Flexible Hinge Electrical Stimulation Lead for Dorsal Root Ganglia
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Solution Overview
Problem
Current implantable electrical stimulation systems face challenges in effectively targeting and stimulating dorsal root ganglia due to the rigidity of existing leads, which limits flexibility and precise positioning during implantation, leading to potential tissue damage and reduced therapeutic efficacy.
Innovation Solution
The development of an implantable electrical stimulation lead with a flexible hinge formed from a lower durometer material than the adjacent regions, allowing for coiled conductors and a bellows-like construction, enabling greater flexibility and precise positioning around dorsal root ganglia, along with segmented electrodes for enhanced current steering.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Strength
If a rigid lead structure is used, then structural strength and stability are improved, but flexibility and positioning precision deteriorate
Solution Approach 1:
The lead structure implements different mechanical properties in different regions: the proximal portion maintains higher rigidity for structural support, while the distal portion incorporates a flexible hinge with lower rigidity for enhanced flexibility. This local differentiation allows the lead to simultaneously achieve structural strength where needed and flexibility for precise positioning around the dorsal root ganglia.
Solution Approach 2:
The lead is divided into distinct segments with different mechanical characteristics - a proximal portion with higher rigidity and a distal portion containing a flexible hinge with lower rigidity. This segmentation allows each portion to perform its specialized function: the rigid proximal portion provides structural support while the flexible distal portion enables precise positioning and conformability to anatomical structures.
2Adaptability or versatility
If a flexible lead structure is used, then positioning precision and adaptability are improved, but structural strength and stability deteriorate
Solution Approach 1:
The lead structure implements different mechanical properties in different regions: the proximal portion maintains higher rigidity for structural support, while the distal portion incorporates a flexible hinge with lower rigidity for enhanced flexibility. This local differentiation allows the lead to simultaneously achieve structural strength where needed and flexibility for precise positioning around the dorsal root ganglia.
3Ease of manufacture
If a uniform lead structure is used, then manufacturing simplicity is improved, but positioning precision and therapeutic efficacy deteriorate
Solution Approach 1:
The lead structure implements different mechanical properties in different regions: the proximal portion maintains higher rigidity for structural support, while the distal portion incorporates a flexible hinge with lower rigidity for enhanced flexibility. This local differentiation allows the lead to simultaneously achieve structural strength where needed and flexibility for precise positioning around the dorsal root ganglia.
Solution Approach 2:
The lead is divided into distinct segments with different mechanical characteristics - a proximal portion with higher rigidity and a distal portion containing a flexible hinge with lower rigidity. This segmentation allows each portion to perform its specialized function: the rigid proximal portion provides structural support while the flexible distal portion enables precise positioning and conformability to anatomical structures.
Data Source
AI summary
An implantable electrical stimulation lead includes a lead body having a proximal portion and a distal portion; electrodes disposed along the distal portion of the lead body; terminals disposed along the proximal portion of the lead body; conductor extending along the lead body and electrically coupling the electrodes to the terminals; and a flexible hinge forming part of the distal portion of the lead body and disposed proximal to the electrodes, wherein the flexible hinge is structurally distinguishable from adjacent regions of the lead body and more flexible than the adjacent regions.


