Anchoring a medical instrument
Some embodiments of a medical anchor device include an elongate body coupled with deployable subcutaneous anchors to secure a catheter instrument (or other medical instrument) in place relative to a skin penetration point. In some circumstances, the elongate body may be in the form of catheter hub body, and the subcutaneous anchors can be deployed from the hub body by adjustment of a movable actuator. A locking member can interact with the actuator so as to retain the actuator in the deployed orientation during the medical procedure.
1. A medical anchoring system, comprising:
a catheter hub body that provides fluid communication from an internal lumen to a distal catheter portion that is insertable through a skin penetration point, the internal lumen extending longitudinally from a proximal end of the catheter hub body toward a distal end of the catheter hub body;
a subcutaneous anchor mechanism movably coupled to the catheter hub body, the subcutaneous anchor mechanism including flexible anchors that are adjustable between a non- deployed orientation and a deployed orientation in which the flexible anchors extend outwardly from the catheter hub body into a subcutaneous layer proximate to the skin penetration point;
an actuator including an external portion that is movable longitudinally relative to the elongate body so as to shift the flexible anchors from the non-deployed orientation to the deployed orientation; and
a locking device attached to the catheter hub body and configured to lock the flexible anchors in the deployed orientation;
wherein the locking device is movable from a first position in which the locking device abuts an external proximal end face of the actuator and a second position in which the locking device abuts with an external distal end face of the actuator, the locking device attached to the catheter hub body in the first and second positions.
2. The system of claim 1 , wherein the locking device hinders movement of the flexible anchors from the deployed position toward the non-deployed position when the locking device is arranged in the second position.
3. The system of claim 1 , wherein the catheter hub body is connected to first and second proximal external lines at the proximal end of the catheter hub body, the first and second proximal external lines being positioned in a generally side-by-side position at the proximal end of the catheter hub body.
4. The system of claim 3 , wherein the catheter hub body provides fluid communication between the first proximal external line and a first lumen of the distal catheter line and provides fluid communication between the second proximal external line and a second lumen of the distal catheter line.
5. The system of claim 3 , wherein the first and second proximal external lines and at least a proximal portion of the catheter hub body are configured to remain external to the skin penetration point when the distal catheter line and the flexible anchors are inserted through the skin penetration point.
6. The system of claim 1 , wherein the actuator comprises a slider instrument that reciprocates along a portion of the first and second proximal external lines at a location proximal of a proximal end of the catheter hub body.
7. The system of claim 6 , wherein the actuator includes an elongate connector member that extends between the subcutaneous anchor mechanism and the external portion of the actuator.
8. The system of claim 1 , wherein the locking device is friction fit between the external proximal end face of the catheter hub body and the distal end face of the external portion of the actuator when the locking device is shifted to the second position.
9. The system of claim 1 , further comprising a first flow restriction device coupled to the first proximal external line at a position proximal to the catheter hub body, and a second flow restriction device coupled to the second proximal external line at a position proximal to the catheter hub body.
10. The system of claim 1 , further comprising a first catheter coupling member at a proximal end of the first proximal external line that is configured to releasably connect with a first fluid cannula, and a second catheter coupling member at a proximal end of the second proximal external line that is configured to releasably connect with a second fluid cannula.
11. The system of claim 1 , wherein the catheter hub body has a greater lateral width at the proximal end than at the distal end.
12. The system of claim 1 , wherein the flexible anchors are positioned between the proximal end and the distal end of the catheter hub body.
13. The system of claim 1 , wherein the flexible anchors comprise a metallic material that exhibits superelasticity when the flexible anchors shifted from the non-deployed orientation to the deployed orientation.
14. The system of claim 13 , wherein the flexible anchors each have a curved shape when adjusted to the deployed orientation, the curved shape including a convexly curved portion facing toward the proximal end of the catheter hub body.
15. The system of claim 1 , wherein the actuator includes an actuator rod that extends through an actuator channel defined inside the catheter hub body and that is coupled with the flexible anchors.
16. The system of claim 10 , wherein the catheter hub body defines side-by-side internal lumens that extending longitudinally from the proximal end of the catheter hub body toward the distal end of the catheter hub body.
17. A medical anchoring system, comprising:
a catheter hub body that provides fluid communication from an internal lumen to a distal catheter portion that is insertable through a skin penetration point, the internal lumen extending longitudinally from a proximal end of the catheter hub body toward a distal end of the catheter hub body, the catheter hub body connected to first and second proximal external lines at the proximal end of the catheter hub body, the first and second proximal external lines being positioned in a generally side-by-side position at the proximal end of the catheter hub body;
a subcutaneous anchor mechanism movably coupled to the catheter hub body, the subcutaneous anchor mechanism including flexible anchors that are adjustable between a non-deployed orientation and a deployed orientation in which the flexible anchors extend outwardly from the catheter hub body into a subcutaneous layer proximate to the skin penetration point;
an actuator including an external portion that is movable longitudinally relative to the elongate body so as to shift the flexible anchors from the non-deployed orientation to the deployed orientation; and
a locking device attached to the catheter hub body and configured to lock the flexible anchors in the deployed orientation;
wherein the locking device is movable from a first position in which the locking device abuts an external proximal end face of the actuator and a second position in which the locking device abuts with an external distal end face of the actuator, the locking device attached to the catheter hub body in the first and second positions, the locking device hinders movement of the flexible anchors from the deployed position toward the non-deployed position when the locking device is arranged in the second position.
18. The system of claim 17 , wherein the first and second proximal external lines and at least a proximal portion of the catheter hub body are configured to remain external to the skin penetration point when the distal catheter line and the flexible anchors are inserted through the skin penetration point.
19. The system of claim 18 , wherein the actuator comprises a slider instrument that reciprocates along a portion of the first and second proximal external lines at a location proximal of a proximal end of the catheter hub body.
20. The system of claim 19 , wherein the actuator includes an elongate connector member that extends between the subcutaneous anchor mechanism and the external portion of the actuator.