Medical device handle

• US 10,583,005 B2
• Filed: 04/27/2017
• Issued: 03/10/2020
• Est. Priority Date: 05/13/2016
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Calomeni, Michael P., Ino, Takashi H., Raybould, Owen, Gamarra, Randy S., Knab, Jr., Dwight J., Backus, Andrew J. H., Escalona, Floriza Q.
• Primary Examiner(s): Rosen, Eric J
• Assistant Examiner(s): Jamialahmadi, Majid
• Application Number:
  US15/499,009
• Publication Number:
  US 20170325950A1
• Time in Patent Office: 1,048 Days
• CPC Class Codes: A61F 2/2409 Support rings therefor, e.g. for connecting valves to tissue annuloplasty rings A61F2/2442
• CPC Class Codes: A61F 2/2412 with soft flexible valve members, e.g. tissue valves shaped like natural valves check valves with flexible valve members in general F16K15/14
• 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 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2002/9505 having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
• CPC Class Codes: A61F 2002/9665 with additional retaining means

Abstract

A medical device handle may include a handle housing including a cavity disposed within the handle housing. The medical device handle may include a carriage assembly disposed within the cavity and operatively connected to the tubular member and the medical implant, the carriage assembly being longitudinally movable between a distal position and a proximal position by rotation of a control knob with respect to the handle housing, the control knob being disposed around a proximal end of the handle housing. The carriage assembly may include a carriage member, a first sliding member, a second sliding member, and a locking element configured to releasably fix the first sliding member and the second sliding member relative to the carriage member. The locking element may be rotatable relative to the handle housing.

Claims

1. A medical device handle for percutaneous delivery of a medical implant from a tubular member extending distally from the medical device handle, comprising:

a handle housing having a longitudinal axis extending from a proximal end of the handle housing to a distal end of the handle housing, the handle housing including a cavity disposed within the handle housing; and

a carriage assembly disposed within the cavity and operatively connected to the tubular member and the carriage assembly is further configured to be operatively connected to the medical implant, the carriage assembly being longitudinally movable between a distal position and a proximal position by rotation of a control knob with respect to the handle housing, the control knob being disposed around the proximal end of the handle housing;

wherein the carriage assembly includes a carriage member, a first sliding member, a second sliding member, and a lock configured to releasably fix the first sliding member and the second sliding member relative to the carriage member;

wherein the lock is rotatable relative to the handle housing.

2. The medical device handle of claim 1, further including a tubular collar member disposed around a proximal portion of the handle housing, the tubular collar member being rotatable about the handle housing.

3. The medical device handle of claim 2, wherein the lock physically engages the carriage member.

4. The medical device handle of claim 3, wherein rotating the tubular collar member about the longitudinal axis rotates the lock out of engagement with the carriage member.

5. The medical device handle of claim 4, wherein after rotating the lock out of engagement with the carriage member, the first sliding member is longitudinally movable with respect to the second sliding member.

6. The medical device handle of claim 5, wherein the first sliding member is movable proximally, from a first position to a second position, relative to the second sliding member.

7. The medical device handle of claim 6, wherein in the second position, the first sliding member abuts a portion of the second sliding member.

8. The medical device handle of claim 6, wherein after rotating the lock out of engagement with the carriage member, further rotation of the tubular collar member moves the first sliding member proximally relative to the second sliding member.

9. The medical device handle of claim 8, wherein after the first sliding member is in the second position, further rotation of the tubular collar member moves the second sliding member proximally relative to the carriage member.

10. The medical device handle of claim 9, wherein after the first sliding member is in the second position, further rotation of the tubular collar member moves both the first sliding member and the second sliding member proximally relative to the carriage member.

11. The medical device handle of claim 1, wherein the second sliding member includes at least one actuator member extending distally therefrom to the medical implant, wherein movement of the carriage assembly from the distal position toward the proximal position places the at least one actuator member in tension.

12. The medical device handle of claim 11, wherein after releasing the first sliding member and the second sliding member from the carriage member, the carriage assembly releases tension on the at least one actuator member until the first sliding member re-engages the second sliding member at a proximal end of a slot formed in the second sliding member.

13. A medical device handle for percutaneous delivery of a medical implant from a tubular member extending distally from the medical device handle, comprising:

a handle housing having a longitudinal axis extending from a proximal end of the handle housing to a distal end of the handle housing, the handle housing including a cavity disposed within the handle housing;

a carriage assembly disposed within the cavity and operatively connected to the tubular member and the carriage assembly is further configured to be operatively connected to the medical implant, the carriage assembly being longitudinally movable between a distal position and a proximal position by rotation of a control knob with respect to the handle housing, the control knob being disposed around the proximal end of the handle housing;

wherein the carriage assembly includes a carriage member, a first sliding member, a second sliding member, and a lock configured to releasably fix the first sliding member and the second sliding member relative to the carriage member, the lock being rotatable relative to the handle housing; and

a tubular collar member disposed around a proximal portion of the handle housing, the tubular collar member being rotatable about the handle housing;

wherein the handle housing includes a button mechanism configured to engage the tubular collar member in a first orientation of the tubular collar member relative to the handle housing when the first sliding member and the second sliding member are fixed to the carriage member by the lock, and the button mechanism is configured to engage the tubular collar member in a second orientation of the tubular collar member relative to the handle housing when the first sliding member and the second sliding member are not fixed to the carriage member by the lock.

14. The medical device handle of claim 13, wherein at least a portion of the button mechanism extends radially outward from the handle housing.

15. The medical device handle of claim 13, wherein when the button mechanism is engaged with the tubular collar member in the first orientation of the tubular collar member, the tubular collar member is prevented from rotating about the handle housing.

16. The medical device handle of claim 13, wherein when the button mechanism is engaged with the tubular collar member in the second orientation of the tubular collar member, the tubular collar member is prevented from rotating about the handle housing.

17. A medical device system, comprising:

a handle housing including a longitudinally movable carriage assembly disposed therein, the carriage assembly including a carriage member, a first slider member, a second slider member, and a lock releasably fixing the first slider member and the second slider member relative to the carriage member, the lock being rotatable with respect to the handle housing;

a tubular member extending distally from the handle housing;

a replacement heart valve deployable from a distal end of the tubular member;

at least one actuator member extending distally from the carriage assembly through the tubular member to the replacement heart valve, the at least one actuator member being releasably attached to the replacement heart valve; and

a tubular collar member disposed around and rotatable with respect to the handle housing, the tubular collar member being configured to release the first sliding member and the second sliding member from the carriage member upon rotation about the handle housing.

18. The medical device system of claim 17, wherein partial rotation of the tubular collar member about the handle housing translates the first sliding member proximally relative to the second sliding member until the first sliding member abuts a portion of the second sliding member, thereby irreversibly detaching the at least one actuator member from the replacement heart valve.

19. The medical device system of claim 18, wherein partial rotation of the tubular collar member about the handle housing after the first sliding member abuts the portion of the second sliding member translates the second sliding member proximally relative to the carriage member.

20. The medical device system of claim 19, wherein translation of the second sliding member proximally relative to the carriage member proximally retracts the at least one actuator member from the replacement heart valve.