記上壁と対向する底壁と、第1の側壁と、前記第1の側壁と対向する第2の側壁と、を備え、前記底壁は、前記第1の側壁から前記第2の側壁に延びている、請求項1に記載のリードシステム。
- 前記第2及び第3のフランジ部材は、互いに重複しない、請求項1に記載のリードシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US4992708P | 2008-05-02 | 2008-05-02 | |
US61/049,927 | 2008-05-02 | ||
PCT/US2009/042546 WO2009135142A1 (en) | 2008-05-02 | 2009-05-01 | Electrode lead system |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2011519630A JP2011519630A (ja) | 2011-07-14 |
JP2011519630A5 JP2011519630A5 (ja) | 2012-06-21 |
JP5538367B2 true JP5538367B2 (ja) | 2014-07-02 |
Family
ID=40852476
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011507685A Active JP5575113B2 (ja) | 2008-05-02 | 2009-05-01 | 自己拡張式電極カフ |
JP2011507688A Active JP5538367B2 (ja) | 2008-05-02 | 2009-05-01 | 電極リードシステム |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011507685A Active JP5575113B2 (ja) | 2008-05-02 | 2009-05-01 | 自己拡張式電極カフ |
Country Status (7)
Country | Link |
---|---|
US (3) | US20110160827A1 (ja) |
EP (2) | EP2310082B1 (ja) |
JP (2) | JP5575113B2 (ja) |
CN (2) | CN102112177A (ja) |
AU (2) | AU2009242504A1 (ja) |
CA (2) | CA2722982A1 (ja) |
WO (2) | WO2009135138A1 (ja) |
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CA2722987A1 (en) | 2009-11-05 |
JP2011519627A (ja) | 2011-07-14 |
EP2310082A1 (en) | 2011-04-20 |
CN102202726A (zh) | 2011-09-28 |
WO2009135142A1 (en) | 2009-11-05 |
CN102112177A (zh) | 2011-06-29 |
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US9227053B2 (en) | 2016-01-05 |
JP2011519630A (ja) | 2011-07-14 |
AU2009242504A1 (en) | 2009-11-05 |
AU2009242500A1 (en) | 2009-11-05 |
EP2310084A1 (en) | 2011-04-20 |
WO2009135138A1 (en) | 2009-11-05 |
CA2722982A1 (en) | 2009-11-05 |
JP5575113B2 (ja) | 2014-08-20 |
EP2310084B1 (en) | 2016-03-23 |
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