Anchor systems and methods

• US 8,038,653 B2
• Filed: 07/16/2008
• Issued: 10/18/2011
• Est. Priority Date: 07/16/2008
• Status: Active Grant

• Current Assignee: Interrad Medical, Inc.
• Original Assignee: Interrad Medical, Inc.
• Inventors: Rosenberg, Michael, Killion, Jeffrey D., Taylor, Kyle P., Forsberg, Andrew T., Christianson, Mark R.
• Primary Examiner(s): Stigell; Theodore
• Assistant Examiner(s): HAYMAN, IMANI N
• Application Number:
  US12/174,306
• Publication Number:
  US 20100016801A1
• Time in Patent Office: 1,189 Days
• Field of Search: 604/174, 604/180, 604/179, 606/108
• US Class Current: 604/174
• CPC Class Codes: A61M 2025/024 having a clip or clamp system
• CPC Class Codes: A61M 2025/0246 fixed on the skin having a cover for covering the holding means
• 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

Abstract

Some embodiments of a medical device anchor system include an anchor device that receives a medical instrument (such as a catheter or the like) and secures the instrument in place relative to a skin penetration point. In some circumstances, the anchor device may allow the anchor device to be used after medical instrument is already in place without the need for a second penetration point for the anchor device.

Claims

1. An anchor system for securing a medical instrument, comprising:

a retainer body to couple to a catheter;

a plurality of flexible anchors releasably coupled to the retainer body, each anchor comprising a flexible tine that is deployable in a subcutaneous region to secure the retainer body relative to a penetration point;

an actuator that, when activated, moves the anchors from a non-deployed position to a deployed position in which the anchors flexible anchors extend distally from the retainer body and into the subcutaneous region; and

a retention member coupled to the retainer body that directly engages an outer circumferential surface of the catheter when the retainer body couples to the catheter, wherein the retention member defines a gripping channel that at least partially surrounds the outer circumferential surface of the catheter when the retention member engages the catheter, wherein the gripping channel is at least partially defined by a wall comprising a silicone material to press against the outer circumferential surface of the catheter when the retention member engages the catheter.

2. The anchor system of claim 1, wherein when the anchors are separable from the retainer body when deployed in the subcutaneous region.

3. The anchor system of claim 2, wherein the plurality of anchors are releasably coupled together by the retainer body such that the anchors are collectively deployable into the subcutaneous region, and the anchors are separable from one another when the anchors are deployed in the subcutaneous region so that a first anchor is removable from the subcutaneous region independent of a second anchor.

4. The anchor system of claim 2, wherein the anchors are deployable to extend distally from the retainer body and into the penetration point occupied by the catheter when the retainer body couples to the catheter.

5. The anchor system of claim 1, wherein the actuator comprises a delivery device that is separable from the retainer body.

6. The anchor system of claim 5, wherein the delivery device comprises a movable shaft that is adjustable from a first position to a second position so as to move the anchors toward the deployed position and that is adjustable from the second position to a third position so as to decouple the retainer body from the delivery device.

7. The anchor system of claim 1, wherein the actuator is separable into a first body portion and a second body portion, and the plurality of anchors comprise a first anchor coupled to the first body portion and a second anchor coupled to the second body portion.

8. The anchor system of claim 7, wherein the actuator, when activated, shifts to engage a portion of the retainer body to secure the actuator in an activated position.

9. The anchor system of claim 1, wherein the plurality of anchors extend distally from the retainer body to deploy into the penetration point occupied by the catheter when the retainer body couples to the catheter.

10. The anchor system of claim 1, wherein the retention member is adjustable from an opened configuration to a closed configuration to engage the outer circumferential surface of the catheter.

11. The anchor system of claim 1, further comprising a guide channel that extends distally from the retention member and toward the plurality of anchors when the anchors are in the deployed position.

12. The anchor system of claim 1, wherein each of the anchors comprises a material that exhibits superelasticity.

13. The anchor system of claim 1, further comprising the catheter to couple with the retainer body.

14. An anchor system for securing a medical instrument, comprising:

a retainer body to couple with a medical instrument, wherein a retention member coupled to the retainer body directly engages an outer surface of the medical instrument when the retainer body couples to the medical instrument, wherein the retention member defines an inwardly facing wall comprising a compliant gripping material that compresses against, and applies a holding force to, the outer surface of the medical instrument when the retention member engages the medical instrument;

first and second anchors that are deployable through a skin penetration point and into subcutaneous region so as to secure the retainer body relative to the skin penetration point;

a separable delivery device including an actuator that, when activated, moves the first and second anchors from a non-deployed position to a deployed position in which the anchors flexible anchors extend distally from the retainer body and into the subcutaneous region along an underside of a skin layer; and

a release member that releasably couples the first and second anchors to the retainer body, the release member being adjustable from a first position to a second position in which the first and second anchors are decoupled from the retainer body.

15. The anchor system of claim 14, wherein the compliant gripping material of the inwardly facing wall of the retention member comprises a silicone material.

16. The anchor system of claim 14, wherein when the first and second anchors are releasable from the retainer body when deployed in the subcutaneous region.

17. The anchor system of claim 16, wherein the first and second anchors are releasably coupled together by the retainer body such that the first and second anchors are collectively deployable into the subcutaneous region, and the anchors are separable from one another when the anchors are deployed in the subcutaneous region so that the first anchor is removable from the subcutaneous region independent of the second anchor.

18. The anchor system of claim 17, wherein the anchors are deployable to extend distally from the retainer body and into the skin penetration point occupied by the medical instrument when the retainer body couples with the medical instrument.

19. The anchor system of claim 14, wherein the actuator of the delivery device is movable from a first position to a second position so as to move the first and second anchors toward the deployed position and is movable from the second position to a third position so as to cause separation of the retainer body from the delivery device.

20. The anchor system of claim 14, wherein each of the first and second anchors include a flexible curved tine that is engageable with bodily tissue along the underside of the skin layer when the anchor is deployed in the subcutaneous region.

21. The anchor system of claim 14, further comprising the medical instrument to couple with the retainer body.

22. The anchor system of claim 21, wherein the medical device comprises a catheter to extend distally through the same skin penetration point as the first and second anchors.

23. The anchor system of claim 14, wherein each of the first and second anchors include a flexible tine having a convexly curved longitudinal portion to abut an underside of a skin layer when deployed into the subcutaneous region.

24. The anchor system of claim 23, wherein the flexible curved tine of each of the first and second anchors extends to a free end having an atraumatic bulb.

25. An anchor system for securing a medical instrument, comprising:

a retainer body to releasably couple to a catheter that occupies a skin penetration point, wherein the retainer body includes an adjustable retention member that directly engages an outer circumferential surface of the catheter when the retainer body releasably couples to the catheter; and

first and second flexible anchors coupled to the retainer body and being configured to extend distally from a distal end of the retainer body, the first flexible anchor comprising a first curved tine and the second flexible anchor comprising a second curved tine, the first and second curved tines that is being deployable in a subcutaneous region adjacent to a skin layer to secure the retainer body relative to the skin penetration point, wherein the first and second curved tines are positioned distal to the distal end of the retainer body when deployable in the subcutaneous region adjacent to the skin layer,

wherein the first and second anchors are retained in a non-deployed position prior to insertion through the skin penetration point and are actuatable to a deployed position in which the first and second flexible anchors extend distally from the distal end of the retainer body and through the skin penetration point occupied by the catheter.

26. The anchor system of claim 25, wherein when the first and second anchors are removable from the retainer body when deployed in the subcutaneous region.

27. The anchor system of claim 25, further comprising an actuator to move the first and second flexible anchors to the deployed position.

28. The anchor system of claim 25, wherein the first and second flexible anchors extend distally from the distal end of the retainer body to deploy into the skin penetration point occupied by the catheter while the retainer body resides fully external to the skin penetration point.

29. The anchor system of claim 25, wherein the retention member is adjustable from an opened configuration to a closed configuration to engage the outer circumferential surface of the catheter.

30. The anchor system of claim 29, wherein the retention member defines a gripping channel that at least partially surrounds the catheter when the retention member engages the catheter, wherein the gripping channel is at least partially defined by a wall comprising a soft gripping flexible material to flexibly press against, and apply a frictional holding force to, the outer circumferential surface of the catheter when the retention member engages the catheter.

31. The anchor system of claim 30, further comprising a guide channel that extends distally from the retention member and toward the first and second anchors when the anchors are in the deployed position.

32. The anchor system of claim 31, further comprising the catheter to releasably couple with the retainer body.

33. The anchor system of claim 31, wherein each of the first and second curved tines having a convexly curved portion that extends longitudinally toward a non-sharp free end, wherein the convexly curved portion is oriented to abut an underside of the skin layer when deployed into the subcutaneous region.