Anchoring mechanism for an implantable stimulation lead
View Patent ↗An improved anchoring mechanism for an implantable lead is discussed. The anchoring mechanism consists of a tine enclosed in a housing structure. Deployment and retraction of the tine is controlled by the rotation of a stylet releasable connected to the tine. The stylet is inserted through the lead and engages the tine at an interface between them. The stylet is rotated. This serves to rotate the tine to thereby secure the lead connected to an anchor housing from which the tine emerges to body tissue.
1. An implantable medical electrical lead, which comprises:
a) an elongate lead body comprising a lead lumen extending from a proximal lead region to a distal lead region, wherein the proximal lead region is connectable to a medical device and the distal lead region has a distal lead opening of the lead lumen;
b) an anchor housing connected to the distal lead region, the anchor housing comprising a proximal housing portion extending along a first longitudinal axis to a distal housing portion, wherein a housing channel in the anchor housing extends from a proximal channel portion having a proximal channel opening of a first diameter to a distal channel portion having a second diameter less than the first diameter, the proximal channel opening being in communication with the distal lead opening and the lead lumen;
c) a tine positioned inside the housing channel and comprising a proximal tine portion extending to a distal tine portion terminating at a tine point, wherein the proximal tine portion comprises a tine lumen that is in open communication with the distal channel portion of the second diameter leading to the proximal channel opening of the first, greater diameter;
d) wherein the tine is rotatable in a first direction along a plane perpendicular to the first longitudinal axis of the housing and out an opening in the housing to thereby deploy the tine point; and
e) wherein the tine is rotatable in a second, opposite direction along the plane back into the housing opening to thereby retract the tine point.
2. The lead of claim 1 wherein the tine lumen is detachably connectable to a stylet moved through the lead and into the proximal channel opening and then the distal channel portion of the second diameter to connect to the tine in a releasable friction fit relationship for rotational movement thereof by rotating the stylet.
3. The lead of claim 1 wherein the housing has a curved sidewall meeting a planar bottom surface provided with the housing opening.
4. The lead of claim 1 wherein the proximal tine portion resides in the proximal channel portion of the housing and extends along the first longitudinal axis to a tine passage comprising the opening in the housing.
5. The lead of claim 4 wherein the tine passage has a semi circular cross-section perpendicular to the first longitudinal axis of the housing.
6. The lead of claim 1 wherein the proximal tine portion has a second longitudinal axis parallel to the first longitudinal axis of the housing.
7. The lead of claim 1 wherein the housing and tine are composed of a biocompatible metal or polymer material.
8. The lead of claim 1 wherein the distal tine portion is arc shaped.
9. The lead of claim 1 wherein the tine lumen is detachably connectable to a stylet moved through the lead and into the proximal channel opening and then the distal channel portion of the second diameter to connect to the tine at the tine lumen for rotational movement thereof by rotating the stylet, and wherein in response to rotational manipulation of a stylet connected to the tine at the tine lumen,
i) the tine is rotatable in a first direction along the plane perpendicular to the first longitudinal axis of the housing and out the housing opening to thereby deploy the tine point, and
ii) the tine is rotatable in a second, opposite direction along the plane back into the housing opening to thereby retract the tine point.
10. An implantable medical electrical lead, which comprises:
a) an elongate lead body comprising a lead lumen extending from a proximal lead region to a distal lead region, wherein the proximal lead region is connectable to a medical device and the distal lead region has a distal lead opening of the lead lumen;
b) an anchor housing connected to the distal lead region, the anchor housing comprising a proximal housing portion extending along a first longitudinal axis to a distal housing portion, wherein a housing channel in the anchor housing extends from a proximal channel portion having a proximal channel opening of a first area in cross-section perpendicular to the first longitudinal axis to a distal channel portion having a second area in cross-section perpendicular to the first longitudinal axis that is less than the first area, the proximal channel opening being in communication with the distal lead opening and the lead lumen;
c) a tine positioned inside the housing channel and comprising a proximal tine portion extending to a distal tine portion terminating at a tine point, wherein the proximal tine portion comprises a tine lumen that is in open communication with the distal channel portion of the second area leading to the proximal channel opening of the first, greater area;
d) wherein the tine is rotatable in a first direction along a plane perpendicular to the first longitudinal axis of the housing and out an opening in the housing to thereby deploy the tine point; and
e) wherein the tine is rotatable in a second, opposite direction along the plane back into the housing opening to thereby retract the tine point.
11. The lead of claim 10 wherein the tine lumen is detachably connectable to a stylet moved through the lead and into the proximal channel opening and then the distal channel portion of the second area to connect to the tine at the tine lumen for rotational movement thereof by rotating the stylet, and wherein in response to rotational manipulation of stylet connected to the tine at the tine lumen,
i) the tine is rotatable in a first direction along the plane perpendicular to the first longitudinal axis of the housing and out the housing opening to thereby deploy the tine point, and
ii) the tine is rotatable in a second, opposite direction along the plane back into the housing opening to thereby retract the tine point.
12. The lead of claim 10 wherein the tine lumen is detachably connectable to a stylet moved through the lead and into the proximal channel opening and then the distal channel portion of the second diameter to connect to the tine in a releasable friction fit relationship for rotational movement thereof by rotating the stylet.
13. The lead of claim 10 wherein the housing has a curved sidewall meeting a planar bottom surface provided with the housing opening.
14. The lead of claim 10 wherein the proximal tine portion resides in the proximal channel portion of the housing and extends along the first longitudinal axis to a tine passage comprising the opening in the housing.
15. The lead of claim 14 wherein the tine passage has a semi circular cross-section perpendicular to the first longitudinal axis of the housing.
16. The lead of claim 10 wherein the proximal tine portion has a second longitudinal axis parallel to the first longitudinal axis of the housing.
17. The lead of claim 10 wherein the distal tine portion is arc shaped.
18. An anchor housing that is connectable to an implantable medical electrical lead, the anchor housing comprising:
a) a proximal housing portion extending along a first longitudinal axis to a distal housing portion, wherein a housing channel in the anchor housing extends from a proximal channel portion having a proximal channel opening of a first area in cross-section perpendicular to the first longitudinal axis to a distal channel portion having a second area in cross-section perpendicular to the first longitudinal axis that is less than the first area;
b) a tine positioned inside the housing channel and comprising a proximal tine portion extending to a distal tine portion terminating at a tine point, wherein the proximal tine portion comprises a tine lumen that is in open communication with the distal channel portion of the second area leading to the proximal channel opening of the first, greater area;
c) wherein the tine is rotatable in a first direction along a plane perpendicular to the first longitudinal axis of the housing and out an opening in the housing to thereby deploy the tine point; and
d) wherein the tine is rotatable in a second, opposite direction along the plane back into the housing opening to thereby retract the tine point.