Devices for retrieving a prosthesis

• US 9,456,812 B2
• Filed: 11/24/2010
• Issued: 10/04/2016
• Est. Priority Date: 11/07/2006
• Status: Active Grant

• Current Assignee: Corvia Medical, Inc.
• Original Assignee: Corvia Medical, Inc.
• Inventors: Finch, Matthew J., McNamara, Edward
• Primary Examiner(s): Nguyen, Victor
• Assistant Examiner(s): HOLLM, JONATHAN A
• Application Number:
  US12/954,555
• Publication Number:
  US 20110071624A1
• Time in Patent Office: 2,141 Days
• Field of Search: 606/108, 606/200, 606/213, 606/215, 623/1.11, 623/1.12, 623/2.11, 604/8, 604/9
• US Class Current: 1/1
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 2017/00252 for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/00575 for closure at remote site, e.g. closing atrial septum defects
• CPC Class Codes: A61B 2017/00592 Elastic or resilient implements
• CPC Class Codes: A61B 2017/00606 Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening
• CPC Class Codes: A61B 2017/00623 Introducing or retrieving devices therefor
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2560/063 Devices specially adapted for delivering implantable medical measuring apparatus
• CPC Class Codes: A61B 6/12 Arrangements for detecting or locating foreign bodies
• CPC Class Codes: A61B 6/4423 related to hygiene or sterilisation
• CPC Class Codes: A61B 8/0841 for locating instruments
• CPC Class Codes: A61F 2/2412 with soft flexible valve members, e.g. tissue valves shaped like natural valves check valves with flexible valve members in general F16K15/14
• CPC Class Codes: Y10T 29/49002 Electrical device making
• CPC Class Codes: Y10T 29/49005 Acoustic transducer
• CPC Class Codes: Y10T 29/53843 Tube, sleeve, or ferrule inserting or removing
• CPC Class Codes: Y10T 29/53909 Means comprising hand manipulatable tool
• CPC Class Codes: Y10T 29/53913 Aligner or center

Abstract

The present disclosure relates to devices and methods for implanting a prosthesis into a heart of a mammal, such as a person. The disclosure includes a prosthesis that acts as a pressure vent between the left and right atria of the heart. The disclosure also includes a mounting tool for mounting the prosthesis onto a loading tool, the loading tool useful for loading the prosthesis onto a device for delivering the prosthesis into the patient'"'"'s heart. Control devices and methods for using these devices are also disclosed. The intracardiac pressure vents disclosed allow sufficient flow from the left atrium to the right atrium to relieve elevated left atrial pressure and resulting patient symptoms. The devices also limit the amount of flow from the right atrium to the left atrium to minimize the potential for thrombi or other embolic material from entering arterial circulation.

Claims

1. A method of retrieving an atrial septal device implanted within a mammal, the method comprising:

advancing a retrieval device within the mammal to a location proximate the atrial septal device;

advancing a grasper and grasping the atrial septal device via at least two retrieval legs of the atrial septal device, the at least two retrieval legs joined at a first end of each leg for retrieval at a retrieval portion, second ends of the at least two retrieval legs also extending from respective distal ends of respective flange segments of a flange of the atrial septal device, the flange segments each comprising two struts formed integrally with and directly connected to and extending radially inward from the second end of one of the retrieval legs to an open central core;

withdrawing the at least two retrieval legs proximally with the grasper, thereby collapsing the flange of the atrial septal device; and

retracting the atrial septal device into a sheath.

2. The method of claim 1, further comprising making a space near the atrial septal device.

3. The method of claim 2, wherein making the space is accomplished by deploying the device tip and inflating a balloon.

4. The method of claim 1, further comprising exchanging an inflation balloon with a grasper and basket before the step of advancing the grasper.

5. The method of claim 1, wherein the method further comprises noninvasively imaging at least one of the at least two retrieval legs.

6. The method of claim 1 further comprising withdrawing the atrial septal device into a basket of the retrieval device prior to the step of retracting the atrial septal device into the sheath.

7. The method of claim 1 further comprising withdrawing the atrial septal device from the mammal.

8. The method of claim 1 further comprising redeploying the atrial septal device after the step of retracting the atrial septal device into the sheath.

9. A method of retrieving an atrial septal device implanted within a mammal, the method comprising:

advancing a retrieval device within the mammal to a location proximate the implanted atrial septal device;

advancing a grasper to the implanted atrial septal device and grasping the implanted atrial atrium septal device via a retrieval crimp tube with first ends of at least two retrieval legs crimped into the crimp tube, second ends of the at least two retrieval legs extending from respective distal ends of respective flange segments of a flange of the implanted atrial septal device, the flange segments each comprising two struts formed integrally with and directly connected to and extending radially inward from the second end of one of the retrieval legs to an open central core;

withdrawing the retrieval crimp tube proximally with the grasper, thereby collapsing the flange of the atrial septal device; and

retracting the atrial septal device into a sheath.

10. The method of claim 9, further comprising placing the retrieval device onto a guidewire previously placed into the mammal for implanting the atrial septal device.

11. The method of claim 9, wherein the grasper is contained within a sheath, and further comprising a step of advancing the grasper within the inner sheath before the step of advancing the grasper.

12. The method of claim 9, further comprising making a space near the implanted atrial septal device by extending the device tip.

13. The method of claim 9, wherein the retrieval device further comprises a balloon and further comprising making a space near the implanted atrium septal device by advancing and expanding the balloon.

14. The method of claim 9 further comprising withdrawing the atrial septal device into a basket of the retrieval device prior to the step of retracting the atrial septal device into the sheath.

15. The method of claim 9 further comprising withdrawing the atrial septal device from the mammal.

16. The method of claim 9 further comprising redeploying the atrial septal device after the step of retracting the atrial septal device into the sheath.