# US 10,478,614 B2 · Tools and methods for removing anchors from medical leads

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- Number: US 10,478,614 B2
- Document ID: US10478614B2
- Status: Granted
- Kind: B2
- Application number: 15/483,370
- Filed: 2017-04-10
- Published: 2017-07-27
- Granted: 2019-11-19
- Earliest claimed: 2011-01-27
- Assignees: Medtronic, Inc.
- Applicants: Medtronic, Inc.
- Inventors: Jacob W. Silverberg; Michael J. Kern
- Web page: https://patentgrep.com/patent/US10478614B2

## CPC

- A61N 1/05: for implantation or insertion into the body, e.g. heart electrode (A61N1/06 takes precedence)
- A61B 17/0467: {Instruments for cutting sutures (surgical cutting instruments A61B17/32)}
- A61B 17/3211: Surgical scalpels, knives; Accessories therefor
- A61B 17/50: Instruments {, other than pincettes or toothpicks,} for removing foreign bodies from the human body (surgical pincettes, i.e. surgical tweezers, A61B17/30)
- A61N 1/057: {Anchoring means; Means for fixing the head inside the heart}
- A61B 2017/0411: {Instruments for removing suture anchors}
- A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B)
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

Tools and methods for removing anchors from medical leads involve a guide portion and a blade. The lead is inserted within a lead passageway of the guide portion of the tool and the tool is moved along so that the blade contacts the anchor and cuts a slit in the anchor as the tool. Once the blade has cut the slit through the entire anchor, the anchor comes free of the lead and the tool can be removed. The tool may include a manner of opening and closing the guide portion so as to provide access to the lead when open and to contain the lead when closed. Opening the guide portion allows the lead to be inserted or removed by laterally moving the lead into or out of the lead passageway such that the tool may be installed or removed at any available point along the lead.

## Claims

### Claim 1

A method of removing an anchor from an implantable medical lead, comprising:
opening a lead passageway within a guide portion of an anchor removal tool along a longitudinal dimension of the lead passageway;
introducing the lead into the opening of the lead passageway along the longitudinal dimension;
closing the lead passageway within the guide portion of the anchor removal tool once the lead has been introduced into the lead passageway, the guide portion having a protrusion that is present within the lead passageway upon closing the lead passageway; and
sliding the anchor removal tool along the lead with the lead passing through the guide portion such that a blade of the anchor removal tool cuts through the anchor.

### Claim 2 (depends on 1)

The method of claim 1, wherein opening the lead passageway comprises rotating a first body of the anchor removal tool relative to a second body of the anchor removal tool at a hinged coupling between the first body and the second body such that the second body no longer closes the lead passageway.

### Claim 3 (depends on 1)

The method of claim 1, wherein opening the lead passageway comprises sliding a second body of the anchor removal tool relative to a first body of the anchor removal tool such that the second body no longer closes the lead passageway.

### Claim 4 (depends on 1)

The method of claim 1, further comprising gripping the anchor removal tool at a plurality of protrusions extending from a body of the anchor removal tool when sliding the anchor removal tool.

### Claim 5 (depends on 1)

The method of claim 1, further comprising pressing a finger into an indentation in and edge of the anchor removal tool when sliding the anchor removal tool.

### Claim 6 (depends on 1)

The method of claim 1, further comprising gripping the anchor removal tool at an indentation in opposing sides of the anchor removal tool when sliding the anchor removal tool.

### Claim 7 (depends on 1)

The method of claim 1, further comprising passing at least a portion of the guide portion between the anchor and the lead prior to cutting the anchor with the blade.

### Claim 8 (depends on 1)

The method of claim 1, wherein introducing the lead into the lead passageway comprises inserting the lead in a lateral direction through the opening along the longitudinal dimension of the guide portion.

### Claim 9

A method of removing an anchor from an implantable medical lead, comprising:
opening a lead passageway within a guide portion of an anchor removal tool along a longitudinal dimension of the lead passageway, wherein opening the lead passageway comprises sliding a second body of the anchor removal tool relative to a first body of the anchor removal tool such that the second body no longer closes the lead passageway;
introducing the lead into the opening of the lead passageway along the longitudinal dimension;
closing the lead passageway within the guide portion of the anchor removal tool once the lead has been introduced into the lead passageway; and
sliding the anchor removal tool along the lead with the lead passing through the guide portion such that a blade of the anchor removal tool cuts through the anchor.
