METHODS AND APPARATUS FOR IMPLANTING ELECTRONIC IMPLANTS WITHIN THE BODY

• US 20090182402A1
• Filed: 01/10/2008
• Published: 07/16/2009
• Est. Priority Date: 01/10/2008
• Status: Active Grant

• Current Assignee: Bioness Inc. (Smith & Nephew PLC)
• Original Assignee: Bioness Inc. (Smith & Nephew PLC)
• Inventors: GLUKHOVSKY, Arkady
• Granted Patent: US 7,962,206 B2
• Time in Patent Office: Days
• US Class Current: 607/116
• 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 2017/00026 Conductivity or impedance, e.g. of tissue
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/0608 J-shaped
• CPC Class Codes: A61B 2017/3405 using mechanical guide means
• CPC Class Codes: A61B 2017/3407 including a base for support on the body
• CPC Class Codes: A61B 2017/3447 Linked multiple cannulas
• CPC Class Codes: A61B 2090/062 penetration depth
• CPC Class Codes: A61B 2090/067 for measuring angles
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 1/37205 Microstimulators, e.g. implantable through a cannula

Abstract

A method includes inserting a target probe along a first path within a body such that a portion of the target probe is disposed adjacent a target location within the body. The target location can be, for example, a portion of a nerve, a muscle or the like. An electronic implant is inserted along a second path within the body such that a portion of the electronic implant is disposed adjacent the target location within the body. The second path is different from the first path. The electronic implant is inserted when the target probe is disposed adjacent the target location within the body.

Claims

1. A method, comprising:

inserting a target probe along a first path within a body such that a portion of the target probe is disposed adjacent a target location within the body; and

inserting an electronic implant along a second path within the body such that a portion of the electronic implant is disposed adjacent the target location within the body, the second path different from the first path,

the inserting the electronic implant is performed when the target probe is disposed adjacent the target location within the body.

2. The method of claim 1, wherein:

the inserting the electronic implant includes moving an insertion member of an implant delivery device relative to the target probe, the insertion member of the implant delivery device coupled to the target probe, the electronic implant configured to be selectively coupled to the insertion member of the implant delivery device.

3. The method of claim 1, wherein:

the inserting the target probe includes disposing a distal end portion of a first member of an implant delivery device against the body, moving the target probe within the first member of the insertion apparatus such that the portion of the target probe is disposed adjacent the target location; and

the inserting the electronic implant includes moving a second member of the implant delivery device relative to the first member of the implant delivery device, the electronic implant being coupled to the second member of the implant delivery device.

4. The method of claim 1, wherein the inserting the electronic implant includes:

moving an insertion member of an implant delivery device relative to the target probe, the insertion member of the implant delivery device coupled to the target probe, the electronic implant configured to be selectively coupled to a distal end portion of the insertion member of the implant delivery device; and

manipulating an actuator at a proximal end portion of the insertion member after the moving.

5. The method of claim 1, wherein a portion of a center line of the second path is substantially normal to a center line of the first path.

6. The method of claim 1, wherein:

the inserting the target probe includes inserting the target probe via a first incision; and

the inserting the electronic implant includes inserting the electronic implant via a second incision, the second incision being physically distinct from the first incision.

7. The method of claim 1, further comprising:

stimulating electronically at least one of a nerve or a muscle with the target probe after the inserting the target probe and before the inserting the electronic implant.

8. A method, comprising:

inserting a target probe of a first member of an implant delivery device into a body via a first incision such that a portion of the target probe is disposed within the body adjacent a target location; and

moving a second member of the implant delivery device relative to the first member such that a distal end portion of the second member is moved from a region outside of the body to the target location within the body via a second incision, the second incision being physically distinct from the first incision, the distal end portion of the second member selectively coupled to an electronic implant.

9. The method of claim 8, further comprising:

decoupling the electronic implant from the distal end portion of the second member after the moving.

10. The method of claim 8, wherein the inserting includes:

anchoring a distal end portion of the first member of the implant delivery device to an outer surface of the body; and

moving the target probe with respect to the distal end portion of the first member.

11. The method of claim 8, further comprising:

defining an insertion passageway within the body before the moving, the insertion passageway configured to receive the distal end portion of the second member of the implant delivery device, a portion of a center line of the insertion passageway being substantially normal to a center line of the target probe.

12. The method of claim 8, further comprising:

moving a dilator of the implant delivery device relative to the first member to define a insertion passageway within the body, the insertion passageway configured to receive the distal end portion of the second member of the implant delivery device, the dilator being movably coupled to the first member, the moving the dilator performed after the inserting and before the moving the second member.

13. The method of claim 8, wherein the second member of the implant delivery device is rotatably coupled to the first member of the implant delivery device at a pivot point, the method further comprising:

adjusting a distance between the pivot point and the distal end of the second member after the inserting and before the moving.

14. A method, comprising

engaging a target device with an outer surface of a body, the target device including a first portion and a second portion, the first portion defining a lumen, the second portion defining a lumen;

inserting a distal end portion of a target probe into the body via the lumen of the first portion;

moving the second portion of the target device relative to the first portion of the target device; and

inserting a distal end portion of an implant delivery member into the body via the lumen of the second portion.

15. The method of claim 14, wherein the engaging includes coupling a portion of the target device to the outer surface of the body.

16. The method of claim 14, wherein the inserting the distal end portion of the target probe includes disposing the distal end of the target probe adjacent a target tissue within the body.

17. The method of claim 14, further comprising:

stimulating electronically at least one of a nerve or a muscle with the target probe after the inserting the target probe and before the inserting the implant delivery member.

18. The method of claim 14, wherein the moving the second portion of the target device includes rotating the second portion of the target device relative to the first portion of the target device.

19. The method of claim 14, wherein:

the second portion of the target device is rotatably disposed within an opening defined by the first portion of the target device; and

the moving the second portion of the target device includes rotating the second portion of the target device within the opening of the first portion of the target device.

20. The method of claim 14, wherein the distal end portion of the implant delivery member is selectively coupled to an electronic implant, the method further comprising:

decoupling the distal end portion of the implant delivery member and the electronic implant after the inserting the distal end portion of the implant delivery member.

21. The method of claim 14, wherein the inserting the distal end portion of the implant delivery member is performed when the target probe is disposed within the body.

22. The method of claim 14, wherein:

the inserting the distal end portion of the target probe is performed via a first incision; and

the distal end portion of the implant delivery member is performed via a second incision, the second incision physically distinct from the first incision.

23. The method of claim 14, wherein:

the inserting the distal end portion of the target probe is performed via a first passageway within the body; and

the distal end portion of the implant delivery member is performed via a second passageway within the body, the second passageway different from the first passageway.