Alignment of an implantable medical device
First Claim
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1. A medical device delivery system comprising:
- an inner shaft having a proximal end and a distal end;
a support shaft having a proximal end and a distal end, the support shaft being sized for insertion into the circulatory system of a patient;
an articulating assembly disposed between the inner shaft and the support shaft, the articulating assembly including a first portion at the distal end of the inner shaft and a second portion at the proximal end of the support shaft, the first portion being pivotable relative to the second portion to change the orientation of the support shaft relative to the inner shaft;
a retainer secured to the second portion of the articulating assembly and configured to retain a medical device on the support shaft between the retainer and the distal end of the support shaft;
a plurality of control wires, movement of one of the control wires proximally causing the second portion of the articulating assembly to pivot relative to the first portion of the articulating assembly;
a handle disposed proximally of the inner shaft;
an actuator assembly secured to the handle, the actuator assembly including a housing pivotably mounted to the handle, the plurality of control wires being secured to the housing so that a pivoting movement of the housing relative to the handle pulls at least one of the control wires proximally;
an anchor for securing the plurality of control wires; and
a wedge mounted within the anchor for securing the plurality of control wires.
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Abstract
A medical device delivery system includes an inner shaft having a proximal end and a distal end, a support shaft having a proximal end and a distal end and an articulating assembly disposed between the inner shaft and the support shaft. The support shaft is sized for insertion into the circulatory system of a patient. The articulating assembly includes a first portion at the distal end of the inner shaft and a second portion at the proximal end of the support shaft. The first portion is pivotable relative to the second portion to change orientation of the support shaft relative to the inner shaft.
92 Citations
20 Claims
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1. A medical device delivery system comprising:
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an inner shaft having a proximal end and a distal end; a support shaft having a proximal end and a distal end, the support shaft being sized for insertion into the circulatory system of a patient; an articulating assembly disposed between the inner shaft and the support shaft, the articulating assembly including a first portion at the distal end of the inner shaft and a second portion at the proximal end of the support shaft, the first portion being pivotable relative to the second portion to change the orientation of the support shaft relative to the inner shaft; a retainer secured to the second portion of the articulating assembly and configured to retain a medical device on the support shaft between the retainer and the distal end of the support shaft; a plurality of control wires, movement of one of the control wires proximally causing the second portion of the articulating assembly to pivot relative to the first portion of the articulating assembly; a handle disposed proximally of the inner shaft; an actuator assembly secured to the handle, the actuator assembly including a housing pivotably mounted to the handle, the plurality of control wires being secured to the housing so that a pivoting movement of the housing relative to the handle pulls at least one of the control wires proximally; an anchor for securing the plurality of control wires; and a wedge mounted within the anchor for securing the plurality of control wires. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 15, 16, 17)
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13. The delivery system of 12, further comprising:
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a handle disposed proximally of the inner shaft; and an actuator assembly secured to the handle, the actuator assembly including a housing pivotably mounted to the handle, the plurality of control wires being secured to the housing so that a pivoting movement of the housing relative to the handle pulls at least one of the control wires proximally. - View Dependent Claims (14)
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18. A medical device delivery system comprising:
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an inner shaft having a proximal end and a distal end; a support shaft having a proximal end and a distal end, the support shaft being sized for insertion into the circulatory system of a patient; an articulating assembly disposed between the inner shaft and the support shaft, the articulating assembly including a first portion at the distal end of the inner shaft and a second portion at the proximal end of the support shaft, the first portion being pivotable relative to the second portion to change the orientation of the support shaft relative to the inner shaft; and a retainer secured to the second portion of the articulating assembly and configured to retain a medical device on the support shaft between the retainer and the distal end of the support shaft, wherein one of the first and second portions of the articulating assembly includes a generally concave bearing surface and another of the first and second portions of the articulating assembly includes a ball pivotably engaging the bearing surface, the delivery system further including a sheath covering the first and second portions of the articulating assembly and longitudinally constraining the ball relative to the bearing surface.
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19. A medical device delivery system comprising:
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a support shaft configured to retain a medical device in a collapsed condition and having a proximal end and a distal end; an inner shaft having a proximal end and a distal end; an articulating assembly disposed between the support shaft and the inner shaft, the articulating assembly including a ball at the distal end of the inner shaft and a socket at the proximal end of the support shaft, the ball being pivotably engaged in the socket; a retainer secured to a portion of the articulating assembly and configured to retain the medical device on the support shaft between the retainer and the distal end of the support shaft; a handle disposed proximally of the inner shaft; an actuator mechanism pivotably secured to the handle; and a plurality of control wires operatively interconnecting the articulating assembly and the actuator mechanism such that pivoting movement of the actuator mechanism causes a corresponding pivoting movement of the support shaft relative to the inner shaft, and wherein the plurality of control wires have first ends secured to the socket.
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20. A medical device delivery system comprising:
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a support shaft configured to retain a medical device in a collapsed condition and having a proximal end and a distal end; an inner shaft having a proximal end and a distal end; an articulating assembly disposed between the support shaft and the inner shaft; a retainer secured to a portion of the articulating assembly and configured to retain the medical device on the support shaft between the retainer and the distal end of the support shaft; a handle disposed proximally of the inner shaft; an actuator mechanism pivotably secured to the handle; a plurality of control wires operatively interconnecting the articulating assembly and the actuator mechanism such that pivoting movement of the actuator mechanism causes a corresponding pivoting movement of the support shaft relative to the inner shaft; and a distal outer sheath and a proximal outer sheath for covering the inner shaft, the articulating assembly and the support shaft.
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Specification