Mechanism for releasably engaging an implantable medical device for implantation

• US 9,026,229 B2
• Filed: 03/14/2014
• Issued: 05/05/2015
• Est. Priority Date: 09/15/2006
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Stalker, Kent C. B., D'Aquanni, Peter J., Johnson, Eric T.
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): KIMBALL, JEREMIAH T
• Application Number:
  US14/212,873
• Publication Number:
  US 20140200462A1
• Time in Patent Office: 417 Days
• Field of Search: 607/119, 607/116
• US Class Current: 607/119
• CPC Class Codes: A61B 2560/066 catheters therefor
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/6876 Blood vessel
• CPC Class Codes: A61M 25/0074 Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 2001/0578 having means for removal or extraction

Abstract

An apparatus for releasably engaging an implantable medical device during delivery includes an elongate, tubular body having an open distal end a plurality of deflectable jaw members extending distally from the distal end of the body and terminating in distal tip portions, and an actuating member slidably disposed within the body and including a distal end portion operable to prevent inward deflection of the jaw members when positioned proximate the distal tip portions. The jaw members are adapted to releasably engage an engagement feature of the implantable medical device.

Claims

1. A method for removing an implantable medical device from an implantation site, the method comprising:

releasably engaging the implantable medical device at an implantation site by inserting jaw members of a retrieval apparatus through an aperture in the implantable medical device such that the jaw members engage an inner surface of the aperture, wherein the jaw members extend distally from an elongate, tubular body of the retrieval apparatus;

coupling the retrieval apparatus to the implantable medical device by advancing an actuating member through the body and positioning a distal end portion of the actuating member at a location proximate distal tip portions of the jaw members to prevent inward deflection of the jaw members; and

retracting the body such that the retrieval apparatus and the engaged implantable medical device are removed from the implantation site.

2. The method of claim 1, wherein the implantable medical device is removed from the implantation site located within a pulmonary artery of a patient.

3. The method of claim 1, wherein the implantable medical device is removed from the implantation site within an area of a patient'"'"'s vasculature.

4. The method of claim 1, wherein the implantable medical device is removed from a patient'"'"'s body entirely.

5. The method of claim 1, wherein the implantable medical device is removed from the implantation site and relocated to another implantation site within a patient'"'"'s vasculature.

6. The method of claim 1, wherein releasably engaging the implantable medical device includes frictionally engaging the inner surface of the aperture of the implantable medical device by outwardly deflecting the jaw members.

7. The method of claim 1, wherein releasably engaging the implantable medical device includes outwardly deflecting a pair of jaw members to engage the inner surface of the aperture.

8. The method of claim 1, wherein releasably engaging the implantable medical device includes outwardly deflecting three jaw members to engage the inner surface of the aperture.

9. The method of claim 1, wherein releasably engaging the implantable medical device includes releasing the implantable medical device by proximally moving the distal end portion of the actuating member away from the distal tip portions of the jaw members and allowing the jaw members to bias inwardly with respect to a distal end of the body.

10. The method of claim 1, wherein coupling the retrieval apparatus to the implantable medical device includes positioning the actuating member at a location proximate the distal tip portions and deflect the jaw members outwardly.

11. The method of claim 1, wherein coupling the retrieval apparatus to the implantable medical device includes extending the jaw members through the aperture located in and extending through a cross member, wherein the cross member is configured to extend between a pair of lateral arms of a yoke of the implantable medical device.

12. The method of claim 1, wherein releasably engaging the implantable medical device includes proximal retraction of the distal end portion of the actuating member relative to the distal tip portions of the jaw members to facilitate inwardly deflection of the jaw members with respect to a distal end of the body during withdrawal through the aperture.

13. A method for delivering or relocating an implantable medical device including an aperture, the method comprising:

releasably engaging the implantable medical device by inserting jaw members of a retaining element through the aperture in the implantable medical device such that the jaw members engage an inner surface of the aperture, the jaw members extending distally from an elongate, tubular body of the retaining element;

advancing an actuating member through the body and positioning a distal end portion of the actuating member at a location proximate the distal tip portions of the jaw members to prevent inward deflection of the jaw members;

positioning the implantable medical device as desired, retracting the actuating member to a location proximal to the jaw members; and

retracting the body relative to the implantable medical device to retract the jaw members from the aperture.

14. The method of claim 13 for delivering or relocating an implantable sensor to an implantation site within an area of a patient'"'"'s vasculature.