Abstract: In some examples, an anchor for a therapy delivery element includes a body portion including a lumen extending though the body portion. The body portion includes a first configuration in which the lumen is linear, the body portion in the first configuration being configured to receive the therapy delivery element within the lumen. The body portion also includes a second configuration in which the lumen is non-linear, wherein the lumen of the body portion in the second configuration frictionally engages the therapy delivery element.

Abstract: Apparatus for securing a therapy delivery device relative to a burr hole and method for making same. In one embodiment, the apparatus includes a base for seating in or near the burr hole. The apparatus may further include a stabilizer that may be engaged with the therapy delivery device. The stabilizer may include a surface coating or treatment operable to enhance frictional engagement with the therapy delivery device.

Abstract: A combined dissection tool and blank for implanting a paddle lead having an electrode portion and a lead body. The combined dissection tool and blank includes a blank with a maximum cross-sectional area substantially equal to a maximum cross sectional area of the electrode portion of the paddle lead. An elongated body portion is attached to the blank. A guide wire extends through the body portion substantially to a distal end of the blank. The guide wire provides sufficient column strength to separate fatty tissue to create a space for receiving the paddle lead.

Abstract: Implantable medical leads, lead assemblies, and methods for implanting the leads into the human body, for example, for use within the epidural spaces of the spinal column to manage pain. A stylet lumen extends within the lead between a side-wall stylet entrance port and a lead distal region. In use, exemplary stylets may be inserted through the lead stylet port to stiffen only the distal portion of the lead, and the distal portion of the lead inserted through an introducer needle into the human body. The stiffened distal portion of the lead may be short and easily controllable.

Abstract: Low resistivity, implantable electrical connectors and biomedical leads having the connectors mechanically coupled in a non-welded attachment to low resistivity wires to extend implanted device battery life. One electrical connector includes an electrically conductive housing having a longitudinal aperture and an inner facing circumferential channel. A spring disposed within the channel can contact an inserted electrode. The housing can include at least one hole adjacent a mechanically deformable side wall for mechanically securing an electrical conductor inserted within the hole. The low resistivity, implantable, biocompatible electrical connectors and leads can be used in neurological and cardiac applications.

Abstract: An anchor for an implantable medical device, anchor delivery tools, kits, and methods, all directed to securing a therapy delivery element at a target location in a patient. An anchor for a therapy delivery element having an outer surface about which the anchor is disposable. The anchor includes a body portion having elastomeric properties, a first opening, a second opening, and a non-linear lumen extending though the body portion from the first opening to the second opening in a relaxed state. The non-linear lumen becomes a linear lumen in a stretched state. The linear lumen of the body portion is adapted to receive the therapy delivery element and the non-linear lumen frictionally engages the outer surface of the therapy delivery element in the relaxed state.

Abstract: Low resistivity, implantable electrical connectors and biomedical leads having the connectors mechanically coupled in a non-welded attachment to low resistivity wires to extend implanted device battery life. One electrical connector includes an electrically conductive housing having a longitudinal aperture and an inner facing circumferential channel. A spring disposed within the channel can contact an inserted electrode. The housing can include at least one hole adjacent a mechanically deformable side wall for mechanically securing an electrical conductor inserted within the hole. The low resistivity, implantable, biocompatible electrical connectors and leads can be used in neurological and cardiac applications.

Abstract: A low-insertion force electrical connector for implantable medical devices includes a housing with a pair of opposing sidewalls each with center openings oriented generally concentrically around a center axis. An inner coil is located in a recess with a coil axis generally co-linear with the center axis of the center openings. The inner coil includes an outer diameter less than a recess diameter, and an inner diameter greater than a center opening diameter. An outer coil is threaded onto the inner coil. The outer coil has an outer diameter less than the recess diameter, and an inner diameter less than the center opening diameter. The outer coil is radially expanded within the recess in response to engagement with contact rings on the implantable medical device, such that the outer diameter of the outer coil is at least equal to the recess diameter.

Abstract: In some examples, an extension includes a connector adapted to electrically couple to a proximal end of the therapy delivery element. An elongated extension body is attached to the connector. The elongated extension body includes a stylet coil having a stylet coil lumen. The stylet coil extends within the elongated extension body to the connector. A conductor assembly includes a plurality of insulated electrical conductors braided to extend around the stylet coil and electrically coupled to the connector. The conductor assembly includes an inner lumen with a diameter greater than an outside diameter of the stylet coil, wherein axial elongated of the elongated extension body reduces the inner diameter of the conductor assembly. A low durometer insulator extends around the conductor assembly. A stylet is sized to slide freely within the stylet coil lumen during implantation of the extension in the living body.

Abstract: A lead identification system for tracking a plurality of neurostimulation leads during implantation in a patient, and a method of using the same. The lead identification system includes a plurality of lead indicators each adapted to attach to one of a plurality of epidural needles to identify the leads. At least one clip adapted to releasably attach to proximal ends of the leads is provided with corresponding lead indicators. The trial cable for conducting trial stimulation includes connectors with corresponding lead indicators. A plurality of lead indicator stylets are provided for insertion into lumens at the proximal ends of the leads. The pulse generator also has connectors with corresponding lead indicators. The various lead indicators permit a surgeon to track a particular lead to the corresponding connectors on the pulse generator.

Abstract: In some examples, an extension includes a connector adapted to electrically couple to a proximal end of the therapy delivery element. An elongated extension body is attached to the connector. The elongated extension body includes a stylet coil having a stylet coil lumen. The stylet coil extends within the elongated extension body to the connector. A conductor assembly includes a plurality of insulated electrical conductors braided to extend around the stylet coil and electrically coupled to the connector. The conductor assembly includes an inner lumen with a diameter greater than an outside diameter of the stylet coil, wherein axial elongated of the elongated extension body reduces the inner diameter of the conductor assembly. A low durometer insulator extends around the conductor assembly. A stylet is sized to slide freely within the stylet coil lumen during implantation of the extension in the living body.

Abstract: This disclosure describes a kit to facilitate implantation of therapy elements into a patient, and techniques for percutaneously inserting therapy elements into a patient. In particular, embodiments of the invention are directed to techniques for percutaneously inserting two or more therapy elements into a patient via a single needle. In one embodiment, the invention is directed to a kit to facilitate implantation of therapy elements into a patient. The kit comprises a needle defining a lumen a first therapy element sized to pass through the lumen, and a second therapy element sized to pass through the lumen. The lumen is sized to receive both of the first and second therapy elements simultaneously. The first and second therapy elements are separate and not attached to one another such that distal ends of the first and second therapy elements can be positioned to provide therapy in distinct locations of the patient.

Abstract: A low-insertion force electrical connector for implantable medical devices includes a housing with a pair of opposing sidewalls each with center openings oriented generally concentrically around a center axis. An inner coil is located in a recess with a coil axis generally co-linear with the center axis of the center openings. The inner coil includes an outer diameter less than a recess diameter, and an inner diameter greater than a center opening diameter. An outer coil is threaded onto the inner coil. The outer coil has an outer diameter less than the recess diameter, and an inner diameter less than the center opening diameter. The outer coil is radially expanded within the recess in response to engagement with contact rings on the implantable medical device, such that the outer diameter of the outer coil is at least equal to the recess diameter.

Abstract: Apparatus and methods for securing a therapy delivery device relative to a burr hole. In one embodiment, the apparatus includes a base that is securable to bone, without the use of fasteners, either before or after insertion of the therapy delivery device into the burr hole. The apparatus may further include a stabilizer that may be engaged with both the base and the therapy delivery device while the delivery device is held with positioning apparatus. The base and/or stabilizer may frictionally engage the delivery device, e.g., receive it with interference, to secure the device in two or more non-parallel directions. In some embodiments, at least the stabilizer may include a surface coating or treatment operable to enhance frictional engagement with the therapy delivery device.

Abstract: In some examples, a lead identification system includes a first set of first lead indicators and a second set of second lead indicators. Each of the first lead indicators is configured to removably attach to at least one of a first therapy delivery element, a first epidural needle, or a first connector to uniquely identify at least one of the first therapy delivery element, the first epidural needle, or the first connector during implantation of the first therapy delivery element in the patient. Each of the second lead indicators is configured to removably attach to at least one of a second therapy delivery element, a second epidural needle, or a second connector to uniquely identify at least one of the second therapy delivery element, the second epidural needle, or the second connector during implantation of the second therapy delivery element in the patient.

Abstract: An implantable biomedical conductor assembly is configured for at least partial insertion in a living body. The implantable conductor assembly includes an inner tubular structure and an outer tubular structure generally surrounding the inner tubular structures such that a gap of less than about 0.030 inches exists there between. A dynamic coil is located in the gap. The dynamic coil includes a plurality of insulated conductors that are coiled generally at or below a yield point. The insulated conductors are permitted to expand within the gap to engage an inner surface of the outer tubular structure in an expanded coiled configuration. At least one mechanical restraint at each of a distal end and a proximal end retains the dynamic coil in the tubular structures. Free ends of the insulated conductors extend beyond the proximal and distal ends to facilitate attachment to electrodes and connectors.

Abstract: An implantable lead body for a medical device with improved conductor lumens separates and insulates conductors while permitting access to the conductors through the implantable lead outer surface. The implantable lead comprises a lead body, a stylet lumen, at least one conductor lumen, and at least one axial slit in the lead body. The lead body has a proximal end, a distal end, an internal portion, and an external portion. The stylet lumen is formed in the internal portion. The conductor lumen is formed in the internal portion and positioned near an outer surface of the internal portion such that there is only a web between the conductor lumen and the outer surface of the internal portion. The axial slit is formed in the lead body distal end between the conductor lumen and the outer surface of the internal portion.

Abstract: Low resistivity, implantable electrical connectors and biomedical leads having the connectors mechanically coupled to low resistivity wires in a non-welded attachment to extend implanted device battery life. One implantable electrical connector has an inner longitudinal aperture and two opposed flanges angled away from the longitudinal axis and coupled through a radially flexible inner circumferential wall to form a single piece, low resistance path. An elastic member can urge the flexible inner circumferential wall portion inward. In one connector, the electrically conductive, flexible inner wall portion can resiliently contact an inserted electrode. The connector body can include at least one hole adjacent a mechanically deformable sidewall for mechanically securing an electrical conductor inserted within the hole. The low resistivity, implantable, biocompatible electrical connectors and leads can be used in neurological and cardiac applications.

Abstract: In some examples, an extension includes a connector adapted to electrically couple to a proximal end of the therapy delivery element. An elongated extension body is attached to the connector. The elongated extension body includes a stylet coil having a stylet coil lumen. The stylet coil extends within the elongated extension body to the connector. A conductor assembly includes a plurality of insulated electrical conductors braided to extend around the stylet coil and electrically coupled to the connector. The conductor assembly includes an inner lumen with a diameter greater than an outside diameter of the stylet coil, wherein axial elongated of the elongated extension body reduces the inner diameter of the conductor assembly. A low durometer insulator extends around the conductor assembly. A stylet is sized to slide freely within the stylet coil lumen during implantation of the extension in the living body.

Abstract: An implantable neurological stimulation lead with improved stylet handle comprises a lead body, at least one conductor, at least one electrical contact, at least one electrode, a stylet wire, and a stylet handle. The lead body has a body proximal end, a body distal end, and a stylet lumen. The conductor is contained in the lead and extends from the body proximal end to the body distal end, and the conductor is electrically insulated. The electrical connector is carried on the body proximal end and electrically connected to the conductor. The electrode is carried on the body distal end and electrically connected to the conductor. The stylet wire is configured for insertion into the stylet lumen to stiffen the lead body. The stylet handle is selectively coupled to the stylet wire. The stylet handle has a lead carrier and at least one gripper carried in the lead carrier configured to grip the lead body at a selected point along the lead body or lead proximal end.