Method and apparatus for compressing/loading stent-valves
Apparatus ( 40 ) for compressing a transcatheter cardiac stent-valve ( 10 ) comprises: a hollow channel ( 42 ) having an interior surface ( 50 ) shaped for progressively compressing the stent-valve in response to longitudinal advancement of the stent-valve within the channel; a driver ( 46 ) threadedly engaged on the exterior of the channel for generating a longitudinal driving force in response to rotation; a mover ( 44 ) having limbs ( 56 ) that project through slots ( 58 ) in the channel wall to transmit the driving force to the stent-valve within the channel; and a channel extension ( 48 ) removably attachable at the exit ( 54 ) to provide a generally cylindrical containment bore ( 66 ).
1 . A method of preparing a stent-valve and a delivery catheter for use, the delivery catheter having a stent-valve containment region and a handle, the method comprising:
(a) providing a closed packaging containing the delivery catheter, the packaging including a base supporting the delivery catheter in a storage position, the base having only a single receiving area configured for holding the delivery catheter, the single receiving area defining a liquid-tight trough configured for receiving the entire delivery catheter, wherein the trough extends from a first portion configured to hold the stent-valve containment region to a second portion having an inner surface defining a clearance configured to allow a user to manually grip the handle while the delivery catheter is disposed within the trough;
(b) opening the closed packaging;
(c) introducing liquid into the trough of the base; and
(d) loading the stent-valve into the stent-valve containment region of the delivery catheter while at least the containment region is immersed in the liquid in the trough.
2 . The method of claim 1 , wherein the liquid is saline, optionally wherein the liquid is at about room temperature.
3 . The method of claim 1 , wherein the quantity of liquid is selected as one or more from: not more than 4 litres; not more than 3.5 litres; not more than 3.25 litres; not more than 3 litres; at least 1 litre; at least 2 litres.
4 . The method of claim 1 , further comprising, after step (d), a step of removing trapped air from the delivery catheter.
5 . The method of claim 1 , wherein during step (d), the delivery catheter is positioned with a longitudinal axis generally parallel to a plane of the base, and/or with a longitudinal axis generally horizontal.
6 . A method of preparing a stent-valve and a delivery catheter for use, the delivery catheter having a stent-valve containment region and a handle, the method comprising:
(a) providing a closed packaging containing the delivery catheter, the packaging including a base supporting the delivery catheter in a storage position, the base having a liquid-tight trough configured for receiving the entire delivery catheter, wherein the trough extends from a first portion configured to hold the stent-valve containment region to a second portion having an inner surface defining a clearance configured to allow a user to manually grip the handle while the delivery catheter is disposed within the trough, wherein the delivery catheter is disposed within the liquid-tight trough when in the storage position;
(b) opening the closed packaging;
(c) introducing liquid into the trough of the base; and
(d) loading the stent-valve into the stent-valve containment region of the delivery catheter while at least the containment region is immersed in the liquid in the trough;
wherein all of steps (a) through (d) occur while the delivery catheter is disposed within the liquid-tight trough.
7 . The method of claim 6 , wherein the base includes only a single receiving area configured for holding the delivery catheter, the single receiving area defining a liquid-tight trough.
8 . The method of claim 6 , wherein the liquid is saline, optionally wherein the liquid is at about room temperature.
9 . The method of claim 6 , wherein the quantity of liquid is selected as one or more from: not more than 4 litres; not more than 3.5 litres; not more than 3.25 litres; not more than 3 litres; at least 1 litre; at least 2 litres.
10 . The method of claim 6 , further comprising, after step (d), a step of removing trapped air from the delivery catheter.
11 . The method of claim 6 , wherein during step (d), the delivery catheter is positioned with a longitudinal axis generally parallel to a plane of the base, and/or with a longitudinal axis generally horizontal.