# US 12,109,408 B2 · Implantable electrical stimulation device with a flexible electrode > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 12,109,408 B2 - Document ID: US12109408B2 - Status: Granted - Kind: B2 - Application number: 17/609,755 - Filed: 2020-05-08 - Published: 2022-07-14 - Granted: 2024-10-08 - Earliest claimed: 2019-05-09 - Assignees: Salvia Bioelectronic B.V. - Applicants: Salvia Bioelectronics B.V. - Inventors: Daniël Schobben; Hubert Martens; Mailys Guillard - Web page: https://patentgrep.com/patent/US12109408B2 ## CPC - A61N 1/0534: {Electrodes for deep brain stimulation} - A61N 1/0531: {Brain cortex electrodes} - A61N 1/0551: {Spinal or peripheral nerve electrodes} - A61N 1/36007: {of urogenital or gastrointestinal organs, e.g. for incontinence control} - A61N 1/36064: {Epilepsy} - A61N 1/36075: {Headache or migraine} - A61N 1/36085: {Eating disorders or obesity} - A61N 1/361: {Phantom sensations, e.g. tinnitus} - A61N 1/36117: {for treating hypertension} - A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B) ## Abstract A mismatch in curvature of an electrode lead section may create unexpected and/or unpredictable electrical resistance with underlying tissue. In addition, repeated movement of the relevant areas of the body may even worsen the mismatch. Implants for electrical stimulation require low electrical resistance conductors for stimulation electrodes, return electrodes and interconnections which conventionally use metal for wires and contacts. These conductors reduce the flexibility, and the problem becomes worse as the number of electrodes increases. An implantable stimulation device is provided with an elongated substrate, one or more interconnections, a flexible electrode with two portions, separated by one or more bending interruptions, wherein the first portion and second portion are in direct electrical connection through the one or more interconnections. The electrode portions on opposite sides of the bending points are electrically connected allowing the mechanical bending and the electrical connections to be optimized separately. ## Claims ### Claim 1 An implantable stimulation device comprising: an elongated substrate disposed along a longitudinal axis, the substrate having a first and second surface, the substrate further comprising: a flexible electrode; and one or more interconnections disposed between the first and second surface; the flexible electrode further comprising: a first portion, disposed along a first portion plane, and a second portion, disposed along a second portion plane, the first portion and second portion being in direct electrical connection through the one or more interconnections while being physically separated by one or more bending interruptions; wherein the one or more bending interruptions are configured and arranged to have a lower bending resistance than the first and second portion whereby an orientation of the first portion plane is allowed to deviate from an orientation of the second portion plane at the one or more bending interruptions. ### Claim 2 (depends on 1) The implantable stimulation device according to claim 1, wherein: a conformable shape of the flexible electrode in cross-section comprises the one or more bending interruptions separating two portions having a higher rigidity than the one or more bending interruptions. ### Claim 3 (depends on 1) The implantable stimulation device according to claim 1, wherein: the flexible electrode has a longitudinal extent along the longitudinal axis; and the one or more bending interruptions are configured and arranged to allow a deviation around the longitudinal axis. ### Claim 4 (depends on 1) The implantable stimulation device according to claim 1, wherein: the flexible electrode has a transverse extent along a first transverse axis, the first transverse axis being substantially perpendicular to the longitudinal axis; and the one or more bending interruptions are configured and arranged to allow a deviation around the first transverse axis. ### Claim 5 (depends on 1) The implantable stimulation device according to claim 1, wherein: a tissue contact surface of the first portion is disposed along the first portion plane, and a tissue contact surface of the second portion is disposed along the second portion plane. ### Claim 6 (depends on 1) The implantable stimulation device according to claim 1, wherein the flexible electrode further comprises one or more contiguous portions proximate the one or more bending interruptions, configured and arranged to increase or to maintain a bending resistance between the first and second portions. ### Claim 7 (depends on 1) The implantable stimulation device according to claim 1, wherein the one or more bending interruptions comprise one or more openings. ### Claim 8 (depends on 1) The implantable stimulation device according to claim 1, wherein: the flexible electrode is configured and arranged as a stimulation electrode, configured and arranged to provide stimulation energy to human or animal tissue. ### Claim 9 (depends on 1) The implantable stimulation device according to claim 1, wherein: the flexible electrode is configured and arranged as a return electrode. ### Claim 10 (depends on 9) The implantable stimulation device according to claim 9, wherein the device further comprises one or more stimulation electrodes, and the return electrode is configured to provide, in use, an electrical return for the one or more stimulation electrodes. ### Claim 11 (depends on 10) The implantable stimulation device according to claim 10, wherein the one or more stimulation electrodes are comprised in the second surface, and the return electrode is comprised in the second surface. ### Claim 12 (depends on 10) The implantable stimulation device according to claim 10, wherein the one or more stimulation electrodes and the return electrode are comprised in the first or second surface. ### Claim 13 (depends on 1) The implantable stimulation device according to claim 1, wherein the substrate further comprises one or more further interconnections, disposed between the first and second surface; the one or more further interconnections being configured and arranged to provide the flexible electrode with stimulation energy. ### Claim 14 (depends on 1) The implantable stimulation device according to claim 1, wherein the substrate comprises a material selected from the group consisting of: a Liquid Crystal Polymer LCP, a Polyimide, parylene, a biocompatible polymer, a biocompatible elastomer, and combinations thereof. ### Claim 15 (depends on 1) A stimulation system comprising: an implantable stimulation device according to claim 1; and a source of electrical energy, configured and arranged to provide, in use, energy to the flexible electrode. ### Claim 16 (depends on 15) A method of stimulation, comprising: stimulating, by the stimulation system of claim 15, a body part selected from the group consisting of: one or more nerves, one or more muscles, one or more organs, spinal cord tissue, and combinations thereof. ### Claim 17 (depends on 15) A method of treatment, comprising: treating, by the stimulation system of claim 15, a condition selected from the group consisting of: headaches, primary headaches, incontinence, occipital neuralgia, sleep apnea, hypertension, gastro-esophageal reflux disease, an inflammatory disease, limb pain, leg pain, back pain, lower back pain, phantom pain, chronic pain, epilepsy, an overactive bladder, poststroke pain, obesity, and combinations thereof. ### Claim 18 (depends on 1) A method of stimulation, comprising: stimulating, by the implantable stimulation device according to claim 1, a body part selected from the group consisting of: one or more nerves, one or more muscles, one or more organs, spinal cord tissue, and combinations thereof. ### Claim 19 (depends on 1) A method of treatment, comprising: treating, by the implantable stimulation device according to claim 1, a condition selected from the group consisting of: headaches, primary headaches, incontinence, occipital neuralgia, sleep apnea, hypertension, gastro-esophageal reflux disease, an inflammatory disease, limb pain, leg pain, back pain, lower back pain, phantom pain, chronic pain, epilepsy, an overactive bladder, poststroke pain, obesity, and combinations thereof. ### Claim 20 (depends on 1) The implantable stimulation device according to claim 1, wherein the direct electrical connection is such that stimulation voltage is substantially identical in the first and second portions at substantially a same time. ### Claim 21 (depends on 1) The implantable stimulation device according to claim 1, wherein the first and second portions have a same electrical connection to an electrical energy source. ### Claim 22 An implantable stimulation device comprising: an elongated substrate having a first surface and a second surface, the elongated substrate comprising: a flexible electrode comprising a first electrode portion and a second electrode portion, and one or more electrical interconnections disposed between the first surface and the second surface, wherein the first electrode portion and the second electrode portion are physically separated by one or more bending interruptions while being in direct electrical connection with each other through the one or more electrical interconnections, wherein the flexible electrode is configured to deform by bending at the one or more bending interruptions, and wherein the elongated substrate is disposed along a longitudinal axis.