Basket delivery system

• US 10,646,341 B2
• Filed: 03/14/2018
• Issued: 05/12/2020
• Est. Priority Date: 01/08/2014
• Status: Active Grant

• Current Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories Incorporated)
• Inventors: Tegg, Troy, Daly, Jacob John, Chalekian, Aaron J.
• Primary Examiner(s): Ton, Martin T
• Application Number:
  US15/920,870
• Publication Number:
  US 20180200056A1
• Time in Patent Office: 790 Days
• Field of Search: 623 111, 623 211
• CPC Class Codes: A61F 2/2436 Deployment by retracting a sheath
• CPC Class Codes: A61F 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2250/0008 for adjusting a position by translation along an axis or two perpendicular axes
• CPC Class Codes: A61F 2250/0018 differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2250/0029 differing in bending or flexure capacity

Abstract

A delivery device for a collapsible medical device may include a handle and a delivery assembly having a compartment for receiving the medical device. A catheter member may extend from the handle to the delivery assembly. The catheter member may have a first portion with a first compliance value and a second portion with a second compliance value different from the first compliance value. An internally threaded member may be fixedly connected to the delivery assembly. An externally threaded member may have a first portion operatively connected to the actuation member and a second portion threadedly coupled to the internally threaded member so that manipulation of the actuation member causes axial movement of the compartment relative to the catheter member.

Claims

1. A method of delivering a medical device into a heart valve annulus of a patient, comprising:

positioning the medical device within a distal portion of a catheter member of a delivery device;

positioning a sheath over a proximal portion of the catheter member so that an intermediate portion of the catheter member is uncovered by the sheath, the intermediate portion of the catheter member being positioned between the proximal and distal portions of the catheter member;

advancing the catheter member to a position adjacent the heart valve annulus within the patient while the intermediate portion of the catheter member is uncovered by the sheath and the distal portion of the catheter member has a first relative orientation with respect to the proximal portion of the catheter member;

advancing the sheath distally to at least partially cover the intermediate portion of the catheter member while the catheter member is adjacent the heart valve annulus to change the first relative orientation to a different second relative orientation; and

delivering the medical device into the heart valve annulus of the patient while the distal portion of the catheter member is in the second relative orientation.

2. The method of claim 1, wherein the distal portion of the catheter member is centered within the heart valve annulus of the patient when the distal portion of the catheter member is in the second relative orientation.

3. The method of claim 1, wherein the intermediate portion of the catheter member has a first compliance value, and the proximal portion of the catheter member has a second compliance value that is less than the first compliance value.

4. The method of claim 3, wherein the sheath has a third compliance value that is greater than the second compliance value and smaller than the first compliance value.

5. The method of claim 1, wherein the sheath includes a distal portion that is disposed at an oblique angle with respect to a proximal portion of the sheath in the absence of applied forces.

6. The method of claim 5, wherein the distal portion of the sheath is angled between about 15 degrees and about 75 degrees with respect to the proximal portion of the sheath in the absence of applied forced.

7. The method of claim 6, wherein the distal portion of the sheath is angled between about 30 degrees and about 60 degrees with respect to the proximal portion of the sheath in the absence of applied forced.

8. The method of claim 7, wherein the distal portion of the sheath is angled about 45 degrees with respect to the proximal portion of the sheath in the absence of applied forced.

9. The method of claim 1, wherein positioning the medical device within the distal portion of the catheter member includes collapsing the medical device into a compartment between an inner shaft of the delivery device and the distal portion of the catheter member.

10. The method of claim 9, wherein in the collapsed condition of the medical device, the medical device is positioned between a first hub and a second hub, the inner shaft extending between the first and second hubs.

11. The method of claim 10, wherein delivering the medical device into the heart valve annulus of the patient includes rotating a deployment knob of a handle of the delivery device to translate the distal portion of the catheter member relative to the inner shaft of the delivery device.

12. The method of claim 11, wherein rotating the deployment knob rotates and translates an externally threaded member operatively coupled to the deployment knob with respect to an internally threaded member fixedly coupled to an interior of the distal portion of the catheter.

13. The method of claim 12, wherein rotating the deployment knob causes translation of the first hub relative to the distal portion of the catheter while the first hub remains rotationally fixed relative to the distal portion of the catheter.

14. The method of claim 13, wherein a rotary coupling has a first portion translationally and rotationally fixed to the externally threaded member, and a second portion translationally and rotationally fixed to the first hub.

15. The method of claim 14, wherein rotating the deployment knob translates the first and second portions of the rotary coupling in unison relative to the distal portion of the catheter while the first portion of the rotary coupling rotates relative to the second portion of the rotary coupling.

16. The method of claim 15, wherein rotating the deployment knob in a first rotational direction translates the first and second portions of the rotary coupling distally in unison, and rotating the deployment knob in a second rotational direction opposite the first rotational direction translates the first and second portions of the rotary coupling proximally in unison.

17. The method of claim 1, wherein the step of advancing the sheath distally is performed while the distal portion of the catheter member is within an aortic arch of the patient.

18. The method of claim 1, further comprising partially releasing the medical device from the distal portion of the catheter member prior to delivering the medical device into the heart valve annulus of the patient.

19. The method of claim 18, further comprising resheathing the medical device into the distal portion of the catheter member after partially releasing the medical device and prior to delivering the medical device into the heart valve annulus of the patient.

20. The method of claim 19, wherein the resheathing step is performed while the distal portion of the catheter member is in the second relative orientation.