US3367339A - Implantable nerve stimulating electrode and lead - Google Patents

Implantable nerve stimulating electrode and lead Download PDF

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US3367339A
US3367339A US40286564A US3367339A US 3367339 A US3367339 A US 3367339A US 40286564 A US40286564 A US 40286564A US 3367339 A US3367339 A US 3367339A
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electrode
conductor
nerve stimulating
lead
flexible
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Robert W Sessions
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Robert W. Sessions
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/375Constructional arrangements, e.g. casings
    • 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
    • A61N1/0587Epicardial electrode systems; Endocardial electrodes piercing the pericardium

Description

IMPLANTABLE NERVE STIMULATNG ELECTRODE AND LEAD Filed Oct. 9, 1964 v INVENTO'R.

@055er A/ 5595/0/15 United States 3,367,339 IMPLANTABLE NERVE STIMULATING ELECTRODE AND LEAD Robert W. Sessions, 1309 Lloyd Ave., Lombard, Ill. 60148 Filedf ct. 9, 1964, Ser. No. 402,365 4 Claims. (Cl. 12S-418) ABSTRACT OF THE DISCLOSURE This invention relates to nerve stimulating circuit' means and more particularly to a nerve stimulating electrode and flexible conductor connected thereto.

An object of this invention is to provide a nerve stimulating electrode and conductive lead therefor which may be safely and effectively used within the human body.

Another object of the present invention is to provide a nerve stimulating electrode which can be fastened to the heart myocardium Without puncturing the tissue surface while also providing proper electrical contact thereto.

Still another object of the present invention is to provide a nerve stimulating electrode which is small in size and light in weight and is safe and effective for use Within the human body.

Yet another object of the present invention is to provide a nerve stimulating electrode having a Contact surface which can be placed firmly against human body tissue for electrical coupling with nerve cells therein.

Still another object of the present invention is to provide a nerve stimulating electrode and flexible conductor which can be connected between nerve tissue to be stimulated and a stimulating source.

Further objects of this invention as well as a better understanding thereof, may be had from the following description when considered in conjunction with the accompanying drawings, in which:

FIGURE 1 is a somewhat diagrammatic representation of a pair of electrodes and conductors connected between a heart and a nerve stimulating source;

FIGURE 2 is a side elevated sectional view of one electrode and conductor of FIGURE 1;

FIGURE 3 is a somewhat diagrammatic representation showing four rectangular conductors being wrapped about a moving ilexible core;

FIGURE 4 shows an alternate embodiment of electrode contractor construction which can be used in FIG- URE 2; and

FIGURE 5 is a somewhat diagrammatic view showing the conductors of FIGURE 3 tamped together to form a helically wound flexible conductor.

Although the electrode and conductor means of the present invention can be used in various parts of the body for stimulation of various nerves, it has particular utility when secured to myocardium for heart stimulation. By way of example, FIGURE 1 shows a pair of electrodes and 11 secured to a heart 15 in the region of the left ventricle. The electrode 10 is provided with a pair of holes 16 and 17 through which sutures 18 and 19 are provided for securing the electrode 10 firmly against the ate heart tissue. The electrode 11 is also provided with a pair of holes 20 and 21 through which sutures 22 and 23 are provided to secure the electrode 11 firmly against the heart tissue.

Stimulating current is applied to electrodes 10 and 11 through conductors 30 and 31 respectively from a nerve stimulating current source 32, which may be a device similar to my electronic heart stimulator described in my copending application Ser. No. 395,079, filed Sept. 8, 1964, entitled, Electronic Heart Stimulator.

Shown in FIGURE 2 is a detailed view of the electrode 10 and conductor 30. An electrode contactor 35 has a flat contact surface 36 and a slight upturned peripheral edge 37. A helically wound flexible conductor 40 is secured to the electrode contactor 35 by solder or other means as indicated at 42.

To provide a smooth contoured surface on the back side of electrode contactor 35, and also to seal the connection 42 and conductor 4t) from organisms in the body, a molded cover -45 made of either epoxy or silastic is provided. After the electrode contactor 35, conductor 40 and molded cover y45 have been joined together to form the electrode unit 10, the holes 16 `and 17 are then provided.

As shown in FIGURE 3, the conductor 40 is constructed by wrapping 'four rectangular conductors 50, 51, 52 and 53 about a Hexible core 55 imoving in the direction as indicated by arrow 56. The flexible core 55 is preferably of nylon material, while the four rectangular conductors are preferably lstrips of stainless steel. After the conductors Sli-53 have been wrapped about the flexible core 55, the conductors are tamped together to form a compact, iiexible and springy conductor. A coating of polyethylene is preferably applied over the conductor assembly 4t? of FIGURE 5 as indicated at 5S in FIG- URE 5 to provide a flexible tubular adherent covering for the conductor assembly.

Referring to FIGURE 2, `a flexible sleeve or tubing 60 is placed about the conductor 40 and its coating 58 and secured to the electrode 10 by adhesive as shown at 61. The tubing `60 is preferably a Dow-Corning silastic of pure silicon material. The outer wall of the tubing 60 is preferably t-w-o to three millimeters above the contact surface 36 of the electrode 10. This allows the electrode to indent the heart muscle sutlicient to cause lgood electrical contact. The normal saline fluid of the heart also increases the conductivity between the contactor 35 and the heart muscle.

To prevent the helically Wound conductors 50-53 from unwinding or stretching in the tubing 60 a terminating crimp terminal 64 is securely crimped at the free end of the conductor assembly.

Shown in FIGURE 4 is an alternate configuration of the contactor 35, FIGURE 2, and is designated by reference numeral 35a. The upturned peripheral edge 37a provides a cavity 65 in which a flexible conductor can be secured, and thereafter the cavity 65 can be lled with insulating material such as epoxy or silastic. A notch 66 is terminated approximately 2 to 3 millimeters from the bottom surface of contactor 35a to allow the contactor 35a to suitably indent the brous tissue which it is placed upon.

Although the description of this invention has been given with respect to a particular embodiment, it is not to be construed in a limiting sense.

Therefore, the foregoing description of this invention concerns only the preferred embodiment thereof, and that accordingly, changes and modifications may be made therein by those skilled in the art without departing from the spirit and scope of the novel concepts of this invention.

I claim as -my invention:

1. A nerve stimulating meansV comprising:

an electrode having a flat circular contact surface with an upturned peripheral edge,

a lielically wound flexible conductor connected at one end to said electrode on the side thereof opposite said Contact surface and having an opposite end,

said flexible conductor having a flexible core,

a cover means molded on said electrode on said opposite side thereof for covering the connection between said electrode and said llexible conductor,

flexible tubing means surrounding said helically wound llexible conductor and extending the length thereof, y

sealing means around said flexible tubing at a point adjacent to said cover means providing a seal therebetween, and an energy source connected at the opposite end of said llexible conductor for delivering stimulating impulses to said electrode.

2. The nerve stimulating means of claim 1 in which said heli-cally Wound flexible conductor comprises four stainless steel rectangular conductors wound about a y nylon core.

3. The nerve stimulating means of claim 2 in which said four rectangular conductors are Wound about said nylon core such that each conductor is in contact with said core and each of said conductors is in close proximity with the conductor immediately adjacent thereto.

4. A nerve stimulating electrode comprising:

contact means having a fiat contact surface with an -upturned edge and a connection surface opposite said contact surface;

a flexible core;

a helically wound flexible conductor wrapped about said core;

connection means electrically connecting one end of said conductor to the connection surface of said Contact means;

cover means molded `on Said contact means and overlying the connection surface thereof and surrounding said connection means;

ilexible tubing means surrounding said conductor and extending the length thereof; and

sealing means around said flexible tubing at a point adjacent to said cover means providing a seal therebetween.

References Cited UNITED STATES PATENTS 2,318,207 5/1943 Ellis 12S-411 3,035,538 5/1962 Hirsch et al. 12S-41S X 3,037,068 5/1962 Wessel 174-1133 X 3,222,755 12/1965 Grass 128--417'X 3,253,595 5/1966 Murphy et al 128-405 3,157,181 11/1964 McCarty 128-404 RICHARD A. GAUDET, Primary Examiner.

W. E. KAMM, Examiner.

US3367339A 1964-10-09 1964-10-09 Implantable nerve stimulating electrode and lead Expired - Lifetime US3367339A (en)

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Cited By (30)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3416534A (en) * 1966-04-11 1968-12-17 Gen Electric Body organ electrode
US3474791A (en) * 1966-03-24 1969-10-28 Brunswick Corp Multiple conductor electrode
FR2023549A1 (en) * 1968-11-18 1970-08-21 Medtronic Inc
US3590822A (en) * 1968-04-03 1971-07-06 Electro Catheter Corp Catheters
US3654933A (en) * 1968-11-18 1972-04-11 Medtronic Inc Implatable electrode
DE2334049A1 (en) * 1973-07-04 1975-01-16 Hans Dr Med Lagergren Endocardelektrode
US3871382A (en) * 1973-02-15 1975-03-18 Pacesetter Syst Heart stimulator system for rapid implantation and removal with improved integrity
US4000745A (en) * 1968-08-05 1977-01-04 Goldberg Edward M Electrical leads for cardiac stimulators and related methods and means
US4141365A (en) * 1977-02-24 1979-02-27 The Johns Hopkins University Epidural lead electrode and insertion needle
US4198991A (en) * 1978-05-17 1980-04-22 Cordis Corporation Cardiac pacer lead
USRE30366E (en) * 1970-09-21 1980-08-12 Rasor Associates, Inc. Organ stimulator
US4313448A (en) * 1980-01-28 1982-02-02 Medtronic, Inc. Myocardial sutureless lead
US4323081A (en) * 1980-06-30 1982-04-06 Medtronic, Inc. Pacing lead
US4379462A (en) * 1980-10-29 1983-04-12 Neuromed, Inc. Multi-electrode catheter assembly for spinal cord stimulation
US4454888A (en) * 1981-10-07 1984-06-19 Cordis Corporation Cardiac pacing lead with curve retainer
US4481953A (en) * 1981-11-12 1984-11-13 Cordis Corporation Endocardial lead having helically wound ribbon electrode
US4553554A (en) * 1983-09-09 1985-11-19 Lemole Gerald M Electrical lead and method for temporary cardiac pacing
US4559951A (en) * 1982-11-29 1985-12-24 Cardiac Pacemakers, Inc. Catheter assembly
US4640983A (en) * 1984-04-09 1987-02-03 Institut Straumann Ag Conductor device, particularly for at least partial insertion in a human or animal body, comprising a spiral formed from at least one conductor
US4643202A (en) * 1985-04-15 1987-02-17 Cordis Corporation Multi-material insulation sheath for pacer lead
US4817634A (en) * 1987-06-18 1989-04-04 Medtronic, Inc. Epicardial patch electrode
US4971070A (en) * 1987-06-18 1990-11-20 Medtronic, Inc. Epicardial patch electrode
US5217027A (en) * 1991-05-30 1993-06-08 Medtronic, Inc. Temporary cardiac lead
US5935465A (en) * 1996-11-05 1999-08-10 Intermedics Inc. Method of making implantable lead including laser wire stripping
US5984711A (en) * 1998-09-10 1999-11-16 Scimed Life Systems, Inc. Methods and apparatus for increasing wire diameter to improve connectability
US20020055765A1 (en) * 1999-04-26 2002-05-09 Black Damon Ray Implantable lead and method of manufacture
DE10100976A1 (en) * 2001-01-11 2002-08-01 Horst Pajunk Catheter for nerve block
DE10132330A1 (en) * 2001-07-02 2003-01-16 Biotronik Mess & Therapieg guidewire
US20030181892A1 (en) * 2001-01-11 2003-09-25 Heinrich Pajunk Tension adapter for a catheter
US20040010189A1 (en) * 2001-07-02 2004-01-15 Biotronik Mess-Und Therapiegeraete Gmbh & Co. Ingenieurbuero Berlin Guide wire

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2318207A (en) * 1941-04-07 1943-05-04 Francis C Ellis Electrode
US3035538A (en) * 1961-04-14 1962-05-22 Sylvester J Willard Propeller guards
US3037068A (en) * 1959-05-04 1962-05-29 Western Electric Co Retractile tinsel cordage
US3157181A (en) * 1962-05-02 1964-11-17 Dow Chemical Co Nerve electrode apparatus
US3222755A (en) * 1961-08-02 1965-12-14 Albert M Grass Method of assembling an electrode
US3253595A (en) * 1963-08-07 1966-05-31 Cordis Corp Cardiac pacer electrode system

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2318207A (en) * 1941-04-07 1943-05-04 Francis C Ellis Electrode
US3037068A (en) * 1959-05-04 1962-05-29 Western Electric Co Retractile tinsel cordage
US3035538A (en) * 1961-04-14 1962-05-22 Sylvester J Willard Propeller guards
US3222755A (en) * 1961-08-02 1965-12-14 Albert M Grass Method of assembling an electrode
US3157181A (en) * 1962-05-02 1964-11-17 Dow Chemical Co Nerve electrode apparatus
US3253595A (en) * 1963-08-07 1966-05-31 Cordis Corp Cardiac pacer electrode system

Cited By (44)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3474791A (en) * 1966-03-24 1969-10-28 Brunswick Corp Multiple conductor electrode
US3416534A (en) * 1966-04-11 1968-12-17 Gen Electric Body organ electrode
US3590822A (en) * 1968-04-03 1971-07-06 Electro Catheter Corp Catheters
US4000745A (en) * 1968-08-05 1977-01-04 Goldberg Edward M Electrical leads for cardiac stimulators and related methods and means
FR2023549A1 (en) * 1968-11-18 1970-08-21 Medtronic Inc
US3654933A (en) * 1968-11-18 1972-04-11 Medtronic Inc Implatable electrode
USRE30366E (en) * 1970-09-21 1980-08-12 Rasor Associates, Inc. Organ stimulator
US3871382A (en) * 1973-02-15 1975-03-18 Pacesetter Syst Heart stimulator system for rapid implantation and removal with improved integrity
DE2334049C2 (en) * 1973-07-04 1984-01-12 Hans Dr Med Lagergren
DE2334049A1 (en) * 1973-07-04 1975-01-16 Hans Dr Med Lagergren Endocardelektrode
DE2334049C3 (en) * 1973-07-04 1988-12-22 Hans Dr Med Lagergren Endocardium-electrode assembly
US4141365A (en) * 1977-02-24 1979-02-27 The Johns Hopkins University Epidural lead electrode and insertion needle
US4198991A (en) * 1978-05-17 1980-04-22 Cordis Corporation Cardiac pacer lead
US4313448A (en) * 1980-01-28 1982-02-02 Medtronic, Inc. Myocardial sutureless lead
US4323081A (en) * 1980-06-30 1982-04-06 Medtronic, Inc. Pacing lead
US4379462A (en) * 1980-10-29 1983-04-12 Neuromed, Inc. Multi-electrode catheter assembly for spinal cord stimulation
US4454888A (en) * 1981-10-07 1984-06-19 Cordis Corporation Cardiac pacing lead with curve retainer
US4481953A (en) * 1981-11-12 1984-11-13 Cordis Corporation Endocardial lead having helically wound ribbon electrode
US4559951A (en) * 1982-11-29 1985-12-24 Cardiac Pacemakers, Inc. Catheter assembly
US4553554A (en) * 1983-09-09 1985-11-19 Lemole Gerald M Electrical lead and method for temporary cardiac pacing
US4640983A (en) * 1984-04-09 1987-02-03 Institut Straumann Ag Conductor device, particularly for at least partial insertion in a human or animal body, comprising a spiral formed from at least one conductor
US4643202A (en) * 1985-04-15 1987-02-17 Cordis Corporation Multi-material insulation sheath for pacer lead
US4971070A (en) * 1987-06-18 1990-11-20 Medtronic, Inc. Epicardial patch electrode
US4817634A (en) * 1987-06-18 1989-04-04 Medtronic, Inc. Epicardial patch electrode
US5217027A (en) * 1991-05-30 1993-06-08 Medtronic, Inc. Temporary cardiac lead
US5935465A (en) * 1996-11-05 1999-08-10 Intermedics Inc. Method of making implantable lead including laser wire stripping
US6265691B1 (en) 1996-11-05 2001-07-24 Intermedics Inc. Method of making implantable lead including laser wire stripping
US6326587B1 (en) 1996-11-05 2001-12-04 Intermedics Inc. Apparatus for removing an insulating layer from a portion of a conductor
US5984711A (en) * 1998-09-10 1999-11-16 Scimed Life Systems, Inc. Methods and apparatus for increasing wire diameter to improve connectability
US6981314B2 (en) 1999-04-26 2006-01-03 Advanced Neuromodulation Systems, Inc. Method of forming a lead
US20100077606A1 (en) * 1999-04-26 2010-04-01 Damon Ray Black Method of forming a lead
US8316537B2 (en) 1999-04-26 2012-11-27 Advanced Neuromodulation Systems, Inc. Method of forming a lead
US7047627B2 (en) 1999-04-26 2006-05-23 Advanced Neuromodulation Systems, Inc. Method for fabricating an implantable apparatus for delivering electrical stimulation from a pulse generator
US8671566B2 (en) 1999-04-26 2014-03-18 Advanced Neuromodulation Systems, Inc. Method of forming a lead
US20020055765A1 (en) * 1999-04-26 2002-05-09 Black Damon Ray Implantable lead and method of manufacture
US20050192655A1 (en) * 1999-04-26 2005-09-01 Black Damon R. Method of forming a lead
US20050246005A1 (en) * 1999-04-26 2005-11-03 Black Damon R Method for fabricating an implantable apparatus for delivering electrical stimulation from a pulse generator
US7027873B2 (en) 2001-01-11 2006-04-11 Heinrich Pajunk Catheter for neural blockades
DE10100976C2 (en) * 2001-01-11 2003-10-02 Horst Pajunk Catheter for nerve block
US20030181892A1 (en) * 2001-01-11 2003-09-25 Heinrich Pajunk Tension adapter for a catheter
US7194312B2 (en) 2001-01-11 2007-03-20 Heinrich Pajunk Tension adapter for a catheter
DE10100976A1 (en) * 2001-01-11 2002-08-01 Horst Pajunk Catheter for nerve block
DE10132330A1 (en) * 2001-07-02 2003-01-16 Biotronik Mess & Therapieg guidewire
US20040010189A1 (en) * 2001-07-02 2004-01-15 Biotronik Mess-Und Therapiegeraete Gmbh & Co. Ingenieurbuero Berlin Guide wire

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