Electroporation shield for implantable electrodes
Presented herein is an electroporation shield configured to be removably coupled to an implantable stimulating assembly that includes one or more stimulation electrodes. The electroporation shield is coupled to stimulating assembly such that the electroporation shield electrically insulates the one or more of the stimulation electrodes from an electroporation electrical field generated by one or more electroporation electrodes coupled to the electroporation shield. The electroporation shield may be coupled to the stimulating assembly in a manner that facilitates removal of the electroporation shield and the one or more electroporation electrodes. After electroporation, without having to remove or reinsert the stimulating assembly, thereby exposing the one or more stimulation electrodes to the cells of the recipient for subsequent delivery of stimulation.
1 . A method, comprising:
positioning an electroporation-shielded stimulation arrangement of an implantable medical device at a location proximate to cells of a recipient of the implantable medical device, wherein the electroporation-shielded stimulation arrangement comprises an electroporation shield attached to a carrier member having one or more stimulation electrodes to electrically isolate the one or more stimulation electrodes;
applying an electroporation electrical field to the cells of the recipient at the location using one or more electroporation electrodes of the electroporation-shielded stimulation arrangement; and
exposing, in-situ, the one or more stimulation electrodes of the electroporation-shielded stimulation arrangement to the cells at the location.
2 . The method of claim 1 , further comprising:
after the one or more stimulation electrodes are exposed, delivering electrical stimulation signals to the cells of the recipient at the location.
3 . The method of claim 1 , wherein the electroporation shield encircles the carrier member to cover and electrically isolate the one or more stimulation electrodes from the one or more electroporation electrodes.
4 . The method of claim 1 , wherein exposing, in-situ, the one or more stimulation electrodes of the electroporation-shielded stimulation arrangement comprises:
physically removing the electroporation shield from an outer surface of the carrier member.
5 . The method of claim 4 , wherein the one or more electroporation electrodes are disposed on an outer surface of the electroporation shield, and wherein physically removing the electroporation shield from the outer surface of the carrier member further comprises:
physically removing the electroporation shield and the one or more electroporation electrodes from the carrier member.
6 . The method of claim 4 , wherein physically removing the electroporation shield from the outer surface of the carrier member further comprises:
sliding the electroporation shield along a portion of the carrier member.
7 . The method of claim 1 , wherein the electroporation shield is constructed from a biocompatible crystalline material.
8 . The method of claim 7 , wherein exposing, in-situ, the one or more stimulation electrodes of the electroporation-shielded stimulation arrangement comprises:
allowing the electroporation shield to dissolve, in-situ.
9 . The method of claim 8 , wherein the one or more electroporation electrodes are disposed on an outer surface of the electroporation shield, and wherein the method further comprises:
allowing the electroporation shield to dissolve to decouple the one or more electroporation electrodes from the electroporation shield; and
sliding the one or more electroporation electrodes along a portion of the carrier member to remove the one or more electroporation electrodes from being in proximity to the cells of the recipient.
10 . The method of claim 1 , wherein the electroporation shield is configured to electrically insulate the one or more stimulation electrodes from voltages produced by the one or more electroporation electrodes when applying the electroporation electrical field.
11 . The method of claim 1 , further comprising:
covering the one or more stimulation electrodes with the electroporation shield, wherein the one or more stimulation electrodes are electrically connected to a stimulator unit of the implantable medical device; and
coupling the one or more electroporation electrodes to an outer surface of the electroporation shield, wherein the one or more electroporation electrodes are electrically connected to an external electroporation device.
12 . An apparatus comprising:
a stimulating assembly of an implantable medical device comprising one or more stimulation electrodes disposed in a carrier member, wherein the stimulating assembly is configured for implantation into a location of a spatial region in a body of a recipient of the implantable medical device;
an electroporation shield comprising an inner surface and an outer surface, wherein the inner surface is attached to the stimulating assembly, such that the inner surface covers the one or more stimulation electrodes, wherein implanting the stimulating assembly at the location implants the electroporation shield at the location, and wherein the electroporation shield is configured to detach from the stimulating assembly to expose the one or more stimulation electrodes of the stimulating assembly at the location; and
one or more electroporation electrodes coupled to the outer surface of the electroporation shield.
13 . The apparatus of claim 12 , wherein the electroporation shield has a thickness of approximately 5 μm to approximately 100 μm.
14 . The apparatus of claim 12 , wherein the electroporation shield has a proximal end and a distal end, and at least one pull tab disposed proximate to the proximal end.
15 . The apparatus of claim 12 , wherein the electroporation shield is constructed from a biocompatible crystalline material configured to dissolve within the recipient.
16 . The apparatus of claim 12 , wherein the electroporation shield is configured to electrically insulate at least one of the one or more stimulation electrodes from voltages produced by the one or more electroporation electrodes during an electroporation process.
17 . An apparatus comprising:
a tissue-stimulating prosthesis comprising a stimulating assembly and a plurality of stimulation electrodes disposed on the stimulating assembly, the stimulating assembly being configured to be positioned at a location in a recipient of the tissue-stimulating prosthesis proximate to cells of the recipient; and
an electroporation shield disposed over at least one of the plurality of stimulation electrodes of the stimulating assembly, wherein the electroporation shield is configured to electrically insulate at least one of the plurality of stimulation electrodes from voltages equal to and greater than approximately 100 volts, and the electroporation shield is removably coupled to the stimulating assembly such that the electroporation shield is configured to be positioned with the stimulating assembly at the location and decoupled from the stimulating assembly to expose the plurality of stimulation electrodes at the location.
18 . The apparatus of claim 17 , wherein the electroporation shield has a thickness of approximately 5 μm to approximately 100 μm.
19 . The apparatus of claim 17 , wherein the electroporation shield has a proximal end and a distal end, and at least one pull tab disposed proximate to the proximal end.
20 . The apparatus of claim 19 , wherein the at least one pull tab is configured to facilitate removal of the electroporation shield by pulling the electroporation shield along the stimulating assembly of the tissue-stimulating prosthesis and out of proximity to the cells of the recipient.