Medical device delivery systems and methods

• US 9,387,074 B2
• Filed: 09/26/2013
• Issued: 07/12/2016
• Est. Priority Date: 09/26/2013
• Status: Active Grant

• Current Assignee: Medtronic Vascular Galway Limited (Medtronic Plc)
• Original Assignee: Medtronic Vascular Galway Limited (Medtronic Plc)
• Inventors: Costello, Declan
• Primary Examiner(s): Miles, Jonathan W
• Assistant Examiner(s): Ulsh, George J
• Application Number:
  US14/038,195
• Publication Number:
  US 20150088245A1
• Time in Patent Office: 1,020 Days
• Field of Search: 623/2.11
• US Class Current: 1/1
• CPC Class Codes: A61F 2/2427 Devices for manipulating or deploying heart valves during implantation
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2002/9505 having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
• CPC Class Codes: Y10T 29/49925 Inward deformation of aperture or hollow body wall

Abstract

A delivery system for deploying a medical device includes a first attachment member configured to selectively couple to and radially constrain a first end portion of the medical device. The delivery system also includes a second attachment member configured to selectively couple to and radially constrain a second end portion of the medical device. The first attachment member is configured to move relative to the second attachment member such that the first attachment member applies a first tensile force to the first end portion of a medical device in a first direction and the second attachment member applies a second tensile force to the second end portion of a medical device in a second direction substantially opposite from the first direction.

Claims

1. A delivery system for deploying a medical device, comprising:

a first attachment member configured to selectively couple to and radially constrain a first end portion of the medical device, wherein the first attachment member includes an outer surface defining a plurality of slots leading to a cavity, wherein each of the plurality of slots is configured to receive a respective one of a plurality of coupling members of the first end portion of the medical device, wherein the first attachment member is configured to rotate between

a first position wherein the plurality of coupling members are configured to be disposed in the cavity and the plurality of slots are radially misaligned with the coupling members such that the outer surface radially constrains the coupling members, and

a second position wherein each of the plurality of slots is radially aligned with one of the plurality of coupling members such that each of the coupling members may expand radially outward from the cavity through a respective one of the plurality of slots; and

a second attachment member configured to selectively couple to and radially constrain a second end portion of the medical device,

wherein the first attachment member is configured to move relative to the second attachment member such that the first attachment member applies a first tensile force to the first end portion of a medical device in a first direction and the second attachment member applies a second tensile force to the second end portion of a medical device in a second direction substantially opposite from the first direction.

2. The delivery system of claim 1, wherein the first attachment member comprises a shoulder configured to apply the first tensile force to the first end portion of a medical device.

3. The delivery system of claim 1, wherein the second attachment member comprises a second outer surface defining a plurality of second slots each configured to receive a respective one of a plurality of second coupling members of the second end portion of the medical device.

4. The delivery system of claim 3, wherein the plurality of second slots lead to a second cavity, wherein the second attachment member is configured to rotate between

a first position wherein the second coupling members are configured to be disposed in the second cavity and the plurality of second slots are misaligned with the respective second coupling members such that the second outer surface radially constrains the second coupling members, and

a second position wherein each of the plurality of second slots is radially aligned with one of the second coupling members such that each of the second coupling members may expand radially outward from the second cavity through a respective one of the plurality of second slots.

5. The delivery system of claim 3, wherein the second attachment member comprises a shoulder configured to apply the second tensile force to the second end portion of the medical device.

6. The delivery system of claim 3, wherein the delivery system is configured for use with a self-expanding medical device, and wherein the delivery system is configured such that an intermediate portion of the medical device coupled to the delivery system and disposed between the first attachment member and the second attachment member is uncovered.

7. A system for replacing a native heart valve of a patient, comprising:

a prosthetic heart valve comprising a frame and a valve assembly coupled to the frame, the prosthetic heart valve comprising a first end portion, an intermediate portion, and a second end portion, wherein the first end portion comprises a plurality of first coupling members;

a delivery system for deploying the prosthetic heart valve, the delivery system comprising;

a first attachment member configured to selectively couple to and radially constrain the first end portion of the prosthetic heart valve, wherein the first attachment member includes a first outer surface defining a plurality of first slots leading to a first cavity, wherein each of the plurality of first slots is configured to receive a respective one of the plurality of first coupling members; and

a second attachment member configured to selectively couple to and radially constrain the second end portion of the prosthetic heart valve,

wherein the first attachment member is configured to move relative to the second attachment member such that the first attachment member applies a first tensile force to the first end portion of the prosthetic heart valve in a first direction and the second attachment member applies a second tensile force to the second end portion of the prosthetic heart valve in a second direction substantially opposite from the first direction, and

wherein the first attachment member is configured to rotate between a first position wherein the first coupling members are disposed in the first cavity and the plurality of first slots are misaligned with the respective first coupling members such that the first outer surface radially constrains the first coupling members, and a second position wherein each of the plurality of first slots is radially aligned with one of the plurality of first coupling members such that each of the first coupling members may expand radially outward from the first cavity through a respective first slot.

8. The system of claim 7, further comprising:

a outer shaft coupled to the first attachment member; and

an inner shaft disposed within the outer shaft and coupled to the second attachment member.

9. The system of claim 7,

wherein the second end portion of the prosthetic heart valve comprises a plurality of second coupling members;

wherein the second attachment member includes a second outer surface defining a plurality of second slots leading to a second cavity, wherein each of the plurality of second slots is configured to receive a respective one of the plurality of second coupling members, and

wherein the second attachment member is configured to rotate between a first position wherein the second coupling members are disposed in the second cavity and the plurality of second slots are misaligned with the respective second coupling members such that the second outer surface radially constrains the second coupling members, and a second position wherein each of the plurality of second slots is radially aligned with one of the plurality of second coupling members such that each of the second coupling members may expand radially outward from the second cavity through a respective second slot.

10. The system of claim 7,

wherein the prosthetic heart valve is self-expanding, and

wherein with the prosthetic heart valve radially constrained by the first and second attachment members, the intermediate portion of the prosthetic heart valve disposed between the first attachment member and the second attachment member is uncovered.