Implantation system and method for loading an implanter with a prosthesis

• US 20060167468A1
• Filed: 03/23/2006
• Published: 07/27/2006
• Est. Priority Date: 11/12/2004
• Status: Abandoned Application

• Current Assignee: Shlomo Gabbay
• Original Assignee: Shlomo Gabbay
• Inventors: Gabbay, Shlomo
• Application Number:
  US11/387,163
• Publication Number:
  US 20060167468A1
• Time in Patent Office: Days
• US Class Current: 606/108
• CPC Class Codes: A61B 17/3462 with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals expandable cannulas A61B17/3417
• 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 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00247 Making holes in the wall of the heart, e.g. laser Myocardial revascularization
• 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 2017/3492 against the outside of the body
• CPC Class Codes: A61B 2018/00392 Transmyocardial revascularisation
• CPC Class Codes: A61F 2/2436 Deployment by retracting a sheath
• CPC Class Codes: A61F 2/9522 Means for mounting a stent or stent-graft onto or into a placement instrument

Abstract

An implanter that includes that includes a loading portion having an opening at a first end that is spaced axially apart from a second end by a sidewall portion. The sidewall portion has a radially inner sidewall that tapers from a first diameter at the opening to a second diameter at the second end of the loading portion, the second diameter being less than the first diameter. A barrel extending longitudinally from the second end of the loading portion to terminate in an open discharge end, a body lumen extending through the loading portion and through the barrel to provide for fluid communication through the body. A plunger is dimensioned and configured for movement through at least a substantial portion of the body lumen from the first end of the loading portion to a location adjacent the discharge end of the barrel.

Claims

1. An implanter, comprising:

a body comprising;

a loading portion having an opening at a first end that is spaced axially apart from a second end by a sidewall portion, the sidewall portion having a radially inner sidewall that tapers from a first diameter at the opening to a second diameter at the second end of the loading portion, the second diameter being less than the first diameter; and

a barrel extending longitudinally from the second end of the loading portion to terminate in an open discharge end, a body lumen extending through the loading portion and through the barrel to provide for fluid communication through the body; and

a plunger dimensioned and configured for movement through at least a substantial portion of the body lumen from the first end of the loading portion to a location adjacent the discharge end of the barrel.

2. The implanter of claim 1, wherein the barrel has an inner diameter, defining a portion of the body lumen, that at least approximates the second diameter of the loading portion.

3. The implanter of claim 2, wherein the inner diameter of the barrel is substantially fixed along the length of the barrel.

4. The implanter of claim 2, wherein the loading portion and the barrel comprise a monolithic structure.

5. The implanter of claim 1, further comprising an elongated pusher member having at least one rod that has an exterior sidewall that extends from a first end and terminates in a second end spaced longitudinally apart from the first end, the exterior sidewall having an outer diameter proximal the second end thereof that is less than the first diameter to enable insertion at least partially within the sidewall of the loading portion.

6. The implanter of claim 5, wherein the at least one rod further comprises at least two rod members that extend substantially parallel to each other in a spaced apart relationship, the at least two rods being fixed relative to each other adjacent the first end thereof and being substantially coextensive along a length thereof from the first end to the respective second ends thereof, each of the at least two rod members being inwardly deflectable toward each other so as to vary the space between the at least two rods near the respective second ends thereof.

7. The implanter of claim 5, wherein the at least rod is a first rod, the pusher member further comprises a second elongated rod that is spaced axially apart from the at least one rod by a spacer, the second elongated rod having an exterior sidewall that extends from the spacer and terminates in a second end thereof that is spaced longitudinally apart from the spacer, the second elongated rod having a diameter that is at least the diameter of the first elongated rod, but less than the first diameter of the loading portion.

8. The implanter of claim 1, wherein the plunger is part of a plunger assembly, the plunger assembly comprising a housing through which at least a portion of the plunger is configured to move, the housing being removably connectable to the body.

9. The implanter of claim 8, wherein the housing of the plunger assembly comprises a first member that is configured to attach with corresponding structure located proximal the first end of the loading portion, such that the plunger is aligned with and moveable through the at least a substantial portion of the body lumen.

10. The implanter of claim 8, further comprising a biasing element that provides resistance to axial movement of the plunger from the first end to the location adjacent the discharge end of the barrel.

11. The implanter of claim 1, wherein the radially inner sidewall of the loading portion has a first portion having a substantially cylindrical configuration adjacent the first end of the loading portion, a second portion of the radially inner sidewall extending from the first portion and having a frusto-conical configuration extending between the first portion and the second end of the loading portion.

12. The implanter of claim 1, further comprising an introducer apparatus having a first end portion that is attachable at the discharge end of the barrel, the introducer apparatus including a sidewall portion that extends from the first end portion and terminates in a distal end portion, the introducer apparatus being configured to permit movement of the barrel through the distal end portion of the introducer apparatus.

13. The implanter of claim 12, wherein the sidewall of distal end portion of the introducer apparatus tapers from a first dimension adjacent the first end portion of the introducer apparatus to a second, smaller dimension distal the first end portion of the introducer apparatus, the distal end portion being moveable from a substantially closed condition to an open condition in response to axial movement of the barrel from the first end and at least partially through the distal end portion.

14. The implanter of claim 13, wherein the introducer apparatus further comprises a flange located adjacent the first end portion thereof.

15. The implanter of claim 13, wherein the distal end portion further comprises at least two jaw members generally radially moveable relative to a central axis that extends through the introducer apparatus, the at least two jaw members being moveable relative to the central axis and to each other between the substantially closed condition and the open condition.

18. The implantation system of claim 8, further comprising a biasing element that provides resistance to axial movement of the plunger from the first end to the location adjacent the discharge end of the barrel.

16. An implantation system comprising:

a body portion member comprising;

a loading portion having a substantially smooth, radially inner sidewall having a cross sectional configuration that tapers from a first diameter adjacent an opening located at a first end of the loading portion to a smaller second diameter that is spaced axially apart from the first end; and

an elongated barrel that extends from the loading portion to terminate an open discharge end that is spaced apart from the loading portion, the barrel having a lumen that is substantially axially aligned and in fluid communication with the radially inner sidewall of the loading portion, the lumen of the barrel having a cross-sectional dimension that approximates the second diameter of the loading portion;

at least one pusher member having an elongated rod that extends from a first end and terminates in a second end that is spaced longitudinally apart from the first end, the elongated rod of the pusher member having an outer diameter that is between the first diameter and the second diameter of the loading portion; and

a plunger comprising an elongated rod having an outer diameter that is dimensioned and configured for axial movement through the interior sidewall of the loading portion and through at least a substantial portion of the lumen of the barrel.

17. The implantation system of claim 16, wherein the plunger is part of a plunger assembly, the plunger assembly comprising a housing that is configured to attach with corresponding structure located proximal the first end of the loading portion, the plunger being moveable relative to the housing and through the at least a substantial portion of the lumen of barrel.

19. A method of using the implantation system of claim 16, the method comprising:

urging a deformable prosthesis axially through the opening of the loading portion such that the interior sidewall of the loading portion engages an exterior of the prosthesis and causes a cross-sectional dimension of the prosthesis to reduce commensurate with the cross sectional dimension of the inner sidewall being engaged by the prosthesis;

pushing the prosthesis with the pusher member so that at least a portion of the prosthesis passes through the second end of the loading portion and into the barrel of the implanter;

aligning the plunger rod with the opening of the loading portion; and

causing the plunger rod to pass through the loading portion and into engagement with the prosthesis so as to move the prosthesis toward the discharge end of the barrel.

20. The method of claim 19, wherein the prosthesis comprises a cardiac prosthesis.