Abstract:
The present disclosure describes devices, systems, and methods for loading, delivering, positioning, and deploying an artificial heart valve device at the mitral annulus. A delivery system includes a delivery member coupled to a handle assembly and extending distally from the handle assembly. The valve device is attached at the distal end of the delivery member, and is constrained within a valve cover of an outer sheath. A delivery catheter is configured to advance the valve relative to the outer sheath, and a suture catheter includes sutures/tethers which maintain proximal tension on the valve prior to deployment.
Abstract:
An intravascular device delivery system (100) has an elongated member (102) with an outer sleeve (114) and a distal cap (112) longitudinally fixed to a guidewire receiving member (116). The guidewire receiving member is moveable longitudinally relative to the outer sleeve to move the distal cap relative to the outer sleeve.
Abstract:
An intravascular device delivery system (100) includes an elongated member (102) with a proximal end (104), a distal end (106), and a longitudinal axis (128) therebetween. The elongated member includes a multilumen catheter (116) having a catheter wall (136) with a plurality of lumen (132) in the catheter wall. The plurality of lumen extends from a proximal end of the elongated member to a distal end of the elongated member. A lumen ratio of the cross-sectional area of the plurality of lumen and the cross sectional area of the catheter wall is greater than 30%.
Abstract:
An intravascular device delivery system (100) has an elongated member (102) with a flexible hypotube (114). The hypotube can be rotationally keyed to a steerable catheter (116). The flexible hypotube includes one or more cuts (134, 136) to allow bending of the flexible hypotube within a first plane. The steerable catheter is steerable to bend the flexible hypotube within the first plane, and longitudinally movable relative to the flexible hypotube to allow distal movement of the steerable catheter relative to a distal end of the flexible hypotube.
Abstract:
A steerable catheter has a body with an outer surface and an inner surface defining a central lumen. The outer surface and inner surface define a wall of the body, which has a plurality of steering lumen and control lumen extending longitudinally therethrough. The body includes a body material. The steering lumen and control lumen have a control lumen lining and steering lumen lining, respectively, with a higher durometer than the body material. A steering wire is positioned within the steering lumen and a control wire is positioned within the control lumen.
Abstract:
An intravascular device delivery system includes an elongated member with a distal end cap and a delivery disc that are longitudinally movable using a disc handle. A main body of the disc handle is configured to move the distal end cap and a movable body of the disc handle is configured to move the delivery disc. The movable body is movable relative to the main body, and the main body and movable body are movable together.
Abstract:
The present disclosure describes devices, systems, and methods for intravascularly delivering an implantable device at the mitral annulus. A delivery system includes a delivery member coupled to a handle assembly and extending distally from the handle assembly. The intravascular device is attached at the distal end of the delivery member, and is housed within a distal piece of an outer sheath. A steering catheter is nested within the outer sheath to bend the delivery member into position. A delivery catheter is configured to advance the intravascular device relative to the outer sheath, and a suture catheter includes sutures/tethers which may be coupled to the intravascular device prior to deployment.
Abstract:
An intravascular delivery system includes a delivery sheath capable of transmitting a predetermined tension or compression force in a longitudinal direction while maintaining flexibility to navigate tortuous anatomy. A method of delivering a medical device includes inserting an intravascular device delivery system including a delivery sheath having a continuous spine into a bodily lumen. A distal longitudinal force is applied to the delivery sheath. The distal force is transmitted through the continuous spine and across one or more slit cuts of the delivery sheath. A proximal longitudinal force is applied to the delivery sheath. The proximal longitudinal force is transmitted through the continuous spine of the delivery sheath.
Abstract:
The present disclosure describes devices, systems, and methods for intravascularly delivering an implantable device to a targeted anatomical site such as the mitral annulus. A delivery system includes a delivery member coupled to a handle assembly and extending distally from the handle assembly. A delivery catheter is concentrically positioned within an outer member and configured to advance the intravascular device relative to the outer member. The delivery catheter includes a distal can structure configured to house at least a portion of the intravascular device in a compressed, pre-deployed position.
Abstract:
A method for sealing and flushing a delivery member (104) includes sealing one or more lumens (126) and flushing air from the one or more lumens (126). An interventional device delivery system includes a handle assembly (102) and a delivery member (104). The handle assembly (102) includes a catheter holder with a passageway therethrough. A flush block (154) is associated with the catheter holder (128) and has a flush port (150) and a flush chamber (160). The delivery member (104) is associated with the handle assembly (102) and includes a plurality of catheters. At least one of the catheters has a proximal end disposed within the passageway in the catheter holder (128) and is in fluid communication with the flush chamber (160).