Implantable Lead Fixation via Shape Memory Alloy Dynamics

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Solution Overview

Problem

Existing implantable medical electrical leads for sacral nerve stimulation face challenges in maintaining electrode contact and stability, leading to potential migration and dislodgement, which affects the efficacy of the treatment for pelvic floor disorders like urinary incontinence.

Innovation Solution

The development of an implantable medical electrical lead with a modifiable portion that transitions from a first configuration with axial tension to a second configuration, providing increased resistance to movement within the body tissue, thereby enhancing fixation and stability.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Stability of the object's composition

If a fixation mechanism is employed to prevent lead migration, then lead stability is improved, but device complexity increases

Engineering Contradiction:
Improvelead stabilityVSAvoiddevice complexity
Core Design Contradiction:
Stability of the object's compositionVSDevice complexity

Solution Approach 1:

The lead incorporates a shape memory alloy section that can dynamically change its configuration between a compressed first configuration during implantation and an expanded second configuration for fixation. This dynamic transformation allows the lead to adapt its mechanical properties in response to environmental conditions (temperature, axial tension) rather than requiring complex active control mechanisms, thereby improving stability while managing device complexity

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The fixation mechanism utilizes parameter changes in the shape memory alloy's physical state. When exposed to body temperature and axial tension, the alloy transitions from an austenitic phase to a martensitic phase, changing its shape and rigidity. This parameter change enables the lead to achieve stable fixation without requiring additional power sources or control systems, resolving the contradiction between stability and device complexity

Inventive Principle:
Principle #35Parameter changes

2Strength

If the lead configuration is modified to increase fixation resistance, then resistance to movement is improved, but ease of operation during implantation deteriorates

Engineering Contradiction:
Improveresistance to movementVSAvoidease of operation
Core Design Contradiction:
StrengthVSEase of operation

Solution Approach 1:

The lead's shape memory alloy section provides dynamic mechanical properties that adapt during the implantation process. During implantation, the alloy is in a compliant first configuration that allows easy manipulation and positioning. After implantation, environmental triggers cause it to transform into a rigid second configuration that provides strong fixation resistance, thus resolving the contradiction between ease of operation and strength

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The lead is pre-configured in a compressed first configuration that facilitates easy implantation and positioning. This preliminary state is intentionally designed to be more compliant and easier to manipulate. Once in position, the lead automatically transforms to its second configuration for fixation, eliminating the need for separate implantation and fixation procedures and maintaining ease of operation while achieving strong fixation

Inventive Principle:
Principle #10Preliminary action

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This solution improves the stability and resistance of the lead within the body tissue, reducing the risk of migration and dislodgement, thus enhancing the efficacy of sacral nerve stimulation for treating pelvic floor disorders.

Implementation Method 1

the at least one modifiable portion has a first configuration and a second configuration, wherein the first configuration exists when axial tension is exerted on the at least one modifiable portion

Methodology Applied
Scientific EffectElasticity: Elasticity

Data Source

PatentUS8200343B2Implantable medical electrical stimulation lead fixation method and apparatus
Publication Date: 2012.06.12 MEDTRONIC INC
  • US8200343B2 patent drawing
  • US8200343B2 patent drawing
  • US8200343B2 patent drawing

AI summary

The invention includes a implantable medical electrical lead for electrical stimulation of body tissue that includes at least one electrode; a lead body; and at least one modifiable portion, wherein the at least one modifiable portion has a first configuration and a second configuration, wherein the first configuration exists when axial tension is exerted on the at least one modifiable portion, and wherein the second configuration exhibits a greater resistance to movement of the lead within the body tissue than does the first configuration. Kits, and systems and methods of using the lead are also included.