In some examples, a fixation device includes a flexible band with a first base portion, a second base portion, and a connecting strap connecting the first base portion to the second base portion, the connecting strap configured to retain a medical device to an anatomical structure of a patient, wherein the flexible band is constructed of a first material. The fixation device may further include a plurality of inserts, each insert of the plurality of inserts defining an inner channel and constructed of a second material more rigid than the first material of the flexible band, wherein a first insert of the plurality of inserts is at least partially within the first base portion, and wherein a second insert of the plurality of inserts is at least partially within the second base portion.