The present invention relates to high density implantable connectors.
With many surgically implanted medical devices, it is necessary to transmit electrical signals that are sensed at a remote location and carried over a flexible wire to the device as well as to deliver electrical control signals or electrical stimulation signals produced at the device to a remote location in the body via flexible wires. Furthermore, it is often necessary or desirable that a variety of configurations of sensing and stimulating components be detachable from the implanted control unit, in particular so that the control unit or individual sensors or electrodes may be replaced as needed in subsequent surgeries. Therefore, most implantable medical devices include some sort of connector that serves as the bridge between the internal electronics of the control unit and the wires that connect the control unit to the remotely located sensors, electrodes or antennae.
These connectors are often complex miniature devices and a frequent source of system failure. Reasons for connector failures may include misalignment between conductive elements, breakage of conductive elements or insulation elements, corrosion, or electrical shorts produced by fluid paths. Furthermore, because of the capillarity effect, fluids may come through the wire up to inside the connector and cause corrosion or connector shorts, leading to signal degradation. In implantable connector designs with set screws making direct electrical contact with electrodes, it is often difficult to provide good electrical isolation from surrounding body fluids and in such cases, electrostatic discharges could damage excitable tissues and/or the implanted electronics.
Therefore, there is a need for a connector for use with an implanted multi-channel device that allows reliable electrical connections between the device and a plurality of individual conducting wires while maintaining good electrical isolation between electrodes and bodily fluids. The electrical connector should be as small as possible while allowing a simple and secure connection during initial implantation and/or subsequent replacement of the control unit or of a detachable component.
The present invention relates to an implantable connector assembly comprising a first portion having a longitudinal body, including a transversal protrusion having therein at least one conductive socket, a generally longitudinal wire entry, at least one wire connected to the at least one conductive socket, the at least one wire entering the longitudinal body through the generally longitudinal wire entry, a second portion, including a longitudinal body which includes a recess complementary to the transversal protrusion of the first portion, generally longitudinal wire entry, at least one conductive pin positioned within the recess, at least one wire connected to the at least one conductive pin, the at least one wire connected to the conducting pin entering the longitudinal body through the longitudinal wire entry and a sealing assembly. Wherein, in a connected configuration, the transversal protrusion engages the recess causing the at least one conductive pin to enter in contact with the at least one conductive socket, the sealing assembly being positioned between the transversal protrusion and the complementary recess to protect the at least one conductive pin and the at least one conductive socket from liquid infiltration.
The present invention further relates to an implantable connector assembly as described above, further comprising a locking system for locking the implantable connector assembly in the connected configuration.
The present invention also relates to an implantable connector assembly as described above, wherein the locking system includes first and second locking fasteners with complimentary first and second locking inserts; the first locking fastener and the first locking insert being mounted to the first portion and the second locking fastener and the second locking insert being mounted to the second portion.
The present invention further still relates to an implantable connector assembly as described above, wherein the first and second locking inserts are respectively positioned in the proximity of the wire entry of the first and second portions and the complimentary first and second locking fasteners are respectively positioned at an end distal of the wire entry of the first and second portions.
The present invention yet further relates to an implantable connector assembly as described above, wherein the first and second portions further include a bend relief member positioned within each respective longitudinal wire entries and wherein the at least one wire connected to the at least one conductive socket enters the first portion through the bend relief member or the first portion and the at least one wire connected to the at least one conductive pin enters the second portion through the bend relief member of the second portion.
The present invention also relates to an implantable connector as described above, wherein the first and second longitudinal bodies further include a cavity contiguous to the respective longitudinal wire entries, the cavity of the first longitudinal body providing access to a connection end of the at least one conductive socket and the cavity of the second longitudinal body providing access to a connection end of the at least one conductive pin.
The present invention further relates to an implantable connector assembly as described above, wherein the first and second longitudinal bodies further include an integrated peel relief element for securing the respective bend relief member to the first and second longitudinal bodies.
Illustrative embodiments of the invention will be described by way of examples only with reference to the accompanying drawings, in which:
Generally stated, an implantable connector, hereinafter referred to as “connector”, according to an illustrative embodiment of the present invention is used for connecting, in a removable fashion, an implanted medical device to an implantable interface which may take the form, for example, of a nerve cuff used for stimulating and/or monitoring electrical activity in nerve tissues in human beings or other creatures possessing nervous systems.
Referring to
Advantageously, the surfaces of the male 20 and female 30 portions of the connector 10 may be smooth and without any pronounced irregularities as in long term implantations conjunctive tissue tends to grow in cavities or surface irregularities.
Referring to
The bend relief members 52 and 53, which are positioned at respective generally longitudinal cabling entries 122 and 133 shown in
It is to be noted that the expression “generally longitudinal cable entry” is to be construed, in the present disclosure and in the appended claims as an opening configured to let cabling pass through while the cabling is generally parallel to the longitudinal portions of the implantable connector 10 according to various embodiments of the present invention.
It is also to be noted that the term “cabling” is to be construed, in the present disclosure and in the appended claims, as a wire, a plurality of wires or a cable including at least one wire.
In a second illustrative embodiment, shown in
Referring back to
Advantageously, the protrusion 37 and complimentary recess 27 are generally oblong in shape, making the connector 10 easier to seal than if the protrusion 37 and complimentary recess 27 had a traditional D-sub profile. This is especially true for a miniature size connector 10 as the use of D-sub shaped protrusion and complimentary recess results in tight corners which could lead to a deformation of the sealing band 42 and eventually to an internal leak. The oblong shape of the protrusion 37 and complimentary recess 27 provide a more constant deformation of the sealing band 42, and thus improves the tightness of the joint between the male 20 and female 30 portions of the connector 10.
Furthermore, a chamfer 57, best seen in
Providing an electrical contact between the male 20 and female 30 portions of the connector 10 are, respectively, conductive pins 28 located in the recess 27 of the male portion 20 and complimentary conductive sockets 38 located in the protrusion 37 of the female portion 30.
Advantageously, the material selected for the male 20 and female 30 parts of the connector 10 (as well as the male 120 and female 130 parts of connector 110 shown in
A material which meets the above-mentioned requirements is PEEK-OPTIMA® polyetheretherketone, provided by INVIBIO, which is used in the development of implantable medical devices and pharmaceutical applications having blood or tissue contact for more than 30 days. It is available in a wide range of forms and may be processed via injection molding, extrusion or compression molding. This polyetheretherketone is widely used for heart valve structure, spinal cage, surgical screw, femoral implant, etc.
Referring to
The shape and number of anchoring member 43, laterally extending arms 45a and 45b and lips 47 depend, for example, on the space available on the protrusion 37. In the illustrative embodiment, the sealing band 42 counts one anchoring member 43, two laterally extending arms 45a, 45b and three lips 47. Thus, it is to be understood their shape and number may vary.
A first laterally extending arm 45a is in contact with surface 302, stopping short of surface 301, while laterally extending arm 45b is in contact with surface 303, stopping short of the bottom surface 304 of the protuberance 37, as best seen in
The sealing band 42 may be molded separately from the female portion 30 of the connector 10 and then positioned over the protrusion 37. Advantageously, the sealing band 42 may be over molded over the protrusion 37. In preparation for the over molding process, surfaces 302 and 303 of the protrusion 37, as well as the groove 39, may be roughed or surface treated with plasma for example, in order to increase the bonding between the biocompatible silicone of the sealing band 42 and the protrusion 37.
In order to help prevent the sealing band 42 from detaching from the protrusion 37, the sealing band 42 may be bonded using an adhesive. To this end, the sealing band 42 may be first over molded onto the protrusion 37, peeled off and placed back in place with an adhesive. Advantageously, a dummy protrusion (not shown) may be used to over mold the sealing band 42, the dummy protrusion having a slightly thinner and shallower groove than the groove 39 of the actual protrusion 37.
In a first alternative embodiment of the sealing band 142, shown in
In a second alternative embodiment of the sealing band 242, shown in
Referring to
Referring now to
In an alternative embodiment, shown in
It is to be understood that the taper projections 49 and ripples 149 may be present on both sides of the gaskets 46 and 146, respectively.
Referring to
The wires of the cabling 12, 13 may be welded to the contacts of conductive pins 28 and sockets 38 using, for example, resistive welding or laser welding. As the resistance between two parts to be welded is important, and that resistance varies as a function of the contact area between the parts to be welded, the contacts of conductive pins 28 and sockets 38 may be flat so as to offer more contact surface.
The wires of the cabling 12, 13 may be perpendicularly welded on the contacts of the conductive pins 28 and sockets 38, respectively, with a resistance welding machine, mechanical deformation (i.e. crimping) or laser welding. Advantageously, the bodies of the contacts are bigger than the wires of the cabling 12, 13 in order to force the melting of the wires on the contacts of the conductive pins 28 and sockets 38 and not the opposite. Furthermore, the welding tip used is advantageously big enough so as to avoid heating of the tines of the conductive pins 28 and sockets 38. Too much heat may produce an annealing of the tines that may eliminate their spring effect and reduce the matting cycle capability.
For example, a micro-resistance welding machine with a closed loop control system may be used, with the current set at 260 A, a power ramp up of 4 ms, welding for 4.8 ms and a hold time for cooling down of 300 ms, while applying 5 lbs of pressure.
Referring to
The locking inserts 24 and 34 may be press fitted in respective positioning slots 25 and 35 in the male 20 and female 30 portions.
The head 56 of the locking inserts 24, 34 is advantageously loose in its corresponding positioning slot 25, 35 in order to provide a gap for bonding purposes. A bonding agent may then be applied to the head 56 of the locking inserts 24, 34 to fill the gap in their respective slots 25, 35 to further inhibit rotation.
Advantageously, the locking screws 22 and 32 are trapped in their respective positioning slots 23 and 33 to avoid their loss during surgery. Threads may be machined in the narrowest section 72, 73 of the slots 23, 33, best seen in
In the various figures, and in particular in
However, locking screws 22, 32 with a standard medical screw head with a hexagonal recess may be used as well.
Both the locking screws 22, 32 and the locking inserts 24, 34 may be made of grade 3 passivated titanium.
Referring to
To bond the bend relief members 52 and 53 to their respective slots 62 and 63, a Loctite primer #7701 may first be applied on the bend relief members 52 and 53, which are then bonded to the bonding slots 62 and 63 using Loctite cyanoacrylate #4011. It is to be understood that other products or other techniques may be used in order to bond the bend relief members 52 and 53 to their respective bonding slots 62 and 63.
Once the bend relief members 52 and 53 have bonded to their respective bonding slots 62 and 63, implantable grade silicone, for example NuSil MED 4213 silicone, may be injected into the bend relief members 52 and 53 in order to create a plug, avoiding encapsulation epoxy from entering in the tube (encapsulation will be detailed below). This silicone also improves the stiffness of the bend relief members 52 and 53, increasing their bending radius. Furthermore, the silicone adhesion on the cabling 12, 13 contributes to relief bending at the junction point of the cabling 12, 13 and their respective conductive pins 28 and sockets 38.
In an alternative illustrative embodiment, the geometry of the male 20 and female 30 portions of the connector 10 may be varied so that the bonding surface between the bend relief members 52 and 53 and their respective bonding slots 62 and 63 is increased, which in turn increases the bonding strength. Referring to
In a further illustrative embodiment, the geometry of the male 20 and female 30 portions of the connector 10 may be varied still so as to provide peel relief to the bend relief members 52 and 53. Referring to
In use, the bend relief member 53 is introduced into the peel relief member 276 or peel relief conduit 376, 476 which help counteract the pulling force that may be exerted by the cabling 13 (not shown in
In another illustrative embodiment, a removable peel relief member may be added. Alternatively, the geometry of the male 20 and female 30 portions of the connector 10 may also be modified so as to better incorporate the removable peel relief member. Referring to
In yet another illustrative embodiment, the geometry of the male 20 and female 30 portions of the connector 10 may be varied still so as to provide for a removable lid which is complementary to the body of the male 20 or female 30 portion. Referring to
Since capillary effect may bring liquid up from electrode windows in a remotely connected nerve cuff (not shown) to the junction point of the cabling 12, 13 and respective conductive pins 28 and sockets 38, it is advantageous to protect them from possible electrical short-cut due to this liquid infiltration. Moreover, encapsulation also serves as strain relief to the weld junction linking the conductive pin and wire when strain is applied on 12 or 13.
To this end, when the cabling 12 and 13 are attached to their respective conductive pins 28 and sockets 38, biocompatible casting material, for example Epoxy Epo-Tek 301 by Epoxy Technology, may be poured into their corresponding cavities 21 and 31 to prevent electrical short-cut between poles of the conductive pins 28 and sockets 38, thus forming encapsulating members 26 and 36, as best seen in
In an alternative embodiment, shown in
It is to be understood that an eyelet may also be added to encapsulating member 26 of the male portion 20 of the connector 10.
The sub-cutaneous tunneling device 80, shown in
The sub-cutaneous tunneling device 80 may be either pushed under the skin of the patient using, for example, haemostatic pliers or, alternatively, the sub-cutaneous tunneling device 80 may be provided with an eyelet 84 to which may be tied a suture wire with which to pull the sub-cutaneous tunneling device 80.
The sub-cutaneous tunneling device 80 may further be provided with a groove 86 so as to secure the female portion 30 to the sub-cutaneous tunneling device 80 with a wire.
Furthermore, the eyelet 306, if present, may provide help in the extraction of the female portion 30 of the connector 10 from a sub-cutaneous tunneling device 80
The sub-cutaneous tunneling device 80, 180 may be molded, for example, with biocompatible epoxy by Epotek, PEEK-OPTIMA® polyetheretherketone, provided by INVIBIO or 316LV stainless steel.
It is to be understood that in an alternative embodiment, the subcutaneous tunneling device 80, 180 may be design so as to engage with the male portion 20 of the connector 10 instead of the female portion 30.
Referring to
Referring to
Although the present invention has been described by way of particular embodiments and examples thereof, it should be noted that it will be apparent to persons skilled in the art that modifications may be applied to the present particular embodiment without departing from the scope of the present invention.
The present application is a continuation of U.S. Ser. No. 13/413,409 filed on Mar. 6, 2012, which is a continuation of U.S. Ser. No. 13/213,060 filed on Aug. 18, 2011, which is a continuation of U.S. Ser. No. 12/979,997 filed on Dec. 28, 2010, which is a continuation of U.S. Ser. No. 12/780,201 filed on May 14, 2010, which is a continuation of U.S. Ser. No. 11/920,799 filed on Nov. 20, 2007, which is a 371 of PCT/CA2007/001530 filed on Aug. 28, 2007, which claims the benefits of U.S. provisional patent application No. 60/840,448 filed Aug. 28, 2006, which is hereby incorporated by reference.
Number | Date | Country | |
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60840448 | Aug 2006 | US |
Number | Date | Country | |
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Parent | 13413409 | Mar 2012 | US |
Child | 13631267 | US | |
Parent | 13213060 | Aug 2011 | US |
Child | 13413409 | US | |
Parent | 12979997 | Dec 2010 | US |
Child | 13213060 | US | |
Parent | 12780201 | May 2010 | US |
Child | 12979997 | US | |
Parent | 11920799 | US | |
Child | 12780201 | US |