Lead engagement devices and methods for electrical stimulation and/or monitoring systems
View Patent ↗According to aspects of the present disclosure, an implantable electrical system may include an implantable pulse generator with a bore sized to receive an electrical lead, with an engagement mechanism that does not require the use of set screws to secure the lead within the bore. The engagement mechanism may include a deformable component that may be moved or deformed to allow entry of the lead into the bore, and then moved or deformed again to engage a surface of the lead to secure the lead within the bore. The engagement mechanism may allow rotation of the lead within the bore while maintaining electrical connections between the generator and the lead. The engagement mechanism may also allow the securing and/or release of the lead relative to the bore without the need to manipulate a set screw or breach a seal of the generator.
1. An implantable medical device comprising:
a lead having a proximal end, the proximal end of the lead having an engagement portion with an exterior surface defining a channel circumventing the lead; and
an implantable pulse generator coupled to the lead, the implantable pulse generator comprising:
a housing having circuitry and a battery, and
a header coupled to the housing, the housing including a bore defining an interior surface and a bore diameter, the bore configured to receive the proximal end of the lead, the header supporting at least one electrical contact within the bore coupled to the circuitry, and a retainer device including a looped member disposed within the bore, the retainer device having a first position and a first loop diameter that permits egress of the lead proximal end into the bore and having a second position and a second loop diameter that disposes the retainer device at least partially within the channel of the lead to prevent egress of the lead from the bore, wherein the first loop diameter is greater than the second loop diameter and the retainer device deflects when transitioning between the first position and second positions.
2. The medical device of claim 1 wherein an interior surface of the bore defines a cavity holding the retainer device at an axial position along the bore.
3. The medical device of claim 2 wherein at least one of the retainer device and the lead is rotatable within the bore when the retainer device is in the second position.
4. The medical device of claim 1 wherein the retainer device has an inner surface, the inner surface occluding at least a portion of the bore in the second position.
5. The medical device of claim 1 wherein the interior surface of the bore defines a cavity holding the retainer device at an axial position along the bore, and wherein the header further includes a passage extending between an exterior surface of the header and the cavity, the passage disposed transverse to the bore.
6. The medical device claim of 5 wherein the header includes an occlusion member disposed in the passage to seal the passage from an external environment of the header.
7. The medical device of claim 1 wherein the retainer device is disposed in a cavity defined by the bore, and wherein the retainer device is configured to deflect when interfacing with a tool inserted through a passage extending between the exterior of the header and the cavity.
8. The medical device of claim 1 wherein the interior surface defines a bore diameter, and wherein the second loop diameter is less than the bore diameter.
9. The medical device of claim 1 wherein the interior surface defines a bore diameter, and wherein the retainer device is an elongated member disposed to abut the interior surface when in the first position and further disposed to extend across the bore when in the second position.
10. The medical device of claim 1 wherein the exterior surface of the engagement portion further defines a chamfer surface proximal to the channel.
11. The medical device of claim 1 wherein the channel includes at least one sloping side disposed to present an angled surface to the retainer device when transitioning between the first and second positions.
12. A method of securing a lead within a bore of an implantable pulse generator, the method comprising:
inserting a proximal end of the lead into the bore in a proximal direction towards a retainer device disposed within the bore, the retainer device being a looped member disposed to have a first loop diameter when in a first position and further disposed to have a second loop diameter when in a second position, the first loop diameter being greater than the second loop diameter, the proximal end of the lead having an engagement portion defining an exterior channel circumventing the engagement portion;
deflecting the retainer device from the second position that impedes a further proximal movement of the lead into the bore to the first position that allows the further proximal movement of the lead into the bore;
positioning the retainer device and the exterior channel to mate at a same axial position along a length of the bore; and
deflecting the retainer device from the first position to the second position that disposes the retainer device within the exterior channel.