# US 9,517,338 B1 · Multichannel clip device and methods of use

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- Number: US 9,517,338 B1
- Document ID: US9517338B1
- Status: Granted
- Kind: B1
- Application number: 15/001,145
- Filed: 2016-01-19
- Granted: 2016-12-13
- Earliest claimed: 2016-01-19
- Assignees: Axonics Modulation Technologies, Inc.
- Applicants: Axonics Modulation Technologies, Inc.
- Inventors: Guanqiang Jiang; John Woock; Dennis Schroeder; Eric Schmid; Andres Dandler
- Web page: https://patentgrep.com/patent/US9517338B1

## CPC

- A61N 1/36185: {Selection of the electrode configuration}
- A61N 1/372: Arrangements in connection with the implantation of stimulators
- A61N 1/37235: {Aspects of the external programmer}
- G01R 1/0425: {Test clips, e.g. for IC's}
- A61N 1/05: for implantation or insertion into the body, e.g. heart electrode (A61N1/06 takes precedence)
- G01R 31/2808: {Holding, conveying or contacting devices, e.g. test adapters, edge connectors, extender boards (probe, multiprobe, probe manipulator or probe fixture G01R1/067)}
- G01R 31/2887: {involving moving the probe head or the IC under test; docking stations (moving single probes G01R1/06705; moving individual probes in multiple probes G01R1/07392)}
- G01R 31/2891: {related to sensing or controlling of force, position, temperature (G01R31/2874 takes precedence; sensing of force G01L; sensing of position G01B, G01D; sensing of temperature G01K; controlling in general G05)}
- G01R 31/2893: {Handling, conveying or loading, e.g. belts, boats, vacuum fingers (G01R31/2867 takes precedence; handling semiconductor devices or wafers during manufacture or treatment H10P72/00)}
- 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)
- G01R: MEASURING ELECTRIC VARIABLES; MEASURING MAGNETIC VARIABLES (indicating correct tuning of resonant circuits H03J3/12)

## Abstract

A multichannel clip device and methods of use that facilitate connection of multiple electrical components of a first device and a second device for testing and/or verification are provided herein. Such multichannel clip devices can include a spring-loaded clip having multiple electrical contacts for coupling with a contact portion of a first device and which are connected to a proximal connector through a flexible stimulation cable. The contacts can be included within a neurostimulation lead connector and the proximal connector adapted to couple with standard connectors on a clinician programmer, each contact being coupled to a corresponding contact of the proximal connector to define multiple separate channels. Such clip devices allow clinicians to test and/or verify multiple neurostimulation lead electrodes with a clinician programmers without requiring separate connection of each electrodes to a probe or test device and further allows for repeated sequencing or multi-plexing of neurostimulation leads during testing.

## Claims

### Claim 1

A multichannel test clip for testing of a neurostimulation lead, the test clip comprising:
a pair of opposing members pivotally coupled together, each member having a jaw along a distal portion thereof and a handle along a proximal portion thereof, the pair of members being movable by manual articulation of the handles between an open position in which opposing jaws are spaced apart to receive a proximal portion of the neurostimulation lead and a closed position in which opposing jaws are adjacent one another, wherein the pair of opposing members are biased by an urging member towards the closed position so as to secure the proximal end of the lead between opposing jaws when in the closed position;
a lead connector disposed along an inside of opposing jaws of the pair of opposing members and defining a channel or receptacle having a plurality of electrical contacts arranged therein so as to electrically couple with a plurality of electrical contacts on the proximal end of the lead when secured between the opposing jaws in the closed position within the channel or receptacle, wherein the plurality of electrical contacts of the proximal end of the lead correspond to a plurality of neurostimulation electrodes on a distal portion of the lead such that each electrical contact of the plurality of electrical contacts in the channel or receptacle correspond with a neurostimulation electrode of the plurality of neurostimulation electrodes of the lead;
a proximal cable connector having a plurality of connector contacts that correspond to the plurality of electrical contacts of the lead connector, the proximal cable connector being configured for electrically coupling with a corresponding connector of a programming device; and
a stimulation cable having a plurality of conductors extending therethrough and electrically coupling corresponding electrical contacts of the lead connector and the proximal connector so as to provide a separate channel between a respective neurostimulation electrode of the lead and the programming device to allow testing of each of the plurality of neurostimulation electrodes with the programming device,
wherein the clip is configured such that each channel allows stimulating and measuring with the programming device concurrently.

### Claim 2 (depends on 1)

The multichannel test clip of claim 1, wherein the stimulation cable and associated proximal cable connector are permanently and fixedly attached to the test-clip.

### Claim 3 (depends on 1)

The multichannel test clip of claim 1, wherein the plurality of electrical contacts of the clip comprise a plurality of pins.

### Claim 4 (depends on 3)

The multichannel test clip of claim 3, wherein the proximal cable connector and the plurality of pins disposed within are configured in accordance with a connector standard or type that is compatible for connection with the programming device.

### Claim 5 (depends on 4)

The multichannel test clip of claim 4, wherein the connector type is a cylindrical connector plug.

### Claim 6 (depends on 1)

The multichannel test clip of claim 1, wherein the opposing jaws are biased toward the clamped position by a spring extending between respective handles of the pair of opposing members.

### Claim 7 (depends on 1)

The multichannel test clip of claim 1, wherein at least one of the handles of the pair of opposing members includes a gripping surface to facilitate manual actuation of the pair of opposing member by manually pressing of the gripping surface with a single hand of a user.

### Claim 8 (depends on 1)

The multichannel test clip of claim 1, wherein the opposing jaws further include a connector holder disposed inside the opposing jaws and dimensioned to receive the proximal end of the neurostimulation lead therein.

### Claim 9 (depends on 8)

The multichannel test clip of claim 8, wherein the connector holder includes top and bottom portions that are pivotally coupled such that the top and bottom portions engage the proximal end of the lead when the opposing jaws are in the closed position.

### Claim 10 (depends on 9)

The multichannel test clip of claim 9, wherein one or both of the top and bottom members includes a groove for receiving the proximal portion of the neurostimulation lead, the proximal portion of the neurostimulation lead being substantially cylindrical.

### Claim 11 (depends on 10)

The multichannel test clip of claim 10, wherein the groove is defined such that the proximal end of the lead is insertable from only one side such that each channel corresponds to a pre-determined neurostimulation electrode of the lead when the clip is closed on the proximal end of the lead.

### Claim 12 (depends on 10)

The multichannel test clip of claim 10, further including:
a graphical representation viewable by a user that indicates a desired position and/or orientation of the proximal end of the lead within the clip so as to assist a user in placement of the proximal end of the lead within the clip.

### Claim 13 (depends on 1)

The multichannel test clip of claim 1, wherein the clip is adapted for use with a four electrode neurostimulation lead, the plurality of electrical contact comprising four electrical contacts corresponding to four separate channels for testing of the four electrode neurostimulation lead with the programming device.

### Claim 14 (depends on 8)

The multichannel test clip of claim 8, wherein the plurality of electrical contacts of the clip are defined by a plurality of electrical pins mounted on a printed circuit board disposed within one of the opposing jaws.

### Claim 15 (depends on 14)

The multichannel test clip of claim 14, wherein the connector holder includes a plurality of openings through which the plurality of electrical pins extend so as to engage the plurality of electrical contacts on the proximal end of the lead when secured between the opposing jaws in the closed position.

### Claim 16 (depends on 1)

The multichannel test clip of claim 1, wherein the plurality of electrical contacts of the clip are positioned in an arrangement that corresponds to that of the electrical contacts on the proximal end of the neurostimulation lead and the clip includes a graphical representation visible to user indicative of the arrangement.

### Claim 17

A multichannel test clip for use in testing a neurostimulation lead, the test clip comprising:
a pair of jaws pivotally coupled and movable between an open position in which a distal portion of each of the jaws are spaced apart and a closed position in which the jaws secure a proximal end of the neurostimulation lead positioned therebetween, the proximal end of the lead having a plurality of electrical contacts corresponding to a plurality of neurostimulation electrodes on a distal portion of the lead;
a lead connector disposed along an inside of the opposing pair of jaws and defining a channel or receptacle having a plurality of electrical contacts positioned therein so as to electrically couple with the plurality of electrical contacts on the proximal end of the lead when secured between the pair of jaws in the closed position within the channel or receptacle, wherein the plurality of electrical contacts in the channel or receptacle are arranged so that each electrical contact corresponds with a neurostimulation electrode of the plurality of neurostimulation electrodes of the lead;
a manually operable actuator for facilitating movement of the pair of jaws between the closed position and the open position to facilitate removal of the lead from the closed position; and
a stimulation cable having a plurality of conductors extending therethrough electrically coupling the plurality of electrical contacts to a proximal cable connector, wherein the proximal cable end connector includes a plurality of connector contacts and is configured for connection with a programming device, wherein the plurality of conductors correspond to the plurality of electrical contacts of the clip such that each of conductors provides a separate and independent channel between a respective distal neurostimulation electrode of the lead and the programming device,
wherein the clip is configured such that each channel allows stimulating and measuring with the programming device concurrently.

### Claim 18 (depends on 17)

The multichannel test clip of claim 17, wherein the plurality of electrical contacts of the clip are concurrently electrically coupled with the plurality of electrical contacts of the neurostimulation lead when secured in the closed position and wherein the stimulation cable and proximal cable end connector are permanently and fixedly attached to the test-clip such that a user can stimulate the plurality of neurostimulation leads concurrently or in a rapid sequence with the programming device without adjusting any electrical connections of the clip between stimulations.

### Claim 19

A multichannel test clip for use in testing of a neurostimulation lead, the test clip comprising:
a clip having a first portion and a second portion movable relative each other between an open position in which the top and bottom portions are spaced apart and a closed position in which the top and bottom portions are urged towards each other, the open position being suitable for receiving a proximal end of the neurostimulation lead having a plurality of electrical contacts corresponding to a plurality of neurostimulation electrodes on a distal portion of the lead, and the closed position being suitable for securing the proximal end of the lead between the first and second portions;
a lead connector disposed between the first and second portions of the clip and defining a channel or receptacle having a plurality of electrical contacts positioned therein so as to electrically couple with the plurality of electrical contacts on the proximal end of the lead when secured between the first and second portions in the closed position within the channel or receptacle, wherein the plurality of electrical contacts in the channel or receptacle are arranged so that each electrical contact corresponds with a neurostimulation electrode of the plurality of neurostimulation electrodes of the neurostimulation lead; and
a stimulation cable having a plurality of conductors extending therethrough electrically coupling the plurality of electrical contacts to a proximal cable connector, wherein the proximal cable connector includes a plurality of connector contacts and is configured for electrically coupling with a programming device so as to allow verification and/or testing of each of the distal neurostimulation electrodes with the programming device when coupled to the connector,
wherein the clip is configured to allow stimulating and measuring with the programming device through each separate channel concurrently, in a rapid sequence or in varying combinations.

### Claim 20 (depends on 19)

The multichannel test clip of claim 19, further comprising:
a manually operable actuation mechanism that effects movement of the first and second portions relative each other when in the closed position so as to facilitate release of the proximal portion of the neurostimulation lead from the clip.

### Claim 21 (depends on 19)

The multichannel test clip of claim 19, wherein the clip is configured such that each channel allows stimulating and measuring with the programming device concurrently.

### Claim 22 (depends on 19)

The multichannel test clip of claim 19, wherein the clip is further configured to allow communicating with the programming device through each separate channel concurrent with stimulating and/or measuring with the programming device.

### Claim 23 (depends on 19)

The multichannel test clip of claim 19, wherein the clip is further configured such that each channel allows testing and monitoring at any polarity.

### Claim 24 (depends on 17)

The multichannel test clip of claim 17, wherein the clip is further configured to allow stimulating and measuring with the programming device through each separate channel concurrently, in a rapid sequence or in varying combinations.

### Claim 25 (depends on 17)

The multichannel test clip of claim 17, wherein the clip is further configured to allow communicating with the programming device through each separate channel concurrent with stimulating and/or measuring with the programming device.

### Claim 26 (depends on 17)

The multichannel test clip of claim 17, wherein the clip is further configured such that each channel allows testing and monitoring at any polarity.

### Claim 27 (depends on 1)

The multichannel test clip of claim 1, wherein the clip is further configured to allow stimulating and measuring with the programming device through each separate channel concurrently, in a rapid sequence or in varying combinations.

### Claim 28 (depends on 1)

The multichannel test clip of claim 1, wherein the clip is further configured such that each channel allows testing and monitoring at any polarity.

### Claim 29 (depends on 1)

The multichannel test clip of claim 1, wherein the clip is further configured to allow communicating with the programming device through each separate channel concurrent with stimulating and/or measuring with the programming device.
