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 transport system, comprising:
a catheter shaft extending along a longitudinal axis;
a docking cap disposed on the catheter shaft and having an interior configured to receive a retrieval feature of a leadless pacemaker;
a torque shaft disposed within the catheter shaft, wherein the torque shaft connects to the docking cap; and
a handle having a first handle portion coupled to the catheter shaft and a second handle portion coupled to the torque shaft, wherein the first handle portion rotates relative to the second handle portion to apply rotational torque through the torque shaft to the docking cap.
2. The leadless pacemaker transport system of claim 1 , wherein the docking cap is rotatable relative to the catheter shaft.
3. The leadless pacemaker transport system of claim 2 further comprising a bearing between the docking cap and the catheter shaft to allow the docking cap to rotate relative to the catheter shaft.
4. The leadless pacemaker transport system of claim 1 further comprising a snare disposed within the catheter shaft and extendable distally beyond the catheter shaft, wherein the snare includes one or more loops.
5. The leadless pacemaker transport system of claim 4 , wherein the one or more loops includes a plurality of loops.
6. The leadless pacemaker transport system of claim 4 , wherein the handle includes a snare slider to extend the snare beyond the catheter shaft.
7. The leadless pacemaker transport system of claim 1 , wherein the handle includes a deflection knob to steer the catheter shaft.
8. A leadless pacemaker system, comprising:
a leadless pacemaker including a retrieval feature; and
a leadless pacemaker transport system comprising:
a catheter shaft extending along a longitudinal axis,
a docking cap disposed on the catheter shaft and having an interior configured to receive the retrieval feature of the leadless pacemaker,
a torque shaft disposed within the catheter shaft, wherein the torque shaft connects to the docking cap, and
a handle having a first handle portion coupled to the catheter shaft and a second handle portion coupled to the torque shaft, wherein the first handle portion rotates relative to the second handle portion to apply rotational torque through the torque shaft to the docking cap.
9. The leadless pacemaker system of claim 8 , wherein the docking cap is rotatable relative to the catheter shaft.
10. The leadless pacemaker system of claim 9 further comprising a bearing between the docking cap and the catheter shaft to allow the docking cap to rotate relative to the catheter shaft.
11. The leadless pacemaker system of claim 8 further comprising a snare disposed within the catheter shaft and extendable distally beyond the catheter shaft, wherein the snare includes one or more loops.
12. The leadless pacemaker system of claim 11 , wherein the one or more loops includes a plurality of loops.
13. The leadless pacemaker system of claim 11 , wherein the handle includes a snare slider to extend the snare beyond the catheter shaft.
14. The leadless pacemaker system of claim 8 , wherein the handle includes a deflection knob to steer the catheter shaft.
15. A method, comprising:
positioning a retrieval feature of a leadless pacemaker inside an interior of a docking cap of a leadless pacemaker transport system, wherein the docking cap is disposed on a catheter shaft, and wherein a torque shaft is disposed within the catheter shaft and connects to the docking cap; and
rotating a first handle portion of a handle relative to a second handle portion of the handle to apply rotational torque through the torque shaft to the docking cap, wherein the first handle portion is coupled to the catheter shaft and the second handle portion is coupled to the torque shaft.
16. The method of claim 15 , wherein the docking cap is rotatable relative to the catheter shaft.
17. The method of claim 16 further comprising a bearing between the docking cap and the catheter shaft to allow the docking cap to rotate relative to the catheter shaft.
18. The method of claim 15 further comprising moving a snare slider of the handle to extend a snare distally beyond the catheter shaft, wherein the snare includes one or more loops.
19. The method of claim 18 , wherein the one or more loops includes a plurality of loops.
20. The method of claim 15 further comprising moving a deflection knob of the handle to steer the catheter shaft.