Heart valve prosthesis recapture devices

• US 10,271,948 B2
• Filed: 08/30/2016
• Issued: 04/30/2019
• Est. Priority Date: 04/05/2012
• Status: Active Grant

• Current Assignee: Medtronic Vascular Galway Limited (Medtronic Plc)
• Original Assignee: Medtronic Vascular Galway Limited (Medtronic Plc)
• Inventors: Duffy, Niall
• Primary Examiner(s): Holwerda, Kathleen
• Assistant Examiner(s): Simpson, Sarah
• Application Number:
  US15/251,687
• Publication Number:
  US 20160367363A1
• Time in Patent Office: 973 Days
• CPC Class Codes: A61F 2/2436 Deployment by retracting a sheath
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/9528 for retrieval of stents
• CPC Class Codes: A61F 2002/9534 for repositioning of stents
• CPC Class Codes: A61F 2250/0018 differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2250/0036 differing in thickness
• CPC Class Codes: A61F 2250/0039 differing in diameter

Abstract

Heart valve prosthesis recapture devices and methods for recapture are disclosed, which can be used for recapturing a partially deployed heart valve prosthesis. The recapture device comprises a recapture sleeve, configured to envelop and collapse a partially deployed heart valve prosthesis. The recapture sleeve comprises a distal end, configured to be securely attached to a guide wire, and a proximal end, comprising an opening along a longitudinal axis of the recapture sleeve. The opening can be configured to expand as it engages the heart valve prosthesis, and be biased toward a closed configuration. An attachment element can interface with the distal end of the recapture sleeve and be securely attached to a guide wire, such as by crimping. The recapture sleeve can include a support structure comprising at least one spine and a plurality of ribs.

Claims

1. A method of recapturing a partially deployed heart valve prosthesis comprising:

inserting a heart valve prosthesis recapture device comprising a recapture sleeve securely attached to a guide wire into a body;

delivering a heart valve prosthesis to a location in the body proximal to the recapture sleeve using a catheter, the catheter having a capsule, wherein the capsule is configured to receive the heart valve prosthesis therein for delivery such that a radially inner surface of the capsule faces a radially outer surface of the heart valve prosthesis;

at least partially deploying the heart valve prosthesis;

moving the guide wire in a proximal direction to envelop at least part of the heart valve prosthesis and at least part of the capsule with the recapture sleeve;

capturing the heart valve prosthesis and at least part of the capsule within the recapture sleeve; and

wherein the capsule includes a distal end, and wherein the distal end of the capsule is distal of a distal end of the heart valve prosthesis and proximal of the recapture sleeve after the step of delivering the heart valve prosthesis and prior to the step of moving the guide wire in a proximal direction.

2. The method of claim 1, further comprising attaching the recapture device to the guide wire prior to insertion into a body.

3. The method of claim 1, further comprising releasing a radial constraint about the recapture sleeve.

4. The method of claim 3, further comprising inflating a balloon to expand the recapture sleeve.

5. The method of claim 1, wherein the recapture sleeve radially collapses the heart valve prosthesis.

6. The method of claim 1, further comprising applying force to the heart valve prosthesis in the distal direction while moving the recapture sleeve in the proximal direction to envelop the heart valve prosthesis.

7. The method of claim 1, wherein the capsule facilitates the recapture sleeve in radially collapsing the heart valve prosthesis.

8. The method of claim 1, further comprising repositioning the heart valve prosthesis and deploying the heart valve prosthesis at a desired location.

9. The method of claim 1, further comprising removing the heart valve prosthesis from the body.

10. A method of recapturing a partially deployed heart valve prosthesis comprising:

inserting a heart valve prosthesis recapture device comprising a recapture sleeve securely attached to a guide wire into a body;

delivering a heart valve prosthesis to a location in the body proximal to the recapture sleeve using a catheter, the catheter including a capsule having a proximally-facing opening, the proximally facing opening of the capsule containing the heart valve prosthesis therein such that a radially inner surface of the capsule faces a radially outer surface of the heart valve prosthesis during the step of delivering;

at least partially deploying the heart valve prosthesis;

moving the guide wire in a proximal direction to envelop at least part of the heart valve prosthesis and at least part of the capsule with the recapture sleeve; and

capturing the heart valve prosthesis and at least part of the capsule within the recapture sleeve.

11. The method of claim 10, further comprising attaching the recapture device to the guide wire prior to insertion into a body.

12. The method of claim 10, further comprising releasing a radial constraint about the recapture sleeve.

13. The method of claim 12, further comprising inflating a balloon to expand the recapture sleeve.

14. The method of claim 10, wherein the recapture sleeve radially collapses the heart valve prosthesis.

15. The method of claim 10, further comprising applying force to the heart valve prosthesis in the distal direction while moving the recapture sleeve in the proximal direction to envelop the heart valve prosthesis.

16. The method of claim 10, wherein the capsule facilitates the recapture sleeve in radially collapsing the heart valve prosthesis.

17. The method of claim 10, further comprising repositioning the heart valve prosthesis and deploying the heart valve prosthesis at a desired location.

18. The method of claim 10, further comprising removing the heart valve prosthesis from the body.