Minimally-invasive delivery systems
A tool ( 410 ) for use with an implant ( 20 ) includes a housing ( 426 ) and a controller ( 440 ). The housing includes a tubular wall ( 428 ) that circumscribes a longitudinal axis; is dimensioned to house at least part of the implant; and defines a track ( 430 ) that follows a generally-helical path around the longitudinal axis. The controller includes a rod ( 442 ) that extends from a proximal part of the tool to the housing; and an actuator ( 444 ). The actuator is fixedly coupled to the rod, includes an engaging element ( 446 ) that engages the track, and is rotatable with respect to the housing. The controller and the housing mechanically cooperate such that rotation of the actuator with respect to the housing slides the housing longitudinally with respect to the actuator. Other embodiments are also described.
1. Apparatus, comprising:
an implant; and
a tool, configured for transluminal delivery of the implant, the tool comprising:
a shaft that extends longitudinally from a proximal part of the tool, and has an open distal end, the implant being reversibly coupled to the tool and disposed around a distal portion of the shaft;
a sheath that houses the implant, and has a diameter that is dimensioned for transluminal delivery; and
a control element, disposed within the shaft, movement of the control element within the shaft being controllable by the proximal part of the tool, and the control element being coupled to the sheath such that movement of the control element proximally within the shaft draws the sheath (i) distally off of the implant, and (ii) into the open distal end of the shaft,
wherein:
the control element comprises a shank that extends through the shaft, and a coupling rotatably coupled to a distal end of the shank;
the control element is coupled to the sheath by the coupling being coupled to the sheath; and
the shank defines an outer screw thread;
the shaft defines an inner screw thread that is complementary to the outer screw thread; and
the control element and the shaft are configured such that rotation of the shank with respect to the sheath provides the movement of the control element proximally within the shaft by (i) screwing the shank through the shaft, but (ii) slides the coupling linearly through the shaft.
2. The apparatus according to claim 1 , wherein the sheath comprises a flexible sheet.
3. The apparatus according to claim 2 , wherein the sheet is doubled-over itself to define an inner wall of the sheath, and an outer wall of the sheath.
4. The apparatus according to claim 3 , wherein the sheet defines a proximal opening of the sheath at a transition zone between the inner wall and the outer wall, and the movement of the control element proximally within the shaft peels the sheath distally off of the implant by drawing the outer wall progressively into the open distal end of the shaft such that progressively proximal regions of the inner wall transition through the transition zone to become part of the outer wall, and the proximal opening of the sheath moves distally along the implant.
5. The apparatus according to claim 1 , wherein the shaft defines an inner linear groove that extends longitudinally along the shaft, and the coupling defines a fin that extends outward and into the inner groove, disposition of the fin within the groove inhibiting rotation of the coupling with respect to the shaft but allowing longitudinal sliding of the coupling through the shaft.
6. The apparatus according to claim 5 , wherein the inner screw thread and the inner linear groove are defined by the same longitudinal region of the shaft.
7. The apparatus according to claim 5 , wherein the inner screw thread and the inner linear groove transect each other.
8. A method, comprising:
transluminally advancing, into a heart of a subject, an implant and a distal part of a tool, the implant being reversibly coupled to the tool, the tool including:
a shaft that extends longitudinally from a proximal part of the tool, and has an open distal end, the implant disposed around a distal portion of the shaft,
a sheath that houses the implant, the sheath having a diameter that is dimensioned for transluminal delivery,
a control element disposed within the shaft and coupled to the sheath, the control element:
including a shank that extends through the shaft, the shank having an outer screw thread and an inner screw thread that is complementary to the outer screw thread;
having a coupling rotatably coupled to a distal end of the shank;
being coupled to the sheath by the coupling being coupled to the sheath; and
from the proximal part of the tool, drawing the sheath distally off of the implant and into the open distal end of the shaft, by moving the control element proximally within the shaft, by rotating the shank with respect to the sheath such that:
the shank screws through the shaft; and
the coupling slides linearly through the shaft.
9. The method according to claim 8 , wherein rotating the shank with respect to the sheath such that the coupling slides linearly through the shaft comprises sliding a fin of the coupling along a longitudinal inner groove of the shaft, such that the fin inhibits rotation of the coupling with respect to the shaft.
10. The method according to claim 8 , wherein:
a sheet is doubled-over itself to define an inner wall of the sheath, and an outer wall of the sheath,
the sheet defines a proximal opening of the sheath at a transition zone between the inner wall and the outer wall, and
drawing involves peeling the sheath distally off of the implant by drawing the outer wall of the sheath progressively into the open distal end of the shaft, such that progressively proximal regions of the inner wall of the sheath transition through the transition zone to become part of the outer wall, and the proximal opening of the sheath moves distally along the implant.