Anchor instrumentation and methods
First Claim
Patent Images
1. A method of delivering a catheter device to an internal body site, comprising:
- advancing an anchor sleeve through a percutaneous opening in a skin layer so that a subcutaneous cuff device arranged along an outer surface of the anchor sleeve is disposed in a subcutaneous region along an underside of the skin layer, the subcutaneous cuff device comprising a biocompatible material that receives tissue ingrowth when disposed in the subcutaneous region along the underside of the skin layer;
advancing a catheter device though a working channel of the anchor sleeve and toward a targeted body site such that a distal catheter tip is moved relative to the subcutaneous cuff device disposed in the subcutaneous region along the underside of the skin layer, wherein the distance from the subcutaneous cuff device to the distal catheter tip defining a cuff-to-tip distance;
adjusting the cuff-to-tip distance by moving the catheter device relative to the anchor sleeve while the subcutaneous cuff device is disposed in the subcutaneous region along the underside of the skin layer; and
releasably affixing the catheter device in the working channel by compressing a cylindrical surface portion of the anchor sleeve upon at least a portion of an outer circumferential surface of the catheter device so that the portion of the outer circumferential surface of catheter device is retained in a fixed relation to the anchor sleeve.
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Abstract
Some embodiments of a medical device anchor system includes an anchor sleeve and a catheter (or other medical instrument) to advance though a working channel of the anchor sleeve. The anchor sleeve may have a subcutaneous cuff device arranged along an outer surface. In such circumstances, the embedded cuff device can inhibit the migration of infection from outside the skin and into the blood stream.
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Citations
20 Claims
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1. A method of delivering a catheter device to an internal body site, comprising:
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advancing an anchor sleeve through a percutaneous opening in a skin layer so that a subcutaneous cuff device arranged along an outer surface of the anchor sleeve is disposed in a subcutaneous region along an underside of the skin layer, the subcutaneous cuff device comprising a biocompatible material that receives tissue ingrowth when disposed in the subcutaneous region along the underside of the skin layer; advancing a catheter device though a working channel of the anchor sleeve and toward a targeted body site such that a distal catheter tip is moved relative to the subcutaneous cuff device disposed in the subcutaneous region along the underside of the skin layer, wherein the distance from the subcutaneous cuff device to the distal catheter tip defining a cuff-to-tip distance; adjusting the cuff-to-tip distance by moving the catheter device relative to the anchor sleeve while the subcutaneous cuff device is disposed in the subcutaneous region along the underside of the skin layer; and releasably affixing the catheter device in the working channel by compressing a cylindrical surface portion of the anchor sleeve upon at least a portion of an outer circumferential surface of the catheter device so that the portion of the outer circumferential surface of catheter device is retained in a fixed relation to the anchor sleeve. - View Dependent Claims (2, 3, 5, 6, 7, 8, 9)
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4. A method of delivering a catheter device to an internal body site, comprising:
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advancing an anchor sleeve through a percutaneous opening in a skin layer so that a subcutaneous cuff device arranged along an outer surface of the anchor sleeve is disposed in a subcutaneous region along an underside of the skin layer, the subcutaneous cuff device comprising a biocompatible material that receives tissue ingrowth when disposed in the subcutaneous region along the underside of the skin layer; advancing a catheter device though a working channel of the anchor sleeve and toward a targeted body site such that a distal catheter tip is moved relative to the subcutaneous cuff device disposed in the subcutaneous region along the underside of the skin layer, wherein the distance from the subcutaneous cuff device to the distal catheter tip defining a cuff-to-tip distance; adjusting the cuff-to-tip distance by moving the catheter device relative to the anchor sleeve while the subcutaneous cuff device is disposed in the subcutaneous region along the underside of the skin layer; actuating a locking device to releasably affixes the catheter device to the anchor sleeve when the catheter device reaches the targeted body site; and shifting one or more flexible anchors from a non-deployed orientation to a deployed orientation contemporaneously with the actuation of the locking device, wherein the anchor sleeve comprises a main body and an actuator that is adjustable relative to the main body from a first position to a second position so as to simultaneously shift the flexible anchors to the deployed orientation and shift the locking device to compress at least a portion of an outer surface of the catheter device. - View Dependent Claims (19, 20)
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10. A method of delivering a catheter device to an internal body site, comprising:
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advancing at least a portion of an anchor device through a percutaneous opening in a skin layer so that a subcutaneous cuff device arranged mounted to the anchor device is disposed in a subcutaneous region along an underside of the skin layer, the subcutaneous cuff device comprising a biocompatible material that receives tissue ingrowth when disposed in the subcutaneous region along the underside of the skin layer; advancing a catheter device relative to a lockable portion of the anchor device and toward a targeted body site such that a distal catheter tip is moved relative to the subcutaneous cuff device disposed in the subcutaneous region along the underside of the skin layer, wherein the lockable portion of the anchor device is movable to secure with the catheter device, wherein the distance from the subcutaneous cuff device to the distal catheter tip defining a cuff-to-tip distance; adjusting the cuff-to-tip distance by moving the catheter device relative to the anchor sleeve while the subcutaneous cuff device is disposed in the subcutaneous region along the underside of the skin layer; and releasably securing the catheter device to the anchor device by compressing the lockable portion of the anchor device against at least a portion of an outer circumferential surface of the catheter device. - View Dependent Claims (11, 12, 13, 14, 15, 16, 17, 18)
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Specification