In various examples, a suture anchor includes a sheath including a lumen. A frame member is disposed at least partially within the sheath. The frame member includes at least two suture loops extending from the sheath. The suture loops are configured to receive a suture, wherein tightening of the suture causes compression of the frame member to constrict the lumen of the sheath.

Various aspects of the present disclosure are directed toward methods, apparatuses, and systems that include an implantable medical device comprising an implantable lead, a suture sleeve having an interior surface defining a lumen of the suture sleeve that receives the implantable lead, and an engagement feature configured to non-removeably secure the suture sleeve to the implantable lead.

Implantable medical leads include a shield that is guarded at a termination by having a first portion and a second portion of the shield, where the first portion is between a termination of the shield at the second portion and an inner insulation layer that surrounds the filars. The first portion may reduce the coupling of RF energy from the termination of the shield at the second portion to the filars. The first and second portions may be part of a continuous shield, where the first and second portions are separated by an inversion of the shield. The first and second portions may instead be separate pieces. The first portion may be noninverted and reside between the termination at the second portion and the inner layers, or the first portion may be inverted to create first and second sub-portions. The shield termination at the second portion is between the first and second sub-portions.

A shield located within an implantable medical lead may be terminated in various ways at a metal connector. The shield may be terminated by various joints including butt, scarf, lap, or other joints between insulation layers surrounding the lead and an insulation extension. The shield may terminate with a physical and electrical connection to a single metal connector. The shield may terminate with a physical and electrical connection by passing between an overlapping pair of inner and outer metal connectors. The metal connectors may include features such as teeth or threads that penetrate the insulation layers of the lead. The shield may terminate with a physical and electrical connection by exiting a jacket of a lead adjacent to a metal connector and lapping onto the metal connector.

A shield located within an implantable medical lead may be terminated in various ways. The shield may be terminated by butt, scarf, lap, or other joints between insulation layers surrounding the lead and an insulation extension. For lap joints, a portion of an outer insulation layer may be removed and a replacement outer insulation layer is positioned in place of the removed outer insulation layer, where the replacement layer extends beyond an inner insulation layer and the shield. The replacement layer may also lap onto a portion of the insulation extension. The barbs may be located between the replacement layer and the inner insulation layer or the insulation extension. The shield wires have ends at the termination point that may be folded over individually or may be capped with a ring located within one of the insulation layers of the jacket.

In various examples, a suture anchor includes a sheath including a lumen. A frame member is disposed at least partially within the sheath. The frame member includes at least two suture loops extending from the sheath. The suture loops are configured to receive a suture, wherein tightening of the suture causes compression of the frame member to constrict the lumen of the sheath.

An anchor for maintaining a portion of a therapy delivery element within a desired location of a patient has (i) a first opening, (ii) a second opening, (iii) a body member formed of elastic material disposed between the first and second opening, (iv) and a lumen extending though the body member from the first opening to the second opening, and (v) a retention element secured to or integrally formed with the body member for retaining the anchor within a tissue location of a patient. The therapy delivery element has an outer diameter and an outer surface about which the anchor is disposable. The body member has a first inner diameter defined by the lumen in a relaxed state and a second inner diameter defined by the lumen in a radially stretched state. The first inner diameter is smaller than the outer diameter of the therapy delivery element, which is smaller that the second inner diameter. The lumen is configured to be disposed about at least a portion of the therapy delivery element. Radially compressive forces, due to the elastic material of the body member, contribute to retaining the anchor relative to the therapy delivery element.

An implantable therapy lead is disclosed herein. The lead includes an elongated lead body having a suture sleeve. The suture sleeve is supported on the lead body and has each of an outer surface and an inner surface radially inward of the outer surface. The inner surface defines a lumen through which the elongated lead body extends. The suture sleeve further includes a structure projecting radially inward and/or outward from the inner surface. The suture sleeve is compressible from a first state into a second state by applying a constrictive force to the outer surface of the suture sleeve such that, when in the second state, the structure contacts the elongated lead body, at least in part, to resist movement of the elongated lead body relative to the suture sleeve.

An implantable medical lead has a torsional stiffness and is rotationally coupled to a stylet. Applying rotation directly to the lead in turn causes rotation of the stylet. Where the stylet has a bent tip for purposes of steering the lead, the rotation applied to the lead rotates the bent tip so that the lead can be steered by rotating the lead rather than rotating a hub of the stylet. The rotational coupling may be achieved through one or more features provided for the lead and/or the stylet, such as a feature within a lumen of the lead that mates to a feature along the stylet or a feature of the stylet hub that engages the proximal end of the lead. The torsional stillness of the lead may be provided by adding a feature within the lead body, such as a braided metal wire or an overlapping foil.

A lead anchor includes a lead passageway defined along a central body and configured to receive a lead. The central body includes a twistable region that reversibly twists and stretches. First and second hubs are coupled to opposing ends of the central body. The first hub is rotatable relative to the second hub about the central body. Rotation of the first hub relative to the second hub causes twisting of the twistable region. When a lead is inserted into the lead passageway and the twistable region is twisted into a twisted configuration the central body compresses against the lead to retain the lead within the lead passageway. A locking mechanism transitions the hubs between an unlocked position, where the first hub is rotatable relative to the second hub, and a locked position, where the hubs resist rotation relative to one another.