Temporary retention device

• US 7,935,127 B2
• Filed: 11/22/2006
• Issued: 05/03/2011
• Est. Priority Date: 09/20/2002
• Status: Active Grant

• Current Assignee: Interrad Medical, Inc.
• Original Assignee: Interrad Medical, Inc.
• Inventors: Rosenberg, Michael S., Claude, Timothy J.
• Primary Examiner(s): Severson; Ryan J
• Application Number:
  US11/562,770
• Publication Number:
  US 20070106330A1
• Time in Patent Office: 1,623 Days
• Field of Search: 606/108, 600/184, 600/217, 604/93.01, 60416401-16408, 604/174, 607/128
• US Class Current: 606/108
• CPC Class Codes: A61B 17/3478 Endoscopic needles, e.g. for infusion biopsy needles A61B10/0233; catheters with injection needles A61M25/0067
• CPC Class Codes: A61B 2017/3484 Anchoring means, e.g. spreading-out umbrella-like structure
• 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
• 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

Abstract

A retention device for anchoring indwelling catheters, sheath introducers, feeding tubes, ostomy bags or other medical devices beneath the skin of a patient includes an deployable section coupled to a medical device; following introduction into a patient, the deployable section is subcutaneously deployed, securely anchoring the device and coupled medical device for the duration of treatment.

Claims

1. A method of using flexible retention tines, comprising:

inserting a catheter through an opening in a skin layer and into a targeted body vessel;

advancing one or more retention tines of an anchor device through the same opening in the skin layer and into a subcutaneous region under the skin layer proximate the targeted body vessel, the retention tines being adjustable to a deployed orientation in which each retention tine has a longitudinal convex curvature extending outwardly toward a free end of the retention tine, the free end of each retention tine terminating at a dull or rounded tip; and

arranging the one or more retention tines in the deployed orientation in the subcutaneous region under the skin layer such that the longitudinal convex curvature of each retention tine bows toward an underside of the skin layer,

wherein the anchor device releasably attaches to an outer surface of the catheter to secure the catheter relative to the opening in the skin layer while the catheter is arranged in the targeted body vessel.

2. The method of claim 1, further comprising withdrawing the one or more retention tines from the subcutaneous region and out through the opening in the skin layer.

3. The method of claim 2, wherein the retention tines are flexible to a second orientation that is different from the deployed orientation during withdrawal from the subcutaneous region and out through the skin layer.

4. The method of claim 1, wherein the retention tines are arranged in a non-deployed orientation during advancement the one or more retention tines through the skin layer.

5. The method of claim 4, further comprising actuating a control rod that is coupled to the retention tines so as to flexibly adjust the retention tines from the non-deployed orientation to the deployed orientation in the subcutaneous region under the skin layer.

6. The method of claim 5, further comprising maintaining the retention tines in the deployed orientation using a locking system.

7. The method of claim 5, further comprising disposing the anchor device on the skin layer proximate to the opening in the skin layer.

8. The method of claim 7, wherein the anchor device is disposed on the skin layer proximate to an underlying vessel.

9. The method of claim 8, wherein the anchor device is retained in position on the skin layer by the retention tines arranged in the subcutaneous region in the deployed orientation.

10. The method of claim 1, wherein the one or more retention tines are formed from nitinol wire, sheet, or tubing that exhibits superelasticity at human body temperature.

11. The method of claim 1, wherein each of the one or more retention tines extends in an arc generally away from the catheter when arranged in the deployed orientation in the subcutaneous region.

12. The method of claim 1, further comprising adjusting an actuator that is coupled to the retention tines so as to flexibly adjust the retention tines from a non-deployed orientation to the deployed orientation in the subcutaneous region under the skin layer.

13. The method of claim 12, further comprising maintaining the retention tines in the deployed orientation in the subcutaneous region for a period of time while the catheter is arranged in the targeted body vessel.

14. The method of claim 13, wherein the catheter device is in fluid communication with an internal portion of the targeted body vessel when the catheter is arranged in the targeted body vessel.

15. The method of claim 13, further comprising withdrawing the retention tines from the subcutaneous region and out through the opening in the skin layer by adjusting the retention tines from the deployed orientation to a second orientation that is different from the deployed orientation.

16. The method of claim 1, further comprising maintaining the retention tines in the deployed orientation in the subcutaneous region using a locking system coupled to the retention tines.

17. The method of claim 1, wherein each retention tine is deployable from a corresponding port in a body of the anchor device.

18. A method of using flexible retention tines, comprising:

inserting a catheter through an opening in a skin layer and into a targeted body vessel;

advancing one or more retention tines of an anchor device through the same opening in the skin layer and into a subcutaneous region adjacent to the skin layer proximate the targeted body vessel, the retention tines being flexibly biased toward a deployed orientation in which each retention tine extends outwardly toward a free end terminating at a dull or rounded tip; and

arranging the one or more retention tines in the deployed orientation in the subcutaneous region adjacent to the skin layer such that a convexly curved portion of each retention tine bows outwardly toward an underside of the skin layer and abuts with the underside of the skin layer when the retention tines are arranged in the deployed orientation in the subcutaneous region adjacent to the skin layer,

wherein the anchor device receives the catheter to secure the catheter relative to the opening in the skin layer.

19. The method of claim 18, wherein the anchor device releasably attaches to an outer surface of the catheter to secure the catheter relative to the opening in the skin layer.

20. The method of claim 19, further comprising:

adjusting an actuator that is coupled to the retention tines so as to flexibly adjust the retention tines from a non-deployed orientation to the deployed orientation in the subcutaneous region under the skin layer; and

maintaining the retention tines in the deployed orientation in the subcutaneous region for a period of time while the catheter is arranged in the targeted body vessel.

21. The method of claim 20, wherein the catheter device is in fluid communication with an internal portion of the targeted body vessel when the catheter is arranged in the targeted body vessel.

22. The method of claim 20, further comprising withdrawing the retention tines from the subcutaneous region and out through the opening in the skin layer by adjusting the retention tines from the deployed orientation to a second orientation that is different from the deployed orientation.

23. The method of claim 18, further comprising maintaining the retention tines in the deployed orientation in the subcutaneous region using a locking system.

24. A method of using flexible retention tines, comprising:

inserting a catheter through an opening in a skin layer and into a targeted body vessel;

advancing one or more retention tines of an anchor device through the same opening in the skin layer and into a subcutaneous region under the skin layer proximate the targeted body vessel, the retention tines being adjustable to a deployed orientation in which each retention tine extends outwardly toward a free end, the free end of each retention tine terminating at a dull or rounded tip; and

arranging the one or more retention tines in the deployed orientation in the subcutaneous region under the skin layer such that a convexly curved portion of each retention tine bows outwardly toward an underside of the skin layer,

wherein the anchor device receives the catheter to secure the catheter relative to the opening in the skin layer, wherein the anchor device comprises a lumen to slideably receive the catheter.

25. The method of claim 24, wherein the anchor device releasably attaches to an outer surface of the catheter to secure the catheter relative to the opening in the skin layer.

26. The method of claim 25, further comprising:

adjusting an actuator that is coupled to the retention tines so as to flexibly adjust the retention tines from a non-deployed orientation to the deployed orientation in the subcutaneous region under the skin layer; and

maintaining the retention tines in the deployed orientation in the subcutaneous region for a period of time while the catheter is arranged in the targeted body vessel.

27. The method of claim 26, wherein the catheter device is in fluid communication with an internal portion of the targeted body vessel when the catheter is arranged in the targeted body vessel.

28. The method of claim 26, further comprising withdrawing the retention tines from the subcutaneous region and out through the opening in the skin layer by adjusting the retention tines from the deployed orientation to a second orientation that is different from the deployed orientation.

29. The method of claim 24, further comprising maintaining the retention tines in the deployed orientation in the subcutaneous region using a locking system.