Introducer for therapy delivery elements
The disclosure describes an introducer for facilitating implantation of therapy elements into a patient. The introducer has an elongated body that defines a lumen for advancement of a therapy element to an implant site, and includes a curved portion medially located between substantially straight proximal and distal portions. As an example, the shape of the introducer may allow a clinician to more easily, and without substantially damaging surrounding tissue, find the correct tissue depth and follow that tissue depth to the implant site. For example, the introducer may facilitate implantation of a therapy element within or between desired layers of tissue of the patient. In some embodiments, fluid may be injected through the introducer to create a space within the tissue to implant the therapy element. Fluid may also be evacuated through the introducer prior to implantation.
1. A method comprising:
inserting an introducer into a patient, the introducer comprising an elongated body having a proximal end and a distal end for insertion into tissue of the patient, the elongated body defining a lumen;
advancing the distal end of the elongated body through tissue of the patient to a position within the patient proximate to a therapy delivery site;
introducing fluid proximate the distal end of the elongated body to create a space proximate to the therapy delivery site; and
advancing a therapy element from the proximal end of the elongated body to the distal end of the elongated body through the lumen to position the therapy element within the space proximate to the therapy delivery site, wherein the therapy element includes at least one of a group consisting of:
an implantable medical device;
a medical lead including an electrode; and
a catheter configured to deliver a therapeutic agent.
2. The method of claim 1 , wherein introducing fluid comprises introducing fluid through the lumen defined by the elongated body.
3. The method of claim 1 , wherein introducing fluid to create a space comprises introducing fluid to separate layers of tissue of the patient.
4. The method of claim 3 , wherein the layers comprise two of an intra-dermal, deep dermal, or subcutaneous tissue layer of the patient.
5. The method of claim 1 ,
wherein inserting the introducer comprises:
inserting a stylet through the lumen such that a distal end of the stylet is located at the distal end of the elongated body; and
inserting the introducer with the distal end of the stylet located at the distal end of the elongated body, wherein the distal end of the stylet is tapered to an edge, and
wherein advancing the distal end of the elongated body through tissue of the patient comprise dissecting the tissue with the edge of the introducer.
6. The method of claim 5 ,
wherein the stylet is sized to substantially fill the lumen to prevent coring of tissue when inserting the introducer,
wherein the distal end of the stylet includes a pointed tip for tissue dissection, wherein all sides of the stylet are tapered at its distal end.
7. The method of claim 6 , wherein the pointed tip is substantially symmetric.
8. The method of claim 1 , wherein advancing the distal end of the elongated body comprises advancing the distal end substantially parallel to a surface of skin of the patient.
9. The method of claim 1 , wherein the introducer is substantially rigid.
10. The method of claim 1 ,
wherein the introducer further includes a handle protruding from a proximal portion of the elongated body to allow a clinician to control insertion and advancement of the introducer,
wherein the handle provides a surface that is normal to the direction of advancement to allow the clinician to apply force substantially in the direction of advancement.
11. The method of claim 1 ,
wherein the elongated body comprises a substantially straight and substantially rigid proximal portion, a substantially straight and substantially rigid distal portion, and a curved portion located between the proximal portion and the distal portion, the curved portion less rigid than the proximal and distal portions, and
wherein a length of the distal portion as measured from the distal end to the curved portion is at least approximately twice a length of the proximal portion as measured from the curved portion to the proximal end.
12. The method of claim 1 , wherein the lumen is sized to receive at least one of an implantable medical device, an implantable medical lead, or a catheter.
13. The method of claim 1 , wherein the therapy element includes a paddle lead carrying one or more pad electrodes.
14. The method of claim 13 , wherein advancing the therapy element from the proximal end of the elongated body to the distal end of the elongated body through the lumen to position the therapy element within the space proximate to the therapy delivery site comprises advancing the paddle lead carrying one or more pad electrodes from the proximal end of the elongated body to the distal end of the elongated body through the lumen to position the pad electrodes within the space proximate to the therapy delivery site.
15. The method of claim 1 , wherein the therapy element includes the implantable medical device.
16. The method of claim 1 , wherein the therapy element includes the medical lead.
17. The method of claim 1 , wherein the therapy element includes the catheter configured to deliver the therapeutic agent.