Distal tip assembly for a heart valve delivery catheter
A catheter assembly according to the present invention includes a handle assembly, an introducer sheath, and a distal tip assembly. The distal tip assembly can include first and second retaining sleeves and a slotted tip with a non-traumatic tip guard positioned at the proximal end of the slotted tip. The handle assembly can include a fixed main handle and two or more rotating handles that allow a user to control the distal tip assembly of the catheter. Each control knob on the handle assembly controls a portion of the components on the distal tip of the catheter by allowing for precise manipulation of various delivery shafts. Each delivery shaft extends from the handle assembly to respective positions towards the distal end of the catheter.
1. A distal tip assembly for a catheter, the catheter having a distal end and a proximal end, the distal tip assembly comprising:
a flexible tip;
a tip guard positioned at the proximal end of the flexible tip;
a first valve retaining sleeve, wherein the first valve retaining sleeve is configured to be axially movable over the flexible tip from a proximal position to a distal position;
a second valve retaining sleeve positioned proximally to the first valve retaining sleeve, wherein the second valve retaining sleeve is axially moveable with respect to the first valve retaining sleeve; and
a flexible connector having a proximal end and a distal end, wherein the proximal end of the flexible connector is attached to the distal end of the first valve retaining sleeve,
wherein the tip guard of the flexible tip is encompassed by the first valve retaining sleeve when the first valve retaining sleeve is in its proximal position, and wherein the tip guard is exposed on the proximal side of the first valve retaining sleeve when the first valve retaining sleeve is in its distal position.
2. The distal tip assembly of claim 1 , wherein the tip guard is semi-spherical.
3. The distal tip assembly of claim 1 , wherein the tip guard is semi-ellipsoid.
4. The distal tip assembly of claim 1 , wherein the tip guard is cone-shaped.
5. The distal tip assembly of claim 1 , wherein the flexible connector decreases in diameter across its length from the proximal end to the distal end.
6. The distal tip assembly of claim 1 , wherein the tip guard has a base at its distal end, and wherein the diameter of the base of the tip guard is substantially equal to an inner diameter of the first valve retaining sleeve.
7. A method of implanting a prosthetic valve into a heart, the method comprising:
obtaining a catheter including a distal tip assembly of claim 1 ;
delivering the prosthetic valve to an implantation site in the heart using the catheter;
advancing the first valve retaining sleeve in a distal direction to expose a portion of the prosthetic valve, wherein a distal tip of the prosthetic valve remains covered by the first valve retaining sleeve;
further advancing the first valve retaining sleeve in a distal direction to release the distal tip of the prosthetic valve; and
retracting a second valve retaining sleeve in a proximal direction to release the remainder of the prosthetic valve.
8. The method of claim 7 , further comprising withdrawing the distal tip assembly from the heart.
9. The method of claim 7 , wherein the tip guard is semi-spherical.
10. The method of claim 7 , wherein the tip guard is semi-ellipsoid.
11. The method of claim 7 , wherein the tip guard is cone-shaped.
12. A distal tip assembly for a catheter, the catheter having a distal end and a proximal end, the distal tip assembly comprising:
a flexible tip;
a tip guard positioned at the proximal end of the flexible tip, wherein the tip guard is cone-shaped;
a first valve retaining sleeve, wherein the first valve retaining sleeve is configured to be axially movable over the flexible tip from a proximal position to a distal position; and
a second valve retaining sleeve positioned proximally to the first valve retaining sleeve, wherein the second valve retaining sleeve is axially moveable with respect to the first valve retaining sleeve,
wherein the tip guard of the flexible tip is encompassed by the first valve retaining sleeve when the first valve retaining sleeve is in its proximal position, and wherein the tip guard is exposed on the proximal side of the first valve retaining sleeve when the first valve retaining sleeve is in its distal position.
13. The distal tip assembly of claim 12 , wherein the tip guard has a base at its distal end, and wherein the diameter of the base of the tip guard is substantially equal to an inner diameter of the first valve retaining sleeve.
14. A method of implanting a prosthetic valve into a heart, the method comprising:
obtaining a catheter including a distal tip assembly of claim 12 ;
delivering the prosthetic valve to an implantation site in the heart using the catheter;
advancing the first valve retaining sleeve in a distal direction to expose a portion of the prosthetic valve, wherein a distal tip of the prosthetic valve remains covered by the first valve retaining sleeve;
further advancing the first valve retaining sleeve in a distal direction to release the distal tip of the prosthetic valve; and
retracting a second valve retaining sleeve in a proximal direction to release the remainder of the prosthetic valve.