Catheter with retractable anchor mechanism

• US 5,344,439 A
• Filed: 10/30/1992
• Issued: 09/06/1994
• Est. Priority Date: 10/30/1992
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Otten, Lynn M.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Jastrzab, Jeffrey R.
• Application Number:
  US07/969,600
• Time in Patent Office: 676 Days
• Field of Search: 128/642, 607/122, 607/126, 607/128, 607/120, 607/116, 607/119, 604/105, 604/106, 604/107, 606/198
• US Class Current: 607/126
• CPC Class Codes: A61M 2025/0293 Catheter, guide wire or the like with means for holding, centering, anchoring or frictionally engaging the device within an artificial lumen, e.g. tube natural lumen, e.g. vessels A61M25/04
• CPC Class Codes: A61M 25/02 Holding devices, e.g. on the body
• CPC Class Codes: A61N 1/057 Anchoring means; Means for fixing the head inside the heart

Abstract

A catheter with a retractable anchor mechanism for providing drugs and/or electrical stimulation to the human body. The catheter has a flexible tubular casing consisting of a outer member and an inner member which enclose at least one lumen. The retractable anchor mechanism is located near the distal end of the catheter and is moveable from a first extended position to a second retracted position. A capture member is connected to the anchor mechanism. The capture member has a socket portion and a necked down portion for guiding the enlarged tip of a stylet into the socket portion for releasable engagement therewith. The anchor mechanism is moved from the first extended position to the second retracted position by inserting a stylet and applying pressure in the distal direction and is moved from the second retracted position to the first extended position by partially withdrawing the stylet thereby applying pressure in the proximal direction. The anchor mechanism consists of a plurality of lobes in one embodiment and of a continuous diaphragm in another.

Claims

1. An elongated catheter having a distal end and a proximal end, the distal end of which is adapted to be inserted into a human body, the catheter comprising:

a flexible tubular casing substantially concentric to a longitudinal axis of the catheter, said casing extending substantially the entire length of the catheter and defining at least one lumen,

retractable anchor means located near the distal end for stabilizing the position of the catheter within the body, said anchor means comprising a portion of said flexible tubular casing and being moveable from a first extended position to a second retracted position,

a stylet for insertion in said at least one lumen of the catheter, said stylet having an enlarged tip of predetermined shaped at a distal end, there of and

capture means connected to said anchor means for releasably receiving the enlarged tip of said stylet, such that said anchor means is moved from the first extended position to the second retracted position by inserting said stylet and applying pressure in a distal direction and is moved from the second retracted position to the first extended position by applying pressure in a proximal direction.

2. The catheter of claim 1 further including at least one electrode located in the casing near the distal end of the catheter and at least one conductor within the casing and connected to the at least one electrode for transmitting electrical signals from the proximal end of the catheter to said at least one electrode.

3. The catheter of claim 1 further including at least one port in the casing between said at least one lumen and an exterior of the catheter, said at least one port being located between the distal end of the catheter and said retractable anchor means, such that drugs or other therapeutic agents may be introduced into the body or body fluids may be withdrawn from the body through said at least one port.

4. The catheter of claim 2 or 3 wherein said tubular casing comprises an outer tubular member extending between the distal and proximal ends of the catheter and an inner tubular member extending substantially from the proximal end of the catheter to a position near the distal end, said inner tubular member having a distal end which contacts said capture means when said retractable anchor means is in the first extended position, such that continued pressure on said stylet in the proximal direction results in release of the distal end of said stylet from said capture means.

5. The catheter or claim 1 wherein said capture means comprises a capture member including an aperture having a necked down portion and a socket portion, said socket portion being shaped to accommodate the predetermined shape of the enlarged tip of said stylet.

6. An elongated catheter having a distal end and a proximal end, the distal end of which is adapted to be inserted into a human body, the catheter comprising:

a flexible tubular outer member substantially concentric to a longitudinal axis of the catheter, said outer member extending substantially the entire length of the catheter;

a flexible tubular inner member lying within said outer member, said inner member having a distal end located near the distal end of the catheter, said inner member extending substantially to the proximal end of the catheter and defining a central lumen,

retractable anchor means located near the distal end of the catheter for stabilizing the position of the catheter within the body, said anchor means comprising a portion of said flexible tubular outer member and being moveable from a first extended position to a second retracted position,

at least one port in the outer member between the central lumen and an exterior of the catheter, said at least one port being located between the distal end of the catheter and said retractable anchor means, such that drugs or therapeutic agents may be introduced into the body or body fluids may be withdrawn from the body through said at least one port,

a stylet for insertion in the central lumen of the catheter, said stylet having an enlarged tip of predetermined shape at a distal end, thereof and

capture means connected to said anchor means for releasably receiving the enlarged tip of said stylet, the movement of said capture means being limited in a proximal direction by the distal end of said inner member which acts as a stop, such that said anchor means is moved from the first extended position to the second retracted position by inserting said stylet and applying pressure in a distal direction and is moved from the second retracted position to the first extended position by applying pressure in the proximal direction until said capture means contacts the distal end of said inner member at which point continued pressure in the proximal direction results in release of the enlarged tip of said stylet from said capture means.

7. The catheter or claim 6 wherein said capture means comprises a capture member including an aperture having a necked down portion and a socket portion, said socket portion being shaped to accommodate the predetermined shape of the enlarged tip of said stylet.

8. The catheter of claim 6 further comprising at least one additional lumen, said at least one additional lumen having a path to the exterior of the catheter provided by said at least one port, such that one or more drug, agents or fluids may be introduced or withdrawn at the same time.

9. An epidural lead having a distal end and a proximal end, the distal end of which is adapted to be inserted into a human body, the epidural lead comprising:

a flexible tubular outer member substantially concentric to a longitudinal axis of the lead, said outer member extending substantially the entire length of the lead,

a flexible tubular inner member lying within said outer member, said inner member having a distal end located near the distal end of the lead, said inner member extending substantially to the proximal end of the lead and defining a central lumen,

at least one electrode secured to said outer member near the distal end of the lead,

at least one conductor connected to said at least one electrode for transmitting electrical signals from the proximal end of the lead to said a least one electrode,

retractable anchor means located near the distal end of the lead for stabilizing the position of the lead within the body, said anchor means comprising a portion of said flexible tubular outer member and being moveable from a first extended position to a second retracted position,

a stylet for insertion in the central lumen of the lead, said stylet having an enlarged tip at a distal end, thereof and

capture means connected to said anchor means for releasably receiving the enlarged tip of said stylet, the movement of said capture means being limited in a proximal direction by the distal end of said inner member which acts as a stop, such that said anchor means is moved from the first extended position to the second retracted position by inserting aid stylet and applying pressure in the proximal direction until said capture means contacts the distal end of said inner member at which point continued pressure in the proximal direction results in release of the enlarged tip of said stylet from said capture means.

10. The epidural lead of claim 9 wherein said capture means comprises a capture member including an aperture having a necked down portion and a socket portion, said socket portion being shaped to accommodate the predetermined shape of the enlarged tip of said stylet.

11. An elongated catheter having a distal end and a proximal end, the distal end of which is adapted to be inserted into a human body, the catheter comprising:

a flexible tubular outer member substantially concentric to a longitudinal axis of the catheter, said outer member extending substantially the entire length of the catheter,

a flexible tubular inner member lying within said outer member, said inner member having a distal end located near the distal end of the catheter, said inner member extending substantially to the proximal end of the catheter and defining a central lumen,

retractable anchor means located near the distal end of the catheter for stabilizing the position of the catheter within the body, said anchor means being movable from a first extending position to a second retracted position, said retractable anchor means comprising a formed portion of said outer member, sad formed portion having an outer dimension substantially identical to an outer dimension of the remainder of the outer member when in the second retracted position and having an outer dimension greater than the outer dimension of the remainder of the outer member when in the first extended position,

at least one port int eh outer member between the central lumen and an exterior of the catheter, said at least one port being located between the distal end of the catheter and said retractable anchor means, such that drugs or therapeutic agents may be introduced into the body or body fluids may be withdrawn from the body through said at least one port,

a stylet for insertion in the central lumen of the catheter, said stylet having an enlarged tip of predetermined shape at a distal end, thereof and

capture means connected to said anchor means for releasably receiving the enlarged tip of said stylet, the movement of said capture means being limited in a proximal direction by the distal end of said inner member which acts as a stop, such that said anchor means is moved from the first extended position to the second retracted position by inserting said stylet and applying pressure in a distal direction and is moved from the second retracted position to the first extended position by applying pressure in the proximal direction until said capture means contacts the distal end of said inner member at which point continued pressure in the proximal direction results in release of the enlarged tip of said stylet from said capture means.

12. An epidural lead having a distal end and a proximal end, the distal end of which is adapted to be inserted into a human body, the epidural lead comprising:

a flexible tubular outer member substantially concentric to a longitudinal axis of the lead, said outer member extending substantially the entire length of the lead,

a flexible tubular inner member lying within said outer member, said inner member having a distal end located near the distal end of the lead, said inner member extending substantially to the proximal end of the lead and defining a central lumen,

at least one electrode secured to said outer member near the distal end of the lead,

at least one conductor connected to said at least on electrode for transmitting electrical signals from the proximal end of the lead to said a least one electrode,

retractable anchor means located near the distal end of the lead for stabilizing the position of the lead within the body, said anchor means being moveable from a first extended position to a second retracted position, said retractable anchor mans comprising a plurality of longitudinal slits formed in said outer member, said slits defining a plurality of lobes which are compressed and extend outwardly away from the longitudinal axis of the lead when in the first extended position and which lie substantially parallel to the longitudinal axis access of the lead when in the second retracted position,

a stylet for insertion in the central lumen of the lead, said stylet having an enlarged tip at a distal end thereof, and

capture means connected to said anchor means for releasably receiving the enlarged tip of said stylet, the movement of said capture means being limited in a proximal direction by the distal end of said inner member which acts as a stop, such that said anchor means is moved from the first extended position to the second retracted position by inserting said stylet and applying pressure in the proximal direction until said capture means contacts the distal end of said inner member at which point continued pressure in the proximal direction results in release of the enlarged tip of said stylet from said capture means.