Subcutaneous implant integrated instrument
Aspects of the present disclosure are directed toward apparatuses, systems, and methods that comprise an introducer apparatus for facilitating subcutaneous implantation of a medical device. In certain instances, the apparatus may include a housing, an inserter configured to pass the medical device through the housing, and a tunneler configured to form a subcutaneous pocket for the medical device.
1. An introducer apparatus for facilitating subcutaneous implantation of a medical device, the introducer apparatus comprising: a housing having a proximal end and a distal end, the housing defining at least one distal opening at or adjacent to the distal end; an inserter configured to pass the medical device through the at least one distal opening of the housing and to extend through a proximal opening and the at least one distal opening of the housing; and a tunneler configured to extend distally of the housing to form a subcutaneous pocket in tissue of a patient for implantation of the medical device, the tunneler being moveable relative to the housing and configured to retract in response to withdrawal of the inserter through engagement of snap-fit portions on the tunneler and the inserter after extension of the inserter through the distal opening of the housing.
2. The introducer apparatus of claim 1 , wherein the housing comprises a first channel extending along a length of the housing proximally from the at least one distal opening, and a second channel extending between the proximal opening and the at least one distal opening along the length of the housing, and the tunneler is configured to move within the first channel, and the inserter is configured to move within the second channel.
3. The introducer apparatus of claim 2 , wherein the inserter comprises a first portion and a second portion, the second portion being configured to engage the medical device and pass the medical device through the at least one distal opening of the housing.
4. The introducer apparatus of claim 3 , wherein the first portion of the inserter is configured to engage the second portion of the inserter to move the second portion and the first portion together within the second channel in a first configuration, extend the second portion of the inserter through the at least one distal opening and engage a portion of the tunneler in a second configuration, and retract the tunneler from the at least one distal opening along the first channel in a third configuration.
5. The introducer apparatus of claim 4 , further comprising a compartment within the housing configured to releasably hold the medical device.
6. The introducer apparatus of claim 5 , wherein the medical device is releasably held within the compartment in a loading configuration, and the first portion of the inserter is configured to retract the second portion of the inserter to move the first portion and the second portion together toward the proximal opening from the loading configuration, and the medical device releases from the compartment into the second channel.
7. A system comprising: a medical device; and an introducer apparatus for facilitating subcutaneous implantation of the medical device, the introducer apparatus comprising: a housing having a proximal end and a distal end, and including at least one distal opening at or adjacent to the distal end, an inserter configured to pass the medical device through the at least one distal opening of the housing and to extend through a proximal opening and the at least one distal opening of the housing, and a tunneler configured to form a subcutaneous pocket for the medical device and extend distally of the housing for insertion of the medical device in a first configuration, and retract in response to withdrawal of the inserter relative to the first configuration in a second configuration through engagement of snap-fit portions on the tunneler and the inserter after extension of the inserter through the distal opening of the housing.
8. The system of claim 7 , wherein the housing comprises a first channel extending along a length of the housing proximally from the at least one distal opening, and a second channel extending between the proximal opening and the at least one distal opening along the length of the housing, and the tunneler is configured to move within the first channel, and the inserter is configured to move within the second channel.
9. The system of claim 7 , wherein the inserter comprises a first portion and a second portion, the second portion being configured to engage the medical device and pass the medical device through the at least one distal opening of the housing.
10. The system of claim 9 , wherein the first portion of the inserter is configured to: engage the second portion of the inserter to move the second portion and the first portion together within the second channel in the first configuration, extend the second portion of the inserter through the at least one distal opening and engage a portion of the tunneler in the second configuration, and retract the tunneler from the at least one distal opening along the first channel in a third configuration.
11. The system of claim 7 , further comprising a compartment within the housing configured to releasably hold the medical device.
12. The system of claim 7 , wherein the tunneler comprises a central portion and end portions surrounding the central portion, wherein the central portion comprises a greater width than at least one of the end portions of the tunneler.
13. The system of claim 12 , wherein the tunneler comprises a distal tip having a depth that is less than a depth of the central portion and the end portions of the tunneler.