Delivery catheter for implantable medical device

• US 10,687,794 B2
• Filed: 04/03/2017
• Issued: 06/23/2020
• Est. Priority Date: 12/20/2016
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Kelly, Tomas K., McDonnell, Paula, Keaveney, James M., Madden, Jeffrey
• Primary Examiner(s): Fernandes, Patrick
• Application Number:
  US15/477,163
• Publication Number:
  US 20180169375A1
• Time in Patent Office: 1,177 Days
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2560/066 catheters therefor
• CPC Class Codes: A61B 5/02 Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure

Abstract

A kit for implantation of an implantable medical device (IMD) comprises an elongated outer shaft, a tether, and an elongated inner shaft. The IMD comprises a fixation element comprising a looped portion. The outer shaft is sized to traverse a vasculature of the patient and defines a longitudinal lumen and a port in fluid communication with the lumen and located proximal a distal end of the outer shaft. A first portion of the tether is configured to pass through the lumen. A second portion of the tether is configured to exit the lumen through the port and pass through the looped portion of the fixation element of the IMD outside of the outer shaft. A third portion of the tether defines a looped portion of the tether. A portion of the inner shaft is configured to pass through the lumen and to pass through the looped portion of the tether.

Claims

1. A kit for intravascular implantation of an implantable medical device within a patient, the implantable medical device comprising a fixation element comprising a first looped portion and a second looped portion, the kit comprising:

an elongated outer shaft defining a longitudinal lumen and defining a proximal port and a distal port on a side wall of the elongated outer shaft, the proximal port and the distal port in fluid communication with the lumen, the proximal port and the distal port located proximal a distal end of the elongated outer shaft, the elongated outer shaft sized to traverse a vasculature of the patient;

a tether, wherein at least a first portion of the tether is configured to pass through the lumen of the elongated outer shaft, at least a second portion of the tether is configured to exit the lumen through the proximal port and pass through the first looped portion of the fixation element of the implantable medical device outside of the elongated outer shaft, at least a third portion of the tether is configured to define a looped portion of the tether, and at least a fourth portion of the tether is configured to exit the lumen through the distal port and pass through the second looped portion of the fixation element of the implantable medical device outside of the elongated outer shaft; and

an elongated inner shaft, at least a portion of the elongated inner shaft configured to pass through the lumen of the elongated outer shaft and to pass through the looped portion of the tether to prevent removal of the tether from the elongated outer shaft when the portion of the elongated inner shaft passes through the looped portion of the tether.

2. The kit of claim 1, wherein the proximal port is circumferentially spaced approximately 180 degrees about the elongated outer shaft from the distal port.

3. The kit of claim 1, wherein the elongated inner shaft defines a guidewire lumen configured for passage of a guidewire.

4. The kit of claim 1, wherein a distal portion of the elongated outer shaft comprises a radiopaque marker.

5. The kit of claim 1, wherein the elongated inner shaft comprises braided polyamide.

6. The kit of claim 1, wherein the implantable medical device comprises a sensor configured to measure blood pressure.

7. A method for intravascular implantation of an implantable medical device within a patient, the method comprising:

positioning a distal end of an assembly at a target vascular location for implantation of an implantable medical device, the assembly including;

an elongated outer shaft defining a longitudinal lumen and defining a proximal port and a distal port on a side wall of the elongated outer shaft, the proximal port and the distal port in fluid communication with the lumen, the proximal port and the distal port located proximal a distal end of the elongated outer shaft, the outer shaft sized to traverse a vasculature of the patient;

the implantable medical device comprising a fixation element comprising a first looped portion and a second looped portion;

a tether, wherein at least a first portion of the tether passes through the lumen of the outer shaft, at least a second portion of the tether exits the lumen through the proximal port and passes through the first looped portion of the fixation element of the implantable medical device outside of the elongated outer shaft, at least a third portion of the tether is configured to define a looped portion of the tether, and at least a fourth portion of the tether exits the lumen through the distal port and passes through the second looped portion of the fixation element of the implantable medical device outside of the elongated outer shaft; and

an elongated inner shaft, wherein at least a portion of the elongated inner shaft is configured to pass through the lumen of the elongated outer shaft and pass through the looped portion of the tether to prevent removal of the tether from the elongated outer shaft when the portion of the elongated inner shaft passes through the looped portion of the tether;

retracting the elongated inner shaft relative to the elongated outer shaft; and

retracting the tether relative to the elongated outer shaft.

8. The method of claim 7, wherein the proximal port is circumferentially spaced approximately 180 degrees about the elongated outer shaft from the distal port.

9. The method of claim 7, wherein the elongated inner shaft defines a guidewire lumen configured for passage of a guidewire, and the method further comprises positioning a distal end of the guidewire, wherein positioning the distal end of the assembly at the target vascular location comprise advancing the assembly over the guidewire.

10. The method of claim 7, wherein a distal portion of the elongated outer shaft comprises a radiopaque marker.

11. The method of claim 7, wherein the elongated inner shaft comprises braided polyamide.

12. A kit for intravascular implantation of an implantable medical device within a patient, the kit comprising:

an elongated outer shaft defining a longitudinal lumen and defining a proximal port and a distal port on a side wall of the elongated outer shaft, the proximal port and the distal port in fluid communication with the lumen, the proximal port and the distal port located proximal a distal end of the elongated outer shaft, the elongated outer shaft sized to traverse a vasculature of the patient;

the implantable medical device comprising a fixation element comprising a first looped portion and a second looped portion, wherein at least the first looped portion is an expandable looped portion;

a tether, wherein at least a first portion of the tether is configured to pass through the lumen of the elongated outer shaft, at least a second portion of the tether is configured to exit the lumen through the proximal port and pass through the first looped portion of the fixation element of the implantable medical device outside of the elongated outer shaft, at least a third portion of the tether is configured to define a looped portion of the tether, and at least a fourth portion of the tether is configured to exit the lumen through the distal port and pass through the second looped portion of the fixation element of the implantable medical device outside of the elongated outer shaft; and

an elongated inner shaft, at least a portion of the elongated inner shaft configured to pass through the lumen of the elongated outer shaft and to pass through the looped portion of the tether to prevent removal of the tether from the elongated outer shaft when the portion of the elongated inner shaft passes through the looped portion of the tether.

13. The kit of claim 12, wherein the proximal port is circumferentially spaced approximately 180 degrees about the elongated outer shaft from the distal port.

14. The kit of claim 12, wherein the elongated inner shaft defines a guidewire lumen configured for passage of a guidewire.

15. The kit of claim 12, wherein a distal portion of the elongated outer shaft comprises a radiopaque marker.

16. The kit of claim 12, wherein the elongated inner shaft comprises braided polyamide.

17. The kit of claim 12, wherein the implantable medical device comprises a sensor configured to measure blood pressure.

18. A kit for intravascular implantation of an implantable medical device within a patient, the implantable medical device comprising a fixation element comprising a first looped portion and a second looped portion, the kit comprising:

an elongated outer shaft defining a longitudinal lumen, a proximal port in fluid communication with the lumen, and a distal port in fluid communication with the lumen, wherein each of the proximal port and the distal port are located proximal a distal end of the elongated outer shaft and defined on a side wall of the elongated outer shaft, wherein the elongated outer shaft is sized to traverse a vasculature of the patient;

a tether, wherein at least a first portion of the tether is configured to pass through the lumen of the elongated outer shaft, at least a second portion of the tether is configured to exit the lumen through the proximal port and pass through the first looped portion of the fixation element of the implantable medical device outside of the elongated outer shaft, at least a third portion of the tether is configured to exit the lumen through the distal port and pass through the second looped portion of the fixation element of the implantable medical device outside of the elongated outer shaft, and at least a fourth portion of the tether defines a looped portion of the tether; and

an elongated inner shaft, at least a portion of the elongated inner shaft configured to pass through the lumen of the elongated outer shaft and to pass through the looped portion of the tether to prevent removal of the tether from the elongated outer shaft when the portion of the elongated inner shaft passes through the looped portion of the tether.

19. A kit for intravascular implantation of an implantable medical device within a patient, the implantable medical device comprising a fixation element comprising a first looped portion and a second looped portion, the kit comprising:

an elongated outer shaft defining a longitudinal lumen, a proximal port in fluid communication with the lumen, and a distal port in fluid communication with the lumen, wherein each of the proximal port and the distal port are located proximal a distal end of the elongated outer shaft and defined on a side wall of the elongated outer shaft, wherein the proximal port is circumferentially spaced approximately 180 degrees about the elongated outer shaft from the distal port, wherein the elongated outer shaft is sized to traverse a vasculature of the patient, wherein a distal portion of the elongated outer shaft comprises a radiopaque marker;

a tether, wherein at least a first portion of the tether is configured to pass through the lumen of the outer shaft, at least a second portion of the tether is configured to exit the lumen through the proximal port and pass through the first looped portion of the fixation element of the implantable medical device outside of the elongated outer shaft, at least a third portion of the tether is configured to exit the lumen through the distal port and pass through the second looped portion of the fixation element of the implantable medical device outside of the elongated outer shaft, and at least a fourth portion of the tether defines a looped portion of the tether; and

an elongated inner shaft, at least a portion of the elongated inner shaft configured to pass through the lumen of the elongated outer shaft and to pass through the looped portion of the tether to prevent removal of the tether from the elongated outer shaft when the portion of the elongated inner shaft passes through the looped portion of the tether.