Implantable electrode assembly
View Patent ↗An implantable electrode assembly configured to deliver electrical stimulation signals to tissue of a patient includes an implantable mesh comprising a plurality of electrically conductive wires. A plurality of electrodes are fastened to the electrically conductive wires. The electrodes include a stimulation surface and an electrically conductive path between the stimulation surface and the wire, to which the electrode is attached. In one embodiment, the plurality of electrodes each comprise first and second members that are fastened together around one of the electrically conductive wires.
1. An implantable electrode assembly for delivering electrical stimulation signals to tissue of a patient, the assembly comprising:
an implantable mesh comprising a plurality of electrically conductive wires; and
a plurality of electrodes, each electrode comprising first and second members fastened together around a segment of one of the electrically conductive wires using a mechanical coupling, the first member including a stimulation surface, and the second member including a first arm, a second arm, and a recess to receive the first member, the segment of the wire extending through the recess;
wherein:
an electrically conductive path is formed between the stimulation surface and the electrically conductive wire to which the first and second members are fastened; and
the mechanical coupling comprises cooperating portions of the first and second members that interface to fasten the first and second members together, the first arm and the second arm configured to flex to insert the first member within the recess such that the first member is disposed between the first arm and the second arm.
2. The assembly of claim 1 , wherein:
the electrically conductive wires each comprise an electrically insulative jacket surrounding an electrically conductive core;
the first member comprises a piercing member that pierces the insulative jacket and contacts the conductive core of the wire, to which the first and second members are fastened; and
the piercing member forms a portion of the electrically conductive path.
3. The assembly of claim 2 , wherein the piercing member comprises an electrically conductive protrusion.
4. The assembly of claim 3 , wherein the protrusion comprises a conical member.
5. The assembly of claim 3 , wherein the protrusion comprises a blade member.
6. The assembly of claim 2 , wherein at least one of the first and second members comprises a wire guide configured to position the wire, around which the first and second members are fastened, in a predetermined location.
7. The assembly of claim 6 , wherein the wire guide comprises a first guide wire recess in the first member, and a second guide wire recess in the second member, the second guide wire recess having a different size than the recess of the second member.
8. The assembly of claim 1 , wherein the cooperating portions form a snap-fit connection between the first and second members.
9. The assembly of claim 1 , wherein the cooperating portions form a press-fit connection between the first and second members.
10. The assembly of claim 1 , wherein the implantable mesh comprises a plurality of tabs and each of the plurality of electrodes is fastened to one of the tabs.
11. The assembly of claim 10 , wherein the tabs are formed along an edge of the mesh.
12. The assembly of claim 1 , wherein each of the first arm and the second arm include a portion that extends over a surface of the first member.
13. A method comprising:
providing an implantable mesh comprising a plurality of electrically conductive wires; and
fastening a plurality of electrodes to the electrically conductive wires comprising mechanically fastening first and second members of each of the electrodes to a segment of one of the wires including interfacing cooperating portions of the first and second members, wherein the second member includes a first arm, a second arm, and a recess to receive the first member, the first arm and the second arm flexing to insert the first member within the recess such that the first member is disposed between the first arm and the second arm, the segment of the wire extending through the recess; and
forming a conductive path between stimulation surfaces on the first members of the electrodes and the conductive wires in response to fastening a plurality of electrodes to the electrically conductive wires.
14. The method of claim 13 , wherein fastening a plurality of electrodes to the electrically conductive wires comprises piercing an insulative jacket of the wire with a piercing member of the electrode.
15. The method of claim 14 , wherein mechanically fastening first and second members of each of the plurality of electrodes to one of the wires comprises press-fitting the cooperating portions of the first and second members together around the wire.
16. The method of claim 14 , wherein mechanically fastening first and second members of each of the plurality of electrodes to one of the wires comprises snap-fitting the cooperating portions of the first and second members together around the wire.
17. The method of claim 13 , further comprising:
implanting the mesh and the fastened electrodes in tissue of a patient; and
delivering electrical stimulation signals to the tissue of the patient through the conductive wires and the electrodes.
18. The method of claim 13 , wherein the first member defines a first wire guide recess, the second member defines a second wire guide recess, and the mechanically fastening first and second members of each of the electrodes to a segment of one of the wires comprises positioning the first wire guide recess and the second wire guide recess around the segment of the wire.