Leadless delivery catheter with conductive pathway

• US 10,722,684 B2
• Filed: 12/22/2017
• Issued: 07/28/2020
• Est. Priority Date: 12/27/2016
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Soltis, Brian, Koop, Brendan E., Haasl, Benjamin J., Koubal, Kurt G., Goodman, James P., Hackenmueller, Vincent P.
• Primary Examiner(s): Wu, Eugene T
• Application Number:
  US15/852,299
• Publication Number:
  US 20180177979A1
• Time in Patent Office: 949 Days
• CPC Class Codes: A61M 2025/0004 having two or more concentrically arranged tubes for forming a concentric catheter system
• CPC Class Codes: A61M 2025/0175 having telescopic features, interengaging nestable members movable in relations to one another
• CPC Class Codes: A61M 25/0014 Connecting a tube to a hub
• CPC Class Codes: A61M 25/0068 Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
• CPC Class Codes: A61M 25/0082 Catheter tip comprising a tool
• CPC Class Codes: A61M 25/0097 characterised by the hub connectors A61M39/10
• CPC Class Codes: A61N 1/0573 chacterised by means penetrating the heart tissue, e.g. helix needle or hook
• CPC Class Codes: A61N 1/0587 Epicardial electrode systems; Endocardial electrodes piercing the pericardium
• CPC Class Codes: A61N 1/368 comprising more than one electrode co-operating with different heart regions A61N1/3622, A61N1/3627 take precedence
• CPC Class Codes: A61N 1/37205 Microstimulators, e.g. implantable through a cannula
• CPC Class Codes: A61N 1/37211 Means for communicating with stimulators
• CPC Class Codes: A61N 1/37217 characterised by the communication link, e.g. acoustic or tactile
• CPC Class Codes: A61N 1/37288 Communication to several implantable medical devices within one patient
• CPC Class Codes: A61N 1/37512 Pacemakers
• CPC Class Codes: A61N 1/37518 Anchoring of the implants, e.g. fixation
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators
• CPC Class Codes: A61N 2001/058 Fixing tools

Abstract

Catheter and implantable leadless pacing devices, systems, and methods utilizing catheters and implantable leadless pacing devices are disclosed. An example catheter system may include a holding structure extending distally from a tubular member. An implantable device, such as a leadless pacing device, may be located within a cavity of the holding structure. The holding structure may include one or more electrical ports adjacent the proximal end of the holding structure and adjacent or proximal of the proximal end of the implantable device. The electrical ports may provide a conductive pathway extending through the distal structure to allow electrical signals to pass through the distal structure to and/or from the implantable device.

Claims

1. A catheter system for carrying an implantable leadless pacing device, the catheter system comprising:

a tubular member including a lumen extending from a proximal end to a distal end thereof;

a tubular distal holding structure extending distally of the distal end of the tubular member, the tubular distal holding structure defining a cavity;

a leadless pacing device located at least partially within the cavity, the leadless pacing device having a proximal electrode and a distal electrode; and

an electrical port extending through the tubular distal holding structure at a location proximal of the proximal electrode of the leadless pacing device;

an electrically conductive insert carried by the tubular distal holding structure, wherein portions of the insert are covered by the tubular distal holding structure and one or more discrete portions of the insert are exposed to an exterior of the tubular distal holding structure to form at least part of the electrical port;

wherein the electrical port provides a conductive pathway for an electrical signal traveling through the tubular distal holding structure to and/or from the leadless pacing device,

wherein the exposed portions of the insert form at least part of the conductive pathway; and

wherein the insert includes an annular ring having at least one radially extending projection, wherein the one or more discrete exposed portions include an exposed outer perimeter of the at least one radially extending projection.

2. The catheter system of claim 1, wherein the tubular distal holding structure comprises:

a hub secured to the tubular member; and

a body portion secured to the hub and extending distally from the hub; and

wherein the body portion at least partially defines the cavity.

3. The catheter system of claim 2, wherein the electrical port is located in the hub.

4. The catheter system of claim 2, wherein:

the electrically conductive insert extends through the hub to provide the conductive pathway between an interior of the tubular distal holding structure and an exterior of the tubular distal holding structure.

5. The catheter system of claim 1, wherein the leadless pacing device has a housing and the proximal electrode and the distal electrode of the leadless pacing device are both disposed on the housing, wherein the electrical port is located proximal of the proximal electrode of the leadless pacing device when the leadless pacing device is enclosed within the cavity of the tubular distal holding structure.

6. A catheter system for carrying an implantable leadless pacing device, the catheter system comprising:

a tubular member including a lumen extending from a proximal end to a distal end thereof;

a tubular distal holding structure extending distally of the distal end of the tubular member, the tubular distal holding structure defining a cavity;

a leadless pacing device located at least partially within the cavity, the leadless pacing device having a proximal electrode and a distal electrode; and

an electrical port extending through the tubular distal holding structure at a location proximal of the proximal electrode of the leadless pacing device;

an electrically conductive insert carried by the tubular distal holding structure, wherein portions of the insert are covered by the tubular distal holding structure and one or more discrete portions of the insert are exposed to an exterior of the tubular distal holding structure to form at least part of the electrical port;

wherein the electrical port provides a conductive pathway for an electrical signal traveling through the tubular distal holding structure to and/or from the leadless pacing device, wherein the exposed portions of the insert form at least part of the conductive pathway; and

wherein the one or more discrete exposed portions include an exposed proximally facing surface of the insert.

7. A catheter system for carrying an implantable leadless pacing device, the catheter system comprising:

a tubular member including a lumen extending from a proximal end to a distal end thereof;

a tubular distal holding structure extending distally of the distal end of the tubular member, the tubular distal holding structure defining a cavity;

a leadless pacing device located at least partially within the cavity, the leadless pacing device having a housing with a proximal electrode and a distal electrode disposed on the housing; and

an electrical port extending through the tubular distal holding structure at a location proximal of the proximal electrode of the leadless pacing device when the leadless pacing device is fully enclosed within the cavity of the tubular distal holding structure;

an electrically conductive insert carried by the tubular distal holding structure, wherein portions of the insert are covered by the tubular distal holding structure and a plurality of discrete portions of the insert are exposed to an exterior of the tubular distal holding structure to form at least part of the electrical port;

wherein the electrical port provides a conductive pathway for an electrical signal traveling through the tubular distal holding structure to and/or from the proximal electrode of the leadless pacing device;

wherein the insert includes an annular ring having a plurality of radially extending projections, wherein each of the plurality of discrete exposed portions include (1) an exposed outer perimeter of one of the plurality of radially extending projections and/or (2) an exposed proximally facing surface of one of the plurality of radially extending projections.

8. A catheter system for carrying an implantable leadless pacing device, the catheter system comprising:

a tubular member including a lumen extending from a proximal end to a distal end thereof;

a tubular distal holding structure extending distally of the distal end of the tubular member, the tubular distal holding structure defining a cavity;

a leadless pacing device located at least partially within the cavity, the leadless pacing device having a proximal electrode and a distal electrode; and

an electrical port extending through the tubular distal holding structure at a location proximal of the proximal electrode of the leadless pacing device;

an electrically conductive insert carried by the tubular distal holding structure, wherein portions of the insert are covered by the tubular distal holding structure and one or more discrete portions of the insert are exposed to an exterior of the tubular distal holding structure to form at least part of the electrical port, wherein the electrically conductive insert is a ring insert carried by the tubular distal holding structure;

wherein the electrical port provides a conductive pathway for an electrical signal traveling through the tubular distal holding structure to and/or from the leadless pacing device, wherein the exposed portions of the insert form at least part of the conductive pathway; and

wherein;

the ring insert has an opening about a central axis;

the opening has a constant diameter at all circumferential locations; and

the ring insert has a first outer diameter at a first circumferential location and a second outer diameter at a second circumferential location, the first outer diameter is different than the second outer diameter.

9. A catheter system for carrying an implantable leadless pacing device, the catheter system comprising:

a tubular member including a lumen extending from a proximal end to a distal end thereof;

a tubular distal holding structure extending distally of the distal end of the tubular member, the tubular distal holding structure defining a cavity;

a leadless pacing device located at least partially within the cavity, the leadless pacing device having a proximal electrode and a distal electrode; and

an electrical port extending through the tubular distal holding structure at a location proximal of the proximal electrode of the leadless pacing device;

an electrically conductive insert carried by the tubular distal holding structure, wherein portions of the insert are covered by the tubular distal holding structure and one or more discrete portions of the insert are exposed to an exterior of the tubular distal holding structure to form at least part of the electrical port;

wherein the electrical port provides a conductive pathway for an electrical signal traveling through the tubular distal holding structure to and/or from the leadless pacing device, wherein the exposed portions of the insert form at least part of the conductive pathway;

wherein the tubular distal holding structure comprises a hub secured to the tubular member and a body portion secured to the hub and extending distally from the hub, the body portion at least partially defining the cavity;

wherein the electrically conductive insert extends through the hub to provide the conductive pathway between an interior of the tubular distal holding structure and an exterior of the tubular distal holding structure;

wherein the electrically conductive insert is a ring insert; and

wherein the hub comprises one or more pockets and each of the one or more pockets is configured to expose a portion of the ring insert.