Catheter-based system for delivery and retrieval of a leadless pacemaker
Catheter-based delivery systems for delivery and retrieval of a leadless pacemaker include features to facilitate improved manipulation of the catheter and improved capture and docking functionality of leadless pacemakers. Such functionality includes mechanisms directed to deflecting and locking a deflectable catheter, maintaining tension on a retrieval feature, protection from anti-rotation, and improved docking cap and drive gear assemblies.
1. A leadless pacemaker system, comprising:
a leadless pacemaker having a coupling feature; and
a catheter-based system including
a handle,
a catheter shaft extending from the handle, and
a docking cap including a cap portion coupled to the catheter shaft, and a cap wall extending distally from the cap portion to a distal annulus, wherein the cap wall is inflexible and defines a docking cap volume to receive the coupling feature of the leadless pacemaker, and wherein the cap wall includes one or more openings sized to allow the coupling feature of the leadless pacemaker to extend at least partially through the cap wall.
2. The leadless pacemaker system of claim 1 , wherein the distal annulus includes a profiled distal end having a transition surface to guide the leadless pacemaker into the docking cap volume.
3. The leadless pacemaker system of claim 2 , wherein the cap wall has an internal surface extending perpendicular to a distal face of the profiled distal end, and wherein the transition surface includes a curved transition between the distal face and the internal surface.
4. The leadless pacemaker system of claim 3 further comprising a torque feature disposed on the internal surface, wherein the torque feature is configured to engage a portion of the leadless pacemaker when the leadless pacemaker is within the docking cap volume.
5. The leadless pacemaker system of claim 4 , wherein the torque feature includes a protrusion extending into the docking cap volume.
6. The leadless pacemaker system of claim 5 , wherein the torque feature includes a distal torque feature face extending proximally from a proximal edge of the distal annulus to a longitudinal face of the protrusion.
7. The leadless pacemaker system of claim 6 , wherein the distal torque feature face has a concave scallop shape.
8. The leadless pacemaker system of claim 6 , wherein the longitudinal face is offset from the distal annulus.
9. The leadless pacemaker system of claim 1 , wherein a width of the one or more openings is greater than a width of the coupling feature of the leadless pacemaker.
10. The leadless pacemaker system of claim 1 , wherein the cap wall includes a plurality of longitudinal members coextensive between the cap portion and the distal annulus, and wherein the one or more openings are defined between the plurality of longitudinal members.
11. The leadless pacemaker system of claim 1 , wherein the one or more openings are rectangular openings.
12. The leadless pacemaker system of claim 1 further comprising a sheath disposed over at least a portion of the one or more openings.
13. A catheter-based system for delivery of a leadless pacemaker, comprising:
a handle;
a catheter shaft extending from the handle; and
a docking cap including a cap portion coupled to the catheter shaft, and a cap wall extending distally from the cap portion to a distal annulus, wherein the cap wall is inflexible and defines a docking cap volume configured to receive a coupling feature of the leadless pacemaker, and wherein the cap wall includes one or more openings sized to allow the coupling feature of the leadless pacemaker to extend at least partially through the cap wall.
14. The catheter-based system of claim 13 , wherein the distal annulus includes a profiled distal end having a transition surface to guide the leadless pacemaker into the docking cap volume.
15. The catheter-based system of claim 13 further comprising a torque feature disposed on the cap wall, wherein the torque feature is configured to engage a portion of the leadless pacemaker when the leadless pacemaker is within the docking cap volume.
16. The catheter-based system of claim 13 , wherein the cap wall includes a plurality of longitudinal members coextensive between the cap portion and the distal annulus, and wherein the one or more openings are defined between the plurality of longitudinal members.
17. A catheter-based system for retrieval of a leadless pacemaker, comprising:
a handle;
a catheter shaft extending from the handle; and
a docking cap including a cap portion coupled to the catheter shaft, and a cap wall extending distally from the cap portion to a distal annulus, wherein the cap wall is inflexible and defines a docking cap volume configured to receive a coupling feature of the leadless pacemaker, and wherein the cap wall includes one or more openings sized to allow the coupling feature of the leadless pacemaker to extend at least partially through the cap wall.
18. The catheter-based system of claim 17 , wherein the distal annulus includes a profiled distal end having a transition surface to guide the leadless pacemaker into the docking cap volume.
19. The catheter-based system of claim 17 further comprising a torque feature disposed on the cap wall, wherein the torque feature is configured to engage a portion of the leadless pacemaker when the leadless pacemaker is within the docking cap volume.
20. The catheter-based system of claim 17 , wherein the cap wall includes a plurality of longitudinal members coextensive between the cap portion and the distal annulus, and wherein the one or more openings are defined between the plurality of longitudinal members.