Surgery: light – thermal – and electrical application – Light – thermal – and electrical application – Electrical energy applicator
Reexamination Certificate
2005-01-25
2005-01-25
Bockelman, Mark (Department: 3762)
Surgery: light, thermal, and electrical application
Light, thermal, and electrical application
Electrical energy applicator
Reexamination Certificate
active
06847849
ABSTRACT:
Methods and apparatus for implanting a stimulation lead in a patient's sacrum to deliver neurostimulation therapy that can reduce patient surgical complications, reduce patient recovery time, and reduce healthcare costs. A surgical instrumentation kit for minimally invasive implantation of a sacral stimulation lead through a foramen of the sacrum in a patient to electrically stimulate a sacral nerve comprises a needle and a dilator and optionally includes a guide wire. The needle is adapted to be inserted posterior to the sacrum through an entry point and guided into a foramen along an insertion path to a desired location. In one variation, a guide wire is inserted through a needle lumen, and the needle is withdrawn. The insertion path is dilated with a dilator inserted over the needle or over the guide wire to a diameter sufficient for inserting a stimulation lead, and the needle or guide wire is removed from the insertion path. The dilator optionally includes a dilator body and a dilator sheath fitted over the dilator body. The stimulation lead is inserted to the desired location through the dilator body lumen or the dilator sheath lumen after removal of the dilator body, and the dilator sheath or body is removed from the insertion path. If the clinician desires to separately anchor the stimulation lead, an incision is created through the entry point from an epidermis to a fascia layer, and the stimulation lead is anchored to the fascia layer. The stimulation lead can be connected to the neurostimulator to delivery therapies to treat pelvic floor disorders such as urinary control disorders, fecal control disorders, sexual dysfunction, and pelvic pain.
REFERENCES:
patent: 4044774 (1977-08-01), Corbin et al.
patent: 4512351 (1985-04-01), Pohndort
patent: 4569351 (1986-02-01), Tang
patent: 4573448 (1986-03-01), Kambin
patent: 4607639 (1986-08-01), Tanagho et al.
patent: 4739764 (1988-04-01), Lue et al.
patent: 4771779 (1988-09-01), Tanagho et al.
patent: 5121754 (1992-06-01), Mullet
patent: 5255691 (1993-10-01), Otten
patent: 5395317 (1995-03-01), Kambin
patent: 5484445 (1996-01-01), Knuth
patent: 5733322 (1998-03-01), Starkebaum
patent: 5762629 (1998-06-01), Kambin
patent: 5957965 (1999-09-01), Moumane et al.
patent: 6002964 (1999-12-01), Feler et al.
patent: 6027456 (2000-02-01), Feler et al.
patent: 6055456 (2000-04-01), Gerber
patent: 6104957 (2000-08-01), Alo et al.
patent: 6104960 (2000-08-01), Duysens et al.
patent: 6360750 (2002-03-01), Gerber et al.
patent: 6395007 (2002-05-01), Bhatnagar et al.
Medtronic, “InterStim® Therapy, Sacral Nerve Stimulation For Urinary Control, Therapy Reference Guide,” (1999).
Medtronic “InterStim® Therapy, SNS For Urinary Control, Test Stimulation And Implantation Guide,” (1999).
Medtronic, Implantable Neurostimulation Systems Brochure, (1998).
Medtronic, “InterStim® Therapy, Sacral Nerve Stimulation (SNS) For Urinary Control, 1999 Compendium of Key Abstracts,” (1999).
Anurag, K. Das et al., “Sacral Nerve Stimulation For The Management Of Voiding Dysfunction,” Reviews In Urology, vol. 1, Issue 46 (Winter 2000). pp 43-60.
J. Bosch et al., “Sacral Nerve Neuromodulation In The Treatment Of Patients With Refractory Motor Urge Incontinence: Long-Term Results Of A Prospective Longitudinal Study,”The Journal Of Urology, vol. 163, No. 4 (Apr. 2000). pp 1219-1222.
Hassouna, M. et al., “Sacral Neuromodulation In The Treatment Of Urgency-Frequency Symtoms: A Multicenter Study On Efficacy And Safety,”The Journal Of Urology, vol. 163, No. 6 (Jun. 2000). pp 1849-1854.
Schmidt, R. et al., “Sacral nerve Stimulation For Treatment Of Refractory Urinary Urge Incontinence,”The Journal Of Urology, vol. 162, No. 2 (Aug. 1999).
Carlton Keith Richard
Gerber Martin Theodore
Mamo George
Spinelli Michele
Swoyer John Matthew
Bockelman Mark
Campbell Keith M.
Woods Thomas F.
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