Leadless cardiac pacemaker and retrieval device

• US 9,700,732 B2
• Filed: 08/05/2014
• Issued: 07/11/2017
• Est. Priority Date: 08/16/2013
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Schmidt, Brian L., Sachs, Dana
• Primary Examiner(s): SHI, KATHERINE MENGLIN
• Application Number:
  US14/451,553
• Publication Number:
  US 20150051609A1
• Time in Patent Office: 1,071 Days
• Field of Search: 606129, 607122, 607126, 607127, 607128, 600373
• CPC Class Codes: A61N 1/362 Heart stimulators heart defibrillators A61N1/39
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators
• CPC Class Codes: A61N 2001/0578 having means for removal or extraction

Abstract

A retrieval device and an associated implantable cardiac pacing device. The retrieval device includes a retrieval catheter and a snare advanceable from the distal end of the retrieval catheter. The snare has a loop configured to be coupled to the docking member to draw the implantable cardiac pacing device into the lumen of the retrieval catheter. The retrieval catheter includes a retention feature in the lumen configured to engage the head portion of the docking member to facilitate retention of the implantable cardiac pacing device in the lumen after drawing the implantable cardiac pacing device into the lumen of the retrieval catheter with the snare.

Claims

1. An assembly for retrieving an implantable cardiac pacing device, comprising:

an implantable cardiac pacing device having a housing, an electrode positioned proximate a distal end of the housing, and a docking member extending from a proximal end of the housing opposite the distal end, the docking member including a head portion and a neck portion extending between the housing and the head portion; and

a retrieval device including;

a retrieval catheter having a proximal end, a distal end, and a lumen extending into the retrieval catheter from the distal end;

a snare advanceable from the distal end of the retrieval catheter, the snare having a loop configured to be coupled to the docking member to draw the implantable cardiac pacing device into the lumen of the retrieval catheter;

wherein the retrieval catheter includes a retention feature arranged on an inner wall of the retrieval catheter and extending into the lumen configured to engage the head portion of the docking member to facilitate retention of the implantable cardiac pacing device in the lumen after drawing the implantable cardiac pacing device into the lumen of the retrieval catheter with the snare, wherein the retention feature includes a tapered surface configured to form an interference fit with the head portion of the docking member, wherein the tapered surface has a length, the length of the tapered surface facing a central longitudinal axis of the retrieval catheter both prior to and after the tapered surface contacts the head portion of the docking member, the tapered surface extending in a longitudinal direction from a first distal diameter greater than an outer diameter of the head portion of the docking member to a second proximal diameter less than the outer diameter of the head portion of the docking member.

2. The assembly of claim 1, wherein the tapered surface is a discontinuous frustoconical surface.

3. The assembly of claim 1, wherein a distal portion of the lumen distal of the retention feature is sized to receive the housing of the implantable cardiac pacing device therein.

4. The assembly of claim 1, wherein the snare extends through a central opening through the retention feature.

5. An assembly for retrieving an implantable cardiac pacing device, comprising:

an implantable cardiac pacing device having a housing, an electrode positioned proximate a distal end of the housing, and a docking member extending from a proximal end of the housing opposite the distal end, the docking member including a head portion and a neck portion extending between the housing and the head portion; and

a retrieval device including;

a retrieval catheter having a proximal end, a distal end, and a lumen extending into the retrieval catheter from the distal end;

a snare advanceable from the distal end of the retrieval catheter, the snare having a loop configured to be coupled to the docking member to draw the implantable cardiac pacing device into the lumen of the retrieval catheter;

wherein the retrieval catheter includes a retention feature in the lumen configured to engage the head portion of the docking member to facilitate retention of the implantable cardiac pacing device in the lumen after drawing the implantable cardiac pacing device into the lumen of the retrieval catheter with the snare, wherein the retention feature includes internal threading configured to threadably engage the head portion of the docking member.

6. The assembly of claim 5, wherein the head portion of the docking member is positionable between adjacent windings of the internal threading.

7. The assembly of claim 5, wherein a minor diameter of the internal threading is less than an outer diameter of the head portion of the docking member and a major diameter of the internal threading is greater than the outer diameter of the head portion of the docking member.

8. The assembly of claim 5, wherein the internal threading is discontinuous.

9. An assembly for retrieving an implantable cardiac pacing device, comprising:

an implantable cardiac pacing device having a housing, an electrode positioned proximate a distal end of the housing, and a docking member extending from a proximal end of the housing opposite the distal end, the docking member including a head portion and a neck portion extending between the housing and the head portion; and

a retrieval device including;

a retrieval catheter having a proximal end, a distal end, and a lumen extending into the retrieval catheter from the distal end;

a snare advanceable from the distal end of the retrieval catheter, the snare having a loop configured to be coupled to the docking member to draw the implantable cardiac pacing device into the lumen of the retrieval catheter;

wherein the retrieval catheter includes a retention feature arranged on an inner wall of the retrieval catheter and extending into the lumen configured to engage the head portion of the docking member to facilitate retention of the implantable cardiac pacing device in the lumen after drawing the implantable cardiac pacing device into the lumen of the retrieval catheter with the snare, wherein the retention feature includes a plurality of spaced apart recesses for receiving a plurality of spaced apart protuberances extending from the implantable cardiac pacing device, wherein the retention feature includes a circumferential rim projecting into the lumen, wherein the plurality of spaced apart recesses are arranged around the circumferential rim, and wherein the plurality of spaced apart protuberances extend radially away from a central longitudinal axis of the cardiac pacing device.

10. The assembly of claim 9, wherein the plurality of protuberances are press fit into the a plurality of recesses.

11. The assembly of claim 9, wherein the retention feature includes a plurality of radially extending ribs separated by the plurality of spaced apart recesses, wherein the plurality of protuberances include a plurality of radially extending spokes on the head portion of the docking member configured to intermesh with the plurality of radially extending ribs.

12. The assembly of claim 11, wherein each of the ribs is configured to be pressed between adjacent spokes of the head portion of the docking member.

13. The assembly of claim 9, wherein the plurality of spaced apart protuberances are disposed on the housing of the implantable cardiac pacing device.

14. The assembly of claim 13, wherein the plurality of spaced apart protuberances extend proximally from the proximal end of the housing of the implantable cardiac pacing device.