Implantable therapy delivery element adjustable anchor
First Claim
1. A method for operating an adjustable anchor for a therapy delivery element, comprising:
- providing a therapy grip element having a length defined by the boundaries of a first and second opening;
separating a first portion of the therapy grip element from a second portion of the therapy grip element to form a discontinuous inner surface extending the length of the therapy grip element by actuating two extension elements to open the therapy grip element;
placing the therapy element within the inner surface of the therapy grip element;
positioning the therapy grip element at a grip location on the therapy delivery element;
closing the therapy grip element on the therapy delivery element by actuating the two extension elements such that the inner surface of the grip element grippably engages the therapy delivery element;
securing the therapy grip element on the therapy delivery element when the therapy grip element is closed;
positioning a tissue fixation element at a tissue location;
fixing the tissue fixation element to tissue at the tissue location in an orientation along the axial length of the therapy delivery element.
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Accused Products
Abstract
An implantable therapy delivery system has a therapy delivery element that is inserted or implanted into a human body and anchored or fixed to tissue to delivery a therapy to a patient. In one embodiment an implantable neurostimulator uses an electrical stimulation lead to delivery a therapy such as sacral nerve stimulation, peripheral nerve stimulation, and the like. In another embodiment the implantable therapeutic substance delivery device, also known as a drug pump, is connected to a catheter to deliver a therapy to treat conditions such as spasticity, cancer, pain, and the like. The therapy delivery element is anchored to tissue using an adjustable anchor having a therapy grip element, at least two extension elements connected to the therapy grip element, and a tissue fixation element connected to the extension elements. The extensions project substantially perpendicular in relation to the therapy delivery element and are configured to actuate the therapy grip element to an opened position and a closed position. A tissue fixation element is connected to the extensions and configured for fixation to a tissue location from an axial direction to the therapy delivery element. The adjustable anchor facilitates minimally invasive procedures, facilitates securing the therapy delivery element in the same plane as the therapy delivery element was inserted, facilitates rapid placement to reduce procedure time, and provides a wide range of other benefits. The adjustable anchor and its methods of operation have many embodiments.
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Citations
39 Claims
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1. A method for operating an adjustable anchor for a therapy delivery element, comprising:
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providing a therapy grip element having a length defined by the boundaries of a first and second opening;
separating a first portion of the therapy grip element from a second portion of the therapy grip element to form a discontinuous inner surface extending the length of the therapy grip element by actuating two extension elements to open the therapy grip element;
placing the therapy element within the inner surface of the therapy grip element;
positioning the therapy grip element at a grip location on the therapy delivery element;
closing the therapy grip element on the therapy delivery element by actuating the two extension elements such that the inner surface of the grip element grippably engages the therapy delivery element;
securing the therapy grip element on the therapy delivery element when the therapy grip element is closed;
positioning a tissue fixation element at a tissue location;
fixing the tissue fixation element to tissue at the tissue location in an orientation along the axial length of the therapy delivery element. - View Dependent Claims (2, 3, 4, 32, 33, 34, 35, 36, 37, 38, 39)
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5. A method for anchoring a therapy delivery element, comprising:
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inserting a therapy delivery element into a human body;
providing a therapy grip element having a length defined by the boundaries of a first and second opening;
separating a first portion of the therapy grip element from a second portion of the therapy grip element to form a discontinuous inner surface extending the length of the therapy grip element by actuating two extension elements to open the therapy grip element;
placing the therapy element within the inner surface of the therapy grip element;
positioning the therapy grip element at a grip location on the therapy delivery element;
closing the therapy grip element on the therapy delivery element by actuating the two extension elements such that the inner surface of the grip element grippably engages the therapy delivery element;
securing the therapy grip element on the therapy delivery element when the therapy grip element is closed;
positioning a tissue fixation element at a tissue location;
fixing the tissue fixation element to tissue at the tissue location in an orientation along the axial length of the therapy delivery element; and
,connecting the therapy delivery element to a therapy delivery device. - View Dependent Claims (6, 7, 8, 9, 10, 11, 12)
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13. An adjustable anchor for a therapy delivery element, comprising:
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a therapy grip element configured to be actuated to at least one of an open position or a closed position, the therapy grip element comprising a first portion and a second portion and having a length defined by the boundaries of a first and second opening, wherein in the open position the grip element comprises a discontinuous inner surface extending the length of the grip element and the first portion is separated from the second portion by a first distance, and wherein in the closed position the first portion is separated from the second portion by a second distance less than the first distance and the inner surface is configured to grippingly engage the therapy delivery element, at least two extension elements connected to the therapy grip element, the extension element configured to extend substantially perpendicular from a therapy delivery element and the extension elements being configured to actuate the therapy grip element; and
,a tissue fixation element connected to the extension elements, the tissue fixation element configured to be fixed to a tissue location from an axial direction to the therapy delivery element. - View Dependent Claims (14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30)
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31. An implantable therapy delivery system having an adjustable anchor, comprising:
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an implantable therapy delivery device;
at least one therapy delivery element coupled to the implantable therapy delivery device;
an adjustable anchor coupleable to the therapy delivery element, the adjustable anchor being implantable and including, a therapy grip element configured to be actuated to at least one of an open position or a closed position, the therapy grip element comprising a first portion and a second portion and having a length defined by the boundaries of a first and second opening, wherein in the open position the grip element comprises a discontinuous inner surface extending the length of the grip element and the first portion is separated from the second portion by a first distance, and wherein in the closed position the first portion is separated from the second portion by a second distance less than the first distance and the inner surface is configured to grippingly engage the therapy delivery element, at least two extension elements connected to the therapy grip element, the extension element extending substantially perpendicular from the therapy delivery element, and the extension elements being configured to actuate the therapy grip element; and
,a tissue fixation element connected to the extension elements, the tissue fixation element configured to be fixed to a tissue location from an axial direction to the therapy delivery element.
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Specification