Distal tip for a delivery catheter

• US 10,973,663 B2
• Filed: 08/02/2016
• Issued: 04/13/2021
• Est. Priority Date: 11/27/2012
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Deshmukh, Susheel, Som, Siyan, Shipley, Adam, Spurchise, Matthew, Peter, Stephen, Nagesh, Shishira
• Primary Examiner(s): Ho, Tan-Uyen T
• Assistant Examiner(s): Highland, Rachel S
• Application Number:
  US15/226,014
• Publication Number:
  US 20160338862A1
• Time in Patent Office: 1,715 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 17/12145 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/1205 Introduction devices
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/9522 Means for mounting a stent or stent-graft onto or into a placement instrument
• CPC Class Codes: A61F 2/962 having an outer sleeve
• CPC Class Codes: A61F 2002/072 Encapsulated stents, e.g. wire or whole stent embedded in lining
• 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: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61M 2025/0183 Rapid exchange or monorail catheters
• CPC Class Codes: A61M 2025/1093 having particular tip characteristics
• CPC Class Codes: A61M 25/0069 Tip not integral with tube
• CPC Class Codes: A61M 25/10 Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00
• CPC Class Codes: A61M 29/02 Dilators made of swellable material balloon catheters for angioplasty A61M25/104

Abstract

Distal tips for use with delivery catheters are disclosed that are configured to maintain complete engagement between the distal tip and a distal opening of a sheath component of the delivery catheter so as to prevent separation therebetween and/or to prevent fish-mouthing of a distal leading edge of the sheath component during in vivo use. Distal tips so configured realize one or more of the objectives of safer tracking of the delivery catheter through the vasculature, safe crossing of the delivery catheter through structural components of the vasculature and heart, such as through native valves, and safe removal of the delivery catheter post deployment.

Claims

1. A delivery catheter for endoluminal delivery of a prosthesis comprising:

a thin-walled, flexible tubular component having a distal opening;

an inner component at least partially disposed within the tubular component; and

a distal tip attached to the inner component, the distal tip having a distally tapered segment, a proximally facing abutment surface, a shelf segment and a proximally tapered segment, the shelf segment being comprised of a compressible material and having a constant outer diameter along an entire length thereof, wherein the length of the shelf segment is defined between the proximally facing abutment surface and a distal end of the proximally tapered segment,

wherein, in a delivery configuration of the delivery catheter, the shelf segment of the distal tip has an interference fit within the distal opening of the tubular component due to compression of the shelf segment within the distal opening.

2. The delivery catheter of claim 1, wherein the proximally facing abutment surface forms a radially extending ridge around a circumference of the distal tip against which a distal edge of the tubular component is in apposition when the delivery catheter is in the delivery configuration.

3. The delivery catheter of claim 1, wherein the outer diameter of the shelf segment of the distal tip is greater than a first inner diameter of the distal opening of the tubular component when the delivery catheter is in the delivery configuration.

4. The delivery catheter of claim 3, wherein the outer diameter of the shelf segment of the distal tip is greater than an increased second inner diameter of the distal opening of the tubular component, wherein the distal opening attains the increased second inner diameter during one of recapture of the prosthesis or after full deployment of the prosthesis.

5. The delivery catheter of claim 1, wherein the entire distal tip is a molded component of the compressible material.

6. The delivery catheter of claim 1, wherein the compressible material is a first compressible material and at least a portion of the remainder of the distal tip is formed from a second compressible material having a different compressibility than the first compressible material.

7. The delivery catheter of claim 6, wherein the distally tapered segment of the distal tip is formed from the second compressible material.

8. The delivery catheter of claim 1, wherein the compressible material is a first material of a first durometer hardness and at least a portion of the remainder of the distal tip is formed from a second material of a second durometer hardness.

9. The delivery catheter of claim 1, wherein the distally tapered segment of the distal tip has a first radiopacity and the shelf segment of the distal tip has a second radiopacity.

10. The delivery catheter of claim 1, wherein the shelf segment of the distal tip disengages from the distal opening of the tubular component when the delivery catheter is in a deployment configuration.

11. A delivery catheter for endoluminal delivery of a prosthesis comprising:

a thin-walled, flexible tubular component having a distal opening;

an inner component at least partially disposed within the tubular component; and

a distal tip attached to the inner component, the distal tip having a shelf segment that is a length of the distal tip with a constant outer diameter,

wherein the length is defined between a proximally facing abutment surface of the distal tip and a point where an outer diameter of the distal tip begins to reduce from the constant outer diameter,

wherein the shelf segment is comprised of a compressible material, and

wherein, in a delivery configuration of the delivery catheter, the shelf segment has an interference fit within the distal opening of the tubular component due to compression of the shelf segment within the distal opening.

12. The delivery catheter of claim 11, wherein the proximally facing abutment surface forms a radially extending ridge around a circumference of the distal tip against which a distal edge of the tubular component is in apposition when the delivery catheter is in the delivery configuration.

13. The delivery catheter of claim 11, wherein the constant outer diameter of the shelf segment of the distal tip is greater than a first inner diameter of the distal opening of the tubular component when the delivery catheter is in the delivery configuration.

14. The delivery catheter of claim 13, wherein the constant outer diameter of the shelf segment of the distal tip is greater than an increased second inner diameter of the distal opening of the tubular component, wherein the distal opening attains the increased second inner diameter during one of recapture of the prosthesis or after full deployment of the prosthesis.

15. The delivery catheter of claim 11, wherein the distal tip further comprises a distally tapered segment that extends between the proximally facing abutment surface and a distal end of the distal tip.

16. The delivery catheter of claim 15, wherein the compressible material is a first compressible material and at least a portion of the remainder of the distal tip is formed from a second compressible material having a different compressibility than the first compressible material.

17. The delivery catheter of claim 16, wherein the distally tapered segment of the distal tip is formed from the second compressible material.

18. The delivery catheter of claim 15, wherein the distal tip further comprises a proximally tapered segment that extends between a proximal end of the distal tip and the point where the outer diameter of the distal tip begins to reduce from the constant outer diameter.

19. The delivery catheter of claim 15, wherein the distally tapered segment of the distal tip has a first radiopacity and the shelf segment of the distal tip has a second radiopacity.

20. The delivery catheter of claim 11, wherein the shelf segment of the distal tip disengages from the distal opening of the tubular component when the delivery catheter is in a deployment configuration.