Devices and methods for positioning and anchoring implantable sensor devices

• US 20060122522A1
• Filed: 08/31/2005
• Published: 06/08/2006
• Est. Priority Date: 12/03/2004
• Status: Abandoned Application

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Tockman, Bruce, Von Arx, Jeffrey A., Chavan, Abhi, Palme, Donald
• Application Number:
  US11/216,738
• Publication Number:
  US 20060122522A1
• Time in Patent Office: Days
• US Class Current: 600/505
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00575 for closure at remote site, e.g. closing atrial septum defects
• CPC Class Codes: A61B 2017/00592 Elastic or resilient implements
• CPC Class Codes: A61B 2017/00597 Implements comprising a membrane
• CPC Class Codes: A61B 2017/00606 Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening
• CPC Class Codes: A61B 2017/00889 antimicrobial, disinfectant
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/076 Permanent implantations telemetry using implanted circuitry A61B5/0031; implanted stimulators for therapy A61N1/3605, A61N1/362, A61N1/372
• CPC Class Codes: A61B 5/6862 Stents
• CPC Class Codes: A61B 5/6876 Blood vessel
• CPC Class Codes: A61B 5/6882 Anchoring means
• CPC Class Codes: A61F 2/0105 Open ended, i.e. legs gathered only at one side
• CPC Class Codes: A61F 2/86 Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2002/016 made from wire-like elements
• CPC Class Codes: A61F 2230/0019 rectangular
• CPC Class Codes: A61F 2230/0021 square
• CPC Class Codes: A61F 2230/005 Rosette-shaped, e.g. star-shaped
• CPC Class Codes: A61F 2230/0067 conical
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2230/0078 : hyperboloidal
• CPC Class Codes: A61F 2230/008 : paraboloidal
• CPC Class Codes: A61F 2230/0093 : Umbrella-shaped, e.g. mushroom-shaped
• CPC Class Codes: A61N 1/36514 : controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by two or more physical parameters A61N1/36585

Abstract

Methods and systems provide for anchoring implantable medical device inside a bodily vessel. An anchoring structure can include a stent-like structure to which the IMD is attached. The stent-like structure is positioned at a desired location in the bodily vessel. The stent-like structure can be repositioned based on a measurement from the IMD. The IMD can include outwardly extending fins over which tissue can fibrose to affix the IMD to a wall of the bodily vessel. The stent-like structure can be made of a bio-absorbable material. The IMD can be attached to a stent-like structure by leads, by being lodged in a recessed diaphragm, by being embedded in mesh of the stent-like structure, or other methods. The stent-like structure can be balloon deployable to allow for controlled positioning and anchoring. The anchoring structure can include a vena cava filter.

Claims

1. An anchoring system for anchoring an implantable medical device (IMD) in a bodily vessel of a patient, the anchoring system comprising:

an anchoring structure adapted to be secured in the bodily vessel;

an attachment structure integrated with the anchoring structure, the attachment structure enabling attachment of the IMD to the anchoring structure; and

a positioning mechanism operable to position the anchoring structure at a desired location in the bodily vessel.

2. An anchoring system as recited in claim 1 wherein the anchoring structure comprises a stent-like structure composed of mesh fabric forming the attachment structure, wherein the IMD is embedded in the mesh fabric.

3. An anchoring system as recited in claim 1 wherein the anchoring structure comprises a stent-like structure having a recessed diaphragm forming the attachment structure, wherein the IMD is positioned in a recess formed by the recessed diaphragm.

4. An anchoring system as recited in claim 1 wherein the positioning mechanism comprises a catheter, and wherein the anchoring structure comprises a stent that is balloon deployable from the catheter.

5. An anchoring system as recited in claim 4 wherein the stent is controllably deployable, whereby measurements obtained by the IMD can be tested while the stent is being deployed.

6. An anchoring system as recited in claim 1 wherein the anchoring structure comprises a stent, and the anchoring structure comprises sleeves integrated in a wall of the stent, wherein one or more fins extending from the IMD can be held by the sleeves.

7. An anchoring system as recited in claim 6 wherein fibrosis causes tissue of the bodily vessel to grow over the one or more fins, thereby securing the IMD to a wall of the bodily vessel.

8. An anchoring system as recited in claim 6 wherein the stent is bio-absorbable.

9. An anchoring system as recited in claim 1 wherein the attachment structure further comprises one or more leads, each lead having a proximal end attached to the anchoring structure and a distal end attached to another IMD.

10. An anchoring system as recited in claim 1, further comprising a lead communicably connected to the IMD, the lead being operable to communicate data from the IMD to another device implanted in the patient.

11. An anchoring system as recited in claim 1, wherein the IMD is operable to measure one or more physiologic parameters, the one or more physiologic parameters including at least one of blood pressure, motion, temperature, strain, and sound.

12. An anchoring device of claim 1, wherein the attachment structure holds the IMD substantially in a middle region of the bodily vessel.

13. A system for anchoring an implantable medical device (IMD) at a position in a bodily vessel, the system comprising:

a vena cava filter anchorable at the position in the bodily vessel;

one or more tethers each having a proximal end attached to the vena cava filter and a distal end attached to the IMD.

14. The anchoring device as recited in claim 13, wherein the vena cava filter is selected from the group of vena cava filters consisting of an LGM filter, a Gunther tulipe filter, an Antheor filter, a DIL filter, a Keeper filter, a FCP2002 filter, a Mobin-Uddin filter, a Kimray-Greenfield filter, a Simon nitinol filter, a titanium Greenfield filter, and a Bird'"'"'s Nest filter.

15. A method for anchoring an implantable medical device in a bodily vessel, the IMD operable to measure a physiologic parameter within the bodily vessel, the method comprising:

attaching a first implantable medical device (IMD) to a stent-like structure, wherein attaching comprises securing at least a portion of the IMD in a structure integrated with the stent-like structure;

positioning the stent-like structure at a desired location within the bodily vessel; and

anchoring the stent-like structure at the desired location within the bodily vessel.

16. A method as recited in claim 15 wherein positioning comprises:

positioning the stent-like structure at a first location within the bodily vessel;

testing a measurement from the first IMD; and

based on the testing, repositioning the stent-like structure to a second location within the bodily vessel.

17. A method as recited in claim 15 wherein securing the first IMD comprises positioning the first IMD within a reservoir integrally formed in a wall of the stent-like structure.

18. A method as recited in claim 15 wherein securing the first IMD comprises lodging the first IMD in a mesh fabric forming the stent-like structure.

19. A method as recited in claim 15 wherein the attachment structure comprises one or more sleeves integrated with a wall of the stent-like structure, and wherein the first IMD comprises one or more fins extending outward from the IMD and configured to slide into the one or more sleeves.

20. A method as recited in claim 19 wherein the stent-like structure is permeable by bodily tissue and wherein the fins are configured to enable fibrosis of the bodily tissue to gradually attach the IMD to a wall of the bodily vessel.

21. A method as recited in claim 15 further comprising communicably connecting the first IMD to a second IMD via a lead, whereby measurements obtained by the first IMD can be communicated to the second IMD.

22. The method of claim 15, wherein the stent-like structure comprises a balloon deployable stent wrapped around a balloon, and wherein positioning comprises:

inserting the balloon deployable stent and balloon into a catheter;

advancing the catheter into the bodily vessel to position the stent and the first IMD at a first location within the bodily vessel;

partially inflating the balloon to cause the stent to partially expand;

testing a measurement from the IMD at the first location; and

based on the measurement, moving the catheter to position the stent at a second location while the stent is partially expanded.

23. A method as recited in claim 22 further comprising testing another measurement from the IMD at the second location, and wherein anchoring comprises:

based on the another measurement, completely inflating the balloon, thereby fully expanding the stent to create a frictional engagement of the stent with walls of the bodily vessel.

24. A method for anchoring an implantable medical device (IMD), comprising:

connecting a collapsible stent to an IMD operable to measure a physiologic parameter;

inserting a deflated balloon through the stent with the stent collapsed;

positioning the stent with the balloon and the IMD inside a bodily vessel;

while positioning the stent, obtaining measurements from the IMD;

at least partially inflating the balloon; and

selecting a location in the bodily vessel at which to secure the stent based on the obtained measurements.

25. A method as recited in claim 24 wherein the balloon is configured to allow fluid flow through the bodily vessel.

26. A method as recited in claim 25 wherein the balloon is a clover-leaf shape

27. A method as recited in claim 25 wherein the balloon is semi-permeable.