Delivery catheter and catheter arrangement

Patent metadata

Field	Value
Publication number	US-10660774-B2
Application number	US-201715628325-A
Country	US
Kind code	B2
Filing date	Jun 20, 2017
Priority date	Jun 21, 2016
Publication date	May 26, 2020
Grant date	May 26, 2020

Abstract

A delivery catheter includes an inner shaft having an atraumatic distal catheter tip. The inner shaft is configured to carry the implant thereon. The catheter tip includes a region that is fixed to the inner shaft and a region that is deformable and not fixed to the inner shaft. An outer shaft surrounds the inner shaft and is displaceable relative thereto. An implant capsule at a distal end of the outer shaft is configured to encase the implant and to release the implant at the target site via relative displacement of the inner and outer shafts. A plunger is axially displaceable with respect to the catheter tip in response to movement of the outer shaft to apply axial compressive force to the catheter tip and deform the region that is deformable and expand that region radially.

First claim

What is claimed is:

1. A delivery catheter for inserting an implant at a target site in a vessel or organ of a mammal, comprising:
an inner shaft having an atraumatic distal catheter tip, the inner shaft being configured to carry the implant thereon, the catheter tip having a region that is fixed to the inner shaft and having a region that is deformable and not fixed to the inner shaft;
an outer shaft surrounding the inner shaft and being displaceable relative thereto;
an implant capsule at a distal end of the outer shaft configured to encase the implant and to release the implant at the target site via relative displacement of the inner and outer shafts; and
a plunger axially displaceable with respect to the catheter tip in response to movement of the outer shaft to apply axial compressive force to the catheter tip and deform the region that is deformable and expand that region radially, wherein the catheter tip comprises a soft-resilient moulded plastics part and the region that is deformable is a proximal portion of the soft-resilient moulded plastics part, and the plunger is arranged to contact the proximal portion of the soft-resilient moulded plastics part to axially compress the proximal portion of the soft-resilient moulded plastics part and cause radial expansion of the proximal portion of the soft-resilient moulded plastics part.

2. The delivery catheter according to claim 1 , wherein the proximal portion of the soft-resilient moulded plastics part is not fixed to the inner shaft and can be slid relative to the inner shaft during deformation.

3. The delivery catheter according to claim 1 , further comprising a bushing within the catheter tip joining a proximal end of the proximal portion of the soft-resilient moulded plastics part to the inner shaft and arranged to transfer axial force from the plunger to the proximal end of the catheter tip, wherein the proximal portion of the soft-resilient moulded plastics part defines a hollow space that expands radially in response to the axial force and is not connected to the inner shaft.

4. The delivery catheter according to claim 1 , wherein the region that is fixed comprises a majority of a longitudinal extent of the soft-resilient moulded plastics part and has its entire inner periphery integrally bonded to an outer periphery of the inner shaft.

5. The delivery catheter according to claim 4 , wherein a bond between the soft-resilient moulded plastics part and the inner shaft comprises glue or a weld between the entire inner periphery of the region that is fixed and the outer periphery of the inner shaft.

6. The delivery catheter according to claim 1 , wherein a diameter of the catheter tip in a non-radially expanded state is substantially equal to the diameter of the implant capsule, and a greatest diameter of the catheter tip in a radially expanded state is in a range between 1.05 times and 1.4 times a diameter of the implant capsule.

7. The delivery catheter according to claim 6 , wherein the range is between 1.1 times and 1.35 times.

8. The delivery catheter according to claim 6 , wherein the range is between 1.25 times and 1.3 times.

9. The delivery catheter according to claim 1 , comprising an implant mounted thereon, wherein the implant is a stent or a heart valve prosthesis.

10. A delivery catheter for inserting an implant at a target site in a vessel or organ of a mammal, comprising:
an inner shaft having an atraumatic distal catheter tip, the inner shaft being configured to carry the implant thereon, the catheter tip having a region that is fixed to the inner shaft and having a region that is deformable and not fixed to the inner shaft;
an outer shaft surrounding the inner shaft and being displaceable relative thereto;
an implant capsule at a distal end of the outer shaft configured to encase the implant and to release the implant at the target site via relative displacement of the inner and outer shafts; and
a plunger axially displaceable with respect to the catheter tip in response to movement of the outer shaft to apply axial compressive force to the catheter tip and deform the region that is deformable and expand that region radially, wherein the plunger comprises a spirally cut tube in its distal region, and a distal ring flange for forming an area of contact for contacting the catheter tip.

11. The delivery catheter according to claim 10 , comprising an implant mounted thereon, wherein the implant is a stent or a heart valve prosthesis.

12. A delivery catheter for inserting an implant at a target site in a vessel or organ of a mammal, comprising:
an inner shaft having an atraumatic distal catheter tip, the inner shaft being configured to carry the implant thereon, the catheter tip having a region that is fixed to the inner shaft and having a region that is deformable and not fixed to the inner shaft;
an outer shaft surrounding the inner shaft and being displaceable relative thereto;
an implant capsule at a distal end of the outer shaft configured to encase the implant and to release the implant at the target site via relative displacement of the inner and outer shafts;
a plunger axially displaceable with respect to the catheter tip in response to movement of the outer shaft to apply axial compressive force to the catheter tip and deform the region that is deformable and expand that region radially, and an implant connector fixed to the inner shaft inside the implant capsule, the implant connector comprising a guide configured to guide the plunger during axial displacement thereof.

13. The delivery catheter according to claim 12 , wherein the guide comprises through-holes and the plunger comprises strips threaded through the through-holes, and a connection ring defines a closed proximal end of the plunger.

14. The delivery catheter according to claim 12 , wherein the guide comprises through-holes and the plunger comprises strips threaded through the through-holes, and a connection ring defines a closed proximal end of the plunger, and wherein a proximal end of the connection ring contacts the annular distal end face.

15. The delivery catheter according to claim 12 , comprising an implant mounted thereon, wherein the implant is a stent or a heart valve prosthesis.

16. A delivery catheter for inserting an implant at a target site in a vessel or organ of a mammal, comprising:
an inner shaft having an atraumatic distal catheter tip, the inner shaft being configured to carry the implant thereon, the catheter tip having a region that is fixed to the inner shaft and having a region that is deformable and not fixed to the inner shaft;
an outer shaft surrounding the inner shaft and being displaceable relative thereto;
an implant capsule at a distal end of the outer shaft configured to encase the implant and to release the implant at the target site via relative displacement of the inner and outer shafts; and
a plunger axially displaceable with respect to the catheter tip in response to movement of the outer shaft to apply axial compressive force to the catheter tip and deform the region that is deformable and expand that region radially, wherein the outer shaft comprises an annular distal end face configured for contacting a proximal end of the plunger.

17. The delivery catheter according to claim 16 , comprising an implant mounted thereon, wherein the implant is a stent or a heart valve prosthesis.

Assignees

• Biotronik Ag

Inventors

• Keller Mark
• Hepke Markus

Classifications

• A61F2002/061

  provided with means for allowing access to secondary lumens · CPC title

• A61F2/07

  Stent-grafts · CPC title

• A61F2002/9665

  with additional retaining means · CPC title

• A61F2/2436

  Deployment by retracting a sheath · CPC title

• A61F2250/0039

  differing in diameter · CPC title