Abstract: We disclose an electrode assembly comprising a ribbon electrode having a first surface and a second surface; a plurality of bosses disposed on the second surface of the ribbon electrode, wherein each boss has a third surface substantially not in contact with the second surface of the ribbon electrode and at least one boss is electrically conducting; and an insulator contacting substantially the entire second surface of the ribbon electrode and substantially the entire third surface of each boss; wherein the insulator is substantially not in contact with the first surface of the ribbon electrode. We also disclose an implantable medical device system comprising an implantable medical device for generating an electrical signal; an electrode assembly as described; and a lead wire electrically coupled to both the implantable medical device and at least one electrically conducting boss of the electrode assembly.

Abstract: We disclose an electrode assembly comprising a ribbon electrode having a first surface and a second surface; a plurality of bosses disposed on the second surface of the ribbon electrode, wherein each boss has a third surface substantially not in contact with the second surface of the ribbon electrode and at least one boss is electrically conducting; and an insulator contacting substantially the entire second surface of the ribbon electrode and substantially the entire third surface of each boss; wherein the insulator is substantially not in contact with the first surface of the ribbon electrode. We also disclose an implantable medical device system comprising an implantable medical device for generating an electrical signal; an electrode assembly as described; and a lead wire electrically coupled to both the implantable medical device and at least one electrically conducting boss of the electrode assembly.

Abstract: A lead tie-down for limiting movement of an electrical lead from an implantable medical device is disclosed. Some system embodiments include a lead assembly having an electrical lead and a stimulating electrode and a lead tie-down coupled to the electrical lead and configured for coupling to surrounding tissue. The lead tie-down permits rotational movement of the electrical lead relative to the lead tie-down. In some embodiments, the lead tie-down includes a clamping member having a bore therethrough. The bore is configured to receive an electrical lead extending from an implantable medical device and to permit rotation of the lead within the clamping member.

Abstract: An implantable medical device comprises an enclosure containing a gas and a plurality of conductors that couple to tissue. At least two of the conductors define a spark gap formed therebetween and exposed to the gas.