IP Library Granted Patent US 10,098,662
Granted Patent B2
US 10,098,662 · App. 14/954,070 · Granted Oct 16, 2018

Surgical tools to facilitate delivery of a neurostimulator into the pterygopalatine fossa

Inventors: Carl Lance Boling (San Jose, CA); Anthony V. Caparso (San Mateo, CA); Francis A. Papay (Westlake, OH); Ryan Powell (Sunnyvale, CA); Jennifer Teng (San Francisco, CA); Morgan Clyburn (Menlo Park, CA)
Assignees: The Cleveland Clinic Foundation; Autonomic Technologies, Inc.
A61B17/3468A61B17/0218A61B17/24A61B17/3211A61N1/0526A61N1/0551A61N1/36075A61N1/37205A61B17/02A61B2017/320052A61N1/0548A61N1/375
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Quick Facts
Patent No.
US 10,098,662
App. No.
14/954,070
Granted
Oct 16, 2018
Kind
B2
Abstract

A surgical tool configured to facilitate delivery of a neurostimulator to a craniofacial region of a subject includes a handle portion, an elongate shaft having a contoured distal portion, and an insertion groove on the elongate shaft. The elongate shaft is configured to be advanced under a zygomatic bone along a maxillary tuberosity towards a pterygopalatine fossa. The distal portion includes a distal dissecting tip. The insertion groove is configured to receive, support, and guide a medical device or instrument.

Claims (31)

1. A method for delivering a neurostimulator to within close proximity of a sphenopalatine ganglion (SPG), said method comprising the steps of:

making an incision at a gingival-buccal insertion site;

inserting a first surgical tool into the incision;

advancing the first surgical tool under a zygomatic bone along a maxillary tuberosity towards a PPF to form a first surgical access cavity;

forming a second surgical access cavity at an end of the first surgical access cavity that is in close proximity to the SPG; and

delivering the neurostimulator in close proximity to the SPG via the first and second surgical access cavities.

2. The method of claim 1 , wherein said advancing step further comprises the steps of:

advancing the first surgical tool until a distal dissecting tip of the first surgical tool engages a junction formed by a posterior maxillary buttress and a pterygoid plate; and

rotating the first surgical tool in a superior direction until the distal dissecting tip is positioned about the PPF.

3. The method of claim 1 , wherein said step of forming a second surgical access cavity further comprises the steps of:

advancing a tunneling member into contact with an insertion groove of the first surgical tool;

urging the tunneling member along the insertion groove into contact with an end of the first surgical access cavity; and

advancing the tunneling member through the end of the first surgical access cavity to form the second surgical access cavity.

4. The method of claim 1 , wherein said step of delivering the neurostimulator includes the further steps of:

withdrawing the first surgical tool and the tunneling member from the first and second surgical access cavities, respectively;

securely mating the neurostimulator with a neurostimulator delivery device, the neurostimulator including a stimulation lead and the neurostimulator delivery device including a spine;

advancing a second surgical tool into the first surgical access cavity;

slidably engaging the spine with an insertion groove of the second surgical tool until the stimulation lead is positioned within the second surgical access cavity;

disengaging the neurostimulator from the neurostimulator deployment apparatus; and

securing the neurostimulator about the PPF so that the stimulation lead is in close proximity to the SPG.

5. The method of claim 1 , wherein the neurostimulator is programmed to deliver an electrical current to the SPG to treat a medical condition.

6. The method of claim 5 , wherein the medical condition is pain.

7. The method of claim 6 , wherein the pain is at least one of headache and facial pain.

8. A method comprising the steps of:

receiving a first surgical tool through an incision at a gingival-buccal insertion site of a subject;

receiving the first surgical tool under a zygomatic bone along a maxillary tuberosity towards a pterygopalatine fossa (PPF) to form a first surgical access cavity;

receiving a tunneling member at an end of the first surgical access cavity to form a second surgical access cavity that is in close proximity to the sphenopalatine ganglion (SPG); and

receiving a neurostimulator in close proximity to the SPG via the first and second surgical access cavities.

9. The method of claim 8 , further comprising the step of applying, by the subject, an electrical current from the neurostimulator to the SPG to treat a medical condition.

10. The method of claim 9 , wherein the medical condition is pain.

11. The method of claim 10 , wherein the pain is at least one of headache and facial pain.

Assignments (7)
CHANGE OF NAME Recorded Jan 31, 2024
From: UNITY HA LLC
To: REALEVE, LLC
Reel/Frame 066403/0526 →
RELEASE OF SECURITY INTEREST Recorded Jul 2, 2021
From: CRG SERVICING, LLC
To: AUTONOMIC TECHNOLOGIES, INC.
Reel/Frame 056753/0378 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jul 2, 2021
From: AUTONOMIC TECHNOLOGIES, INC.
To: AUTONOMIC (ASSIGNMENT FOR THE BENEFIT OF CREDITORS), LLC
Reel/Frame 056742/0465 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jul 2, 2021
From: AUTONOMIC (ASSIGNMENT FOR THE BENEFIT OF CREDITORS), LLC
To: UNITY HA LLC
Reel/Frame 056742/0596 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Mar 8, 2016
From: PAPAY, FRANCIS A.
To: THE CLEVELAND CLINIC FOUNDATION
Reel/Frame 037917/0768 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Mar 8, 2016
From: BOLING, CARL LANCE; CAPARSO, ANTHONY V.; POWELL, RYAN; TENG, JENNIFER; CLYBURN, MORGAN
To: AUTONOMIC TECHNOLOGIES, INC.
Reel/Frame 038028/0267 →
INTELLECTUAL PROPERTY SECURITY AGREEMENT Recorded Dec 30, 2015
From: AUTONOMIC TECHNOLOGIES, INC.
To: CRG SERVICING LLC, AS ADMINISTRATIVE AGENT
Reel/Frame 037405/0600 →
Continuity (4)
Division 13470480 · May 14, 2012
Continuation In Part 12688300 · Jan 15, 2010
Provisional Application 61145122 · Jan 16, 2009
Related Publication 20160081716A1 · Mar 24, 2016
Cited By (4)
US 12,383,735 US 12,521,552 US 12,544,569 US 12,697,491