Biostimulator transport system having flexible tether

Patent metadata

Field	Value
Publication number	US-2024001112-A1
Application number	US-202318215091-A
Country	US
Kind code	A1
Filing date	Jun 27, 2023
Priority date	Jul 1, 2022
Publication date	Jan 4, 2024
Grant date	—

Abstract

A biostimulator transport system, such as a biostimulator delivery system, is described. The biostimulator transport system includes a flexible tether extending through a tether support to a tether bight. The tether bight loops through an attachment feature of a biostimulator to connect the biostimulator to the biostimulator transport system. Tether legs extend from the tether bight to a handle of the biostimulator transport system. The handle includes a housing and a knob, and the tether legs attach to the housing and the knob. A tether leg can be disconnected from the housing and the knob can be removed to pull the tether out of the attachment feature and release the biostimulator from the biostimulator transport system. Other embodiments are also described and claimed.

First claim

What is claimed is:

1 . A biostimulator transport system, comprising:
a handle; a docking cap having a docking cavity to receive an attachment feature of a biostimulator; a torque shaft coupled to the docking cap; a tether support extending through the torque shaft to a distal support end, wherein the tether support has one or more support lumens; and a tether extending through the one or more support lumens to a tether bight distal to the distal support end.

2 . The biostimulator transport system of claim 1 , wherein the one or more support lumens include a first support lumen separated from a second support lumen by a support septum, and wherein the tether includes a first tether leg extending proximally from the tether bight through the first support lumen and a second tether leg extending proximally from the tether bight through the second support lumen.

3 . The biostimulator transport system of claim 1 , wherein the tether includes a polymeric filament.

4 . The biostimulator transport system of claim 3 , wherein the polymeric filament includes one or more of an ultra-high molecular weight polyethylene thread or a polyester thread.

5 . The biostimulator transport system of claim 1 , wherein the tether includes a metallic filament.

6 . The biostimulator transport system of claim 1 , wherein the handle includes a housing and a knob releasably coupled to the housing, wherein the tether includes a first tether leg extending proximally from the tether bight and coupled to the knob, and wherein the tether includes a second tether leg extending proximally from the tether bight and coupled to the housing.

7 . The biostimulator transport system of claim 6 , wherein the second tether leg is exposed through a window in the housing.

8 . The biostimulator transport system of claim 6 , wherein the knob is rotatably coupled to the housing, and wherein a blade is mounted on the knob such that rotation of the knob causes the blade to cut the second tether leg.

9 . The biostimulator transport system of claim 6 , wherein the handle includes a vise, and wherein the second tether leg is coupled to the housing by the vise.

10 . The biostimulator transport system of claim 6 , wherein the handle includes a collet, and wherein the second tether leg is coupled to the housing by the collet.

11 . The biostimulator transport system of claim 6 , wherein the knob includes an inner knob threadably coupled to an outer knob, wherein the outer knob is releasably coupled to the housing, and wherein the second tether leg is clamped between the inner knob and a spring-loaded shaft.

12 . A biostimulator transport system, comprising:
a handle; a docking cap having a docking cavity to receive an attachment feature of a biostimulator; a torque shaft having a distal shaft end coupled to the docking cap; a tether support extending through the torque shaft to a distal support end, wherein the tether support includes a tubular member having a support lumen, and a rod extending through the support lumen; and a tether having a tether bight between a first tether leg and a second tether leg, wherein the first tether leg is coupled to the tubular member and the second tether leg is releasably coupled to the rod.

13 . The biostimulator transport system of claim 12 , wherein the second tether leg includes a loop, and wherein the rod is movable from a first state in which the rod extends through the loop to a second state in which the loop is distal to the rod.

14 . The biostimulator transport system of claim 12 , wherein the second tether leg includes a loop, wherein the rod includes a hook, and wherein the rod is movable from a first state in which the loop is on the hook to a second state in which the loop is off the hook.

15 . The biostimulator transport system of claim 12 , wherein the second tether leg includes a loop, wherein the rod includes a deflectable tip, and wherein the rod is movable from a first state in which the loop is on the deflectable tip to a second state in which the loop is off the deflectable tip.

16 . A biostimulator transport system, comprising:
a handle; a docking cap having a docking cavity to receive an attachment feature of a biostimulator; a torque shaft coupled to the handle and a distal shaft end coupled to the docking cap; a tether support extending through the torque shaft to a distal support end, wherein the tether support has a support lumen; and a snare extending through the support lumen, wherein the snare includes a plurality of snare loops.

17 . A biostimulator assembly, comprising:
a biostimulator having an attachment feature; a tether support having a support lumen; and a tether including a bight coupled to the biostimulator, wherein the tether includes a first tether leg extending proximally from the bight through the support lumen and a second tether leg extending proximally from the bight through the support lumen.

18 . The biostimulator assembly of claim 17 , wherein the tether support includes a coil.

19 . An attachment feature for a leadless biostimulator, comprising:
a base; and a button extending proximally from the base, wherein the button includes an insertion slot extending from an outer surface into the button in a first direction, and a retention slot extending from the insertion slot in a second direction transverse to the first direction.

20 . The attachment feature of claim 19 , wherein the insertion slot extends vertically through the button along a central axis, and wherein the retention slot extends horizontally through the button transverse to the central axis.

21 . The attachment feature of claim 19 , wherein the insertion slot extends horizontally through the button transverse to a central axis, and wherein the retention slot extends vertically through the button along to the central axis.

22 . The attachment feature of claim 21 , wherein the insertion slot is w-shaped.

Assignees

• Pacesetter Inc

Inventors

• Arnar Bernhard
• Blue Jeremiah
• Weber Adam
• Gulseth Jared
• Sacha Mike

Classifications

• A61N1/0573 Primary

  chacterised by means penetrating the heart tissue, e.g. helix needle or hook · CPC title

• A61N1/3756

  Casings with electrodes thereon, e.g. leadless stimulators · CPC title

• A61N2001/058

  Fixing tools · CPC title

• A61N2001/0578

  having means for removal or extraction · CPC title

• A61N1/37205 Primary

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