Wedge holding mechanism for vascular intervention device delivery system

Patent metadata

Field	Value
Publication number	US-9820877-B2
Application number	US-201514748943-A
Country	US
Kind code	B2
Filing date	Jun 24, 2015
Priority date	Sep 15, 2014
Publication date	Nov 21, 2017
Grant date	Nov 21, 2017

Abstract

A vascular intervention device delivery system, such as for implanting a self expanding stent, includes a thumbwheel rotatably mounted in a handle. The thumbwheel includes a radially outward thumb surface. A catheter has a proximal end attached to the handle, and a distal carrier segment for mounting a vascular intervention device thereon. A retractable sheath is movable from a first position covering the distal carrier segment to a second position retracted proximally uncovering the distal carrier segment. A pull extends between the thumbwheel and the retractable sheath. A holding mechanism is operably positioned between the handle and the thumbwheel, and includes a wedge pin trapped to move in a wedge shaped cavity between a wedged position that prevents the thumb wheel from rotating, and an unwedged position that permits the thumbwheel to rotate to facilitate deployment of a self-expanding stent.

First claim

What is claimed is:

1. A vascular intervention device delivery system comprising:
a handle;
a thumbwheel rotatably mounted in the handle and having a radially outward thumb surface;
a holding mechanism operably positioned between the handle and the thumbwheel, and including a wedge pin trapped to move in a wedge shaped cavity, which is defined by the thumbwheel and the handle, between a wedged position at which the thumbwheel is prevented from rotating with respect to the handle in a forward direction, and a unwedged position at which the thumbwheel is permitted to rotate with respect to the handle in a reverse direction, and wherein the wedge pin moves between the wedged position and the unwedged position responsive to rotation of the thumbwheel;
a catheter with a proximal end attached to the handle, and a distal carrier segment for mounting a vascular intervention device thereon;
a retractable sheath movable from a first position covering the distal carrier segment to a second position retracted proximally uncovering the distal carrier segment; and
a pull extending between the thumbwheel and the retractable sheath; and
the retractable sheath moving responsive to rotation of the thumbwheel in the reverse direction.

2. The vascular intervention device delivery system of claim 1 wherein the holding mechanism includes a spring operably positioned to bias the wedge pin toward the wedged position.

3. The vascular intervention device delivery system of claim 2 wherein the thumbwheel is rotatable about a first axis;
the wedge pin defines a second axis; and
the wedge pin rotates about the second axis in the wedge shaped cavity responsive to rotation of the thumbwheel in the reverse direction about the first axis.

4. The vascular intervention device delivery system of claim 3 wherein the wedge shaped cavity includes a first wall and a second wall that converge; and
the first wall being defined by one of the thumbwheel and a portion of the handle; and
the second wall being defined by the other of the thumbwheel and the portion of the handle.

5. The vascular intervention device delivery system of claim 4 wherein the holding mechanism orbits the first axis responsive to rotation of the thumbwheel in the reverse direction.

6. The vascular intervention device delivery system of claim 5 wherein the first wall is planar; and
the second wall is a curved portion of a cylindrical surface.

7. The vascular intervention device delivery system of claim 6 wherein the holding mechanism is a first holding mechanism;
a second holding mechanism, which is identical to the first holding mechanism, operably positioned between the handle and the thumbwheel; and
the first holding mechanism and the second holding mechanism being located on opposite sides of the first axis.

8. The vascular intervention device of claim 1 including a self expanding stent positioned radially between the retractable sheath and the distal carrier segment of the catheter.

9. The vascular intervention device delivery system of claim 8 wherein the holding mechanism orbits an axis responsive to rotation of the thumbwheel in the reverse direction about the axis;
the wedge shaped cavity includes a planar wall defined by one of the thumbwheel and a portion of the handle that converges with a curved wall defined by the other of the thumbwheel and the portion of the handle.

10. The vascular intervention device delivery system of claim 9 wherein the holding mechanism includes a spring operably positioned to bias the wedge pin toward the wedged position.

11. The vascular intervention device delivery system of claim 1 including a lock movable between a locked position and an unlocked position;
the lock includes a latch positioned in the handle and moveable along a line between the locked position at which the latch engages the radially outward thumb surface, and the unlocked position at which the latch is out of contact with the radially outward thumb surface; and
a pusher at least partially positioned outside the handle and being operably coupled to move the latch from the locked position to the unlocked position.

12. The vascular intervention device delivery system of claim 11 wherein the pusher includes a surface that engages a post that is attached to the latch and oriented perpendicular to the line.

13. The vascular intervention device delivery system of claim 12 wherein the holding mechanism orbits an axis responsive to rotation of the thumbwheel in the reverse direction about the axis;
the wedge shaped cavity includes a planar wall defined by one of the thumbwheel and a portion of the handle that converges with a curved wall defined by an other of the thumbwheel and the portion of the handle.

14. The vascular intervention device delivery system of claim 13 wherein the holding mechanism includes a spring operably positioned to bias the wedge pin toward the wedged position.

15. A method of operating a vascular intervention device delivery system that includes a thumbwheel rotatably mounted in the handle; a holding mechanism operably positioned between the handle and the thumbwheel, and including a wedge pin trapped to move in a wedge shaped cavity, which is defined by the thumbwheel and the handle, between a wedged position at which the thumbwheel is prevented from rotating with respect to the handle in a forward direction, and an unwedged position at which the thumbwheel is permitted to rotate with respect to the handle in a reverse direction, and wherein the wedge pin moves between the wedged position and the unwedged position responsive to rotation of the thumbwheel; a catheter with a proximal end attached to the handle, and a distal carrier segment for mounting a vascular intervention device thereon; a retractable sheath movable from a first position covering the distal carrier segment to a second position retracted proximally uncovering the distal carrier segment; a pull extending between the thumbwheel and the retractable sheath, and the retractable sheath moving responsive to rotation of the thumbwheel in a reverse direction, and the method comprising the steps of:
rotating the thumbwheel in the reverse direction to build up tension in the retractable sheath and pull without moving the retractable sheath relative to the distal carrier segment of the catheter;
uncovering a portion, which is less than all, of the distal carrier segment by continuing to rotate the thumbwheel in the reverse direction;
pausing rotation of the thumbwheel in the reverse direction;
maintaining tension in the pull and the retractable sheath by moving the wedge pin of the holding mechanism to the wedged position and preventing rotation of the thumbwheel in the forward direction; and
uncovering a remaining portion of the distal carrier segment by resuming rotation of the thumbwheel in the reverse direction and moving the wedge pin of the holding mechanism to the unwedged position.

16. The method of claim 15 wherein the step of moving the wedge pin to the wedged position is performed at least partially responsive to a force from a spring.

17. The method of claim 16 wherein the holding mechanism orbits an axis responsive to rotation of the thumbwheel in the reverse direction about the axis.

18. The method of claim 17 wherein the axis is a first axis;
the wedge pin defines a second axis; and
the wedge pin rolls about the second axis responsive to rotation of the thumbwheel in the reverse direction about the first axis.

19. The method of claim 15 including a step of enabling

Assignees

• Cook Medical Technologies Llc

Inventors

• Cummins Sean

Classifications

• A61F2/9517

  handle assemblies therefor · CPC title

• A61F2/966 Primary

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

• A61F2002/9517

  Human Necessities · mapped topic