Extraction Force and Tissue Change During Removal of a Tined Intramuscular Electrode from Rat Gastrocnemius

Many electrical stimulation protocols employ intramuscular electrodes for the activation of targeted muscles. Electrode displacement from the initial implant site can result in degradation of optimal stimulus parameters. Electrodes with tined tips were developed to reduce electrode migration. In the study reported here, intramuscular electrodes with polypropylene tines at the tip were implanted aseptically in the gastrocnemii of adult rats. Test electrodes were explanted immediately following implant in one group and after periods of 1, 3, 7, 14 and 28 days in others. Force as a function of displacement was recorded during removal of the electrodes. Analysis of the results showed that the electrodes were most vulnerable to movement during the first five days. Between 5 and 7 days after implantation there was significant increase in the force required to dislodge the electrode tip. Histology of muscles from which electrodes had been explanted did not show any increase in the area showing tissue changes as compared to control muscles in which the electrode remained in situ. These results indicated that electrode removal caused disruption of encapsulation tissues, with the surrounding muscle mainly unaffected by the explant process.

[1]  A Scheiner,et al.  A study of the fatigue properties of small diameter wires used in intramuscular electrodes. , 1991, Journal of biomedical materials research.

[2]  Arthur Prochazka,et al.  Clinical experience with reinforced, anchored intramuscular electrodes for functional neuromuscular stimulation , 1992, Journal of Neuroscience Methods.

[3]  Electrical Activation of Respiratory Muscles by Methods Other than Phrenic Nerve Cuff Electrodes , 1989, Pacing and clinical electrophysiology : PACE.

[4]  C. Baeten,et al.  Long-Term Follow-Up of Dynamic Graciloplasty for Fecal Incontinence , 2003, Diseases of the colon and rectum.

[5]  E. Marsolais,et al.  Performance of an intramuscular electrode during functional neuromuscular stimulation for gait training post stroke. , 2001, Journal of rehabilitation research and development.

[6]  V. G. Crosby,et al.  Implantation of an endocardial tined lead to prevent early dislodgment. , 1979, Journal of Thoracic and Cardiovascular Surgery.

[7]  R. Zorowitz,et al.  Intramuscular neuromuscular electric stimulation for poststroke shoulder pain: a multicenter randomized clinical trial. , 2004, Archives of physical medicine and rehabilitation.

[8]  J. Mortimer,et al.  Phrenic nerve pacing in a tetraplegic patient via intramuscular diaphragm electrodes. , 2002, American journal of respiratory and critical care medicine.

[9]  H. Scott,et al.  The nonextractable tined endocardial pacemaker lead. , 1989, The Canadian journal of cardiology.

[10]  Studies on ultrafine intramuscular electrode and skin button for FES , 1988, Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[11]  K. Stokes,et al.  Implantable pacing lead technology , 1990, IEEE Engineering in Medicine and Biology Magazine.

[12]  R. Hart,et al.  Intramuscular Hand Neuroprosthesis for Chronic Stroke Survivors , 2003, Neurorehabilitation and neural repair.

[13]  Brian T. Smith,et al.  Use of Functional Electrical Stimulation to Augment Traditional Orthopaedic Surgery in Children With Cerebral Palsy , 2004, Journal of pediatric orthopedics.

[14]  Michael W. Keith,et al.  A surgically-implanted intramuscular electrode for an implantable neuromuscular stimulation system , 1994 .

[15]  E. Marsolais,et al.  Implantation techniques and experience with percutaneous intramuscular electrodes in the lower extremities. , 1986, Journal of rehabilitation research and development.

[16]  Kevin L Kilgore,et al.  Durability of implanted electrodes and leads in an upper-limb neuroprosthesis. , 2003, Journal of rehabilitation research and development.

[17]  P H Peckham,et al.  Tissue response to chronically stimulated implanted epimysial and intramuscular electrodes. , 1997, IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society.

[18]  P Hunter Peckham,et al.  Electrode fracture rates and occurrences of infection and granuloma associated with percutaneous intramuscular electrodes in upper-limb functional electrical stimulation applications. , 2002, Journal of rehabilitation research and development.

[19]  Narendra Bhadra,et al.  Extraction forces and tissue changes during explant of CWRU-type intramuscular electrodes from rat gastrocnemius , 2007, Annals of Biomedical Engineering.

[20]  H. Mond,et al.  The Small‐Tined Pacemaker Lead—Absence of Dislodgement , 1980, Pacing and clinical electrophysiology : PACE.