Coupling devices for interventional delivery systems and methods of using such coupling devices

• US 9,770,246 B2
• Filed: 02/07/2011
• Issued: 09/26/2017
• Est. Priority Date: 02/07/2010
• Status: Active Grant

• Current Assignee: VVT Medical Ltd.
• Original Assignee: VVT Medical Ltd.
• Inventors: Brandeis, Zeev
• Primary Examiner(s): Shi, Katherine M
• Assistant Examiner(s): MENDOZA, MICHAEL G
• Application Number:
  US13/021,817
• Publication Number:
  US 20110196348A1
• Time in Patent Office: 2,423 Days
• CPC Class Codes: A61B 17/12022 Occluding by internal devices, e.g. balloons or releasable wires plugging an opening in the wall of an organ A61B17/0057; occluders for the cervical canal A61F6/146; vas deferens occluders A61F6/20
• CPC Class Codes: A61B 17/12109 in a blood vessel
• CPC Class Codes: A61B 17/12172 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00623 Introducing or retrieving devices therefor
• CPC Class Codes: A61B 2017/00778 Operations on blood vessels A61B2017/22097, A61B2017/320741 take precedence
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/12054 Details concerning the detachment of the occluding device from the introduction device
• CPC Class Codes: A61F 2/011 Instruments for their placement or removal
• CPC Class Codes: A61F 2002/016 made from wire-like elements
• CPC Class Codes: A61F 2002/018 made from tubes or sheets of material, e.g. by etching or laser-cutting
• CPC Class Codes: A61F 2230/0006 circular
• CPC Class Codes: A61F 2230/005 Rosette-shaped, e.g. star-shaped
• CPC Class Codes: A61F 2230/0067 conical
• CPC Class Codes: A61F 2230/008 paraboloidal

Abstract

A coupling device, set to be linked to an interventional delivery system, for coupling and releasing a medical implant. The coupling device comprises a generally tubular channel sized and shaped to be conducted in an intravascular catheter and a pivot extended in and along the generally tubular channel having a distal end comprising a lower surface for applying pushing force a medical implant and an upper surface, mounted above the lower generally tubular surface and having at least one niche for receiving at least one anchoring element of the medical element so that a tip of each the anchoring element is placed between the lower and upper surfaces.

Claims

1. A coupling device, set to be linked to an interventional delivery system, for coupling and releasing a medical implant having a plurality of anchoring elements for anchoring the medical implant to the walls of a target blood vessel, comprising:

a generally tubular channel sized and shaped to be conducted in an intravascular catheter; and

a pivot extended in and along said generally tubular channel having a distal end comprising;

a lower plate, and

an upper plate, mounted above said lower plate and having a plurality of niches for receiving a plurality of anchoring elements of a medical element so that an anchor end of a hook formed at an anchor tip of each said anchoring element is;

temporarily connected to a portion of said upper plate between two of said plurality of niches to prevent penetration of said anchor end to surrounding blood vessel walls, and

placed between said lower and upper plates and covered by said upper plate;

wherein said medical implant is coupled to said pivot without any direct mechanical connection so as to allow releasing of said plurality of anchoring elements for anchoring said medical implant the walls of a target blood vessel by retrieving said generally tubular channel while maintaining said pivot in place or pushing said pivot while maintaining said generally tubular channel in place;

wherein each of a plurality of anchor tips of said plurality of anchoring elements are angled to fit into a triangle formed by a plurality of recesses around said pivot and below said upper plate.

2. The coupling device of claim 1, wherein said generally tubular channel is sized and shaped to cover said pivot and said medical implant so as to fasten said plurality of anchoring elements between said upper and lower plates.

3. The coupling device of claim 1, wherein said pivot is coated with a polymer to provide a supportive structure.

4. The coupling device of claim 1, wherein said pivot is mechanically connected to a control mechanism facilitating the retrieving or repositioning of said medical implant into said generally tubular channel.

5. The coupling device of claim 1, wherein said pivot is mechanically connected to a safety mechanism for requiring a verification action of the user before a deployment of said medical implant.

6. The coupling device of claim 1, wherein said distal end is curved so that said tip is directed substantially toward said upper plate when respective said anchoring element being placed between said lower and upper plates.

7. The coupling device of claim 1, wherein said pivot having a fastening element for coupling with a complementary fastening element of said medical implant.

8. The coupling device of claim 7, wherein said pivot, said fastening element, and said complementary fastening element have a common diameter.

9. The coupling device of claim 7, wherein said pivot, wherein said upper plate having a planar upper surface.

10. The coupling device of claim 1, wherein said lower plate is connected to said pivot so that when said pivot is pushed a pushing force is applied by said lower plate on distal ends of said plurality of anchoring elements.

11. A method for coupling a medical implant having a plurality of anchoring elements for anchoring the medical implant to the walls of a target blood vessel, the method comprising:

providing a coupling device comprising a generally tubular channel sized and shaped to be conducted in an intravascular catheter and a pivot extended in and along said generally tubular channel having a distal end comprising substantially parallel lower and upper plates having a gap therebetween, said upper plate having a plurality of niches;

placing a plurality of anchoring elements of a medical implant in proximity to said distal end so that at least an anchor end of a hook formed at a tip of each of said plurality of anchoring elements is;

temporarily connected to a portion of said upper plate between two of said plurality of niches to prevent penetration of said anchor end to surrounding blood vessel walls, and

placed between said lower and upper plates and so that said plurality of anchoring elements passing through said upper plate; and

encircling said medical implant using said generally tubular channel;

wherein said medical implant is coupled to said pivot without any direct mechanical connection so as to allow releasing said medical implant by retrieving said generally tubular channel while maintaining said pivot in place or pushing said pivot while maintaining said generally tubular channel in place;

wherein said lower plate is connected to said pivot;

wherein said anchor tip is adapted for anchoring said medical implant to the walls of a target blood vessel;

wherein each of a plurality of anchor tips of said plurality of anchoring elements are angled to fit into a triangle formed by a plurality of recesses around said pivot and below said upper plate.

12. The method of claim 11, wherein said medical implant having an elastic blocking element having compressed and uncompressed states, said encircling comprising covering said elastic blocking element in said compressed state.

13. The method of claim 12, further comprising uncovering said elements so as to allow outward tilting thereof.

14. The method of claim 12, wherein said medical implant is discoupled by:

uncovering said elements, and

rotating said pivot in relation to said generally tubular channel.

15. The method of claim 12, wherein said placing comprises:

attaching an implant adaptor containing said medical implant in front of distal end of said generally tubular channel,

performing said placing, and

pulling said pivot into said generally tubular channel.