Apparatus and method for positioning, implanting and using a stimulation lead
An introducing device for locating a tissue region and deploying an electrode is shown and described. The introducing device may include an outer sheath. An inner sheath may be disposed within the outer sheath. The inner sheath may be configured to engage an implantable electrode. In an example, the inner sheath may comprise a stimulation probe having an uninsulated portion at or near a distal end of the delivery sheath. The outer sheath may be coupled to a power source or stimulation signal generating circuitry at a proximal end. A clinician may control application of the stimulation signal to a tissue region via the outer sheath.
1. An introducer system for positioning, testing, and deploying a lead for percutaneous peripheral nerve stimulation, the system comprising:
an electrical stimulus generator unit;
an open-coiled stimulation lead having a conductive distal anchor, a body with an open-coiled configuration and a proximal end in communication with the stimulus generator unit,
a needle assembly including an outer sheath comprising a beveled end and an outer circumference and defining a bore, an inner sheath carried completely within the bore during positioning and testing, and at least one test electrode positioned along the outer circumference and electrically communicating with the stimulus generator unit;
wherein the lead is carried with the inner sheath during positioning and testing of the needle assembly until the lead is deployed and anchored;
wherein, when a test mode of the stimulus generator unit is activated, the at least one test electrode delivers test stimulation at one or more desired positions;
wherein the needle assembly can be repeatedly repositioned without deploying the lead; and
wherein, as the lead is deployed from the needle assembly, the distal anchor is exposed from the needle assembly and anchors at one of the desired positions.
2. The introducer system according to claim 1 , wherein the inner deployment mechanism comprises an inner sheath having a terminal opening with a first edge engaging a partially protruding bent anchor portion of the stimulation lead.
3. The introducer system according to claim 1 , wherein the inner sheath includes a plunger that is selectively moveable so as to deploy distal anchor at the predetermined position by moving in concert with at least one of the outer sheath, the inner sheath, and the lead.
4. The introducer system according to claim 3 further comprising a lock to restrict movement of the plunger prior to deploying the lead.
5. The introducer system according to claim 3 , wherein a plurality of test electrodes are positioned along the axial length of the outer sheath at spaced-apart intervals.
6. The introducer system according to claim 5 , wherein the plurality of electrodes cooperate to associate the desired position with a specific test electrode and wherein the plunger cooperates with the needle assembly to deploy the lead at the predetermined position.
7. The introducer system according to claim 1 wherein a plurality of test electrodes are positioned on the outer circumference.
8. The introducer system according to claim 1 further comprising a quick disconnection mechanism for maintaining contact between the proximal end and the stimulus generator unit.
9. The introducer system according to claim 8 , wherein the quick disconnection mechanism includes at least one aperture or slot and wherein a proximal end of the electrode is received in the aperture or slot.
10. The introducer system according to claim 8 , wherein the quick disconnection mechanism includes at least one magnet.
11. The introducer system according to claim 8 , wherein the quick disconnection mechanism includes an insulation displacement connector.
12. The introducer system according to claim 8 , wherein the quick disconnection mechanism includes at least one biasing member.
13. The introducer system according to claim 1 further comprising a user control connected to the stimulus generator unit.
14. The introducer system according to claim 13 , wherein the user control includes a graphical user interface.
15. The introducer system according to claim 13 , wherein the user control is wirelessly connected to the stimulus generator unit.
16. The introducer system according to claim 1 , wherein the needle assembly includes a spacer.
17. The introducer system according to claim 16 , wherein the spacer moves along an axis of the needle assembly so as to retract at least the outer sheath.
18. The introducer system according to claim 1 , wherein the lead comprises a biosorbable material.
19. The introducer system according to claim 1 , wherein the open-coiled structure promotes tissue ingrowth.