Biostimulator transport system having torque limiter

Patent metadata

Field	Value
Publication number	US-12000448-B2
Application number	US-202017018689-A
Country	US
Kind code	B2
Filing date	Sep 11, 2020
Priority date	Sep 20, 2019
Publication date	Jun 4, 2024
Grant date	Jun 4, 2024

Abstract

A biostimulator transport system, such as a biostimulator retrieval system, having a torque limiter to allow a torque shaft to slip rotationally relative to a handle, is described. The torque limiter can connect the torque shaft to the handle, and can include a slip mechanism, such as a flat spring or apposed clutch faces, that allow the torque shaft to slip relative to the handle when a resistance torque at a distal end of the torque shaft exceeds a torque threshold. Accordingly, torque can be applied to a biostimulator by the torque shaft with a reduced likelihood of over-torqueing the biostimulator within the target tissue. Other embodiments are also described and claimed.

First claim

What is claimed is:

1. A torque shaft assembly, comprising:
an elongated flexible tubular member;
a docking cap coupled to the elongated flexible tubular member, wherein the docking cap has a docking cavity to receive an attachment feature of a biostimulator;
a torque shaft extending from a proximal shaft end distally through the elongated flexible tubular member to a distal shaft end coupled to the docking cap; and
a torque limiter including a torque puck mounted on the proximal shaft end of the torque shaft, a torque shuttle rotationally coupled to the torque puck, and a slip mechanism between the torque puck and the torque shuttle to allow the torque puck to slip relative to the torque shuttle based on a resistance torque at the docking cap.

2. The torque shaft assembly of claim 1 , wherein the torque puck and the torque shuttle rotate together when the resistance torque is below a torque threshold, and wherein the torque puck slips rotationally relative to the torque shuttle when the resistance torque at the docking cap is above the torque threshold.

3. The torque shaft assembly of claim 1 , wherein the slip mechanism includes a flat spring fixed to one of the torque puck or the torque shuttle, and wherein the flat spring engages a groove in the other of the torque puck or the torque shuttle.

4. The torque shaft assembly of claim 3 , wherein the torque puck includes a plurality of radial teeth, and wherein the flat spring is fixed to the torque shuttle and extends into the groove between the plurality of radial teeth.

5. The torque shaft assembly of claim 1 , wherein the slip mechanism includes an inner shuttle containing the torque puck, wherein the inner shuttle has an inner clutch face apposed to an outer clutch face of the torque shuttle, and wherein the slip mechanism includes a bias element coupled to the inner shuttle and the torque shuttle to press the inner clutch face against the outer clutch face.

6. The torque shaft assembly of claim 5 , wherein the inner shuttle is longitudinally movable relative to the torque shuttle.

7. The torque shaft assembly of claim 5 , wherein the inner clutch face and the outer clutch face are non-planar meshing surfaces.

8. The torque shaft assembly of claim 7 , wherein the non-planar meshing surfaces include one or more clutch dogs.

9. The torque shaft assembly of claim 1 , wherein the slip mechanism includes a ball plunger fixed to one of the torque puck or the torque shuttle, and wherein the ball plunger engages a recess in the other of the torque puck or the torque shuttle.

10. The torque shaft assembly of claim 1 , wherein the slip mechanism includes a shear pin fixed to and extending between the torque puck and the torque shuttle.

11. A biostimulator transport system, comprising:
an elongated flexible tubular member;
a docking cap coupled to the elongated flexible tubular member, wherein the docking cap has a docking cavity to receive an attachment feature of a biostimulator
a torque shaft extending from a proximal shaft end distally through the elongated flexible tubular member to a distal shaft end coupled to the docking cap;
a handle having a handle cavity; and
a torque limiter in the handle cavity, wherein the torque limiter includes a torque puck mounted on the proximal shaft end of the torque shaft, a torque shuttle coupled to the handle and the torque puck, and a slip mechanism between the torque shuttle and the torque puck to allow the torque shaft to rotate relative to the handle based on a resistance torque on the torque shaft.

12. The biostimulator transport system of claim 11 , wherein the handle includes a distal handle portion longitudinally and rotationally movable relative to a proximal handle portion, wherein the torque shuttle is longitudinally fixed and rotationally movable relative to the distal handle portion, and wherein the torque shuttle is longitudinally movable and rotationally fixed relative to the proximal handle portion.

13. The biostimulator transport system of claim 12 , wherein the handle cavity includes a distal handle cavity within the distal handle portion and a proximal handle cavity within the proximal handle portion, and wherein the torque shuttle is contained within the distal handle cavity and the proximal handle cavity.

14. The biostimulator transport system of claim 11 , wherein the slip mechanism includes a flat spring fixed to one of the torque puck or the torque shuttle, and wherein the flat spring engages a groove in the other of the torque puck or the torque shuttle.

15. The biostimulator transport system of claim 11 , wherein the slip mechanism includes an inner shuttle containing the torque puck, wherein the inner shuttle has an inner clutch face apposed to an outer clutch face of the torque shuttle, and wherein the slip mechanism includes a bias element coupled to the inner shuttle and the torque shuttle to press the inner clutch face against the outer clutch face.

16. The biostimulator transport system of claim 11 , wherein the slip mechanism includes a ball plunger fixed to one of the torque puck or the torque shuttle, wherein the ball plunger engages a recess in the other of the torque puck or the torque shuttle.

17. The biostimulator transport system of claim 11 , wherein the slip mechanism includes a shear pin fixed to and extending between the torque puck and the torque shuttle.

18. A biostimulator retrieval system, comprising:
an elongated flexible tubular member;
a docking cap coupled to the elongated flexible tubular member, wherein the docking cap has a docking cavity to receive an attachment feature of a biostimulator;
a torque shaft extending from a proximal shaft end distally through the elongated flexible tubular member to a distal shaft end coupled to the docking cap;
a handle;
a torque limiter including a torque puck mounted on the proximal shaft end of the torque shaft, a torque shuttle coupled to the handle, and a slip mechanism between the torque shuttle and the torque puck to allow the torque shaft to rotate relative to the handle based on a resistance torque at the docking cap; and
a snare extending through the torque puck, the torque shaft, and the docking cap.

19. The biostimulator retrieval system of claim 18 , wherein the snare includes a snare tube having a central lumen and one or more snare loops extending through the central lumen.

20. The biostimulator retrieval system of claim 19 , wherein the torque shaft has a shaft lumen, and wherein the snare tube is longitudinally movable within the shaft lumen.

Assignees

• Pacesetter Inc

Inventors

• Rickheim David
• Kerns Scott
• Coyle Daniel

Classifications

• F16D7/04 Primary

  of the ratchet type (similar gearings based on repeated accumulation and delivery of inertia-energy F16H33/08; {overload clutches of the ratchet type F16D43/202}) · CPC title

• A61N1/372 Primary

  Arrangements in connection with the implantation of stimulators · CPC title

• A61N1/37518

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

• A61N2001/0578

  having means for removal or extraction · CPC title

• A61N2001/058

  Fixing tools · CPC title