Externally releasable body portal anchors and systems

• US 7,988,674 B2
• Filed: 10/30/2006
• Issued: 08/02/2011
• Est. Priority Date: 10/30/2006
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Skakoon, James Grant, Adams, Matthew H., Johnson, Benjamin A.
• Primary Examiner(s): Stigell; Theodore J
• Assistant Examiner(s): Gilbert; Andrew M
• Application Number:
  US11/589,697
• Publication Number:
  US 20080172068A1
• Time in Patent Office: 1,737 Days
• Field of Search: 604174-175, 604/178, 606/129, 606/130
• US Class Current: 604/174
• CPC Class Codes: A61B 2017/3407 including a base for support on the body
• CPC Class Codes: A61B 2017/347 Locking means, e.g. for locking instrument in cannula
• CPC Class Codes: A61B 2017/3492 against the outside of the body
• CPC Class Codes: A61B 2090/103 Cranial plugs for access to brain
• CPC Class Codes: A61B 5/6864 Burr holes
• CPC Class Codes: A61M 2025/028 having a mainly rigid support structure
• CPC Class Codes: A61M 2039/025 through bones or teeth, e.g. through the skull
• CPC Class Codes: A61M 2039/0261 Means for anchoring port to the body, or ports having a special shape or being made of a specific material to allow easy implantation/integration in the body
• CPC Class Codes: A61M 2039/027 having a particular valve, seal or septum septum A61M2039/0036
• CPC Class Codes: A61M 2039/0279 for introducing medical instruments into the body, e.g. endoscope, surgical tools
• CPC Class Codes: A61M 2039/1027 Quick-acting type connectors
• CPC Class Codes: A61M 2039/1072 with a septum present in the connector
• CPC Class Codes: A61M 2210/0687 Skull, cranium
• CPC Class Codes: A61M 25/0043 characterised by structural features
• CPC Class Codes: A61M 25/005 with embedded materials for reinforcement, e.g. wires, coils, braids
• CPC Class Codes: A61M 25/0067 characterised by the distal end, e.g. tips A61M25/0054, A61M25/04 take precedence; balloon catheters A61M25/10
• CPC Class Codes: A61M 25/0069 Tip not integral with tube
• CPC Class Codes: A61M 25/008 Strength or flexibility characteristics of the catheter tip
• CPC Class Codes: A61M 25/02 Holding devices, e.g. on the body
• CPC Class Codes: A61M 39/0247 Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body peritoneal dialysis catheters A61M1/285; tracheostomy devices A61M16/0465; measuring pressure within the body A61B5/03; colostomy devices A61F5/445; gastrotomy feeding tubes A61J15/0015; means for fixing a feeding tube outside of the body A61J15/0053
• CPC Class Codes: A61M 39/10 : Tube connectors; Tube couplings A61M39/02 takes precedence; connecting needles to syringes or hubs A61M5/34; connecting catheter tubes to hubs A61M25/0014
• CPC Class Codes: A61M 39/26 : Valves closing automatically on disconnecting the line and opening on reconnection thereof check valves A61M39/24
• CPC Class Codes: A61M 5/14244 : adapted to be carried by the patient, e.g. portable on the body
• CPC Class Codes: A61N 1/0539 : Anchoring of brain electrode systems, e.g. within burr hole
• CPC Class Codes: F16L 37/22 : in which the connection is maintained by means of balls, rollers or helical springs under radial pressure between the parts
• CPC Class Codes: Y10S 604/905 : Aseptic connectors or couplings, e.g. frangible, piercable

Abstract

Embodiments of the present invention include anchor assemblies and methods for using the same to immobilize a device within a body portal. In one embodiment, the anchor assembly is utilized to immobilize a catheter relative to a covered (e.g., skin-covered) burr hole formed in a skull. Anchor assemblies in accordance with embodiments of the present invention may include anchors located subdermally that may be unlocked from outside the body to release the device without a surgical procedure.

Claims

1. An anchor assembly for securing a device relative to a skin-covered portal, the anchor assembly comprising:

a retainer positionable in or near the portal and beneath the skin, the retainer comprising;

a body portion including a peripheral edge and a first retaining surface; and

an arm attached to the body portion, the arm comprising a second retaining surface movable, relative to the first retaining surface, between a first position and a second position; and

a lock member comprising an elongate cord removably coupled to the body portion, the lock member movable from an engaged state in which the lock member holds the arm in the second position, to a disengaged state in which the lock member releases the arm from the second position, wherein the lock member is movable from the engaged state to the disengaged state via manipulation of the lock member from outside the skin.

2. The anchor assembly of claim 1, further comprising a base attachable to tissue surrounding the portal, the base to support the peripheral edge of the body portion.

3. The anchor assembly of claim 1, wherein the arm is pivotally coupled to the body portion.

4. The anchor assembly of claim 1, wherein the elongate cord protrudes generally orthogonally from a plane of the body portion.

5. The anchor assembly of claim 1, wherein the retainer further comprises a latch comprising a latch plunger movable from a first position at or within the peripheral edge of the body portion, to a second position extending beyond the peripheral edge of the body portion.

6. The anchor assembly of claim 5, wherein the latch comprises a biasing member capable of moving the latch plunger.

7. The anchor assembly of claim 6, wherein the biasing member comprises a spring.

8. An anchor assembly for securing a therapy delivery device relative to a burr hole, the anchor assembly comprising:

an anchor comprising;

a base comprising a peripheral portion defining a central opening; and

a retainer attachable to the base in or near the central opening, the retainer comprising;

a body portion defining a mounting plane, the body portion comprising a peripheral edge and a first retaining surface formed by an edge of an opening extending through the peripheral edge; and

an arm movably attached to the body portion, the arm comprising a second retaining surface movable, relative to the first retaining surface, between a first position and a second position; and

a lock member comprising an elongate cord detachably received within an opening formed in the body portion of the retainer such that the lock member protrudes outwardly in a direction generally orthogonally from the mounting plane of the body portion.

9. The anchor assembly of claim 8, wherein the anchor is operable to be located beneath skin covering the burr hole, and the lock member is configured to extend outwardly through the skin.

10. The anchor assembly of claim 8, wherein the base further comprises a ledge formed along an inner surface of the peripheral portion, the ledge to receive and support the peripheral edge of the body portion.

11. The anchor assembly of claim 10, wherein the inner surface comprises a plurality of teeth protruding into the central opening, and wherein a recess is defined between adjacent pairs of the plurality of teeth.

12. The anchor assembly of claim 11, wherein the body portion further comprises a tab to engage the recess.

13. The anchor assembly of claim 8, wherein the retainer further comprises a latch comprising a latch plunger biased towards a latched position beyond the peripheral edge of the body portion.

14. The anchor assembly of claim 13, wherein the latch further comprises a stop to hold the latch plunger in an unlatched position within the peripheral edge of the body portion.

15. The anchor assembly of claim 13, wherein the latch further comprises a spring to bias the latch plunger towards the latched position.

16. The anchor assembly of claim 13, wherein a portion of the retainer forms a stop that limits movement of the latch plunger away from the latched position.

17. The anchor assembly of claim 8, wherein the arm is pivotally coupled to the body portion.

18. The anchor assembly of claim 8, wherein the arm comprises a lock surface that abuts the cord when the and is in the second position.

19. The anchor assembly of claim 8, wherein the peripheral portion of the base comprises:

an inner portion to support the retainer; and

an outer portion to secure the base to a bone surface surrounding the burr hole.

20. The anchor assembly of claim 19, wherein the outer portion is pivotally coupled to the inner portion.

21. An anchor assembly for securing a therapy delivery device relative to a burr hole, the anchor assembly comprising:

an anchor comprising;

a base including a peripheral portion defining a central opening, the peripheral portion comprising a ledge formed by a plurality of teeth extending into the central opening;

a retainer positionable on the ledge, the retainer comprising;

a body portion defining a mounting plane, the body portion having a peripheral edge and a first retaining surface formed by an edge of an opening extending through the peripheral edge, the first retaining surface spanning from an interior of the body portion to a location at or near the peripheral edge;

an arm pivotally attached to the body portion, the arm comprising a second retaining surface movable, relative to the first retaining surface, between a first position in which the second retaining surface is oblique to the first retaining surface, and a second position in which the first and second retaining surfaces are generally parallel; and

a latch comprising a latch plunger biased towards a latched position beyond the peripheral edge of the body portion; and

a lock member comprising a first end insertable into a lock opening in the body portion such that the lock member protrudes away from the body portion and outwardly in a direction generally orthogonal to the mounting plane.

22. The anchor assembly of claim 21, wherein the latch further comprises a stop to hold the latch plunger in an unlatched position within the peripheral edge of the body portion.

23. A method for removing a partially implanted device extending through a skin-covered burr hole, the method comprising:

securing the device relative to the burr hole with an anchor assembly, the anchor assembly comprising a subdermal anchor fixed relative to bone surrounding the burr hole, wherein the device protrudes outwardly through skin;

releasing the device from the anchor by manipulation of the anchor assembly while the anchor is covered by the skin, wherein releasing the device comprises applying a release force to a release cord attached to the anchor, the release cord protruding outwardly through the skin; and

applying a force to a portion of the device that protrudes outside the skin to remove the device.

24. The method of claim 23, wherein securing the device relative to the burr hole comprises securing the device between opposing retaining surfaces of the anchor.

25. A method for removing a partially implanted device extending through a skin-covered burr hole, the method comprising:

securing the device relative to the burr hole with an anchor assembly, the anchor assembly comprising a subdermal anchor fixed relative to bone surrounding the burr hole, wherein the device protrudes outwardly through skin;

releasing the device from the anchor by manipulation of the anchor assembly from outside the skin, wherein releasing the device comprises applying a release force to a release cord attached to the anchor, the release cord protruding outwardly through the skin; and

applying a force to a portion of the device that protrudes outside the skin to remove the device.