Catheter having hydraulic actuator and locking system

Patent metadata

Field	Value
Publication number	US-10327932-B2
Application number	US-201615016520-A
Country	US
Kind code	B2
Filing date	Feb 5, 2016
Priority date	Mar 12, 2013
Publication date	Jun 25, 2019
Grant date	Jun 25, 2019

Abstract

Catheter including a pressure chamber defined by proximal and distal seals and inner and outer tubular members. An actuator member, moveable between first and second positions, is disposed within the pressure chamber. Fluid introduced into the pressure chamber applies a force on the actuator member to move the actuator member toward the second position. A lock mechanism, disposed between inner and outer tubular members, includes a latch having an engaged condition preventing movement of the outer tubular member relative the inner member and a disengaged condition allowing movement the outer member. The latch is shifted to the disengaged condition when the actuator member is moved to the second position. With the actuator member in the second position and the latch in the disengaged condition, fluid introduced through the fluid flow port and into the pressure chamber applies a force on the proximal seal to urge the outer tubular member proximally.

First claim

What is claimed is:

1. A catheter comprising:
an inner tubular member having a proximal end portion, a distal end portion and an exterior surface, the inner tubular member further having a fluid lumen defined therein, the fluid lumen having a fluid flow port defined by the exterior surface along the distal end portion of the inner tubular member;
an outer tubular member movable relative to the inner tubular member, the outer tubular member having a proximal end, a distal end and an interior surface directed toward the exterior surface of the inner tubular member;
a proximal seal extending from the interior surface of the outer tubular member toward the exterior surface of the inner tubular member, the proximal seal located proximal to the fluid flow port;
a distal seal extending from the exterior surface of the inner tubular member toward the interior surface of the outer tubular member, the distal seal located distal to the fluid flow port;
a pressure chamber defined by the proximal seal, the distal seal, the exterior surface of the inner tubular member, and the interior surface of the outer tubular member;
an actuator member disposed within the pressure chamber, the actuator member having a seal section and a cam section, the actuator member being moveable between a first position and a second position, wherein fluid introduced through the fluid flow port and into the pressure chamber applies a force on the seal section to move the actuator member from the first position toward the second position; and
a lock mechanism disposed between the exterior surface of the inner tubular member and the interior surface of the outer tubular member, the lock mechanism including a latch having an engaged condition to prevent movement of the outer tubular member relative the inner tubular member and a disengaged condition to allow movement of the outer tubular member relative the inner tubular member, the latch being shifted to the disengaged condition by the cam section when the actuator member is moved to the second position,
wherein, with the actuator member in the second position and the latch in the disengaged condition, fluid introduced through the fluid flow port and into the pressure chamber applies a force on the proximal seal to urge the outer tubular member in a proximal direction.

2. The catheter according to claim 1 , wherein the lock mechanism includes a body member and the latch is defined at least in part by an arm extending from the body member.

3. The catheter according to claim 2 , wherein the lock mechanism includes a sleeve coupled to the inner tubular member, wherein the latch is engaged with the sleeve when in the engaged condition.

4. The catheter according to claim 3 , wherein the cam section of the actuator member disengages the latch from the sleeve when the actuator member is moved toward the second position.

5. The catheter according to claim 1 , wherein a slot is defined in the exterior surface of the inner tubular member, the latch engaged with the slot when in the engaged condition.

6. The catheter according to claim 1 , further comprising a stop member being disposed between the outer tubular member and the inner tubular member to define the first position of the actuator member relative the fluid flow port.

7. The catheter according to claim 6 , wherein the stop member comprises a sleeve movable relative the outer tubular member.

8. The catheter according to claim 7 , wherein the actuator member moves in the proximal direction from the first position toward the second position.

9. The catheter according to claim 6 , wherein the seal section of the actuator member forms a seal with the stop member to define a distal chamber portion and a proximal chamber portion within the pressure chamber when the actuator member is in the first position.

10. The catheter according to claim 9 , wherein the distal chamber portion and the proximal chamber portion are in fluid communication with each other when the actuator member moves in the proximal direction from the stop member to disrupt the seal therebetween.

11. The catheter according to claim 1 , wherein the lock mechanism includes a body member secured to the outer tubular member.

12. The catheter according to claim 11 , wherein the body member comprises a material incompatible for thermal bonding with the material of the outer tubular member.

13. The catheter according to claim 1 , wherein the outer tubular member comprises a nylon braided tube with a PTFE liner or a fluoropolymer braided tube with lubricous liner such as PTFE.

14. The catheter according to claim 1 , wherein the inner tubular member further includes a guidewire lumen defined therein.

15. The catheter according to claim 1 , further comprising a stent seat disposed along the inner tubular member distal to the pressure chamber and a stent positioned at the stent seat.

16. The catheter according to claim 15 , wherein a distal end of the inner tubular member further comprises a distal tip disposed distal to the stent seat.

17. The catheter according to claim 1 , further comprising at least one movable tubular structure coupled to the outer tubular member and disposed at least one of the proximal end of the outer tubular member or the distal end of the outer tubular member.

18. A method of deploying a catheter, comprising:
providing a catheter including:
an inner tubular member having a proximal end portion, a distal end portion and an exterior surface, the inner tubular member further having a fluid lumen defined therein, the fluid lumen having a fluid flow port defined by the exterior surface along the distal end portion of the inner tubular member,
an outer tubular member movable relative to the inner tubular member, the outer tubular member having a proximal end, a distal end and an interior surface directed toward the exterior surface of the inner tubular member,
a proximal seal extending from the interior surface of the outer tubular member toward the exterior surface of the inner tubular member, the proximal seal located proximal to the fluid flow port,
a distal seal extending from the exterior surface of the inner tubular member toward the interior surface of the outer tubular member, the distal seal located distal to the fluid flow port,
a pressure chamber defined by the proximal seal, the distal seal, the exterior surface of the inner tubular member, and the interior surface of the outer tubular member,
an actuator member disposed within the pressure chamber, the actuator member having a seal section and a cam section, the actuator member being moveable between a first position and a second position, wherein fluid introduced through the fluid flow port and into the pressure chamber applies a force on the seal section to move the actuator member from the first position toward the second position, and
a lock mechanism disposed between the exterior surface of the inner tubular member and the interior surface of the outer tubular member, the lock mechanism including a latch having an engaged condition to prevent movement of the outer tubular member relative the inner tubular member and a disengaged condition to allow movement of the outer tubular member relative the inner tubular member, the latch being shifted to the disengaged condition by the cam section when the actuator member is moved to the second position;

disposing a device between the exterior surface of the inner tubular member and the interior surface of the outer tubular member at a location distal to the distal seal; and
introducing fluid through the fluid f

Assignees

• Abbott Cardiovascular Systems Inc

Inventors

• Shumer Daniel H
• Green Michael L
• Saxton Patrick C

Classifications

• A61F2250/0021

  differing in coefficient of friction · CPC title

• A61F2250/0019

  differing in hardness, e.g. Vickers, Shore, Brinell · CPC title

• A61F2/9517

  handle assemblies therefor · CPC title

• A61F2/011

  Instruments for their placement or removal · CPC title

• A61F2/95

  Instruments specially adapted for placement or removal of stents or stent-grafts · CPC title