Implantable biostimulator delivery system
A delivery system for implanting a biostimulation device comprising a stylet extending along an axis from knob end to a threaded end configured to engage an internally threaded nut of the biostimulation device and a catheter tube configured to axially contain the stylet. The catheter tube comprises a feature that engages a corresponding feature on the biostimulation device whereby the stylet can be rotated relative to the catheter tube for disengagement of the stylet threaded end from the biostimulation device threaded end.
1. A method for implanting a biostimulation device in a heart of a patient, the method comprising:
inserting a catheter, a stylet and leadless biostimulation device into the heart, the stylet having threads being engaged with the leadless biostimulation device, the leadless biostimulation device comprising a hermetic housing with an electrode coupled to the housing, the electrode covered by the catheter during the inserting step;
engaging heart tissue with the biostimulation device;
after the engaging and inserting steps, moving the catheter away from the heart tissue, thereby exposing the electrode, while maintaining the biostimulation device in contact with the tissue;
after the moving step, performing threshold testing on the heart with the electrode; and
rotating the stylet with respect to the biostimulation device while applying a counter-rotational force on the biostimulation device with the catheter, thereby disengaging the stylet threads from the biostimulation device, wherein the inserting step includes utilizing the stylet to maintain an engaging relation between the catheter and the leadless biostimulation device that prevents relative rotation therebetween.
2. The method of claim 1 wherein the biostimulation device comprises a fixation element, the fixation element being covered by the catheter during the insertion step, the moving step comprising exposing the fixation element.
3. The method of claim 2 wherein the fixation element comprises an active fixation element, the method further comprising affixing the fixation element to cardiac tissue.
4. The method of claim 2 wherein the fixation element comprises a passive fixation element.
5. The method of claim 1 further comprising repositioning the biostimulation device within the heart after the performing step.
6. The method of claim 5 further comprising performing threshold testing on the heart with the electrode after the repositioning step.
7. The method of claim 1 wherein the engaging step comprises anchoring the biostimulation device to the heart tissue.
8. The method of claim 7 wherein the anchoring step comprises rotating the biostimulation device with respect to the heart tissue.
9. The method of claim 1 , wherein the engaging step includes rotating the catheter which causes the leadless biostimulation device to rotate thereby affixing a fixation element on a distal end of the housing to the cardiac tissue.