Pacemaker retrieval systems and methods
A catheter system for retrieving a leadless cardiac pacemaker from a patient is provided. The cardiac pacemaker can include a docking or retrieval feature configured to be grasped by the catheter system. In some embodiments, the retrieval catheter can include a snare configured to engage the retrieval feature of the pacemaker. The retrieval catheter can include a torque shaft selectively connectable to a docking cap and be configured to apply rotational torque to a pacemaker to be retrieved. Methods of delivering the leadless cardiac pacemaker with the delivery system are also provided.
1. A leadless pacemaker, comprising:
a housing having a central axis;
a plurality of electrodes coupled to the housing;
a fixation mechanism at a distal end of the housing; and
a retrieval feature at a proximal end of the housing, wherein the retrieval feature includes a grasping feature connected to the housing by a stem, wherein a plurality of cutouts extend into the grasping feature to a transverse member, wherein the transverse member extends transverse to the central axis to define a gap on the central axis between the transverse member and the housing, and wherein the gap is configured to receive a snare.
2. The leadless pacemaker of claim 1 , wherein the central axis extends through the transverse member.
3. The leadless pacemaker of claim 2 , wherein the stem is transversely offset from the central axis.
4. The leadless pacemaker of claim 1 , wherein the cutouts are on opposite sides of the transverse member.
5. The leadless pacemaker of claim 4 , wherein the cutouts allow a docking cap of a delivery system to apply rotational torque to the leadless pacemaker.
6. The leadless pacemaker of claim 1 , wherein the retrieval feature extends proximally from a distal end of the stem at the proximal end of the housing to a proximal atraumatic surface of the grasping feature.
7. The leadless pacemaker of claim 1 , wherein the stem is flexible.
8. A leadless pacemaker system, comprising:
a leadless pacemaker including a housing having a central axis, a plurality of electrodes coupled to the housing, a fixation mechanism at a distal end of the housing, and a retrieval feature at a proximal end of the housing, wherein the retrieval feature includes a grasping feature connected to the housing by a stem, wherein a plurality of cutouts extend into the grasping feature to a transverse member, wherein the transverse member extends transverse to the central axis to define a gap on the central axis between the transverse member and the housing, and wherein the gap is configured to receive a snare; and
a delivery system including a docking cap to receive the retrieval feature of the leadless pacemaker.
9. The leadless pacemaker system of claim 8 , wherein the central axis extends through the transverse member.
10. The leadless pacemaker system of claim 9 , wherein the stem is transversely offset from the central axis.
11. The leadless pacemaker system of claim 8 , wherein the cutouts are on opposite sides of the transverse member.
12. The leadless pacemaker system of claim 11 , wherein the cutouts allow the docking cap of the delivery system to apply rotational torque to the leadless pacemaker.
13. The leadless pacemaker system of claim 8 , wherein the retrieval feature extends proximally from a distal end of the stem at the proximal end of the housing to a proximal atraumatic surface of the grasping feature.
14. A method, comprising:
grasping, by a snare, a retrieval feature of a leadless pacemaker, wherein the leadless pacemaker includes a housing having a central axis, a plurality of electrodes coupled to the housing, a fixation mechanism at a distal end of the housing, and the retrieval feature at a proximal end of the housing, wherein the retrieval feature includes a grasping feature connected to the housing by a stem, wherein a plurality of cutouts extend into the grasping feature to a transverse member, wherein the transverse member extends transverse to the central axis to define a gap on the central axis between the transverse member and the housing, and wherein the gap is configured to receive a snare; and
advancing a snare locking sleeve over the snare to close the snare around the retrieval feature.
15. The method of claim 14 , wherein the central axis extends through the transverse member.
16. The method of claim 15 , wherein the stem is transversely offset from the central axis.
17. The method of claim 14 further comprising engaging, by a docking cap of a delivery system, the cutouts on opposite sides of the transverse member.
18. The method of claim 17 further comprising rotating the delivery system to apply rotational torque to the leadless pacemaker.
19. The method of claim 14 , wherein the retrieval feature extends proximally from a distal end of the stem at the proximal end of the housing to a proximal atraumatic surface of the grasping feature.