Medical tool employing a warning mechanism notifying that a rotational limit has been reached

Patent metadata

Field	Value
Publication number	US-10874849-B2
Application number	US-201715681196-A
Country	US
Kind code	B2
Filing date	Aug 18, 2017
Priority date	Aug 19, 2016
Publication date	Dec 29, 2020
Grant date	Dec 29, 2020

Abstract

A medical tool includes a rotation mechanism that further includes a warning feature. The warning feature provides an indication when the rotation mechanism has achieved a number of rotations.

First claim

What is claimed is:

1. A medical tool handle, comprising:
a housing portion;
a torque portion rotatably coupled to the housing portion; and
a rotation mechanism enclosed within the housing portion and operably coupled to the torque portion, wherein the rotation mechanism includes a shuttle in threaded engagement with the torque portion such that rotation of the torque portion relative to the housing portion moves the shuttle relative to the housing portion from a first state to a second state, wherein, when the shuttle is in the first state, a first rotational force is required to rotate the torque portion relative to the housing portion, and wherein, when the shuttle is in the second state, a second rotational force less than the first rotational force is required to rotate the torque portion relative to the housing portion.

2. The medical tool handle of claim 1 , wherein the rotation mechanism includes a stop movable from a first position to a second position, wherein, when the stop is at the first position when the shuttle is in the first state, the stop resists rotation of the torque portion, and wherein, when the stop is at the second position when the shuttle is in the second state, the stop does not resist rotation of the torque portion.

3. The medical tool handle of claim 1 , wherein the rotation mechanism includes a bump, wherein the bump deflects to resist rotation of the torque portion in the first state, and wherein the bump does not deflect to resist rotation of the torque portion in the second state.

4. The medical tool handle of claim 1 , wherein the shuttle includes a plurality of shuttle segments and a compliant member extending around the shuttle segments, wherein the compliant member resists separation of the plurality of shuttle segments in the first state, and wherein the compliant member does not resist separation of the plurality of shuttle segments in the second state.

5. The medical tool handle of claim 4 , wherein the torque portion includes a bump, and wherein the bump is in contact with the plurality of shuttle segments in the first state.

6. The medical tool handle of claim 1 further comprising an O-ring disposed on the torque portion, wherein the O-ring compresses to resist rotation of the torque portion in the first state, and wherein the O-ring does not compress to resist rotation of the torque portion in the second state.

7. A delivery system for delivering a leadless pacemaker having a fixation mechanism into cardiac tissue, comprising:
a handle including
a housing portion,
a torque portion rotatably coupled to the housing portion, and
a rotation mechanism enclosed within the housing portion and operably coupled to the torque portion, wherein the rotation mechanism includes a shuttle in threaded engagement with the torque portion such that rotation of the torque portion relative to the housing portion moves the shuttle relative to the housing portion from a first state to a second state, wherein, when the shuttle is in the first state, a first rotational force is required to rotate the torque portion relative to the housing portion, and wherein, when the shuttle is in the second state, a second rotational force less than the first rotational force is required to rotate the torque portion relative to the housing portion; and

a linear member coupled to the torque portion of the handle configured to transfer rotation of the torque portion to the leadless pacemaker to cause distal advancement of the fixation mechanism of the leadless pacemaker into the cardiac tissue, wherein the first rotational force provides a tactile indication of the distal advancement of the fixation mechanism.

8. The delivery system of claim 7 , wherein the rotation mechanism does not prohibit the distal advancement of the fixation mechanism when the shuttle is in the first state.

9. The delivery system of claim 7 , wherein the rotation mechanism includes a stop adapted to provide a first resistance to the distal advancement of the fixation mechanism in the first state, wherein the stop is adapted to provide a second resistance to the distal advancement of the fixation mechanism in the second state, and wherein the second resistance is less than the first resistance.

10. The delivery system of claim 7 , wherein the rotation mechanism includes a bump, and wherein the bump is deflected in the first state to provide the tactile indication.

11. The delivery system of claim 7 , wherein the shuttle includes a plurality of shuttle segments and a compliant member extending around the shuttle segments, and wherein the compliant member resists separation of the plurality of shuttle segments in the first state to provide the tactile indication.

12. The delivery system of claim 7 further comprising, an O-ring disposed on the torque portion, and wherein the O-ring is compressed in the first state to provide the tactile indication.

13. A delivery system for a leadless pacemaker, comprising:
a handle body including a housing portion coupled to a first shaft having a longitudinal axis, and a torque portion rotatably coupled to the housing portion and a second shaft, wherein the second shaft rotates relative to the first shaft about the longitudinal axis in response to rotation of the torque portion relative to the housing portion, and wherein the handle body includes a feature; and
a shuttle enclosed within the housing portion and operably coupled to the torque portion such that the shuttle translates along the torque portion in response to rotation of the torque portion relative to the housing portion, and wherein
a first rotational force is required to initially rotate the torque portion to translate the shuttle along the torque portion from a first location to a second location where the shuttle contacts the feature of the handle body,
a second rotational force greater than the first rotational force is required to continue rotating the torque portion to further translate the shuttle along the torque portion from the second location to a third location where the shuttle clears the feature of the handle body, and
the first rotational force is required to continue rotating the torque portion to further translate the shuttle from the third location.

14. The delivery system of claim 13 , wherein the feature of the housing portion is a bump.

15. The delivery system of claim 14 , wherein the shuttle is adapted to expand or the bump is adapted to compress as the torque portion is rotated when the shuttle contacts the bump such that the shuttle clears the bump.

16. The delivery system of claim 15 , wherein the shuttle includes a plurality of shuttle segments and a compliant member extending around the plurality of shuttle segments such that the shuttle expands as the torque portion is rotated when the shuttle contacts the bump.

17. The delivery system of claim 13 , wherein the feature of the handle body is an O-ring disposed on the torque portion.

Assignees

• Pacesetter Inc

Inventors

• Knippel Bradley
• Coyle Daniel
• Heisel Jennifer
• Arnar Bernhard
• Hillukka Brett
• Eidenschink Tracee
• Eby Thomas B
• Paspa Paul
• Callol Joseph Ramon

Classifications

• A61N1/37205 Primary

  Microstimulators, e.g. implantable through a cannula · CPC title

• A61N1/057 Primary

  Anchoring means; Means for fixing the head inside the heart · CPC title

• A61N1/37518

  Anchoring of the implants, e.g. fixation · CPC title

• A61B17/3468

  for implanting or removing devices, e.g. prostheses, implants, seeds, wires (devices for implanting seeds A61M37/0069) · CPC title

• A61B2090/031

  torque limiting · CPC title