Inversion delivery device and method for a prosthesis

• US 10,278,817 B2
• Filed: 12/06/2016
• Issued: 05/07/2019
• Est. Priority Date: 05/16/2011
• Status: Active Grant

• Current Assignee: Edwards Lifesciences Corporation
• Original Assignee: HLT, Inc. (Bracco SPA)
• Inventors: Nelson, Dale K., Gainor, John P., Leingang, Evan M., Wilson, Robert Foster, Svendsen, Cassandra Ann Piipo
• Primary Examiner(s): Fishback, Ashley L
• Application Number:
  US15/370,009
• Publication Number:
  US 20170079791A1
• Time in Patent Office: 882 Days
• CPC Class Codes: A61F 2/2418 Scaffolds therefor, e.g. support stents
• CPC Class Codes: A61F 2/2427 Devices for manipulating or deploying heart valves during implantation
• CPC Class Codes: A61F 2/2436 Deployment by retracting a sheath
• CPC Class Codes: A61F 2/2439 Expansion controlled by filaments
• CPC Class Codes: A61F 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2002/9534 for repositioning of stents

Abstract

A delivery device usable to deliver an inverting implant is provided that includes a positioning mechanism that automatically initiates the inversion process once a predetermined length of the implant has exited a delivery catheter. The positioning mechanism allows the implant to be safely and accurately deployed with reduced operator experience and in a greater variety of target locations.

Claims

1. A method for delivering an implant to a target location comprising:

navigating a delivery catheter containing an implant to a target location, said implant being connected to said delivery catheter with a plurality of tethers;

deploying said implant from a distal end of said delivery catheter at a first rate;

verifying desired operation of said implant at the target location prior to releasing said implant;

retracting said implant into said delivery catheter at a second rate faster than said first rate if said verification step indicates an undesirable deployment;

releasing said implant from said delivery catheter if said verification step indicates a desirable deployment.

2. The method of claim 1 wherein deploying said implant from a distal end of said delivery catheter comprises retracting said delivery catheter proximally relative to a pusher catheter contained within said delivery catheter, wherein said implant is located distal of said pusher catheter.

3. The method of claim 2 wherein deploying said implant comprises operating a screw drive mechanism.

4. The method of claim 3 wherein retracting said implant into said delivery catheter if said verification step indicates an undesirable deployment comprises disengaging said screw drive mechanism, thereby allowing said implant to be retracted at said second rate into said delivery catheter with a sliding motion.

5. A method for delivering an implant to a target location comprising:

navigating a delivery catheter containing an implant to a target location, said implant being connected to said delivery catheter with a plurality of tethers;

deploying said implant from a distal end of said delivery catheter;

verifying desired operation of said implant at the target location prior to releasing said implant;

retracting said implant into said delivery catheter if said verification step indicates an undesirable deployment by pulling said plurality of tethers simultaneously;

releasing said implant from said delivery catheter if said verification step indicates a desirable deployment by releasing each of said plurality of tethers.

6. The method of claim 5 wherein releasing said implant from said delivery catheter if said verification step indicates a desirable deployment by releasing each of said plurality of tethers comprises releasing said implant from said delivery catheter if said verification step indicates a desirable deployment by releasing each of said plurality of tethers individually.

7. The method of claim 5 wherein releasing said implant from said delivery catheter if said verification step indicates a desirable deployment by releasing each of said plurality of tethers comprises releasing said implant from said delivery catheter if said verification step indicates a desirable deployment by releasing each of said plurality of tethers simultaneously.

8. The method of claim 5 wherein said releasing said implant comprises unlocking a release mechanism associated with each of said plurality of tethers.

9. The method of claim 8 wherein unlocking a release mechanism comprises removing a single locking pin that passes through all of said release mechanisms.