Medical device lead tip anchor
Systems and methods which provide retractable anchor configurations for medical device leads are described. A retractable anchor may implement a retractable distention composed of a resilient material. The retractable distention may be distended when in a neutral state and may be contracted when in a biased state. A biasing bulkhead may be configured to receive a bias force sufficient to retract the retractable distention. A stylet may be inserted into an axial lumen of a medical device lead having retractable tip anchor structure and may engage the biasing bulkhead to apply a bias force. A stylet knob may be configured to interface with the stylet and provide bias force to be transferred to the biasing bulkhead of the retractable tip anchor structure. Locking the stylet knob on the medical device lead may maintain the bias force applied to the biasing bulkhead until the stylet knob is unlocked.
1 . An anchor system for a medical device lead, the anchor system comprising:
an elongated body portion having an axial lumen;
retractable distention formed in the elongated body portion, wherein the retractable distention is distended when in a neutral state and is contracted when in a biased state;
a biasing bulkhead terminating the axial lumen and configured to receive a bias force sufficient to retract the retractable distention; and
a stylet locking feature disposed in association with an entry of the axial lumen into the elongated body portion, wherein the stylet locking feature is configured for locking a stylet knob onto the medical device lead and maintaining the bias force on the biasing bulkhead with the retractable distention being held as contracted.
2 . The anchor system of claim 1 , wherein the elongated body portion comprises a portion of an elongated body of the medical device lead and the biasing bulkhead comprises a termination point of the axial lumen at a distal end of the medical device lead.
3 . The anchor system of claim 2 , wherein the retractable distention is composed of a resilient polymeric material.
4 . The anchor system of claim 2 , wherein the retractable distention comprises:
a surface perturbation formed in the elongated body portion, wherein the surface perturbation is distended when the retractable distention is in a neutral state and is contracted when the retractable distention is in a biased state.
5 . The anchor system of claim 2 , wherein the retractable distention is disposed more near the distal end of the medical device lead than are electrodes disposed along the distal end of the medical device lead.
6 . The anchor system of claim 5 , wherein electrical contacts of the medical device lead are disposed along a proximal end of the medical device lead, and wherein each electrical contact of the electrical contacts disposed along the proximal end of the medical device lead is in electrical communication with a respective electrode of the electrodes disposed along the distal end of the medical device lead.
7 . The anchor system of claim 1 , wherein the biasing bulkhead is configured to receive the bias force applied in an axial direction corresponding to the axial lumen, wherein the retractable distention transitions to the biased state and being contracted when the bias force is present on the biasing bulkhead and the retractable distention transitions to the neutral state and being distended when the bias force is removed from the biasing bulkhead.
8 . The anchor system of claim 7 , further comprising:
a stylet configured to interface with the biasing bulkhead at a first end of the stylet and apply the bias force to the biasing bulkhead when a portion of the stylet is passed through the axial lumen; and
the stylet knob configured to interface with a second end of the stylet and provide the bias force to be transferred via the stylet to the biasing bulkhead.
9 . The anchor system of claim 8 , wherein the stylet knob is configured to lock on to the stylet locking feature on a proximal end of the medical device lead and maintain the bias force.
10 . The anchor system of claim 1 , further comprising:
a plurality of retractable distentions formed in the elongated body portion, wherein the plurality of retractable distentions includes the retractable distention, wherein each retractable distention of the plurality of retractable distentions is distended when in a neutral state and is contracted when in a biased state, wherein the biasing bulkhead is configured to receive the bias force applied in an axial direction corresponding to the axial lumen, and wherein each retractable distention of the plurality of retractable distentions transitions to the biased state and being contracted when the bias force is present on the biasing bulkhead and transitions to the neutral state and being distended when the bias force is removed from the biasing bulkhead.
11 . A method comprising:
contracting a retractable distention of an anchor structure by applying a bias force to a biasing bulkhead of the anchor structure, wherein the retractable distention is formed in an elongated body having an axial lumen, and wherein the biasing bulkhead is disposed at a termination point of the axial lumen;
distending the retractable distention of the anchor structure by relieving the bias force from the biasing bulkhead of the anchor structure
inserting a stylet into the axial lumen prior to contracting the retractable distention; and
locking a stylet knob onto an end of a medical device lead comprising the elongated body after contracting the retractable distention of the anchor structure, wherein locking the stylet knob onto the end of the medical device lead results in the stylet maintaining the bias force on the biasing bulkhead and the retractable distention being held as contracted.
12 . The method of claim 11 , wherein the retractable distention is distended when in a neutral state and is contracted when in a biased state, and wherein the retractable distention transitions to the biased state and being contracted when the bias force is present on the biasing bulkhead and transitions to the neutral state and being distended when the bias force is removed from the biasing bulkhead.
13 . The method of claim 11 , wherein the anchor structure comprises a retractable tip anchor disposed on a distal end of a medical device lead between a closed end of the axial lumen and all electrodes of the medical device lead.
14 . The method of claim 11 , wherein the bias force is applied in an axial direction corresponding to the axial lumen.
15 . The method of claim 11 , further comprising:
positioning a distal end of the medical device lead including the elongated body in which the retractable distention is formed prior to the distending the retractable distention; and
unlocking the stylet knob from the medical device lead after the positioning the distal end, wherein the unlocking the stylet knob from the end of the medical device lead results in the stylet releasing the bias force on the biasing bulkhead and the retractable distention allowed to distend.
16 . The method of claim 15 , further comprising:
re-locking the stylet knob onto the medical device lead after the distending the retractable distention of the anchor structure, wherein the re-locking the stylet knob onto the end of the medical device lead results in the stylet again maintaining the bias force on the biasing bulkhead and the retractable distention being held as contracted;
re-positioning the distal end of the medical device lead including the elongated body in which the retractable distention is formed;
re-unlocking the stylet knob from the medical device lead after the re-positioning the distal end, wherein the re-unlocking the stylet knob from the end of the medical device lead results in the stylet releasing the bias force on the biasing bulkhead; and
re-distending the retractable distention of the anchor structure by the releasing the bias force from the biasing bulkhead of the anchor structure.
17 . The method of claim 11 , wherein the stylet knob includes a stylet locking feature having one or more annular constrictions disposed within an interface lumen of the stylet knob, and wherein locking the stylet knob onto the end of the medical device lead comprises:
engaging the one or more annular constrictions with one or more portions of the elongated body disposed to correspond with the one or more annular constrictions.
18 . The method of claim 11 , wherein the elongated body includes one or more electrical contacts disposed along a proximal end of the medical device lead to cooperate with one or more annular constrictions within an interface lumen of the stylet knob facilitating locking of the stylet knob on the medical device lead.
19 . The anchor system of claim 1 , wherein the stylet locking feature comprises:
one or more portions of the elongated body portion disposed to correspond with one or more annular constrictions within an interface lumen of the stylet knob and configured to compressively engage the one or more annular constrictions.
20 . The anchor system of claim 1 , wherein the stylet locking feature comprises:
one or more electrical contacts disposed to cooperate with one or more annular constrictions within an interface lumen of the stylet knob to facilitate locking of the stylet knob on the medical device lead.
21 . The anchor system of claim 1 , wherein the stylet locking feature comprises:
a locking mechanism disposed upon the medical device lead.