Anchor instrumentation and methods
Some embodiments of a medical device anchor system include an anchor sleeve that receives a catheter (or other medical instrument) though a working channel of the anchor sleeve. The anchor sleeve may include a first actuator that controls the extension of one or more subcutaneous tines into the subcutaneous region under the skin. The anchor sleeve can also include a second actuator that can cause the anchor sleeve to lock onto an outer portion of the catheter (or other medical instrument) arrange in the working channel.
1. A method of delivering a medical device to an internal body site, comprising:
adjusting a first actuator to shift a first anchor tine of a first flexible anchor and a second anchor tine of a second flexible anchor to a deployed orientation, the first actuator comprising an inner surface movably engaged with an outer surface of an elongate body that faces radially outward from a channel;
positioning a medical device in a channel of the elongate body, the channel extending from a proximal opening to a distal tip opening;
adjusting a second actuator, independent from the first actuator, from a first position to a second position to urge a locking device to releaseably engage with at least a portion of an outer surface of the medical device when the medical device is received in the channel, the second actuator comprising a surface that is movably engaged with the elongate body.
2. The method of claim 1 , wherein the elongate body is releaseably secured to a skin region proximate a percutaneous opening when the first and second anchor tines are deployed into a subcutaneous region.
3. The method of claim 1 , wherein adjusting the first actuator comprises moving the first actuator axially along the elongate body, and adjusting the second actuator comprises rotating the second actuator about a longitudinal axis of the elongate body.
4. The method of claim 1 , wherein the second actuator is rotatable between the first position and the second position that urges the locking device to releasably lock with the medical device when the medical device is received in the channel.
5. The method of claim 1 , wherein the locking device has a maximum axial length that is less than a maximum axial length of the second actuator, and the locking device is housed inside an interior space of the second actuator.
6. The method of claim 1 , wherein the first and second flexible anchors are coupled to the first actuator via a slideable internal member nonrotatably mounted to the elongate body.
7. The method of claim 1 , wherein the locking device comprises a polymeric member that is compressed upon the outer surface of the medical device in response to the adjustment of the second actuator when the medical device is received in the channel.
8. The method of claim 1 , wherein the first and second actuators are each supported by the elongate body.
9. The method of claim 8 , wherein an outer surface of the second actuator is oriented transversely to an outer surface of the first actuator in the first position and the outer surface of the second actuator is oriented in alignment with the outer surface of the first actuator in the second position.
10. The method of claim 9 , wherein the second actuator is positioned directly adjacent to the first actuator when the locking device is releaseably engaged with at least a portion of the outer surface of the medical device.
11. The method of claim 9 , comprising positioning the elongate body adjacent to a percutaneous opening, the elongate body comprising the first and second anchor tines.
12. The method of claim 11 , wherein the first and second anchor tines are retracted within an internal space of the elongate body during positioning of the elongate body.
13. The method of claim 12 , wherein adjusting the first actuator comprises deploying the first and second anchor tines from the internal space.
14. The method of claim 12 , wherein adjusting the first actuator causes the first anchor tine to extend outwardly through a first opening of a wall of the elongate body and the second tine to extend outwardly through a second opening of the wall of the elongate body.
15. The method of claim 14 , wherein adjusting the first actuator comprises moving a slider device that reciprocates in a direction substantially parallel to a longitudinal axis of the elongate body, and wherein adjusting the second actuator comprises moving a twist device that at least partially rotates about the longitudinal axis of the elongate body.
16. A method of delivering a medical device to an internal body site, comprising:
adjusting a first actuator to shift a first anchor tine of a first flexible anchor and a second anchor tine of a second flexible anchor to a deployed orientation, the first actuator supported by an elongate body and comprising an inner surface movably engaged with an outer surface of the elongate body that faces radially outward from a channel;
positioning a medical device in a channel of the elongate body, the channel extending from a proximal opening to a distal tip opening;
adjusting a second actuator, independent from the first actuator, from a first position to a second position to urge a locking device to releaseably engage with at least a portion of an outer surface of the medical device when the medical device is received in the channel, the second actuator supported by the elongate body and comprising a surface that is movably engaged with the elongate body;
wherein the first and second flexible anchors are coupled to the first actuator via a slideable internal member nonrotatably mounted to the elongate body.
17. The method of claim 16 , wherein an outer surface of the second actuator is oriented transversely to an outer surface of the first actuator in the first position and the outer surface of the second actuator is oriented in alignment with the outer surface of the first actuator in the second position.
18. The method of claim 17 , wherein the second actuator is positioned directly adjacent to the first actuator when the locking device is releaseably engaged with at least a portion of the outer surface of the medical device.
19. The method of claim 17 , wherein adjusting the first actuator comprises moving the first actuator axially along the elongate body, and adjusting the second actuator comprises rotating the second actuator about a longitudinal axis of the elongate body.
20. The method of claim 19 , wherein adjusting the first actuator causes the first anchor tine to extend outwardly through a first opening of a wall of the elongate body and the second tine to extend outwardly through a second opening of the wall of the elongate body.