Medical device delivery system

• US 8,075,608 B2
• Filed: 01/08/2008
• Issued: 12/13/2011
• Est. Priority Date: 12/05/2002
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Gordon, Lucas S., Mathis, Mark L., Nieminen, Gregory
• Primary Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US11/971,174
• Publication Number:
  US 20080109059A1
• Time in Patent Office: 1,435 Days
• Field of Search: 606/108, 606191-198, 623/1.11, 623/1.12, 623/1.15, 623/1.16
• US Class Current: 623/1.11
• 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 2017/1205 Introduction devices
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires

Abstract

A system for selectively deploying a medical device includes a cartridge that is engageable with a proximal end of a delivery catheter that is routed to a desired location in a patient'"'"'s body. An advancement mechanism is provided for advancing the medical device out of the cartridge and into the delivery catheter for deploying the medical device at the desired location in the patient'"'"'s body.

Claims

1. A system for selectively advancing a medical device into a patient;

comprising;

a delivery catheter having a distal end that is adapted to be inserted into a patient'"'"'s body, a proximal end adapted to remain outside the patient'"'"'s body and one or more lumens that extend between the proximal end and distal end;

a cartridge that is engageable with the proximal end of the delivery catheter, the cartridge including a lumen that aligns with a lumen in the delivery catheter when the cartridge is engaged with the proximal end of the delivery catheter;

a medical device adapted to be disposed within the lumen of the cartridge;

an actuator associated with a handle, the actuator adapted to be actuated to axially displace the cartridge and delivery catheter relative to the handle and medical device; and

an advancing member adapted to engage the medical device.

2. The system of claim 1, wherein the advancing mechanism comprises an elongate pushing element.

3. The system of claim 1, wherein a proximal end of the advancing member is secured to the handle.

4. The system of claim 3, wherein the handle and cartridge are adapted to be controllably engaged.

5. The system of claim 4, wherein the handle and cartridge are adapted to be controllably engaged with a set of threads and a nut.

6. The system of claim 4, further comprising one or more devices for prohibiting the engagement of the handle and cartridge.

7. The system of claim 3 wherein the advancing member is releasably coupled to the medical device.

8. The system of claim 7 wherein the handle comprises a second actuator adapted to be actuated to remove a release component to allow the medical device to be released in the patient.

9. The system of claim 8 further comprising a looped element, wherein the release component and looped element are adapted to interact with one another to releasably couple the advancing member to the medical device.

10. The system of claim 9 wherein the looped element and the release component pass through a lumen of the advancing member.

11. The system of claim 8 wherein the second actuator is adapted to control the axial movement of the release component, such that as the second actuator is actuated the release component is retracted proximally, allowing the medical device to be released in the patient.

12. The system of claim 1 wherein the cartridge has a connector at a distal end that is adapted to securingly engage a connector at the proximal end of the delivery catheter.

13. The system of claim 1 wherein the actuator is adapted to be rotated to axially displace the cartridge and delivery catheter.

14. The system of claim 1 wherein the actuator has an internal element and the cartridge has an external element, wherein the internal element is adapted to interact with the external element to axial displace the cartridge when the actuator is actuated.

15. The system of claim 14 wherein the internal element is a thread, and wherein the external element is a thread such that the actuator is adapted to convert rotation into axial displacement of the cartridge.

16. The system of claim 15 wherein the cartridge is adapted to be retracted proximally within the handle when the actuator is actuated in a first manner and advanced distally when the actuator is actuator in a second manner, wherein the first and second manners are opposite motions.

17. The system of claim 15 wherein the handle comprises a lumen adapted to receive the cartridge therein.

18. The system of claim 1 wherein the actuator is adapted to be actuated to proximally retract the cartridge and the delivery catheter relative to the medical device to release the medical device from the delivery catheter.

19. The system of claim 1 wherein the advancing member is coiled at its distal end.

20. The system of claim 1 wherein the medical device is adapted to be positioned in the coronary sinus to aid in the closure of the mitral valve.