Biostimulator delivery system having tether cable

Inventors: Bernhard Arnar (Minnetrista, MN); Keith Victorine (Santa Clarita, CA); Shawn X. Chen (Santa Clarita, CA); Mike Sacha (Champlin, MN); Mark Krans (Hopkins, MN); Andy Servi (Plymouth, MN); Jeremiah Blue (Andover, MN); Adam Weber (Eden Prairie, MN)

Assignee: Pacesetter, Inc.

A61N1/057 A61M25/0068 A61M25/0082 A61M25/0136 A61N1/37512 A61N1/3756 A61N2001/058

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Quick Facts

Patent No.: US 12667720
App. No.: 17/356,055
Granted: Jun 30, 2026
Kind: B2

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Abstract

A biostimulator delivery system having a tether cable, is described. A connector can be mounted on the tether cable to connect to a biostimulator. The connector can be a protuberance that lodges within the biostimulator, or a threaded connector that screws into the biostimulator. The tether cable has a stranded cable configuration, including several strands extending about a core strand in a helical direction. The stranded cable structure resists breaking under bending stresses typically seen during a tether mode used during delivery of the biostimulator. The tether cable reliably secures the biostimulator to the delivery system in the tether mode. Other embodiments are also described and claimed.

Claims (29)

1 . A biostimulator delivery system, comprising:

a handle;

an elongated catheter extending from the handle;

a docking cap rotationally coupled to the elongated catheter, wherein the docking cap includes a docking cavity to receive an attachment feature of a biostimulator; and

a tether assembly extending from the handle through the elongated catheter, wherein the tether assembly includes a connector fixedly mounted on a tether cable such that the connector is immovable relative to the tether cable, wherein the tether cable extends longitudinally through a central hole in the connector to a distal cable end, wherein the distal cable end is exposed through the central hole of the connector, wherein the tether cable includes a core strand, a first plurality of strands extending about the core strand in a first helical direction between a proximal cable end and the distal cable end, and a second plurality of strands extending about the core strand in a second helical direction opposite the first helical direction and radially between the core strand and the first plurality of strands, wherein opposite helical directions comprise clockwise and counterclockwise, based on right-hand rule.

2 . The biostimulator delivery system of claim 1 , wherein the core strand has a round cross-sectional profile, and wherein the first plurality of strands have non- round cross-sectional profiles.

3 . The biostimulator delivery system of claim 1 , wherein the connector has an annular cross-sectional profile, and wherein a distal tip of the connector is dome-shaped.

4 . The biostimulator delivery system of claim 1 , wherein the tether assembly includes a support tube extending from the handle to a tube end, and wherein the tether cable is coupled to the tube end and extends from the tube end to the connector.

5 . The biostimulator delivery system of claim 4 , wherein the tether assembly includes a second connector at a second distal cable end of a second tether cable, wherein the tether assembly includes a second support tube extending from the handle to a second tube end, and wherein the second tether cable is coupled to the second tube end and extends from the second tube end to the second connector.

6 . The biostimulator delivery system of claim 1 , wherein the tether assembly includes a second connector at a second distal cable end of a second tether cable, and a retaining coil, and wherein the tether cable and the second tether cable extend through a lumen of the retaining coil such that the retaining coil constrains lateral movement of the tether cable relative to the second tether cable.

7 . The biostimulator delivery system of claim 1 , wherein the connector includes a threaded portion configured to screw into the attachment feature.

8 . The biostimulator delivery system of claim 7 further comprising a torque shaft extending through the elongated catheter from the handle to the docking cap, wherein the handle includes a first handle portion coupled to the torque shaft to transmit torque to the docking cap, and wherein the handle includes a second handle portion coupled to the tether cable to transmit torque to the connector.

9 . A biostimulator delivery system, comprising:

a handle;

an elongated catheter extending from the handle;

a docking cap rotationally coupled to the elongated catheter, wherein the docking cap includes a docking cavity to receive an attachment feature of a biostimulator; and

a tether assembly extending from the handle through the elongated catheter, wherein the tether assembly includes

a first connector mounted on a first tether cable, and a second connector mounted on a second tether cable, wherein the first tether cable extends longitudinally through a central hole in the first connector to a distal cable end, and wherein the distal cable end is exposed through the central hole of the first connector, the first connector fixedly mounted on the first tether cable at the distal cable end such that the first connector is immovable relative to the first tether cable, wherein the first tether cable includes a core strand, a first plurality of strands extending about the core strand in a first helical direction between a proximal cable end and the distal cable end, and a second plurality of strands extending about the core strand in a second helical direction opposite the first helical direction and radially between the core strand and the first plurality of strands, wherein opposite helical directions comprise clockwise and counterclockwise, based on right-hand rule.

10 . The biostimulator delivery system of claim 9 , wherein the tether assembly includes a first support tube extending from the handle to a first tube end, and a second support tube extending from the handle to a second tube end, wherein the first tether cable is coupled to the first tube end and extends from the first tube end to the first connector, and wherein the second tether cable is coupled to the second tube end and extends from the second tube end to the second connector.

11 . The biostimulator delivery system of claim 10 , wherein the tether assembly includes a retaining coil, and wherein the first tether cable and the second tether cable extend through a lumen of the retaining coil such that the retaining coil constrains lateral movement of the first tether cable relative to the second tether cable.

12 . The biostimulator delivery system of claim 11 , wherein the lumen of the retaining coil has a lumen diameter smaller than a combined cross-sectional dimension of the first support tube and the second support tube.

13 . A biostimulator delivery system, comprising:

a handle;

an elongated catheter extending from the handle;

a docking cap rotationally coupled to the elongated catheter, wherein the docking cap includes a docking cavity to receive an attachment feature of a biostimulator; and

a tether assembly extending from the handle through the elongated catheter, wherein the tether assembly includes a threaded connector fixedly mounted on a distal cable end of a tether cable, and wherein the tether cable extends longitudinally through a central hole in the threaded connector, wherein the tether cable includes a core strand, a first plurality of strands extending about the core strand in a first helical direction between a proximal cable end and the distal cable end, and a second plurality of strands extending about the core strand in a second helical direction opposite the first helical direction and radially between the core strand and the first plurality of strands, wherein opposite helical directions comprise clockwise and counterclockwise, based on right-hand rule.

14 . The biostimulator delivery system of claim 13 , wherein the tether assembly includes a support tube extending from the handle to a tube end, and wherein the tether cable is coupled to the tube end and extends from the tube end to the threaded connector.

15 . The biostimulator delivery system of claim 13 , wherein the threaded connector includes a threaded portion configured to screw into the attachment feature.

16 . The biostimulator delivery system of claim 13 , further comprising a torque shaft extending through the elongated catheter from the handle to the docking cap, wherein the handle includes a first handle portion coupled to the torque shaft to transmit torque to the docking cap, and wherein the handle includes a second handle portion coupled to the tether cable to transmit torque to the threaded connector.