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    • 4. 发明申请
    • ELECTRODE IMPLANTATION TOOL
    • 电极植入工具
    • WO2010107900A2
    • 2010-09-23
    • PCT/US2010/027643
    • 2010-03-17
    • AMS RESEARCH CORPORATIONWATSCHKE, Brian, P.BUYSMAN, John, J.GINDELE, Paul, J.MOOSAI, Shiva, P.
    • WATSCHKE, Brian, P.BUYSMAN, John, J.GINDELE, Paul, J.MOOSAI, Shiva, P.
    • A61N1/05A61B17/34A61N1/36A61M25/01
    • A61N1/05A61B17/3403A61B17/3468A61B2017/00805A61B2017/3407A61M25/0017A61M25/01A61M25/0113A61M25/10A61N1/36007
    • Embodiments of the invention are directed to an electrode implantation tool that is designed to assist in the accurate implantation of one or more electrodes in tissue of a patient. One embodiment of the electrode implantation tool (130) comprises a catheter guide and introducer support (140), and catheter guide (142) and an introducer (144). The catheter guide and introducer support comprises a first alignment member (146), a second alignment member (148), and a body member (150) that is attached to the first and second alignment members. The body member fixes the relative orientations of the first and second alignment members. The catheter guide is supported by the first alignment member and comprises an elongate body (152) having a distal end (154) and a channel (156) that is aligned with a longitudinal axis (158). The introducer comprises a sheath (166) that is supported by the second alignment member. The sheath defines a longitudinal axis (168). The first and second alignment members orient the longitudinal axis of the sheath at a predetermined angle (184) to the longitudinal axis of the catheter guide. In accordance with another embodiment, the electrode implantation tool comprises a catheter guide and introducer support (140), a catheter guide (142) and an introducer (144). The catheter guide and introducer support comprises a first alignment member (146), a second alignment member (148) and a body member (150) attached to the first and second alignment members. The body member fixes the relative orientations of the first and second alignment members. The catheter guide is supported by the first alignment member. The introducer comprises a sheath (166) that is supported by the second alignment member. The sheath comprises a distal end (172) having a curved section (174). Another embodiment of the invention is directed to a method of implanting an electrode (112) in the urinary sphincter (314) of a patient In the method, an electrode implantation tool (130) is provided (300). In one embodiment, the tool comprises a catheter guide and introducer support (140), a catheter guide (142) and an introducer (144). The catheter guide and introducer support comprises a first alignment member (146), a second alignment member (148) and a body member (150) attached to the first and second alignment members. The catheter guide is supported by the first alignment member. The introducer comprises a sheath (166) that is supported by the second alignment member. In one embodiment of the method, a distal end (154) of the catheter guide is inserted (302) into the urethra (314) of the patient. A distal end (172) of the sheath is advanced (312) into the urinary sphincter. Next, an electrode (112) is fed (318) through the sheath and into the urinary sphincter. The sheath and the catheter guide are then removed from the patient leaving the electrode implanted within the urinary sphincter.
    • 本发明的实施例涉及一种电极植入工具,其被设计成有助于将一个或多个电极精确地植入患者的组织中。 电极植入工具(130)的一个实施例包括导管引导件和引导器支撑件(140)以及导管引导件(142)和导引器(144)。 导管引导件和引导器支撑件包括第一对准构件(146),第二对准构件(148)和附接到第一和第二对准构件的本体构件(150)。 主体构件固定第一和第二对准构件的相对取向。 导管引导件由第一对准构件支撑并且包括具有远端(154)的细长主体(152)和与纵向轴线(158)对准的通道(156)。 引导器包括由第二对准构件支撑的护套(166)。 护套限定纵向轴线(168)。 第一和第二对准构件将护套的纵向轴线以与导管引导件的纵向轴线成预定角度(184)定向。 根据另一个实施例,电极植入工具包括导管引导件和导引器支撑件(140),导管引导件(142)和导引器(144)。 导管引导件和引导器支撑件包括第一对准构件(146),第二对准构件(148)和连接到第一和第二对准构件的主体构件(150)。 主体构件固定第一和第二对准构件的相对取向。 导管引导件由第一对准构件支撑。 引导器包括由第二对准构件支撑的护套(166)。 护套包括具有弯曲部分(174)的远端(172)。 本发明的另一个实施例涉及一种将电极(112)植入患者的尿道括约肌(314)中的方法。在该方法中,提供电极植入工具(300)(300)。 在一个实施例中,该工具包括导管引导件和导引器支撑件(140),导管引导件(142)和导引器(144)。 导管引导件和引导器支撑件包括第一对准构件(146),第二对准构件(148)和连接到第一和第二对准构件的主体构件(150)。 导管引导件由第一对准构件支撑。 引导器包括由第二对准构件支撑的护套(166)。 在该方法的一个实施例中,将导管引导件的远端(154)插入(302)到患者的尿道(314)中。 护套的远端(172)前进(312)进入尿括约肌。 接下来,通过护套将电极(112)进给(318)并进入尿道括约肌。 然后将护套和导管引导件从病人身上移出,将电极植入尿液括约肌内。