Medtronic, Inc.

Peter Appenrodt

Frans L H Gielen

Paulus Cornelis Van Venrooij

Peter Gemmar

Frank Hertel

Victor P Duysens

Paul Van Venrooij

Daniel Schmitz

Matthew S Solar

Mark Stephen Freas

Jeffrey M Waynik

Andrew N Csavoy

Frans LH Gielen

Tether apparatus may be used to replace an implanted lead extension with a replacement lead extension without tunneling or the use of tunneling tools.

Method and apparatus for replacing lead extension without tunneling

An instrument holding system for a drive system is provided. The system can include an array holder that defines at least one bore for receipt of an instrument therethrough. The at least one instrument can be adapted for insertion into an anatomy. The array holder can be in communication with the drive system to receive a driving force. The system can include a fixation plate operable to move relative to the array holder such that the fixation plate is in contact with at least a portion of the at least one instrument to couple the at least one instrument to the array holder to enable the at least one instrument to be driven by the driving force into the anatomy.

Method and apparatus for cannula fixation for an array insertion tube set

A system can be used to navigate or guide an instrument or device into an anatomy of a patient. The navigation can occur with the use of image data acquired of the patient. The image data can be registered to the patient space for navigation. One or more tracking devices can be the associated with the patient and with guiding instruments for tracking guiding devices relative to the patient.

Method and apparatus for performing a navigated procedure

A deep brain stimulation lead includes a distal end portion having a length of greater than 5 millimeters and a largest outer diametric dimension of 1 millimeter or less. One or more electrodes are disposed at the distal end portion. The lead also includes a proximal end portion having one or more contacts electrically coupled to the one or more electrodes. The lead further includes a mid portion between the proximal end portion and the distal end portion. The mid portion has an outer diametric dimension of greater than 1 millimeter and is configured and positioned to be located in proximity to a burr hole of a skull of patient when the distal end portion is positioned in the brain of the patient at a location to deliver a signal to a target region.

Lead having thin distal end portion

A system for securing at least one electrode to an anatomy is provided. The system can include a first plate, which can include at least one first passage. The at least one first passage can be configured to receive a lead of the at least one electrode. The system can also include a second plate configured to move relative to the first plate. The movement of the second plate relative to the first plate can couple the second plate to the first plate such that the second plate at least partially occludes the at least one passage of the first plate to secure the lead of the at least one electrode to the anatomy.

Method and apparatus for securing an electrode

A system for a controlled insertion and withdrawal of at least one electrode in the anatomy. The system can include a guide device and at least one electrode located within the guide device to at least one of record or stimulate an anatomy. The system can also include an indicator coupled to the electrode to indicate a position of a distal end of an electrode relative to the guide device.

Method and apparatus for controlled insertion and withdrawal of electrodes

A method and system for identifying a portion of an image data is disclosed. The image data can include image data of an anatomy, such as a brain of a patient. The identified portion can be used for planning a procedure. The identified portions can include anatomical landmarks that can be used to determine anatomical targets of the patient. The plan can include a path or trajectory to reach the anatomical target.

Method for planning a surgical procedure

A system for securing at least one electrode to an anatomy is provided. The system can include a first plate, which can include at least one first passage. The at least one first passage can be configured to receive a lead of the at least one electrode. The system can also include a second plate configured to move relative to the first plate. The movement of the second plate relative to the first plate can at least partially occlude the at least one passage of the first plate to secure the lead of the at least one electrode to the anatomy.

A method for determining anatomical landmarks is provided. The anatomical landmarks can be used to determine anatomical targets of a patient. The method may be used for planning a procedure and performing a procedure, such as performing a procedure in the brain.

Method for identification of anatomical landmarks

A method for planning a procedure, which can include determining anatomical landmarks is disclosed. The anatomical landmarks can be used to determine anatomical targets of a patient. The plan can include a path or trajectory to reach a selected target.

A system including a processor and/or processor system can be used to identify landmarks in image data. The landmarks can be used to further identify anatomical targets. The landmarks and/or targets can be used to create a plan for a procedure, such as a surgical procedure. The processor can be used to determine the anatomical landmarks that can be used to identify anatomical targets in image data of a subject, even if the anatomical targets are indistinguishable in the image data.

System for identification of anatomical landmarks

A system including a processor and/or processor system can be used to create a plan for a procedure, such as a surgical procedure. The plan for the surgical procedure can be based on various elements, including determined anatomical landmarks that can be used to determine anatomical targets of a patient. The planning processor can be used to determine the anatomical landmarks and identify anatomical targets in image data of a subject, even if the anatomical targets are indistinguishable in the image data.

System for navigating a planned procedure within a body

A system and procedure for using the system are disclosed for guiding instruments of varying sizes. The instruments can be guided into various portions of the anatomy for performing a procedure, providing a treatment, measuring a physiological response, or the like. Two or more instruments of varying sizes can be driven or guided relative to one another with the same system.

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Bremen, Germany

Peter Appenrodt