Burr hole plug having dual slidable clamping mechanisms

• US 8,731,686 B2
• Filed: 12/03/2009
• Issued: 05/20/2014
• Est. Priority Date: 10/26/2007
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Lane, Courtney, Geroy, Jesse, Makous, James C., Whitehurst, Todd, Flowers, Matthew, Barker, John Michael, Ferrell, Terry, Swoyer, John, Schleicher, Brett, Gagnon, Jeff, DiGiore, Andrew, Garai, Ellis, Jaax, Kristen, Carbunaru, Rafael
• Primary Examiner(s): BOCKELMAN, MARK
• Application Number:
  US12/630,761
• Publication Number:
  US 20100145357A1
• Time in Patent Office: 1,629 Days
• Field of Search: 607/116, 606129-130, 248 56- 57, 600/378
• US Class Current: 607/116
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 2090/103 Cranial plugs for access to brain
• CPC Class Codes: A61B 90/10 for stereotaxic surgery, e.g. frame-based stereotaxis
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/0539 Anchoring of brain electrode systems, e.g. within burr hole

Abstract

A burr hole plug comprises a plug base configured for being mounted around a burr hole. The plug base includes an aperture through which an elongated medical device exiting the burr hole may pass. The burr hole plug further comprises a retainer configured for being mounted within the aperture of the plug base. The retainer further includes first and second slidable clamping mechanisms configured for securing the medical devices therebetween within the aperture of the plug base. A method comprises introducing the medical device through the burr hole, mounting a plug base around the burr hole, such that the medical device extends through the plug base aperture, mounting the retainer within the aperture of the plug base, and sliding the first and second clamping mechanisms secure the medical device therebetween.

Claims

1. A cranial burr hole plug, comprising:

a plug base configured for being mounted around a cranial burr hole, the plug base including an aperture through which a plurality of elongated medical devices exiting the burr hole may pass; and

a retainer configured for being mounted within the aperture of the plug base, the retainer including a retainer support, a slot formed in the retainer support for receiving the medical devices, and first and second slidable clamping mechanisms slidably engaged with the retainer support for securing the medical devices received within the slot, said first and second slidable clamping mechanisms securing the medical devices therebetween within the aperture of the plug base.

2. The burr hole plug of claim 1, wherein the aperture of the plug base is circular.

3. The burr hole plug of claim 1, wherein the greatest dimension of the aperture is equal to or less than 25mm.

4. The burr hole plug of claim 1, wherein the retainer is configured for being removably mounted within the aperture of the plug base.

5. The burr hole plug of claim 1, wherein the plug base includes at least one inner annular ledge configured for supporting the retainer when mounted within the aperture of the plug base.

6. The burr hole plug of claim 1, wherein the first and second slidable clamping mechanisms are configured for securing the medical devices along any one of a plurality of chords of the aperture of the plug base.

7. The burr hole plug of claim 1, wherein the retainer support is a disk.

8. The burr hole plug of claim 1, wherein each of the first and second clamping mechanisms has a clamping bar and a slidable flange slidably engaged with the retainer support to laterally slide the clamping bar to secure the medical devices received within the slot.

9. The burr hole plug of claim 8, wherein at least one of the first and second clamping bars has a clamping surface with relief features.

10. The burr hole plug of claim 8, wherein each of the first and second clamping mechanisms has a locking element configured for locking the respective clamping bar relative to the retainer support when the medical devices are secured.

11. The burr hole plug of claim 8, wherein the retainer includes first and second recesses formed in the retainer support on opposite sides of the slot, wherein the slidable flanges of the first and second clamping mechanisms are slidably engaged within the respective recesses.

12. The burr hole plug of claim 11, wherein the retainer includes first and second pairs of C-channels, each pair disposed on opposite sides of the respective recess, wherein a pair of opposing edges of each slidable flange are respectively received within the respective C-channels.

13. The burr hole plug of claim 8, wherein the retainer support includes first and second portions, and the retainer further includes a hinge coupled to the first and second flange portions, whereby the first and second flange portions can be alternately hinged open to laterally receive the medical leads within the slot and hinged closed to encompass the medical lead within the slot.

14. The burr hole plug of claim 1, wherein the slot is configured for laterally receiving the medical devices.

15. The burr hole plug of claim 1, further comprising fasteners configured for anchoring the plug base to a cranium of a patient.

16. The burr hole plug of claim 15, wherein the plug base has a plurality of exit grooves configured for respectively seating the medical devices, and wherein the cap is configured for firmly securing the medical devices within the exit grooves when the cap is mounted to the plug base.

17. The burr hole plug of claim 1, further comprising a cap configured for being mounted to the plug base over the retainer.

18. A method of performing a medical procedure on a patient, comprising:

introducing at least one elongated medical device through a cranial burr hole of the patient and into the brain tissue of the patient;

mounting a plug base around the cranial burr hole, such that the at least one medical device extends through an aperture of the plug base;

mounting a retainer within the aperture of the plug base, the retainer including a retainer support, a slot formed in the retainer support, and first and second clamping mechanisms receiving the at least one medical device into the slot; and

sliding the first and second clamping mechanisms relative to the retainer support to secure the at least one medical device received within the slot and between said first and second clamping mechanisms.

19. The method of claim 18, wherein each of the at least one medical device is an electrical lead.

20. The method of claim 18, wherein the at least one medical device comprises a plurality of medical devices.

21. The method of claim 20, wherein the first and second clamping mechanisms secure the medical devices along an off-center chord of the aperture of the plug base.

22. The method of claim 18, further comprising mounting a cap to the plug base over the retainer.