Protective, visible suture sleeve for anchoring transvenous lead bodies

• US 5,423,763 A
• Filed: 06/17/1993
• Issued: 06/13/1995
• Est. Priority Date: 06/17/1993
• Status: Expired due to Term

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Inventors: Li, Hong, Helland, John R.
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US08/078,521
• Time in Patent Office: 726 Days
• Field of Search: 604/174, 604/175, 128/692, 128/DIG. 26, 128/654, 607/120, 607/127, 607/128
• US Class Current: 604/174
• 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: A61N 1/057 Anchoring means; Means for fixing the head inside the heart
• CPC Class Codes: A61N 2001/0582 Suture sleeves
• CPC Class Codes: Y10S 128/26 Cannula supporters

Abstract

A suture sleeve for anchoring the lead body of an implantable medical device includes a tubular body having an exterior surface defining at least one annular, suture-receiving groove. The exterior surface further includes at least one longitudinally extending groove intersecting the at least one annular suture receiving groove and having ends extending longitudinally beyond the at least one suture receiving groove. The interior surface of the tubular body includes a plurality of inwardly extending projections having surfaces adapted to engage the lead body to prevent the sleeve from sliding along the lead body when the lead body is held vertically.

The suture sleeve is fabricated of a biocompatible, polymeric material to which has been added color pigment and a radiologically dense material to render the suture sleeve readily visible to the naked eye against surrounding bodily tissue as well as radiologically visible.

Claims

1. A suture sleeve for anchoring the lead body of an implantable medical device, the sleeve having a central longitudinal axis and comprising:

a tubular body including a wall having an exterior surface and an interior surface, the interior surface defining a longitudinal through bore for receiving the lead body, the exterior surface defining at least one annular, suture-receiving groove, the interior surface of the tubular body including a plurality of inwardly extending projections having surfaces adapted to engage the lead body, the plurality of projections including a pair of spaced apart projections in substantial longitudinal alignment and a projection positioned intermediate the pair of projections and substantially diametrically opposed thereto.

2. A suture sleeve, as defined in claim 1, further including:

a pair of diametrically opposed, longitudinally extending grooves formed in the exterior surface of the tubular body, the longitudinally extending grooves intersecting said at least one annular suture receiving groove.

3. A suture sleeve, as defined in claim 1, in which:

the surface of each projection is rounded and lies substantially along a chord of the lead body receiving bore.

4. A suture sleeve, as defined in claim 1, in which:

the wall of the tubular body is sufficiently thick to protect the lead body when the suture sleeve is tied-down tightly.

5. A suture sleeve, as defined in claim 1, in which:

the tubular body is radiopaque and visible to the naked eye against adjacent body tissue.

6. A suture sleeve, as defined in claim 5, in which:

the sleeve is fabricated of silicone rubber including radiopaque and color pigment additives.

7. A suture sleeve, as defined in claim 6, in which:

the radiopaque additive includes tantalum powders and the color pigment additive comprises a titanium dioxide pigment.

8. A suture sleeve for anchoring the lead body of an implantable medical device, the sleeve having a central longitudinal axis and comprising:

a tubular body including a wall having an exterior surface and an interior surface, the interior surface defining a longitudinal through bore for receiving the lead body, the exterior surface defining at least one annular, suture-receiving groove and at least one longitudinally extending groove, the at least one longitudinally extending groove intersecting said at least one annular suture-receiving groove and having ends extending longitudinally beyond said at least one annular groove.

9. A suture sleeve, as defined in claim 8, in which:

the interior surface of the tubular body includes a plurality of inwardly extending projections having surfaces adapted to engage the lead body.

10. A suture sleeve, as defined in claim 9, in which:

the plurality of projections includes a pair of spaced apart projections in substantially longitudinal alignment and a projection positioned intermediate the pair of projections and substantially diametrically opposed thereto.

11. A suture sleeve, as defined in claim 10, in which:

the surface of each projection is rounded and lies substantially along a chord of the lead body receiving bore.

12. A suture sleeve, as defined in claim 8, in which:

the wall of the tubular body is sufficiently thick to protect the lead body when the suture sleeve is tied-down tightly.

13. A suture sleeve, as defined in claim 8, in which:

the tubular body has a color that contrasts with the bodily tissue adjacent the suture sleeve and which is therefore readily visible to the naked eye to aid in its location.

14. A suture sleeve, as defined in claim 8, in which:

the tubular body is fabricated of a biocompatible, polymeric material to which has been added a radiologically dense material.