Anchoring a medical instrument
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.
1. A system for subcutaneously anchoring a catheter instrument, comprising: a catheter hub body that is connected to first and second proximal external lines and connected to a distal catheter line which is insertable through a skin penetration point, wherein the catheter hub body provides fluid communication between the first proximal external line and a first lumen of the distal catheter line and provides fluid communication between the second proximal external line and a second lumen of the distal catheter line; a pair of subcutaneous anchor elements that are adjustable between a non-deployed orientation in which the subcutaneous anchor elements are housed inside the catheter hub body and 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; an actuator to shift the flexible anchors from the non-deployed orientation to the deployed orientation; and a locking device 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 are configured to remain external to the skin penetration point when the distal catheter line and the pair of subcutaneous anchor elements are inserted through the skin penetration point.
2. The system 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.
3. The system of claim 1 , wherein the first proximal external line comprises a first catheter coupling member at a proximal end of the first proximal external line, wherein the second proximal external line comprises a second catheter coupling member at a proximal end of the second proximal external line, and wherein each of the first and second proximal external line is configured to releasably connect with a medical device.
4. The system 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.
5. The anchor device of claim 4 , wherein the actuator comprises a slider instrument that reciprocates along a portion of the first and second proximal external lines at a location proximal of a proximal end of the catheter hub body.
6. The system of claim 5 , wherein the locking device is movably connected to the slider instrument of the actuator.
7. The system of claim 1 , wherein each of the anchor elements extend from the catheter hub body in an curved manner when in the deployed orientation, and wherein each of the anchor elements extends to a rounded tip.
8. The system 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 system of claim 1 , wherein when the locking device is shifted to an actuator-locked position, the locking device limits 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 system of claim 9 , wherein the locking device is friction fit between a proximal end of the catheter hub body and a distal facing surface of the actuator when the locking device is shifted to the actuator-locked position.
11. A system for subcutaneously anchoring a catheter instrument, comprising: a catheter hub body that is connected to first and second proximal external and connected to a distal catheter line which is insertable through a skin penetration point, wherein the first and second proximal external lines are connected to a proximal end of the catheter hub body in a generally side-by-side position, and wherein the catheter hub body provides fluid communication between the first proximal external line and a first lumen of the distal catheter line and provides fluid communication between the second proximal external line and a second lumen of the distal catheter line; and a pair of subcutaneous anchor elements that are adjustable between a non-deployed orientation in which the subcutaneous anchor elements are housed inside the catheter hub body and a deployed orientation in which free ends of the subcutaneous anchor elements extend laterally outward from the catheter hub body in a subcutaneous layer proximate to the skin penetration point, wherein the subcutaneous anchor elements are flexible and the free ends of the subcutaneous anchor elements comprises rounded tips, wherein the first and second proximal external lines and at least a proximal portion of the catheter hub body are configured to remain external to the skin penetration point when the distal catheter line and the pair of subcutaneous anchor elements are inserted through the skin penetration point.
12. The system of claim 11 , wherein the catheter hub body has a greater lateral width at the proximal end than at a distal end, 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.
13. The system of claim 12 , wherein the first proximal external line comprises a first catheter coupling member at a proximal end of the first proximal external line, wherein the second proximal external line comprises a second catheter coupling member at a proximal end of the second proximal external line, and wherein each of the first and second proximal external line is configured to releasably connect with a medical device.
14. The system of claim 11 , further comprising an actuator that is movably attached to the catheter hub body to shift the flexible anchors from the non-deployed orientation to the deployed orientation.
15. The system of claim 14 , 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.
16. The anchor device of claim 15 , wherein the actuator comprises a slider instrument that reciprocates along a portion of the first and second proximal external lines at a location proximal of a proximal end of the catheter hub body.
17. The system of claim 16 , further comprising a locking device to releasably maintain the pair of subcutaneous anchor elements in the deployed orientation, wherein the locking device is movably connected to the slider instrument of the actuator.
18. The system of claim 17 , wherein when the locking device is shifted to an actuator-locked position, the locking device limits 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.
19. The system of claim 18 , wherein the locking device is friction fit between a proximal end of the catheter hub body and a distal facing surface of the actuator when the locking device is shifted to the actuator-locked position.
20. The system of claim 11 , wherein each of the anchor elements extend from the catheter hub body in an curved manner when in the deployed orientation, and wherein at least a portion of each anchor element exhibits superelasticity when shifted from the non-deployed orientation to the deployed orientation.