Anchoring a medical instrument

• US 9,205,230 B2
• Filed: 03/11/2013
• Issued: 12/08/2015
• Est. Priority Date: 11/19/2008
• Status: Active Grant

• Current Assignee: Interrad Medical, Inc.
• Original Assignee: Interrad Medical, Inc.
• Inventors: Rosenberg, Michael S., Christianson, Mark R., Taylor, Kyle P., Forsberg, Andrew T., Barlow, Edward A.
• Primary Examiner(s): Bosques, Edelmira
• Application Number:
  US13/792,673
• Publication Number:
  US 20130190727A1
• Time in Patent Office: 1,002 Days
• Field of Search: 604/174
• US Class Current: 1/1
• 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 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 25/0097 characterised by the hub connectors A61M39/10
• 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

Some embodiments of a medical anchor device include an elongate body coupled with deployable subcutaneous anchors to secure a catheter instrument (or other medical instrument) in place relative to a skin penetration point. In some circumstances, the elongate body may be in the form of catheter hub body, and the subcutaneous anchors can be deployed from the hub body by adjustment of a movable actuator. A locking member can interact with the actuator so as to retain the actuator in the deployed orientation during the medical procedure.

Claims

1. A method for subcutaneously anchoring a catheter instrument, comprising:

inserting a distal catheter line of a catheter hub body through a skin penetration point, wherein the catheter hub body provides fluid communication between a first proximal external line connected to the catheter hub body and a first lumen of the distal catheter line and provides fluid communication between the second proximal external line connected to the catheter hub body and a second lumen of the distal catheter line;

adjusting a pair of subcutaneous anchor elements from a non-deployed orientation in which the subcutaneous anchor elements are housed inside the catheter hub body to a deployed orientation in which free ends of the subcutaneous anchor elements extend outwardly away from the catheter hub body in a subcutaneous layer proximate to the skin penetration point, wherein the pair of subcutaneous anchor elements are adjusted to the deployed orientation by moving an actuator relative to the catheter hub body; and

moving a locking device to a locked position to releasably maintain the pair of subcutaneous anchor elements in the deployed orientation,

wherein the first and second proximal external lines, at least a portion of the actuator, and the locking device remain external to the skin penetration point after the distal catheter line and the pair of subcutaneous anchor elements are inserted through the skin penetration point.

2. The method of claim 1, further comprising releasably connecting a first fluid cannula with a first catheter coupling member at a proximal end of the first proximal external line, and releasably connecting a second fluid cannula with a second catheter coupling member at a proximal end of the second proximal external line.

3. The method of claim 1, wherein the catheter hub body has a greater lateral width at a proximal end than at a distal end, wherein the first and second proximal external lines are connected to the proximal end of the catheter hub body in a generally side-by-side position, wherein the distal catheter line is connected to the distal end of the catheter hub body, and wherein the pair of subcutaneous anchor elements are positioned between the proximal end and the distal end of the catheter hub body.

4. The method of claim 1, wherein the actuator comprises a slider instrument, the method further comprising sliding the actuator along a portion of the first and second proximal external lines at a location proximal of a proximal end of the catheter hub body.

5. The method of claim 4, wherein the locking device is movably connected to the slider instrument of the actuator.

6. The method of claim 1, wherein the actuator includes an actuator rod that extends through an actuator channel defined inside the catheter hub body and that is coupled with the anchor elements.

7. The method of claim 1, wherein the anchor elements are adjusted to the deployed orientation, each of the anchor elements extends outwardly to a rounded tip.

8. The method of claim 1, wherein at least a portion of each anchor element exhibits superelasticity when shifted from the non-deployed orientation to the deployed orientation.

9. The method of claim 1, wherein moving the locking device to the locked position causes the locking device to limit movement of the actuator relative to the catheter hub body and hinders migration the flexible anchors from the deployed position toward the non-deployed position.

10. The method of claim 9, wherein moving the locking device to the locked position causes the locking device to be friction fit between a proximal end of the catheter hub body and a distal facing surface of the actuator.

11. The method of claim 1, wherein a first flow restriction device is coupled to the first proximal external line at a position proximal to the catheter hub body, and a second flow restriction device is coupled to the second proximal external line at a position proximal to the catheter hub body.

12. The method of claim 1, further comprising releasably connecting a first catheter coupling member at a proximal end of the first proximal external line with a first fluid cannula, and releasably connecting a second catheter coupling member at a proximal end of the second proximal external line with a second fluid cannula.

13. The method of claim 1, wherein the catheter hub body has a greater lateral width at the proximal end than at the distal end.

14. The method of claim 13, wherein the flexible anchors are positioned between the proximal end and the distal end of the catheter hub body.

15. The method of claim 1, wherein the flexible anchors each have a curved shape when adjusted to the deployed orientation, the curved shape including a convexly curved portion facing toward the proximal end of the catheter hub body.

16. The method of claim 1, wherein the actuator includes an actuator rod that extends through an actuator channel defined inside the catheter hub body and that is coupled with the flexible anchors.

17. The method of claim 1, wherein when the flexible anchors are adjusted to the deployed orientation, each of the flexible anchors extends outwardly to a rounded tip.

18. The method of claim 1, wherein the catheter hub body comprises a tapered portion along the distal end.

19. The method of claim 1, wherein the catheter hub body defines side-by-side internal lumens that extending longitudinally from the proximal end of the catheter hub body toward the distal end of the catheter hub body.

20. The method of claim 19, wherein the internal lumens have a lumen diameter of 5 French to about 20 French.