Apparatus and method for implanting and securing the position of implantable medical device
View Patent ↗Disclosed is an apparatus and method for facilitating the implantation and secure positioning of implantable medical devices within a subcutaneous pocket formed by a surgeon within the patient. Such apparatus and method are configured to address the above-described challenges of containing implantable medical devices within such subcutaneous pockets, and the spring-like leads or catheters that may be attached to them, during implantation.
1. An implantable medical device comprising:
an implantable medical device housing forming an exterior of either an implantable electrical stimulation device or an implantable drug delivery device, said housing having a front, flat planar face, a back, flat planar face, an edge face extending around a perimeter of said housing between the front planar face and the back planar face, and at least one catheter connection; and
a plurality of suture engaging members each configured to receive a portion of a single suture therein, wherein said suture engaging members are positioned on said housing with respect to one another such that tightening a single suture that simultaneously engages both of said suture engaging members and extends through tissue within a patient's body against which said housing is to be implanted will cause said housing to be pulled against said tissue.
2. The implantable medical device of claim 1 , further comprising a first suture channel extending through said housing from said front face of said housing to said back face of said housing, and a second suture channel extending through said housing from said front face of said housing to said back face of said housing, wherein each of said suture engaging members further comprises a slot extending from an outer edge of said housing into one of said first suture channel and said second suture channel.
3. The implantable medical device of claim 1 , wherein each of said suture engaging members further comprises a fastening post positioned on an upper surface of said edge face of said housing.
4. The implantable medical device of claim 3 , wherein each of said fastening posts further comprises a first generally L-shaped hook opening toward a first side of said housing and a second generally L-shaped hook opening toward a second side of said housing opposite said first side.
5. The implantable medical device of claim 3 , further comprising at least three fastening posts extending upward from said upper surface of said edge face of said housing, wherein at least one of said fastening posts is horizontally offset from at least one other fastening posts so that said fastening posts are not situated in a straight line on said upper surface of said housing.
6. The implantable medical device of claim 1 , further comprising:
at least one channel extending into said housing; and
a retaining appliance removably positioned within said channel, said retaining appliance having a connecting arm configured to fit within and remain removably held within said at least one channel, and a retaining arm attached to said connecting arm and extending away from said connecting arm at an angle to said connecting arm.
7. A method for securing the position of an implantable medical device, comprising:
providing an implantable medical device, said implantable medical device further comprising an implantable medical device housing forming an exterior of either an implantable electrical stimulation device or an implantable drug delivery device, said housing having a front, flat planar face, a back, flat planar face, an edge face extending around a perimeter of said housing between the front planar face and the back planar face, and at least one catheter connection, and a plurality of suture engaging members each configured to receive a portion of a single suture therein, wherein said suture engaging members are positioned on said housing with respect to one another such that tightening a single suture that simultaneously engages both of said suture engaging members and extends through tissue within a patient's body against which said housing is to be implanted will cause said housing to be pulled against said tissue;
forming a subcutaneous pocket in a patient's body having an interior pocket wall;
placing a suture through said back wall of said pocket;
removing a sewing needle from said suture so as to provide two free ends of said suture;
tying said free ends of said suture to cause said suture to form a tightenable suture loop;
inserting portions of said tightenable suture loop into said suture engaging members; and
tightening said suture loop so as to draw said implantable medical device into a final implanted position within said pocket.
8. The method of claim 7 , wherein said implantable medical device further comprises at least one channel extending into said housing, and a retaining appliance removably positioned within said channel, said retaining appliance having a connecting arm configured to fit within and remain removably held within said at least one channel, and a retaining arm attached to said connecting arm and extending away from said connecting arm at an angle to said connecting arm, further comprising the steps of:
upon tightening said suture loop, causing at least a portion of said retaining arm to penetrate subcutaneous tissue on said back wall of said pocket so as to anchor said housing to said back wall.
9. The method of claim 8 , wherein said implantable medical device further comprises a catheter removably connected to said housing, further comprising the steps of:
forming at least a portion of said catheter into a coil; and
prior to said tightening step, positioning said coil between said housing and said back wall of said pocket and beneath at least a portion of said retaining arm.