System for loading a transcatheter valve prosthesis into a delivery catheter

Patent metadata

Field	Value
Publication number	US-11523904-B2
Application number	US-202016889146-A
Country	US
Kind code	B2
Filing date	Jun 1, 2020
Priority date	Apr 4, 2017
Publication date	Dec 13, 2022
Grant date	Dec 13, 2022

Abstract

A tool for use in loading a transcatheter valve prosthesis within a delivery catheter includes a body portion, a pivotable element and a biasing element. The body portion includes a central passageway extending form a proximal end to a distal end of the body portion. The central passageway is configured to receive a distal portion of a delivery catheter therethrough. The pivotable element is attached to the body portion and is configured to secure a tether during loading of a transcatheter valve prosthesis within the delivery catheter. The biasing element compresses the pivotable element against the body portion such that the pivotable element holds a second end against the delivery catheter and secures the tether thereto. The pivotable element may be two or more pivotable elements.

First claim

What is claimed is:

1. A method of loading a valve prosthesis into a delivery catheter comprising:
locating a tool at a distal portion of an outer sheath of the delivery catheter adjacent a valve retainer of the delivery catheter;
extending a tether of the delivery catheter through a portion of the valve prosthesis and to the valve retainer; and
moving a pivotable element of the tool such that a contact surface of the pivotable element maintains the tether in contact with the valve retainer; and
wherein the delivery catheter includes a plurality of tethers and the tool includes a plurality of pivotable elements, wherein each of the plurality of tethers is extended through a corresponding portion of the valve prosthesis, and wherein each of the plurality of pivotable elements is moved such that a contact surface of the pivotable elements maintains a corresponding one of the plurality of tethers in contact with the valve retainer.

2. The method of claim 1 , further comprising: removing slack in the tethers.

3. The method of claim 1 , further comprising: after moving the pivotable elements so as to maintain the tethers in contact with the valve retainer, advancing the outer sheath between the tethers and the contact surfaces of the pivotable elements such that the outer sheath maintains the tethers in contact with the valve retainer.

4. The method of claim 3 , further comprising:
after advancing the outer sheath between the tethers and the contact surfaces, removing the tool from the tool from the delivery catheter.

5. The method of claim 4 , wherein the tool includes a central passageway with a tapered portion, further comprising:
after advancing the outer sheath between the tethers and the contact surfaces, advancing the tool and the outer sheath over the valve prosthesis such that the tapered portion of the central passageway of the tool radially collapses the valve prosthesis.

6. The method of claim 1 ,
wherein the valve retainer includes a groove and a tether post,
wherein extending the tether to the valve retainer includes placing the tether within the groove of the valve retainer, and
wherein moving the pivotable element of the tool such that a contact surface of the pivotable element maintains the tether in contact with the valve retainer comprises moving the pivotable element into contact with the tether post to maintain the tether in the groove.

7. The method of claim 1 ,
wherein locating the tool at a distal portion of an outer sheath of the delivery catheter adjacent the valve retainer of the delivery catheter includes locating the tool such that the contact surface of the pivotable element in in contact the valve retainer, and
wherein prior to or during extending the tether to the valve retainer, the pivotable element is moved such that the tether is advanced between the contact surface and the valve retainer.

8. The method of claim 1 ,
wherein the tool includes a biasing element that compresses the pivotable element against a body portion of the tool, and wherein moving the pivotable element of the tool comprises pressing a first end of the pivotable element opposite a second end of the pivotable element including the contact surface such that a biasing force of the biasing element in overcome.

9. The method of claim 1 , wherein the pivotable element includes a first configuration with the contact surface of the pivotable element in contact with the valve retainer and a second configuration with the contact surface radially spaced from the valve retainer.

10. The method of claim 9 , wherein the tool includes a biasing element that biases the pivotable element to the first configuration, and wherein moving the pivotable element to the second configuration comprises pressing a first end of the pivotable element opposite a second end of the pivotable element including the contact surface such that a biasing force of the biasing element is overcome.

11. The method of claim 10 , wherein the tool includes a third configuration in which the pivotable element is maintained radially spaced from the valve retainer without a user pressing the pivotable element.

12. The method of claim 11 , wherein the pivotable element includes a pin that extends through a slot in the pivotable element, wherein the slot extends generally parallel to the longitudinal axis of the tool when the pivotable element is in the second configuration such that the pivotable element is distally slidable along the pin relative to a body portion of the tool to move the pivotable element from the second configuration to the third configuration.

13. A method of loading a valve prosthesis into a delivery catheter comprising:
locating a tool at a distal portion of an outer sheath of the delivery catheter adjacent a valve retainer of the delivery catheter, wherein the tool includes a plurality of pivotable elements;
extending a plurality of tethers of the delivery catheter through respective portions of the valve prosthesis and to the valve retainer;
individually locating each tether of the plurality of tethers at a corresponding location of the valve retainer;
individually moving each of the pivotable elements of the tool such that the contact surface of the each pivotable element maintains the corresponding tether in contact with the valve retainer.

14. The method of claim 13 , further comprising:
after moving the pivotable elements so as to maintain the tethers in contact with the valve retainer, advancing the outer sheath between the tethers and the contact surfaces of the pivotable elements such that the outer sheath maintains the tethers in contact with the valve retainer.

15. The method of claim 13 ,
wherein the tool includes a biasing element that compresses each of the pivotable elements against a body portion of the tool, and wherein individually moving each of the pivotable elements of the tool comprises pressing a first end of each of the pivotable elements opposite a second end of the pivotable element including the contact surface such that a biasing force of the biasing element in overcome and the contact surface moves radially away from the contact surface to enable a corresponding tether to be located at the valve retainer and releasing the first end of each of the pivotable elements such that the biasing force returns the pivotable element towards the valve retainer to maintain the corresponding tether in contact with the valve retainer.

16. The method of claim 13 , wherein each of the pivotable elements includes a first configuration with the contact surface of the pivotable element in contact with the valve retainer and a second configuration with the contact surface radially spaced from the valve retainer.

17. The method of claim 16 , wherein the tool includes a biasing element that biases each of the pivotable elements to the first configuration, and wherein moving each of the pivotable elements to the second configuration comprises pressing a first end of the pivotable element opposite a second end of the pivotable element including the contact surface such that a biasing force of the biasing element in overcome.

18. The method of claim 17 , wherein the tool includes a third configuration in which the pivotable element is maintained radially spaced from the valve retainer without a user pressing the pivotable element.

19. The method of claim 18 , wherein each of the pivotable elements includes a pin that extends through a slot in the pivotable element, wherein the slot extends generally parallel to the longitudinal axis of the tool w

Assignees

• Medtronic Vascular Inc

Inventors

• Dwork Joshua

Classifications

• A61F2/2439

  Expansion controlled by filaments · CPC title

• A61F2/2436 Primary

  Deployment by retracting a sheath · CPC title

• A61F2/9522

  Means for mounting a stent or stent-graft onto or into a placement instrument · CPC title

• A61F2002/9665

  with additional retaining means · CPC title

• A61F2/966

  with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod · CPC title