In one embodiment, an apparatus for securing a lead within a burr hole comprises: an annular body structure adapted to be at least partially inserted within the burr hole; a lead retainer structure mechanically coupled to the annular body structure and adapted to be rotated along an inner perimeter of the annular body structure; the lead retainer structure including a lead engaging member for capturing the lead, wherein the lead engaging member pivots relative to the lead retainer structure; and a fixation member that is adapted to lock the lead retainer structure in place after the lead has been captured by the lead engaging member.