Hard tissue anchors and delivery devices
The present invention provides devices, systems and methods for anchoring medical devices to hard tissues, such as bones or bony structures, particularly vertebrae. By anchoring these medical devices directly to the surrounding hard tissue, the devices are anchored closer to the source of treatment. This provides additional stability and reduces migration of the device at the treatment site. Also, by attaching to hard tissue rather than soft tissue, a stronger attachment is often able to be made.
1. A method for anchoring an element within a body, the method comprising:
positioning the element so that a portion resides within an epidural space of the body and portion resides outside of the epidural space;
placing a penetrating end of a hard tissue anchor against a surface of a bone, wherein the penetrating end has a shape configured for penetrating bone, and then applying force to drive the penetrating end of the hard tissue anchor into the surface of the bone;
fixing the portion of the element residing outside of the epidural space to a head of the hard tissue anchor so as to substantially maintain the position of the element;
wherein the element comprises a lead having at least one electrode and positioning comprises positioning the at least one electrode within the epidural space;
wherein the head includes a channel connected to an aperture and further comprising passing a portion of the element through the channel to the aperture; and
wherein fixing comprises deforming the head so as to at least partially close the channel.
2. A method as in claim 1 , wherein the surface of the bone is adjacent a point of entry of the element into the epidural space.
3. A method as in claim 1 , wherein the surface of the bone is on a spinous process of a vertebrae.
4. A method as in claim 1 , wherein the surface of the bone forms at least part of a foramen.
5. A method as in claim 1 , wherein positioning comprises positioning at least one of the at least one electrodes so as to selectively stimulate a dorsal root ganglion.
6. A method as in claim 1 , wherein positioning comprises positioning the element so that at least a portion of the element resides within a foramen.
7. A method as in claim 1 , wherein fixing comprises applying pressure to the head so as to secure the element within the aperture.
8. A method as in claim 7 , wherein applying pressure comprises deforming the head so as to secure the element within the aperture due to friction.
9. A method as in claim 1 , wherein the applying and fixing steps occur at least partially simultaneously.
10. A method as in claim 1 , wherein applying force comprises advancing a distal end of an applicator having the hard tissue anchor mounted thereon so as to drive the penetrating end into the surface of the bone.
11. A method as in claim 10 , further comprising advancing the distal end of the applicator through a percutaneous access opening.