Delivery system having retractable wires as a coupling mechanism and a deployment mechanism for a self-expanding prosthesis

Patent metadata

Field	Value
Publication number	US-12458495-B2
Application number	US-202217858631-A
Country	US
Kind code	B2
Filing date	Jul 6, 2022
Priority date	Dec 14, 2015
Publication date	Nov 4, 2025
Grant date	Nov 4, 2025

Abstract

A delivery system for transcatheter implantation of a heart valve prosthesis. The delivery system includes an outer sheath component defining a lumen therethrough, an elongate tube having at least two flat wires longitudinally extending from a distal end thereof, and self-expanding first and second frames disposed in series within a distal portion of the outer sheath component and held in a compressed delivery configuration therein. The elongate tube and the at least two flat wires are slidably disposed within the lumen of the outer sheath component. In the compressed delivery configuration the at least two flat wires longitudinally extend along exterior portions of the first and second frames and are woven through adjacent ends of the first and second frames to releasably couple them to each other. Proximal retraction of the at least two flat wires from the first and second frames releases at least the first frame from the delivery system.

First claim

What is claimed is:

1 . A method of implanting a valve prosthesis within a native valve, the method comprising the steps of:
percutaneously advancing a delivery system to the native valve, wherein the delivery system includes an outer sheath component defining a lumen therethrough, an elongate tube defining a lumen and having at least two wires longitudinally extending from a distal end thereof, and an inner shaft slidably disposed within the lumen of the elongate tube, the elongate tube and the at least two wires being slidably disposed within the lumen of the outer sheath component, and wherein the delivery system further includes a self-expanding delivery frame having a proximal end attached to the inner shaft to be slidable therewith and a valve prosthesis having a self-expanding valve frame with a prosthetic valve component secured therein, the valve frame being disposed distal of the delivery frame and each frame being held in a compressed delivery configuration within a distal portion of the outer sheath component, wherein the at least two wires longitudinally extend along exterior portions of the delivery frame and the valve frame and are woven through adjacent distal and proximal ends of the delivery frame and the valve frame, respectively, to releasably couple them to each other; proximally retracting the outer sheath component to uncover the valve frame and thereby deploy the valve frame to an expanded configuration within the native valve; further proximally retracting the outer sheath component to uncover the delivery frame and thereby deploy the delivery frame to an expanded configuration; and proximally retracting the at least two wires from the deployed valve frame to uncouple the deployed valve frame from the deployed delivery frame.

2 . The method of claim 1 , further comprising the step of proximally retracting the inner shaft to recapture the delivery frame within the outer sheath component for removal thereof after implantation of the valve prosthesis.

3 . The method of claim 1 , wherein when in the compressed delivery configuration a distal segment of the delivery frame is nested within a proximal segment of the valve frame to provide a circumferential overlap therebetween and in the circumferential overlap each of the at least two wires is woven through a respective distalmost crown of the delivery frame to releasably couple the delivery frame and the valve frame to each other.

4 . The method of claim 1 , wherein when the outer sheath component is proximally retracted to uncover the valve frame the at least two wires slow the self-expansion of the valve frame to control deployment of the valve prosthesis.

5 . The method of claim 1 , wherein when the outer sheath component is further proximally retracted to uncover the delivery frame the at least two wires slow the self-expansion of the delivery frame.

6 . The method of claim 1 , further comprising the step of distally advancing the outer sheath component over the at least two wires in order to recapture the valve prosthesis when the valve frame is at least partially expanded distal of the outer sheath component while remaining coupled to the delivery frame by the at least two wires.

7 . The method of claim 1 , wherein the at least two wires are flat and proximal retraction of the at least two flat wires from the deployed valve frame releases the deployed valve prosthesis from the delivery system.

8 . A method of implanting a first frame and a second frame at a treatment site in situ, the method comprising the steps of:
percutaneously advancing a delivery system to the treatment site, wherein the delivery system includes an outer sheath component defining a lumen therethrough, an elongate tube defining a lumen and having at least two wires longitudinally extending from a distal end thereof, and an inner shaft slidably disposed within the lumen of the elongate tube, the elongate tube and the at least two wires being slidably disposed within the lumen of the outer sheath component, and wherein the delivery system further includes a first frame that is self-expanding and a second frame that is self-expanding, and wherein the second frame has a proximal end attached to the inner shaft to be slidable therewithin, each frame being held in a compressed delivery configuration within a distal portion of the outer sheath component and the first frame being disposed distal of the second frame, and wherein the at least two wires longitudinally extend along exterior portions of each of the first frame and the second frame and are woven through adjacent ends of each of the first frame and the second frame to releasably couple them to each other; proximally retracting the outer sheath component to uncover the first frame and thereby deploy the first frame to an expanded configuration at the treatment site; further proximally retracting the outer sheath component to uncover the second frame and thereby deploy the second frame to an expanded configuration; and proximally retracting the at least two wires from the deployed first frame to uncouple the deployed first frame from the deployed second frame.

9 . The method of claim 8 , wherein the first frame includes a prosthetic valve component secured therein.

10 . The method of claim 8 , further comprising the step of proximally retracting the inner shaft to recapture the second frame within the outer sheath component for removal thereof after the step of proximally retracting the at least two wires from the deployed first frame to uncouple the deployed first frame from the deployed second frame.

11 . The method of claim 8 , wherein when in the compressed delivery configuration a distal segment of the second frame is nested within a proximal segment of the first frame to provide a circumferential overlap therebetween and in the circumferential overlap each of the at least two wires is woven through a respective distalmost crown of the second frame to releasably couple the second frame and the first frame to each other.

12 . The method of claim 8 , wherein when the outer sheath component is proximally retracted to uncover the first frame the at least two wires slow the self-expansion of the first frame.

13 . The method of claim 8 , wherein when the outer sheath component is further proximally retracted to uncover the second frame the at least two wires slow the self-expansion of the second frame.

14 . The method of claim 8 , further comprising the step of distally advancing the outer sheath component over the at least two wires in order to recapture the first frame when the first frame is at least partially expanded distal of the outer sheath component while remaining coupled to the second frame by the at least two wires.

15 . The method of claim 8 , wherein the at least two wires are flat.

Assignees

• Medtronic Inc

Inventors

• Rothstein Paul
• Keogh James R

Classifications

• A61F2230/0069

  cylindrical · CPC title

• A61F2230/0006

  circular · CPC title

• A61F2/2469

  with resilient valve members, e.g. conical spiral · CPC title

• A61F2/2427

  Devices for manipulating or deploying heart valves during implantation · CPC title

• A61F2/2412

  with soft flexible valve members, e.g. tissue valves shaped like natural valves · CPC title