ANCHOR AND ANCHOR DEPLOYMENT APPARATUS

• US 20090248054A1
• Filed: 03/27/2008
• Published: 10/01/2009
• Est. Priority Date: 03/27/2008
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Behymer, Bruce, Rasmusson, Kathryn, Hokanson, Karl, Sage, Shahn
• Granted Patent: US 8,262,624 B2
• Time in Patent Office: Days
• US Class Current: 606/174
• CPC Class Codes: A61B 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61M 2025/0213 where the catheter is attached by means specifically adapted to a part of the human body
• CPC Class Codes: A61M 2025/028 having a mainly rigid support structure
• CPC Class Codes: A61M 2025/0286 anchored in the skin by suture or other skin penetrating devices
• CPC Class Codes: A61M 25/02 Holding devices, e.g. on the body
• CPC Class Codes: A61M 25/04 in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence
• 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 2001/0582 Suture sleeves

Abstract

An anchor for maintaining a portion of a therapy delivery element within a desired location of a patient has (i) a first opening, (ii) a second opening, (iii) a body member formed of elastic material disposed between the first and second opening, (iv) and a lumen extending though the body member from the first opening to the second opening, and (v) a retention element secured to or integrally formed with the body member for retaining the anchor within a tissue location of a patient. The therapy delivery element has an outer diameter and an outer surface about which the anchor is disposable. The body member has a first inner diameter defined by the lumen in a relaxed state and a second inner diameter defined by the lumen in a radially stretched state. The first inner diameter is smaller than the outer diameter of the therapy delivery element, which is smaller that the second inner diameter. The lumen is configured to be disposed about at least a portion of the therapy delivery element. Radially compressive forces, due to the elastic material of the body member, contribute to retaining the anchor relative to the therapy delivery element.

Claims

1. A system comprising:

an anchor having a first opening, a second opening, a body member disposed between the first and second opening, and a lumen extending though the body member from the first opening to the second opening, wherein the body member is formed from an elastic material and wherein at least a portion of the body member has a first inner diameter defined by the lumen in a relaxed state and a second inner diameter defined by the lumen in a radially stretched state, wherein the first inner diameter is smaller than the second inner diameter;

a therapy delivery element having an outer diameter and an outer surface about which the anchor is disposable, the outer diameter being larger than the first inner diameter of the at least a portion of the lumen of the anchor and smaller than the second inner diameter of the at least a portion of the lumen of the anchor; and

an anchor deployment apparatus including an anchor receiving element,

the anchor receiving element comprising an elongate member having a distal opening and a lumen extending proximally in the elongate member from the distal opening,

wherein the lumen of the elongate member is configured to slidably receive at least a portion of the therapy delivery element,

wherein the elongate member has an outer diameter larger than the first inner diameter of the at least a portion of the lumen of the anchor and smaller than the second inner diameter of the at least a portion of the lumen of the anchor such that the anchor is disposable about the elongate member and, when the anchor is disposed about the elongate member, the at least a portion of the lumen of the anchor engages at least a portion of the elongate member, and wherein the anchor is moveable about the elongate member.

2. The system of claim 1, wherein the elongate member of the anchor receiving element further comprises a proximal opening and the lumen extends through the elongate member from the proximal opening to the distal opening.

3. The system of claim 1, wherein the anchor deployment apparatus further comprises an anchor engagement element having (i) a channel in which the elongate member of the anchor receiving element is axially movable, and (ii) an engagement feature forming at least a part of the channel,

wherein the engagement feature is configured to engage the anchor when the anchor is disposed about the elongate member and the elongate member is moved distally relative to the engagement element, and to cause the anchor to move distally along the elongate member when the feature is engaged with the anchor and the elongate member is moved proximally relative to the engagement element.

4. An anchor deployment apparatus for deploying an anchor about a therapy delivery element, comprising:

an anchor receiving element having an elongate member having a distal opening and a lumen extending proximally in the elongate member from the distal opening, the lumen of the elongate member being configured to slidably receive at least a portion of a therapy delivery element; and

an anchor engagement element having (i) a first channel in which the elongate member of the anchor receiving element is axially movable, and (ii) an engagement feature forming at least a part of the channel,

wherein the engagement feature is configured to engage the anchor when the anchor is disposed about the elongate member and the elongate member is moved distally relative to the engagement element, and to cause the anchor to move distally along the elongate member when the feature is engaged with the anchor and the elongate member is moved distally relative to the engagement element.

5. The apparatus of claim 4, wherein the elongate member of the anchor receiving element further comprises a proximal opening and the lumen extends through the elongate member from the proximal opening to the distal opening.

6. The apparatus of claim 4, wherein the anchor receiving element further comprises a handle positioned generally perpendicular to a longitudinal axis of the elongate member.

7. The apparatus of claim 6, wherein the anchor engagement element further comprises:

a second channel defined in the engagement element and being located distal to the first channel, wherein the second channel in communication with and an extension of the first channel; and

a slot defined in the engagement element on a generally opposing side of the engagement member relative to the second channel,

wherein the slot and the second channel form a passageway through engagement member, and

wherein the handle of the anchor receiving apparatus is slidably disposable within the passageway such that a portion of the handle extends generally perpendicularly out of the channel beyond the engagement member and a portion of the handle extends generally perpendicularly out of the slot beyond the engagement member.

8. The apparatus of claim 7, wherein the anchor engagement element further comprises a stop feature that protrudes into the passageway formed by the second channel and slot, wherein the stop feature is configured and positioned to engage the handle of the anchor receiving apparatus and to prevent the handle from being moved proximally in the passageway once engaged by the stop feature.

9. The apparatus of claim 7, wherein the anchor engagement element further comprises a deflecting element extending into the passageway formed by the slot and the second channel and configured to direct a therapy delivery element advanced proximally in the passageway to exit the engagement member via the slot or the second channel.

15. A kit comprising:

an anchor having (i) a first opening, (ii) a second opening, (iii) a body member disposed between the first and second opening, (iv) a lumen extending though the body member from the first opening to the second opening, and (v) a retention element secured to or integrally formed with the body member,

wherein the body member is formed from elastic material, the lumen is configured to be disposed about at least a portion of the outer surface of a therapy delivery element, and at least a portion of the body member has a first inner diameter defined by the lumen in a relaxed state and a second inner diameter defined by the lumen in a radially stretched state, the first inner diameter being smaller than the second inner diameter; and

and an anchor deployment apparatus according to claim 4,

wherein the elongate member of the anchor receiving element of the anchor deployment apparatus has an outer diameter larger than the first inner diameter of the at least a portion of the lumen of the anchor and smaller than the second inner diameter of the at least a portion of the lumen of the anchor such that the anchor is disposable about the elongate member and, when the anchor is disposed about the elongate member, the at least a portion of the lumen of the anchor engages at least a portion of the elongate member, and wherein the anchor is moveable about the elongate member.

16. The kit of claim 15, wherein the anchor is preloaded about the elongate member of the anchor receiving element.

17. The kit of claim 15, wherein the body member of the anchor is formed from silicone.

18. The kit of claim 15, further comprising the therapy delivery element.

19. The kit of claim 18, wherein the therapy delivery element is a catheter.

20. The kit of claim 18, wherein the therapy delivery element is a lead.

10. An anchor for maintaining a portion of a therapy delivery element within a desired location of a patient, the therapy delivery element having an outer diameter and an outer surface about which the anchor is disposable, the anchor comprising:

a first opening;

a second opening;

a body member disposed between the first and second opening, the body member being formed from elastic material;

and a lumen extending though the body member from the first opening to the second opening, the lumen being configured to be disposed about at least a portion of the outer surface of the therapy delivery element; and

a retention element secured to or integrally formed with the body member for retaining the anchor within a tissue location of a patient,

wherein at least a portion of the body member has a first inner diameter defined by the lumen in a relaxed state and a second inner diameter defined by the lumen in a radially stretched state,

wherein the first inner diameter is smaller than the second inner diameter, and

wherein the first inner diameter is configured to be smaller than the outer diameter of the therapy delivery element, and the second inner diameter is configured to be larger than the outer diameter of the therapy delivery element.

11. The anchor of claim 10, further comprising a hole formed in the retention element for suturing the anchor to tissue of a patient.

12. The anchor of claim 10, wherein the body member is configured to grippingly engage the least a portion of the outer surface of the therapy delivery element such that a pull force of 1 pound-force or more is required to move the anchor along the outer surface of the therapy delivery element.

13. The anchor of claim 10, wherein the body member is formed of silicone.

14. The anchor of claim 10, wherein the body member is free of slits.