Shifting burr cap assembly

• US 10,646,254 B2
• Filed: 09/06/2017
• Issued: 05/12/2020
• Est. Priority Date: 09/06/2017
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Baxter, III, Walton W., Johnson, Byron
• Primary Examiner(s): Flory, Christopher A
• Application Number:
  US15/697,037
• Publication Number:
  US 20190069927A1
• Time in Patent Office: 979 Days
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 2090/103 Cranial plugs for access to brain
• CPC Class Codes: A61M 2025/028 having a mainly rigid support structure
• CPC Class Codes: A61M 2039/025 through bones or teeth, e.g. through the skull
• CPC Class Codes: A61M 2210/0687 Skull, cranium
• CPC Class Codes: A61M 25/02 Holding devices, e.g. on the body
• CPC Class Codes: A61M 39/02 Access sites
• CPC Class Codes: A61N 1/0529 Electrodes for brain stimulation
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/0539 Anchoring of brain electrode systems, e.g. within burr hole
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/37264 Changing the program; Upgrading firmware

Abstract

A burr cap assembly is at least partially inserted into a burr hole within the cranium of a patient. The burr cap assembly enables a elongate member to be inserted through the burr cap assembly to access a brain of the patient. A shifting member of the burr cap assembly may be configured to enable the elongate member to move with shifting fluid and matter of the brain. The shifting member of the burr cap assembly may be configured to move within a cavity defined by the burr cap assembly. The shifting member may be configured to move in a direction that is substantially perpendicular to a longitudinal axis of the distal portion of the elongate member. The shifting member may at least partially retain the elongate member, so as the shifting brain applies forces upon the elongate member, the elongate member and the shifting member may move within the cavity.

Claims

1. An implantable medical device comprising:

a burr cap assembly configured to be positioned at least partially within a burr hole in a cranium of a patient, the burr cap assembly defining a cavity and being configured to enable implantation of at least a portion of an implantable medical elongate member into a brain of the patient through the burr cap assembly, the burr cap assembly including a member positioned within the cavity of the burr cap and defining at least one opening to enable passage of at least a portion of the implantable medical elongate member into the brain of the patient, the member of the burr cap assembly being configured to, while the implantable medical elongate member is secured by the burr cap assembly, move within the cavity relative to the burr cap within at least one dimension of a plane that is substantially perpendicular to a longitudinal axis of at least a portion of the implantable medical elongate member.

2. The implantable medical device of claim 1, wherein the member of the burr cap assembly is a first member, the burr cap assembly comprising a second member that defines the cavity, wherein the second member of the burr cap assembly is configured to be positioned at least partially within the cranium of the patient when the burr cap assembly is positioned at least partially within the burr hole.

3. The implantable medical device of claim 1, wherein the member of the burr cap assembly is a first member, the burr cap assembly comprising a second member that defines the cavity, wherein the second member of the burr cap assembly is configured to be positioned at least partially above the cranium of the patient when the burr cap assembly is positioned at least partially within the burr hole.

4. The implantable medical device of claim 1, wherein the member of the burr cap assembly is a first member, the burr cap assembly comprising a second member that defines the cavity, wherein the second member of the burr cap assembly includes a top portion and a bottom portion that define a planar channel for movement of the first member of the burr cap assembly within the cavity.

5. The implantable medical device of claim 1, wherein the member of the burr cap assembly is configured to move within the cavity in response to a first force applied to the member of the burr cap assembly by the implantable medical elongate member following implantation of the at least a portion of the implantable medical elongate member in the brain of the patient.

6. The implantable medical device of claim 5, wherein the first force is applied to the member of the burr cap assembly in response to a second force applied to the implantable medical elongate member by fluids of the brain of the patient following implantation of the at least a portion of the implantable medical elongate member in the brain of the patient.

7. The implantable medical device of claim 1, wherein the member of the burr cap assembly includes a substantially circular plate.

8. The implantable medical device of claim 1, wherein the burr cap assembly defines the cavity to substantially restrict movement of the member of the burr cap assembly in a direction substantially parallel to the longitudinal axis of at least a portion of the implantable medical elongate member.

9. The implantable medical device of claim 1, wherein the opening is configured to substantially restrict relative movement between the member of the burr cap assembly and a portion of the implantable medical elongate member extending through the opening defined by the member of the burr cap assembly in a direction substantially perpendicular to the longitudinal axis of the at least a portion of the implantable medical elongate member.

10. The implantable medical device of claim 1, wherein the burr cap assembly is sized to receive a slack portion of the implantable medical elongate member.

11. The implantable medical device of claim 2, wherein the cavity is substantially cylindrical.

12. The implantable medical device of claim 1, wherein the member of the burr cap assembly is configured to move within the cavity relative to the burr cap assembly within two dimensions of the plane.

13. A method comprising:

inserting a portion of an implantable medical elongate member through an opening of a member of a burr cap assembly configured to be positioned at least partially within a burr hole in a cranium of a patient such that at least a portion of the implanted medical elongate member extends into a brain of the patient, wherein the member of the burr cap assembly is configured to be positioned within a cavity defined by the burr cap assembly and configured to, while the implantable medical elongate member is secured by the burr cap assembly, move within the cavity and in at least one dimension of a plane that is substantially perpendicular to a longitudinal axis of the at least the portion of the implantable medical elongate member, the member of the burr cap assembly being configured to enable movement of the at least a portion of the implantable medical elongate member in response to a force applied to the member of the burr cap assembly by the implantable medical elongate member following implantation of the at least the portion of the implantable medical elongate member in the brain of the patient.

14. The method of claim 13, wherein the at least one dimension is a first dimension, wherein the member of the burr cap assembly is configured to move within the cavity relative to the burr cap assembly in both the first dimension and a second dimension along the plane that is substantially perpendicular to the longitudinal axis of at least the portion of the implantable medical elongate member.

15. The method of claim 13, wherein the member of the burr cap assembly is configured to move in the second dimension after moving in the first dimension, the member of the burr cap assembly being configured to move in the second dimension in response to a new force applied to the member of the burr cap assembly by the implantable medical elongate member following implantation of the at least a portion of the implantable medical elongate member in the brain of the patient.

16. The method of claim 13, wherein the member of the burr cap assembly is configured to move in the at least one dimension until an outer wall of the member of the burr cap assembly contacts an inner wall of the cavity.

17. An implantable medical device comprising:

a burr cap assembly configured to be positioned at least partially within a burr hole in a cranium of a patient, the burr cap assembly defining a cavity, the burr cap assembly including a member positioned within the cavity of the burr cap assembly and defining at least one opening, the member of the burr cap assembly being configured to, while the implantable medical elongate member is secured by the burr cap assembly, move within the cavity relative to the burr cap assembly within at least one dimension of a plane that is substantially perpendicular to a longitudinal axis of at least a portion of the implantable medical elongate member; and

the implantable medical elongate member, wherein at least a portion of the implantable medical elongate member is configured to be implanted into a brain of the patient through both the burr cap assembly and the at least one opening defined by the member of the burr cap assembly, wherein the burr cap assembly comprises a cover configured to retain the implantable medical elongate member at a location in which the implantable medical elongate member enters the burr cap assembly, the cover configured to substantially seal the burr cap.

18. The implantable medical device of claim 17, wherein the member of the burr cap assembly is a first member, the burr cap assembly comprising a second member that defines the cavity, wherein the second member of the burr cap assembly is configured to be positioned at least partially within the cranium of the patient when the burr cap assembly is positioned at least partially within the burr hole.

19. The implantable medical device of claim 17, wherein the member of the burr cap assembly is a first member, the burr cap assembly comprising a second member that defines the cavity, wherein the second member of the burr cap assembly is configured to be positioned at least partially above the cranium of the patient when the burr cap assembly is positioned at least partially within the burr hole.

20. The implantable medical device of claim 17, wherein the member of the burr cap assembly is configured to move within the cavity in response to a first force applied to the member of the burr cap assembly by the implantable medical elongate member following implantation of the at least a portion of the implantable medical elongate member in the brain of the patient.

21. The implantable medical device of claim 20, wherein the first force is applied to the member of the burr cap assembly in response to a second force applied to the implantable medical elongate member by fluids of the brain of the patient following implantation of the at least a portion of the implantable medical elongate member in the brain of the patient.

22. The implantable medical device of claim 17, wherein the burr cap assembly defines the cavity to substantially restrict movement of the member of the burr cap assembly in a direction substantially parallel to the longitudinal axis of the at least a portion of the implantable medical elongate member.

23. The implantable medical device of claim 17, wherein the opening is configured to substantially restrict relative movement between the member of the burr cap assembly and a portion of the implantable medical elongate member extending through the opening defined by the member of the burr cap assembly in a direction substantially perpendicular to the longitudinal axis of the at least a portion of the implantable medical elongate member.

24. The implantable medical device of claim 17, wherein the burr cap assembly is sized to receive a slack portion of the implantable medical elongate member.

25. The implantable medical device of claim 17, wherein the member of the burr cap assembly is configured to move within the cavity relative to the burr cap assembly within two dimensions of the plane.