Tissue anchors minimizing migration and maximizing engagement
A tissue anchor for securing an implantable device to tissue such as soft tissue. The anchor includes a tissue-engaging portion having a tissue-engaging configuration which enhances, improves, increases, etc., the engagement, grasp, purchase, etc. of the anchor with the body tissue in which the anchor is implanted. In some embodiments, the tissue-engaging portion cinches or pinches or compresses tissue between sections of the tissue-engaging portion to grab onto or otherwise engage tissue. In some embodiments, a section of the tissue-engaging portion expands or otherwise extends away from the other portions of the anchor to increase engagement of the anchor with the tissue. In some embodiments, a section of the tissue-engaging portion may flare outwardly to drive further into tissue in a direction transverse to other portions of the anchor.
1. A tissue anchor for an implantable device, the tissue anchor having a proximal end and a distal end, the distal end configured for insertion into body tissue, the tissue anchor comprising:
an anchor head at the proximal end of the anchor; and
an anchor shaft extending distally from the anchor head to the distal end of the anchor;
wherein:
the anchor shaft comprises a tissue-engaging portion and a drive portion, the drive portion configured to drive the anchor shaft into body tissue;
the tissue-engaging portion and the drive portion of the anchor shaft are engaged at their respective proximal ends in a first configuration inhibiting relative rotation therebetween, and are shiftable into a second configuration in which the respective proximal ends are released from engagement to allow relative rotation therebetween; and
the respective proximal ends of the tissue-engaging portion and the drive portion of the anchor shaft are shiftable with respect to each other into the second configuration when the anchor shaft has been inserted into the soft body tissue in an insertion configuration to shift the anchor shaft from the insertion configuration into a tissue-engaging configuration within the soft body tissue, the insertion configuration of the anchor shaft facilitating insertion of the anchor shaft into the soft body tissue, and the tissue-engaging configuration of the anchor shaft enhancing engagement of the anchor shaft with the soft body tissue.
2. The tissue anchor of claim 1 , wherein the drive portion has a distal end rotationally coupled with the tissue-engaging portion and positioned within the soft body tissue when the anchor shaft has been fully shifted into the tissue-engaging configuration.
3. The tissue anchor of claim 1 , wherein the tissue-engaging portion includes an anchor section which compresses to pinch tissue therebetween when the tissue-engaging portion shifts from the insertion configuration to the tissue-engaging configuration.
4. The tissue anchor of claim 3 , wherein the anchor section includes helical coils which move closer together as the tissue-engaging portion shifts from the insertion configuration to the tissue-engaging configuration to grasp tissue between the coils to enhance engagement of the anchor with the tissue.
5. The tissue anchor of claim 1 , wherein the tissue-engaging portion includes an anchor section which extends radially outwardly when the tissue-engaging portion shifts from the insertion configuration to the tissue-engaging configuration.
6. The tissue anchor of claim 5 , wherein the anchor section buckles outwardly when the tissue-engaging portion shifts from the insertion configuration to the tissue-engaging configuration.
7. The tissue anchor of claim 5 , wherein the anchor section flares radially outwardly when the tissue-engaging portion shifts from the insertion configuration to the tissue-engaging configuration.
8. The tissue anchor of claim 7 , wherein the anchor section includes barbs which flare outwardly from a stored configuration when the tissue-engaging portion shifts from the insertion configuration to the tissue-engaging configuration.
9. The tissue anchor of claim 7 , wherein the anchor section includes a helical coil with ends flaring outwardly when the tissue-engaging portion shifts from the insertion configuration to the tissue-engaging configuration.
10. The tissue anchor of claim 1 , wherein the drive portion is positioned within the tissue-engaging portion, and the tissue-engaging portion comprises an outer anchor section movable with respect to the drive portion to shift between the insertion configuration and the tissue-engaging configuration.
11. The tissue anchor of claim 1 , wherein the tissue-engaging portion is positioned within the drive portion and includes an anchor section movable with respect to the drive portion from a stored position within the drive portion when the tissue-engaging portion is in the insertion configuration, and an extended position extending outwardly from the drive portion when the tissue-engaging portion is in the tissue-engaging configuration.
12. The tissue anchor of claim 1 , wherein a proximal end of the drive portion engages a proximal end of the tissue-engaging portion to inhibit relative rotational movement between the drive portion and the tissue-engaging portion when the tissue-engaging portion is in the insertion configuration, and the proximal end of the drive portion and the proximal end of the tissue-engaging portion are axially movable out of engagement to allow relative rotational movement between the drive portion and the tissue-engaging portion to shift the tissue-engaging portion into the tissue-engaging configuration.
13. The tissue anchor of claim 12 , wherein relative rotational movement between the drive portion and the tissue-engaging portion allows axial movement of at least a portion of the tissue-engaging portion relative to the drive portion to allow the tissue-engaging portion to shift into the tissue-engaging configuration.
14. An implantable device comprising:
a frame member; and
at least one anchor coupled to the frame member, the anchor having a proximal end and a distal end, the distal end configured for insertion into soft body tissue;
wherein the anchor comprises:
an anchor head at the proximal end of the anchor;
an anchor shaft extending distally from the anchor head to the distal end of the anchor; and
a tissue-engaging portion having a proximal end shiftable with respect to a proximal end of a drive portion to shift the tissue-engaging portion between an insertion configuration in which the proximal end of the tissue-engaging portion is inhibited from rotating relative to the anchor shaft and facilitating insertion of the anchor shaft into tissue, and a tissue-engaging configuration in which the proximal end of the tissue-engaging portion is released from engagement with the proximal end of the drive portion so that tissue-engaging portion can shift into a configuration along the anchor shaft enhancing engagement of the anchor shaft within the soft body tissue in which the anchor shaft has been inserted.
15. The implantable device of claim 14 , further comprising an anchor cover configured to engage the anchor head to facilitate relative movement between the proximal ends of the tissue-engaging portion and the drive portion.
16. The implantable device of claim 15 , wherein the anchor cover is configured to hold the tissue-engaging portion axially with respect to the drive portion to allow the drive portion to be moved axially out of engagement with the tissue-engaging portion when the anchor is in the insertion configuration to allow the tissue-engaging portion to move with respect to the drive portion into the tissue-engaging configuration.
17. The implantable device of claim 16 , wherein the anchor cover is configured to engage a proximal end of the tissue-engaging portion to inhibit rotation of the proximal end of the tissue-engaging portion relative to a proximal end of the drive portion, while relative rotation between the drive portion and the tissue-engaging portion allows axial movement of a distal end of the tissue-engaging portion to shift the tissue-engaging portion into the tissue-engaging configuration.
18. A method of implanting an implantable device in soft tissue, the method comprising:
advancing an anchor shaft of an anchor coupled to the implantable device into soft tissue; and
after the anchor shaft has been inserted into the soft tissue, causing a first portion of the anchor shaft to shift with respect to a second portion of the anchor shaft from an insertion configuration in which the first portion and the second portion are engaged and inhibited from relative rotation to a tissue-engaging configuration in which the first portion and the second portion are released from engagement to allow a third portion of the anchor shaft to increase purchase on the soft tissue to enhance securement of the implantable device with respect to the soft tissue in which the anchor shaft is positioned.
19. The method of claim 18 , wherein the anchor shaft includes a drive portion and a tissue-engaging portion, the method further comprising driving the drive portion into the soft tissue and then causing the tissue-engaging portion to move with respect to the drive portion to increase engagement of the anchor shaft with the soft tissue.
20. The method of claim 19 , further comprising rotating the drive portion to cause the tissue-engaging portion to move into the tissue-engaging configuration.