Abstract: A pre-electrode for a stimulation lead includes a generally cylindrical body having an exterior surface, an interior surface, a proximal end, and a distal end. The body includes multiple segmented electrodes disposed along the body; connecting material disposed along the outer surface of the body and coupling each of the segmented electrodes to one another; and multiple cutouts defined between adjacent segmented electrodes. The body also includes one or more of the following 1) a end wall step section formed in the exterior surface of the body on either the distal end or the proximal end of the body; 2) an alignment feature selected from a slot or a notch extending inwardly from the exterior surface of the body, or 3) a longitudinal step section formed in the exterior surface of the body.

Abstract: A method for manufacturing a lead includes pre-forming at least one relief section along a length of an elongated conductor having a first end and an opposing second end. The conductor with the pre-formed relief section is inserted into a conductor lumen defined along a length of an elongated lead body. The lead body has a first end and an opposing second end. An electrode is disposed at the first end of the lead body. The first end of the conductor is electrically coupled to the electrode. A terminal is disposed at the second end of the lead body. The second end of the conductor is electrically coupled to the terminal.

Abstract: A method for manufacturing a lead includes pre-forming at least one relief section along a length of an elongated conductor having a first end and an opposing second end. The conductor with the pre-formed relief section is inserted into a conductor lumen defined along a length of an elongated lead body. The lead body has a first end and an opposing second end. An electrode is disposed at the first end of the lead body. The first end of the conductor is electrically coupled to the electrode. A terminal is disposed at the second end of the lead body. The second end of the conductor is electrically coupled to the terminal.

Abstract: An insertion tool for a paddle lead includes an insertion tool body having a receiving end portion; a stylet channel extending along the insertion tool body; a stylet disposed in the stylet channel; and an actuator assembly disposed along the handling end portion of the insertion tool body and coupled to the stylet. The actuator assembly controls transitioning of the stylet between a first position and a second position. In some instances, the stylet can be a wire stylet that is inserted into a lumen in the paddle body of the paddle lead. In some instances, the stylet of the insertion tool pushes lead bodies of the paddle lead out of the insertion tool to release the paddle lead. In some instances, the insertion tool includes a paddle envelope to hold the paddle lead.

Abstract: A stimulation lead can include segmented electrodes arranged in a single or double helix or other helical arrangement. In one method of manufacture, an electrode carrier with segmented electrode receiving openings is used. Another method employs a connected framework of helically arranged pre-electrodes that are separated during manufacture. Yet another method employs a mold to generate a planar carrier over the segmented electrodes followed by rolling the carrier into a cylinder. A further method includes forming an electrode assembly by alternative segmented electrodes with non-conducting spacers.

Abstract: An implantable electrical stimulation lead includes a tip electrode disposed on a distal tip of the lead body. One tip electrode has a base and a separate plug attached to the base. The base defines an interior lumen closed at one end by the plug. Another tip electrode has an electrode body, a stem extending from the electrode body, and shaped retention features extending from the stem. Yet another tip electrode has an electrode body, a stem extending from the electrode body, and a flange disposed on the stem opposite the electrode body. A further tip electrode has an electrode body defining an interior lumen and a plurality of protrusions extending into the interior lumen. Another tip electrode has an electrode body and arms extending from the electrode body. The electrode body defines an interior lumen and the arms extend over an opening to the interior lumen.

Abstract: An implantable lead extension includes an intermediate body element; a plurality of proximal tails attached to a proximal end portion of the intermediate body element; a plurality of terminals disposed along each of the plurality of proximal tails; and a connector assembly attached to a distal end portion of the intermediate body element. The connector assembly includes a plurality of connectors; each configured and arranged for electrically coupling with a different stimulation lead. Each connector has a connector housing defining a port for receiving a proximal end portion of a stimulation lead, and a plurality of connector contacts disposed in the connector housing. The connector contacts can couple to terminals of the stimulation lead when the proximal end portion of the stimulation lead is received by the port. Conductors extend along the longitudinal length of the intermediate body element and electrically couple the connector contacts to the terminals.

Abstract: An electrical stimulation lead includes a lead body with electrodes disposed along the distal end portion of the lead body and terminals disposed along the proximal end portion of the lead body. Conductors electrically couple the terminals to the electrodes. A contact assembly is disposed at one of the proximal end portion or the distal end portion of the lead body. The contact assembly is formed from a shaped mesh and includes annular grooves defined along an outer surface of the shaped mesh; and a stylet tube disposed in a contact assembly lumen. Each of the conductors extends along at least a portion of the shaped mesh within the contact assembly lumen and external to the stylet tube. For each of the annular grooves, one of the electrodes or one of the terminals is disposed in the annular groove.

Abstract: A lead anchor including a body having a first end and a second end opposite to the first end is disclosed. The body defines a lead lumen extending from the first to the second end and can receive a lead. The lead anchor also includes a fastening mechanism disposed in the body and in communication with the lead lumen. The fastening mechanism can fasten the received lead to the lead anchor when actuated by a user. The lead anchor also includes tabs(s) extending from the body and tags. Each tag includes an anchor attachment element and a cylindrical implantation element coupled to the anchor attachment element. The anchor attachment element is affixed to one of the tabs. The cylindrical implantation element anchors the lead anchor into patient tissue by insertion of the implantation element into the patient tissue using a needle insertion tool.

Abstract: An implantable electrical stimulation lead includes a lead body having a proximal end portion, a distal end portion, a distal tip, a longitudinal length, and a longitudinal surface. Segmented tip electrodes are disposed circumferentially about the distal tip of the lead body and are electrically-isolated from each other. Each segmented tip electrode has an inner surface and an opposing outer stimulating surface exposed along the longitudinal surface of the lead body. A portion of the lead body is disposed against the inner surfaces of each of the segmented tip electrodes and circumferentially between each of the segmented tip electrodes. A non-tip electrode is disposed along the distal end portion of the lead body proximal to the segmented tip electrodes. Terminals are disposed along the proximal end portion of the lead body. Conductors electrically couple the terminals to the segmented tip electrodes and to the non-tip electrode.

Abstract: A lead with segmented electrodes can be made using one or two mold methods. In one method, segmented electrodes are individually disposed on pins on an interior surface within a mold. Each of the segmented electrodes has at least one opening formed in the exterior surface of the segmented electrode. The lead body is then molded between the electrodes. In a two mold method, segmented electrodes are inserted into electrode slots of a first mold and an interior portion of a lead body is formed. The resulting intermediate arrangement is placed into a second mold to form an exterior portion of the lead body. In another two mold method, a sacrificial ring is formed around the segmented electrodes in a first mold and the resulting intermediate structure is inserted in a second mold to form the lead body. The sacrificial ring is then removed.

Abstract: An electrical stimulation lead includes at least one lead body; electrodes disposed along the distal end portion of the at least one lead body; terminals disposed along the proximal end portion of the at least one lead body; and conductors electrically coupling the terminals to the electrodes. Each of the conductors forms at least one current suppression unit. Each current suppression unit includes a first conductor segment wound in a coil extending in a forward direction followed by a second conductor segment wound in a coil extending in a reverse direction followed by a third conductor segment wound in a coil extending in the forward direction. The first and third conductor segments are wound with a first coil diameter and the second conductor segment is also wound with the first coil diameter except at positions where the second conductor segment overlaps either the first or third conductor segments.

Abstract: A spinal cord stimulation lead for dorsal born stimulation includes a paddle body having a distal end, a proximal end, and a longitudinal length extending from the distal end to the proximal end; at least one lead body having a distal end portion, a proximal end portion, and a longitudinal length, the distal end portion of each of the at least one lead body being coupled to the proximal end of the paddle body; electrodes disposed on the paddle body, where the electrodes from at least two longitudinal columns including a first column and a second column with the first and second columns spaced apart laterally by at least 7 mm, center-to-center; terminals disposed along the proximal end portion of the at least one lead body; and conductors electrically coupling the terminals to the electrodes.

Abstract: An implantable lead for an electrical stimulation system includes a lead body having a distal end, a proximal end, a longitudinal length, and a circumference; a plurality of electrodes disposed along the distal end of the lead body in an electrode array; a plurality of terminals disposed along the proximal end of the lead body; a plurality of conductors electrically coupling the plurality of electrodes to the plurality of terminals; and at least one capsule including an x-ray fluorescent material and disposed along the distal end of the lead body relative to the electrode array to indicate, when viewed fluoroscopically, an orientation of the electrode array. The plurality of electrodes includes a plurality of segmented electrodes. Each of the plurality of segmented electrodes extends partially around the circumference of the lead body.

Abstract: A pre-electrode for a stimulation lead includes a generally cylindrical body having an exterior surface, an interior surface, a proximal end, and a distal end. The body includes multiple segmented electrodes disposed along the body; connecting material disposed along the outer surface of the body and coupling each of the segmented electrodes to one another; and multiple cutouts defined between adjacent segmented electrodes. The body also includes one or more of the following 1) a end wall step section formed in the exterior surface of the body on either the distal end or the proximal end of the body; 2) an alignment feature selected from a slot or a notch extending inwardly from the exterior surface of the body, or 3) a longitudinal step section formed in the exterior surface of the body.

Abstract: A method of making an electrical stimulation lead includes attaching segmented electrodes to an interior of a ring in a circumferentially spaced-apart arrangement; attaching a conductor wire to each of the segmented electrodes; coupling the ring with the segmented electrodes to a lead body; and, after coupling to the lead body, removing at least those portions of the ring between the segmented electrodes to separate the plurality of segmented electrodes from each other.

Abstract: A stimulation lead includes a lead body. Terminals and electrodes are disposed along opposing end portions of the lead body and are electrically-coupled to one another via conductors. The electrodes include segmented electrodes. Each of the segmented electrodes includes a proximal end, a distal end, an exterior surface, an interior surface opposite the exterior surface, a first side-wall extending radially between the interior surface and the exterior surface from the distal end to the proximal end, and a second side-wall opposite to the first side-wall and extending radially between the interior surface and the exterior surface from the distal end to the proximal end. At least one of the segmented electrodes defines an open cavity that is formed along the first side-wall of the segmented electrode and that facilitates adhesion of the segmented electrode to the lead body.

Abstract: A method of making an electrical stimulation lead method includes attaching a pre-electrode to a lead body. The pre-electrode is a single, unitary, undifferentiated construct with a ring-shaped exterior. The method further includes attaching a plurality of conductor wires to the pre-electrode; and, after coupling to the lead body, removing an outer portion of the pre-electrode to separate remaining portions of the pre-electrode into a plurality of segmented electrodes spaced around the circumference of the lead body. When separated, each of the segmented electrodes includes a body and at least one leg extending inwardly from the body. The body defines an external stimulating surface and each of the at least one leg has an outer surface. For at least one of the at least one leg, the outer surface of the leg forms a non-perpendicular angle with the external stimulating surface of the body.

Abstract: An implantable electrical stimulation lead includes a lead body, electrodes disposed along a distal end of the lead body, terminals disposed along the proximal end of the lead body, and conductors coupling the terminals to the electrodes. The electrodes include a tip electrode having an electrode body with an outer stimulating surface. An internal lumen is defined in the electrode body and extends inwardly from an opening in a proximal end of the electrode body. Side apertures are formed between the outer stimulating surface and the internal lumen. A portion of the lead body is disposed within the internal lumen and side apertures through the opening in the proximal end of the electrode body. That portion of the lead body facilitates retention of the tip electrode on a distal tip of the lead body.

Abstract: An implantable electrical stimulation lead includes a tip electrode disposed on a distal tip of the lead body. One tip electrode has a base and a separate plug attached to the base. The base defines an interior lumen closed at one end by the plug. Another tip electrode has an electrode body, a stem extending from the electrode body, and shaped retention features extending from the stem. Yet another tip electrode has an electrode body, a stem extending from the electrode body, and a flange disposed on the stem opposite the electrode body. A further tip electrode has an electrode body defining an interior lumen and a plurality of protrusions extending into the interior lumen. Another tip electrode has an electrode body and arms extending from the electrode body. The electrode body defines an interior lumen and the arms extend over an opening to the interior lumen.