Deployment handle for a prosthesis delivery device

1. A handle assembly for a prosthesis delivery device, the handle assembly comprising:

an axially slidable handle comprising a housing and a slidable and retractable sheath attached to and extending from a distal end of the housing;

a fixed handle proximal of the axially slidable handle that is fixed relative to the delivery system and comprising a housing having a distal end and a proximal end, and a fixed handle locking mechanism;

a rotatable handle proximal of the fixed handle that is rotatable relative to the delivery system and comprising:

a housing having a distal end and a proximal end;

a rotatable handle locking mechanism preventing rotation of the rotatable handle;

a prosthesis proximal end release mechanism disposed in the housing of the rotatable handle and releasably and operatively connected to a proximal end of a prosthesis;

a prosthesis distal end release mechanism disposed in the housing of the rotatable handle and releasably and operatively connected to a distal end of a prosthesis;

wherein the slidable handle is slidable in a proximal direction to proximally retract the sheath from over the prosthesis;

wherein unlocking of the rotatable handle locking mechanism permits a first rotation of the rotatable handle to release the proximal end of the prosthesis from the delivery system;

wherein a subsequent unlocking of the fixed handle locking mechanism permits a second rotation of the rotatable handle to release the distal end of the prosthesis from the delivery system;

wherein the distal end of the prosthesis cannot be released from the delivery system until the proximal end of the prosthesis is released from the delivery system; and

wherein the fixed handle locking mechanism cannot be unlocked until the rotatable handle locking mechanism is unlocked.

2. The handle assembly of claim 1 , wherein the fixed handle is directly distally adjacent to the rotatable handle.

3. The handle assembly of claim 1 , wherein the fixed handle is fixed relative to the prosthesis delivery device, and the rotatable handle is rotatable relative to the fixed handle and the slidable handle.

4. The handle assembly of claim 1 , including a slider rod extending longitudinally at least partially through the fixed handle and the rotatable handle.

5. The handle assembly of claim 4 , wherein the slider rod comprises a safety lock assembly.

6. The handle assembly of claim 5 , wherein the fixed handle locking mechanism comprises a first safety knob disposed exterior to the fixed handle housing and a first safety pin attached to the first safety knob and extending from the first safety knob and through the fixed handle housing to engage the safety lock assembly.

7. The handle assembly of claim 6 , wherein the fixed handle safety knob is prevented from turning until after the first rotation of the rotatable handle is complete.

8. The handle assembly of claim 1 , wherein the prosthesis proximal end release mechanism comprises a threaded ring.

9. The handle assembly of claim 1 , wherein the prosthesis proximal end release mechanism is operatively engaged with the rotatable handle and the proximal end of the prosthesis such that upon the first rotation of the rotatable handle, the prosthesis proximal end release mechanism moves axially within the rotatable handle to release the proximal end of the prosthesis.

10. A handle assembly for a prosthesis delivery device comprising a distal end and a proximal end:

a substantially immoveable first handle comprising a housing and a first handle locking assembly;

a rotatable handle comprising:

a housing having an interior surface;

a rotatable handle locking assembly extending from external of the housing to an interior of the housing to prevent rotation of the rotatable handle;

a first axially moveable element disposed within the housing and engaging the interior surface of the housing, the first axially moveable element further having at least one first trigger wire extending distally from the first axially moveable element to a proximal end of a prosthesis to releaseably engage the proximal end of the prosthesis;

a second axially moveable element disposed proximal of the first axially moveable element and having at least one second trigger wire extending distally from the second axially moveable element to a distal end of the prosthesis to releaseably engage the distal end of the prosthesis;

wherein the first handle locking assembly is prevented from unlocking until after a first rotation of the rotatable handle advances the first axially moveable element to release the at least one first trigger wire from the proximal end of the prosthesis.

11. The handle assembly of claim 10 , wherein the first handle locking assembly comprises a knob, a knob pin extending from the knob, a safety lock rod and a slider rod at least partially longitudinally disposed through the housing of the first handle, wherein the slider rod comprises a longitudinal trough formed in a surface of the slider rod, and the safety lock rod is disposed in the trough of the slider rod, wherein the knob pin extends through the housing of the first handle and releasably engages the safety lock rod.

12. The handle assembly of claim 10 , wherein the at least one second trigger wire cannot be released from the prosthesis until after the at least one first trigger wire is released from the prosthesis.

13. The handle assembly of claim 10 , wherein the first handle locking assembly cannot be unlocked until after the rotatable handle locking assembly is unlocked.

14. The handle assembly of claim 10 , wherein the first axially moveable element and the second axially moveable element are not rotatable.

15. A delivery system for delivering a prosthesis comprising:

a proximal end;

a distal end;

a prosthesis retention region;

a prosthesis having a proximal end and a distal end disposed at the prosthesis retention region; and

a handle assembly comprising:

a first handle comprising a housing having a distal end and a proximal end, and a first handle locking mechanism;

a rotatable handle comprising:

a housing having a distal end and a proximal end;

a rotatable handle locking mechanism preventing movement of the rotatable handle;

a prosthesis proximal end release mechanism disposed in the housing of the rotatable handle and operatively connected to the proximal end of the prosthesis;

a prosthesis distal end release mechanism disposed in the housing of the rotatable handle and operatively connected to the distal end of the prosthesis;

wherein unlocking of the rotatable handle locking mechanism permits a first rotation of the rotatable handle to release the proximal end of the prosthesis from the delivery system;

wherein unlocking of the first handle locking mechanism permits a second rotation of the rotatable handle to release the distal end of the prosthesis from the delivery system; and

wherein the first handle locking mechanism cannot be unlocked until the rotatable handle locking mechanism is unlocked.

16. The delivery system of claim 15 , wherein the distal end of the prosthesis cannot be released from the delivery system until after the proximal end of the prosthesis is released.