Repositionable therapy delivery element anchor

• US 9,550,045 B2
• Filed: 01/24/2012
• Issued: 01/24/2017
• Est. Priority Date: 01/28/2011
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Baudino, Michael D., Stolz, Brian T.
• Primary Examiner(s): BOUCHELLE, LAURA A
• Application Number:
  US13/982,203
• Publication Number:
  US 20140155832A1
• Time in Patent Office: 1,827 Days
• US Class Current: 1/1
• 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 25/02 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
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence

Abstract

This disclosure includes an anchor configured to maintain a portion of a therapy delivery element within a desired location of a patient. The anchor comprises a body forming a lumen configured to compressibly engage the outer surface of the therapy delivery element to hold the anchor in place about the therapy delivery element. The anchor may be stretched such that the lumen becomes larger than the cross-section of the therapy delivery element to facilitate positioning the anchor about the therapy delivery element. The body forms two or more channels that facilitate radial stretching of the anchor using a pronged tool. Radially stretching the body via the channels using the pronged tool reduces a holding force of the anchor on the therapy delivery element to facilitate adjusting a position of the anchor relative to the therapy delivery element.

Claims

1. An anchor configured to maintain a portion of a therapy delivery element within a desired location of a patient, the anchor comprising:

a body comprising an elastic material,

wherein the body forms a lumen extending from a first end of the body to a second end of the body,

wherein the lumen is configured to be disposed about the outer surface of the therapy delivery element, and compressibly engage the outer surface of the therapy delivery element to hold the anchor in place about the therapy delivery element,

wherein, when in a relaxed state, a cross-section of the lumen is smaller than a cross-section of the therapy delivery element at the outer surface of the therapy delivery element,

wherein the anchor may be stretched such that the lumen becomes larger than the cross-section of the therapy delivery element to facilitate positioning the anchor about the therapy delivery element,

wherein the body forms two or more channels that facilitate radial stretching of the anchor using a pronged tool,

wherein the two or more channels are radially positioned on opposing sides of the lumen, and

wherein radially stretching the body via the channels using the pronged tool reduces a holding force of the anchor on the therapy delivery element when the anchor is disposed about the outer surface of the therapy delivery element to facilitate adjusting a position of the anchor relative to the therapy delivery element when the lumen is engaged with the outer surface of the therapy delivery element.

2. The anchor of claim 1, wherein the elastic material facilitates radially stretching the anchor body to expand at least a portion of the lumen from a first diameter in the relaxed state to a second diameter in which the portion of lumen is larger than the cross-section of the therapy delivery element without substantial tearing or plastic deformation of the anchor.

3. The anchor of claim 1, wherein the channels extend from the first end of the body to the second end of the body.

4. The anchor of claim 1, wherein the lumen is a first lumen, wherein the channels are lumens that are separate from the first lumen.

5. The anchor of claim 1, wherein the lumen includes at least one of the channels, wherein the therapy delivery element does not fill the at least one of the channels when the lumen is engaged with the outer surface of the therapy delivery element.

6. The anchor of claim 1, further comprising a plurality of bumps on an outer surface of the anchor.

7. The anchor of claim 1, wherein the body is configured to engage the outer surface of the therapy delivery element such that a pull force of 1 pound-force or more is needed to move the anchor along the outer surface of the therapy delivery element.

8. The anchor of claim 1, wherein the channels comprise three or more channels.

9. The anchor of claim 1, wherein the body is configured to engage the outer surface of the therapy delivery element such that a pull force of 1 pound-force or more is needed to move the anchor along the outer surface of the therapy delivery element.

10. A kit comprising:

a therapy delivery element; and

an anchor configured to maintain a portion of the therapy delivery element within a desired location of a patient,

wherein the anchor includes a body comprising an elastic material,

wherein the body forms a lumen extending from a first end of the body to a second end of the body,

wherein the lumen is configured to be disposed about the outer surface of the therapy delivery element, and compressibly engage the outer surface of the therapy delivery element to hold the anchor in place about the therapy delivery element,

wherein, when in a relaxed state, a cross-section of the lumen is smaller than a cross-section of the therapy delivery element at the outer surface of the therapy delivery element,

wherein the anchor may be stretched such that the lumen becomes larger than the cross-section of the therapy delivery element to facilitate positioning the anchor about the therapy delivery element,

wherein the body forms two or more channels that facilitate radial stretching of the anchor using a pronged tool,

wherein the two or more channels are radially positioned on opposing sides of the lumen, and

wherein radially stretching the body via the channels using the pronged tool reduces a holding force of the anchor on the therapy delivery element when the anchor is disposed about the outer surface of the therapy delivery element to facilitate adjusting a position of the anchor relative to the therapy delivery element when the lumen is engaged with the outer surface of the therapy delivery element.

11. The kit of claim 10, further comprising an anchor deployment apparatus,

wherein the lumen of the anchor is stretchable to fit over the anchor deployment apparatus,

wherein the lumen of the anchor is a first lumen,

wherein the anchor deployment apparatus forms a second lumen configured to slidably receive at least a portion of the therapy delivery element such that when the anchor is disposed about the anchor deployment apparatus, the anchor and the anchor deployment apparatus may be freely positioned about the therapy delivery element.

12. The kit of claim 11, wherein the anchor is preloaded about the anchor deployment apparatus.

13. The kit of claim 11, wherein an outer surface of the anchor deployment apparatus is coated with a friction-reducing coating.

14. The kit of claim 10, wherein the body includes a plurality of bumps on an outer surface of the body, and wherein the plurality of bumps are formed from the elastic material.

15. A method for securing a therapy delivery element within a patient with an anchor,

wherein the anchor is configured to maintain a portion of the therapy delivery element within a desired location of a patient disposed about the therapy delivery element,

wherein the anchor includes a body comprising an elastic material,

wherein the body forms a lumen extending from a first end of the body to a second end of the body,

wherein the lumen is configured to be disposed about the outer surface of the therapy delivery element, and compressibly engage the outer surface of the therapy delivery element to hold the anchor in place about the therapy delivery element,

wherein, when in a relaxed state, a cross-section of the lumen is smaller than a cross-section of the therapy delivery element at the outer surface of the therapy delivery element,

wherein the anchor may be stretched such that the lumen becomes larger than the cross-section of the therapy delivery element to facilitate positioning the anchor about the therapy delivery element,

wherein the body forms two or more channels radially positioned on opposing sides of the lumen,

wherein the method comprises:

engaging the channels of the body with distal ends of a pronged tool and radially stretching the anchor with the pronged tool to reduce a holding force of the anchor on the therapy delivery element; and

adjusting a position of the anchor relative to the therapy delivery element while radially stretching the anchor with the pronged tool.

16. The method of claim 15, further comprising:

positioning the anchor on the therapy delivery element using an anchor deployment apparatus with the anchor preloaded on the anchor deployment apparatus,

wherein the lumen of the anchor is stretchable to fit over the anchor deployment apparatus,

wherein the lumen of the anchor is a first lumen, and

wherein the anchor deployment apparatus forms a second lumen configured to slidably receive at least a portion of the therapy delivery element such that when the anchor is disposed about the anchor deployment apparatus, the anchor and the anchor deployment apparatus may be freely positioned about the therapy delivery element.

17. The method of claim 15, further comprising suturing the anchor to a patient tissue to secure the portion of the therapy delivery element within the desired location of the patient.

18. The method of claim 15, wherein the therapy delivery element includes a lead including electrodes, the method further comprising:

implanting a stimulator for delivering a medical therapy to the patient via the lead within the patient;

connecting the stimulator to the lead; and

delivering therapy to the patient with the therapy delivery element.

19. The method of claim 15, wherein the pronged tool is a hemostat.

20. The method of claim 15, wherein the body includes a plurality of bumps on an outer surface of the body, wherein the plurality of bumps are formed from the elastic material.