TERMINATION ASSEMBLY FOR VASCULAR INTERVENTION DEVICE DELIVERY SYSTEM

• US 20180147076A1
• Filed: 01/31/2018
• Published: 05/31/2018
• Est. Priority Date: 09/15/2014
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Cummins, Sean, McGrath, Darach
• Granted Patent: US 10,980,651 B2
• Time in Patent Office: Days
• CPC Class Codes: A61B 2017/00407 Ratchet means
• CPC Class Codes: A61F 2/844 folded prior to deployment
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2/962 having an outer sleeve
• 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 2230/0069 cylindrical

Abstract

A vascular intervention device delivery system includes a thumbwheel rotatably mounted in a handle. A termination assembly is mechanically connected to the handle. A catheter extends through the termination assembly and has a proximal end attached to the handle, and a distal carrier segment for mounting a vascular intervention device. A retractable sheath is movable from a first position covering the distal carrier segment to a second position retracted proximally to uncover the distal carrier segment. A pull extends between the thumbwheel and the retractable sheath, and through the termination assembly. A stability sheath that receives the pull and the inner catheter has a proximal end that terminates in the termination assembly.

Claims

1. A vascular intervention device delivery system comprising:

a handle that includes an internal surface shape that defines a cage;

a thumbwheel rotatably mounted in the handle and having a radially outward thumb surface;

a termination assembly with an external shape that matches the internal surface shape of the cage and a size that permits the termination assembly to be received in the cage in exactly one orientation, and the termination assembly being mechanically connected to the handle by being received in the cage in the exactly one orientation;

a catheter extending through the termination assembly and having a distal carrier segment for mounting a vascular intervention device thereon;

a retractable sheath movable from a first position covering the distal carrier segment, to a second position retracted proximally uncovering the distal carrier segment; and

a pull extending between the thumbwheel and the retractable sheath and through the termination assembly, and the pull moving through the termination assembly, which remains stationary with respect to the handle, responsive to rotation of the thumbwheel.

2. The vascular intervention device delivery system of claim 1 wherein the termination assembly includes a first piece that defines the external shape, and the first piece defining a cavity with a cross sectional shape;

a second piece with a cross sectional shape that matches the cross sectional shape of the cavity such that the second piece can be received in the cavity in an orientation that prevents rotation of the second piece relative to the first piece, and the second piece being mechanically connected to the termination assembly by being slidably received in the cavity in the orientation that prevents rotation.

3. The vascular intervention device delivery system of claim 1 wherein the catheter is an inner catheter, wherein the delivery system further comprises:

an outer catheter with a distal end that terminates at a proximal end of the distal carrier segment, and a proximal end that terminates in the termination assembly; and

the stability sheath receives the outer catheter.

4. The vascular intervention device delivery system of claim 3 wherein the stability sheath and the outer catheter are mechanically connected to the termination assembly.

5. The vascular intervention device delivery system of claim 4 wherein the inner catheter is mechanically connected to the handle.

6. The vascular intervention device delivery system of claim 1 wherein the catheter and the pull enter a distal end of the termination assembly through a common distal opening;

and

the catheter and the pull exit a proximal end of the termination assembly through a first proximal opening and a second proximal opening, respectively.

7. The vascular intervention device delivery system of claim 1 wherein the external surface includes exactly one tab extending from the termination assembly.

9. The vascular intervention device delivery system of claim 1 wherein the termination assembly includes a first piece over-molded around a flared proximal end of the stability sheath;

a second piece slidably received in a cavity defined by the first piece; and

a third piece slidably received in the cavity and abutting the second piece.

10. The vascular intervention device delivery system of claim 9 wherein the first piece and the second piece have identical cross sectional shapes and have outer surfaces of contrasting colors.

11. The vascular intervention device delivery system of claim 9 wherein the inner catheter and the pull enter a distal end of the termination assembly through a common distal opening;

and

the inner catheter and the pull exit a proximal end of the termination assembly through a first proximal opening and a second proximal opening, respectively.

12. The vascular intervention device delivery system of claim 1 wherein the termination assembly is positioned between an idler wheel and the thumbwheel along an axis defined by the catheter.