Abstract: A vascular introducer includes a proximal hub portion with an interior bore, an elongated sheath extending distally from the hub portion, with a lumen in communication with the interior bore of the hub portion, and a hemostatic valve disposed within the bore of the hub portion. The hemostatic valve has a passage extending therethrough, and includes a sealing flap movable between an open position relative to the passage and a closed position relative to the passage.

Abstract: The subject invention is directed to new and useful neurostimulation systems that include an implantable pulse generator dimensioned and configured for implantation in the skull of a patient. The implantable pulse generator has an electrode operatively associated with a distal end portion thereof and can be provided with adjustment means, such as an adjustable biasing member or spring arranged between the electrode to the distal end portion of the pulse generator. The subject invention is also directed to systems involving networked neurostimulators that are configured and adapted to work jointly in accordance with prescribed treatment protocol to effect a desired recovery from brain injury. Such networked neurostimulation systems are particularly advantageous for effecting relatively large and/or relatively distant regions of the brain. The subject invention is further directed to systems and methods for motor-evoked potential (MEP)-based neuromodulation.

Abstract: An active fixation cardiac lead is disclosed that includes an elongated lead body having opposed proximal and distal end portions and an interior lumen that extends therethrough. A rotatable fixation element is operatively associated with the distal end portion of the lead body and a tubular torque-transmitting member extends through the interior lumen of the lead body. The tubular torque-transmitting member has a distal end connected to the fixation element and a proximal end connected to a rotatable actuator operatively associated with the proximal end portion of the lead body. Preferably, the rotatable actuator is part of a connector assembly that is operatively associated with the proximal end portion of the lead body.

Abstract: The invention provides a system for treating chronic pain including a lead configured and adapted to be percutaneously implanted into an epidural space of a spinal cord, a stimulation generator that delivers electrical stimulation to the spinal cord through the lead to precisely locate the treatment area, and an ablation generator that delivers ablation energy to the treatment area through the same lead to inhibit the chronic pain. The invention also provides a method for treating chronic pain, including providing a lead, inserting the lead percutaneously into the epidural space, locating the treatment area by probing the epidural space while the lead sends electrical stimulation signals, and then ablating the treatment area.

Abstract: A lead adapter is disclosed which includes a connector portion having a connector configured for reception by an electrical stimulation device and a receptacle portion electrically connected to the connector portion and having at least two receptacles for operatively accepting lead connectors, wherein at least one of the receptacles of the receptacle portion is configured to operatively accept a different type of lead connector than another receptacle of the receptacle portion.

Abstract: The invention provides a device for slitting a tubular introducer to liberate the tubular introducer from an elongate object introduced into the body of a patient along an axis. The device includes a substantially rigid blade having a cutting edge aligned with the axis, a substantially rigid elongate guide aligned with the axis and integral with the blade, the elongate guide being adapted and configured to engage an exposed portion of the elongate object extending from within the tubular introducer, and an elongate handle disposed on the blade, the handle being aligned with the axis and being of a different material than the guide. The invention also provides a method of manufacturing a device for slitting a tubular introducer.

Abstract: An electrical stimulation apparatus for providing a unipolar electrical field over a targeted area, which includes an elongated flexible lead body having opposed proximal and distal end portions, the proximal end portion of the lead body including a connector for operative connection with a pulse generator, and an electrode assembly connected with the distal end portion of the lead body and electrically connected to the connector. The electrode assembly includes a paddle member having defining a plurality of corner sections. Suture sites located on the paddle member for anchoring the paddle member at an implantation site adjacent a targeted area, and a plurality of electrodes supported on the paddle member and connected to the lead body, wherein each corner section of the paddle member supports a respective one of the plurality of electrodes so as to define an electrode array for generating a unipolar electrical field at the targeted area.

Abstract: The subject disclosure is directed to female connectors which can be employed in a quick connect/disconnect system used in medical devices to provide a non-permanent electrical and mechanical engagement with a male connector. The female connectors include, inter alia, a connector body that has an outer periphery and an aperture extending therethrough. The connector body has a flexible, non-conductive portion and a conductive portion which is at least partially exposed in the aperture and on the outer periphery of the connector body. The connector body is constructed such that when a male connector is inserted into the aperture of the connector body, the flexible, non-conductive part and the conductive part of the connecter body cooperate to allow for expansion of the aperture, creating contact pressure between the conductive part of the connector body and the male connector.

Abstract: Disclosed is an implantable stimulation lead. The lead includes an inner lead body portion and an outer lead body portion. An interior passage is defined between the inner and outer lead body portions for accommodating a plurality of conductors. A plurality of circumferentially disposed, elongated concavities are defined by either a radially outer surface of the inner lead body portion or a radially inner surface of the outer lead body portion, each concavity for accommodating at least one of the plurality of conductors.

Abstract: Disclosed is an apparatus for attaching tissue to bone. The apparatus includes a bone anchor having a distal anchoring portion for implantation in bone and a proximal reception portion that receives a fixation member. The fixation member has a distal engagement portion for releasably engaging the proximal reception portion of the bone anchor. A support flange included with the fixation member proximal to the distal engagement portion selectively compresses the tissue to be attached to the bone. In a preferred embodiment, the apparatus further includes an intermediate support member dimensioned and configured for placement between the proximal reception portion of the bone anchor and the support flange of the fixation member. Also disclosed is a method for attaching tissue to bone utilizing said apparatus.

Abstract: Disclosed is a lead for percutaneous insertion into an epidural space of a spinal canal, which includes an elongated lead body having opposed proximal and distal end portions. At least one electrode for stimulating a patient is operatively associated with the distal end portion of the lead body. Structure for conducting signals extends through the lead body to connect the electrode to a connecting structure operatively associated with the proximal end portion of the lead body. The connecting structure is capable of engaging a signal generator such that signals can be conducted from a signal generator to the electrode. The distal end portion of the lead body is adapted for movement between a first state, in which the distal end portion has a generally linear configuration, and a second state, in which the distal end portion has an undulating configuration.

Abstract: An implantable lead adaptor is disclosed that includes an encapsulated thermoplastic housing defining a proximal end portion and a distal end portion. The proximal end portion has a first receptacle configured to receive a first type of connector assembly associated with a first implantable cardiac lead, and a second receptacle configured to receive a second type of connector assembly associated with a second implantable cardiac lead. An elongated flexible lead portion extends from the distal end portion of the adaptor housing. A connector assembly is operatively associated with a distal end section of the flexible lead portion of the adaptor for connection to an implantable pulse-generating device, such as, for example, an implantable pacemaker or defibrillator. Low resistance conductor wires electrically connect the connector assembly associated with the distal end section of the lead portion with the first and second receptacles of the adaptor housing.

Abstract: An implantable lead is disclosed which includes an elongated lead body having opposed proximal and distal end portions. At least one defibrillation assembly is operatively associated with the distal end portion of the lead body for delivering electrical energy to cardiac tissue. The defibrillation assembly includes a plurality of axially spaced apart conductive hull assemblies that at least partially surround the elongated lead body, and a helically wound shocking coil that extends over the axially spaced apart hull assemblies so that a series of annular void regions are defined by the shocking coil, the lead body, and adjacent hull assemblies, whereby the annular void regions allow the shocking coil to articulate, thereby inhibiting buckling of the shocking coil.

Abstract: A vascular introducer assembly is disclosed that includes a dilator, a sheath having an axial lumen for accommodating the dilator, a locking collar for securing the dilator and the sheath to one another and an adjustable hemostatic seal for preventing fluid egress from the axial lumen and restricting insertion of instruments through the axial lumen before and after the dilator is separated from the vascular introducer.

Abstract: An endocardial lead is disclosed including an elongated insulative lead body having opposed proximal and distal end portions, and having a lumen extending therethrough, an electrode assembly operatively associated with the distal end portion of the lead body and including a distal electrode having a central portion and structure extending radially therefrom to define the shocking surface of the electrode, a connector assembly operatively associated with the proximal end portion of the lead body, and a conductor assembly extending through the lumen of the lead body to electrically join the electrode assembly and the connector assembly.