Transcutaneous implant tools, systems and methods

• US 9,572,970 B2
• Filed: 06/04/2012
• Issued: 02/21/2017
• Est. Priority Date: 06/04/2012
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Vanderpool, Matthew T.
• Primary Examiner(s): DeSanto, Matthew F
• Application Number:
  US13/487,284
• Publication Number:
  US 20130324977A1
• Time in Patent Office: 1,723 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 2560/063 Devices specially adapted for delivering implantable medical measuring apparatus
• CPC Class Codes: A61M 37/0069 Devices for implanting pellets, e.g. markers or solid medicaments for introducing of radioactive sources for interstitial radiation therapy, i.e. brachytherapy A61N5/1027

Abstract

A transcutaneous implant tool is used to push a medical element through an incision and into a patient'"'"'s subcutaneous tissue, while a fin of the tool is engaged beneath the patient'"'"'s skin at the incision site. The tool preferably includes an injection rod for moving the medical element out through an opening of a bore of the tool. The fin, which is located in proximity to the opening, preferably includes a distal-facing surface that extends proximally from the opening at an acute angle with respect to a longitudinal axis of the bore; and the injection rod preferably includes a distal surface that is approximately coplanar with the distal-facing surface of the fin, when the distal surface of the rod is located in proximity to the opening of the bore.

Claims

1. A transcutaneous implant tool comprising:

an elongate body defining a bore and having a length along which the bore extends, the bore being sized to contain a medical element and including an opening formed at a distal end of the body;

a fin connected to the body in proximity to the distal end thereof, the fin comprising a terminal end, located proximal to the distal end of the body, and a relatively flat distal-facing surface that extends proximally from the opening of the bore to the terminal end of the fin at an acute angle with respect to a longitudinal axis of the bore; and

an injection rod including a distal surface, the injection rod fitting within the bore and moveable along the longitudinal axis to a position in relatively close proximity to the opening of the bore where the distal surface of the injection rod is approximately coplanar with the distal-facing surface of the fin.

2. The tool of claim 1, wherein the body includes a retention feature for temporarily holding one of:

the injection rod and the medical element within the bore.

3. The tool of claim 2, wherein the body further includes another retention feature for temporarily holding the other of the injection rod and the medical element within the bore.

4. The tool of claim 3, wherein the retention feature, which holds the injection rod, holds the injection rod at an initial position where the distal facing surface of the rod is located at a distance from the position in relatively close proximity to the opening of the bore, the distance accommodating the medical element, when contained within the bore.

5. The tool of claim 1, wherein the distal end of the body comprises an expandable portion that defines the opening of the bore when expanded.

6. The tool of claim 1, wherein the distal end of the body is enlarged from an adjacent section of the body.

7. The tool of claim 1, wherein the acute angle, at which the flat distal-facing surface of the fin extends, is no greater than approximately 60 degrees.

8. The tool of claim 1, wherein the injection rod further includes a lumen extending from a proximal end thereof to an opening in proximity to the distal surface of the rod.

9. The tool of claim 1, wherein the fin tapers inward across a width of the distal-facing surface and toward the terminal end.

10. A medical system comprising a medical element and a transcutaneous implant tool, the implant tool comprising:

an elongate body comprising a bore and having a length along which the bore extends, the bore containing the medical element and including an opening formed at a distal end of the body;

a fin connected to the body in proximity to the distal end thereof, the fin comprising a terminal end, located proximal to the distal end of the body, and a relatively flat distal-facing surface that extends proximally from the opening of the bore to the terminal end of the fin at an acute angle with respect to a longitudinal axis of the bore; and

an injection rod including a distal surface, the injection rod fitting within the bore and moveable along the longitudinal axis to a position in relatively close proximity to the opening of the bore where the distal surface of the injection rod is approximately coplanar with the distal-facing surface of the fin;

wherein the medical element is wholly contained within the bore of the body, before the injection rod is moved to the position in relatively close proximity to the opening of the bore.

11. The system of claim 10, wherein the body of the implant tool includes a retention feature for temporarily holding one of the injection rod of the implant tool and the medical element within the bore of the tool.

12. The system of claim 11, wherein the body of the implant tool further includes another retention feature for temporarily holding the other of the injection rod of the implant tool and the medical element within the bore.

13. The system of claim 12, wherein the retention feature of the implant tool, which holds the injection rod, holds the injection rod at an initial position where the distal facing surface of the rod is located at a distance from the position in relatively close proximity to the opening of the bore of the implant tool, the distance being between approximately 4 cm and approximately 6 cm.

14. The system of claim 10, where a perimeter profile of the bore approximately matches that of the medical element.

15. The system of claim 10, wherein the medical element comprises a device having at least one sensor.

16. The system of claim 10, wherein the distal end of the body of the implant tool comprises an expandable portion that defines the opening of the bore of the body when expanded.

17. The system of claim 10, wherein the distal end of the body of the implant tool is enlarged from an adjacent section of the body.

18. The system of claim 10, wherein the acute angle, at which the flat distal-facing surface of the fin of the implant tool extends, is no greater than approximately 60 degrees.

19. The system of claim 10, wherein the injection rod of the implant tool further includes a lumen extending from a proximal end thereof to an opening in proximity to the distal surface of the rod.

20. The system of claim 10, wherein the fin of the implant tool tapers inward across a width of the distal-facing surface and toward the terminal end.

21. A transcutaneous implant tool comprising:

an elongate body defining a bore and having a length along which the bore extends, the bore being sized to contain a medical element and including an opening formed at a distal end of the body;

a fin connected to the body in proximity to the distal end thereof, the fin comprising a terminal end, located proximal to the distal end of the body, and a relatively flat distal-facing surface that extends proximally from the opening of the bore to the terminal end of the fin at an acute angle with respect to a longitudinal axis of the bore; and

an injection rod including a distal surface, the injection rod fitting within the bore and moveable along the longitudinal axis to a position in relatively close proximity to the opening of the bore where the distal surface of the injection rod is approximately coplanar with the distal-facing surface of the fin; and

wherein;

the body further comprises a proximal section and a distal section, the bore extending through the distal section, and the proximal section extending laterally away from the longitudinal axis and proximally from the distal section to a proximal end of the body;

the injection rod includes a lateral projection extending from a proximal end of the injection rod, the proximal end of the injection rod being located outside the bore, when the rod is fitted within the bore; and

the lateral projection of the injection rod abuts the proximal end of the body when the injection rod is moved past the position in relatively close proximity to the opening of the bore.

22. A medical system comprising a medical element and a transcutaneous implant tool, the implant tool comprising:

an elongate body comprising a bore and having a length along which the bore extends, the bore containing the medical element and including an opening formed at a distal end of the body;

a fin connected to the body in proximity to the distal end thereof, the fin comprising a terminal end, located proximal to the distal end of the body, and a relatively flat distal-facing surface that extends proximally from the opening of the bore to the terminal end of the fin at an acute angle with respect to a longitudinal axis of the bore; and

an injection rod including a distal surface, the injection rod fitting within the bore and moveable along the longitudinal axis to a position in relatively close proximity to the opening of the bore where the distal surface of the injection rod is approximately coplanar with the distal-facing surface of the fin;

wherein the medical element is wholly contained within the bore of the body, before the injection rod is moved to the position in relatively close proximity to the opening of the bore; and

wherein;

the body of the implant tool further comprises a proximal section and a distal section, the bore extending through the distal section, and the proximal section extending laterally away from the longitudinal axis and proximally from the distal section to a proximal end of the body;

the injection rod of the implant tool includes a lateral projection extending from a proximal end of the injection rod, the proximal end of the injection rod being located outside the bore of the implant tool, when the rod is fitted within the bore; and

the lateral projection of the injection rod abuts the proximal end of the body of the implant tool, when the injection rod is moved past the position in relatively close proximity to the opening of the bore.