Friction-Release Distal Latch Implant Delivery System and Components
Provided herein are systems, devices and methods for the delivery of medical implants. A distal end portion of the implant is coupled with a delivery device by surface friction between the implant and an underlying surface such that the distal end portion is frictionally locked and maintained in the appropriate position and state prior to delivery. When positioned within the patient at the proper location, the state of frictional lock can be released to free the distal end portion of the implant from the delivery device.
1 . A medical delivery system adapted for the delivery of an expandable tubular implant, comprising:
an elongate textured member having a textured distal interface;
a distal housing having an open proximal end and being adapted to at least partially cover a distal end portion of a tubular implant in a contracted state, the distal end portion of the implant having a textured distal surface;
wherein the distal housing is adapted to releasably hold the textured distal surface of the implant against the textured distal interface of the elongate textured member such that the implant is frictionally locked within the distal housing until release.
2 . The system of claim 1 , wherein the distal housing is distally slidable with respect to the elongate textured member.
3 . The system of claim 1 , wherein the elongate textured member is an elongate textured tubular sleeve, the system further comprising an elongate core member slidable within the sleeve.
4 . The system of claim 3 , wherein the textured distal interface is formed by multi-filar cable.
5 . The system of claim 3 , wherein the textured distal interface is formed by braid.
6 . The system of claim 3 , wherein the elongate core member is coupled with the distal housing.
7 . The system of claim 6 , wherein the elongate core member is adapted to push the distal housing distally with respect to the elongate tubular sleeve to release the textured distal surface of the implant.
8 . The system of claim 3 , wherein the distal housing is a first section of a distal tubular sheath, the first section having a relatively larger diameter than a second section of the sheath located distal to the first section.
9 . The system of claim 8 , wherein the first and second sections of the distal tubular sheath are adapted to receive the elongate tubular sleeve.
10 . The system of claim 3 , wherein a distal portion of the elongate core member is configured hold the tubular sleeve in an open state at the distal textured interface.
11 . The system of claim 10 , wherein the elongate core member is proximally retractable to allow the sleeve to collapse at the distal textured interface to release the textured distal surface of the implant.
12 . The system of claim 1 , wherein the elongate textured member comprises a textured proximal interface, the system further comprising a proximal housing having an open distal end and being adapted to receive a textured proximal surface of the tubular implant in the contracted state and being adapted to releasably hold the textured proximal surface of the implant against the textured proximal interface of the elongate textured member such that the implant is frictionally locked to the elongate textured member.
13 . The system of claim 12 , wherein a proximal elongate tubular sheath includes the proximal housing.
14 . The system of claim 13 , wherein the proximal elongate tubular sheath is proximally retractable with respect to the elongate textured member to release the textured proximal surface of the implant.
15 . The system of claim 12 , wherein the elongate textured member comprises a non-textured surface located between the textured distal and proximal interfaces.
16 . The system of claim 15 , wherein the elongate textured member is a braided member and comprises a covering to the braid between the textured distal and proximal interfaces, the non-textured surface being the surface of the covering to the braid.
17 . The system of claim 16 , wherein the covering to the braid is a first covering, the elongate textured member comprising a second covering to the braid located along the length of the elongate textured member proximal to the textured proximal interface.
18 . The system of claim 1 , further comprising the implant, wherein the implant is a braided implant, the textured distal end portion of the implant being formed by the braid.
19 . A medical implant delivery sub-assembly, comprising:
an elongate sleeve, in finished form and adapted for insertion into the body of a patient, comprising:
a first accessible textured surface extending about the outer periphery of the elongate sleeve;
a second accessible textured surface extending about the outer periphery of the elongate sleeve and located distal to the first textured surface; and
a jacket extending about the outer periphery of the elongate sleeve and located between the first and second textured surfaces, wherein the first and second textured surfaces are positioned to interface with an implant.
20 . The medical implant delivery sub-assembly of claim 19 , wherein the elongate sleeve comprises a tubular braid and the jacket comprises a polymeric sleeve configured to act as a constraint to radial expansion of the underlying tubular braid.
21 . The medical implant delivery sub-assembly of claim 20 , further comprising a second jacket over a substantial length of the tubular braid proximal to the first exposed textured surface.
22 . A method of delivering a medical implant, comprising:
inserting an elongate braided member into the vasculature of a human patient, the elongate braided member comprising a distal textured implant interface, a proximal textured implant interface, and a non-textured surface located therebetween, wherein the distal and proximal textured interfaces are adapted for contact with distal and proximal end portions, respectively, of an expandable braided implant in a contracted state; and
advancing the elongate braided member through the vasculature to a treatment site.
23 . The method of claim 22 , wherein the distal textured implant interface is held in a state of frictional lock with the distal end portion of the implant by a distal housing, the method further comprising:
removing the distal housing to release the distal end portion of the implant from the state of frictional lock and allow the implant to at least partially transition to the expanded state.
24 . The method of claim 23 , wherein the proximal textured implant interface is held in a state of frictional lock with the proximal end portion of the implant by a proximal housing, the method further comprising:
removing the proximal housing to release the frictional lock and allow the implant to fully transition to the expanded state.
25 . The method of claim 24 , wherein the braided member includes a braid jacket located between the distal and proximal implant interfaces, the non-textured surface being the surface of the braid jacket.