Transcatheter valve prosthesis delivery system with recapturing feature and method
A delivery system for percutaneously deploying a valve prosthesis. The system includes a catheter assembly including a delivery sheath capsule and a handle having an oscillating device. The capsule is configured to compressively retain the valve prosthesis during implantation. After the valve prosthesis is partially exposed during implantation, the oscillating device can create a vibratory motion to reduce the friction between the valve prosthesis and the delivery sheath capsule in order to recapture the valve prosthesis.
1. A delivery device comprising:
a sheath;
a handle including a body coupled to the sheath;
an oscillator configured to transmit vibratory motion to the sheath at a defined frequency, wherein the oscillator is positioned on the handle;
an inner shaft assembly including an inner shaft and a coupling structure configured to selectively engage a valve prosthesis, the inner shaft assembly being coupled to the body; and
a sheath capsule connected to the sheath, the capsule being slidably disposed over the inner shaft assembly and configured to compressively contain the valve prosthesis engaged with the coupling structure,
wherein the oscillator is further configured to transmit vibratory motion to the sheath as the sheath is advanced to recapture a partially deployed valve prosthesis in order to reduce friction between an inner surface of the sheath capsule and an outer surface of the valve prosthesis.
2. The delivery device of claim 1 , wherein the body is attached to the oscillator.
3. The delivery device of claim 1 , wherein the oscillator includes a piezoelectric material.
4. The delivery device of claim 1 , wherein the oscillator includes a magnet.
5. The delivery device of claim 4 , wherein the oscillator includes a rotating surface configured to have an alternating charge.
6. The delivery device of claim 1 , wherein the oscillator includes a motor attached to the body.
7. The delivery device of claim 6 , wherein the oscillator includes a rotating cam attached to a motor output shaft.
8. The delivery device of claim 7 , wherein the rotating cam is connected to the sheath.
9. The delivery device of claim 7 , wherein the rotating cam is connected to the inner shaft assembly.
10. The delivery device of claim 1 , wherein the inner shaft assembly includes a motion converter located proximal to the coupling structure, and
wherein the motion converter is configured to expand and contract with axial motion transmitted by the oscillator to impart radial motion onto the inner surface of the capsule.
11. The delivery device of claim 1 , wherein the handle includes an actuation mechanism coupled to the sheath such that movement of the actuation mechanism causes the sheath to move relative to the inner shaft assembly.
12. The delivery device of claim 11 , wherein the oscillator is coupled to the actuation mechanism.
13. The delivery device of claim 1 , wherein the oscillator is an ultrasonic device configured to transmit ultrasonic energy to the sheath to induce the vibratory motion.
14. The delivery device of claim 1 , wherein the oscillator device is configured to transmit a radial vibratory motion at the defined frequency to the sheath.
15. A percutaneous valve prosthesis delivery system comprising:
a valve prosthesis including a stent and a valve leaflet structure coupled to the stent;
a sheath, wherein the valve prosthesis is radially compressed and disposed within the sheath in a delivery configuration for delivery to a native heart valve, wherein the sheath is configured to be retracted to a partially deployed configuration wherein a portion of the valve prosthesis is disposed within the sheath and a portion of the valve prosthesis is outside of the sheath and radially expanded;
a handle including a body coupled to the sheath;
an inner shaft assembly including an inner shaft and a coupling structure, wherein the coupling structure engages the valve prosthesis in the delivery configuration; and
an oscillator device positioned on the handle and configured to transmit a vibratory motion at a defined frequency to the sheath as the sheath is advanced from the partially deployed configuration to the delivery configuration.
16. The percutaneous valve prosthesis delivery system of claim 15 , wherein the oscillator is an ultrasonic device configured to transmit ultrasonic energy to the sheath to induce the vibratory motion.
17. The percutaneous valve prosthesis delivery system of claim 15 , wherein the handle includes an actuation mechanism coupled to the sheath such that movement of the actuation mechanism causes the sheath to move relative to the inner shaft assembly.
18. The percutaneous valve prosthesis delivery system of claim 17 , wherein the oscillator is coupled to the actuation mechanism.
19. The percutaneous valve prosthesis delivery system of claim 15 , wherein the oscillator device is configured to transmit a radial vibratory motion at the defined frequency to the sheath.