Catheter lumen lubricant
A catheter assembly for delivering a medical implant may include an inner shaft around which a compartment is defined, the compartment being adapted to receive the medical implant therein. The catheter assembly may include an outer shaft coaxially surrounding at least a portion of the inner shaft and movable in longitudinal directions relative to the inner shaft. The outer shaft may define a lumen therein, the inner shaft and the outer shaft together defining a space therebetween, the space providing liquid communication between a proximal end of the catheter assembly and the compartment. The catheter assembly may include a distal sheath fixedly connected to the outer shaft, the distal sheath being movable between a closed condition covering the compartment and an open condition uncovering the compartment for deployment of the medical implant. A lubricant containing albumin may be disposed within at least a portion of the space.
1. A method of lubricating a catheter assembly that is configured to deliver a medical implant, the method comprising:
providing the catheter assembly, the catheter assembly including an inner shaft around which a compartment for the medical implant is defined, an outer shaft coaxially surrounding at least a portion of the inner shaft, a distal sheath fixedly connected to the outer shaft, the distal sheath being movable in longitudinal directions between a fully closed condition covering the compartment and an open condition uncovering the compartment, the inner shaft and the outer shaft together defining a space therebetween providing liquid communication between a proximal end of the catheter assembly and the compartment;
mounting the medical implant in the compartment;
sliding the distal sheath to cover the compartment and the medical implant;
inserting a distal end of the catheter assembly into a vasculature of the patient and deploying the medical implant by moving the distal sheath from the fully closed condition to the open condition;
flushing a lubricant containing albumin through the space between the compartment and the proximal end of the catheter assembly;
flowing the lubricant through the compartment during the deploying step;
flowing the lubricant from the compartment to the proximal end of the catheter assembly; and
recirculating the lubricant out from the proximal end of the catheter assembly back into the compartment.
2. The method of claim 1 , wherein the catheter assembly is coupled to an operating handle having a hemostasis valve in liquid communication with the space, and the flushing step includes flushing the lubricant through the hemostasis valve.
3. The method of claim 1 , further comprising, before the mounting step, inserting the medical implant into a bath of the lubricant containing albumin.
4. The method of claim 1 , wherein the medical implant is a self-expanding prosthetic heart valve.
5. The method of claim 4 , wherein deploying the medical implant includes allowing the self-expanding prosthetic heart valve to self-expand into a native heart valve annulus.
6. The method of claim 5 , further comprising:
after deploying the self-expanding prosthetic heart valve, resheathing the self-expanding prosthetic heart valve into the compartment.
7. The method of claim 5 , wherein flowing the lubricant through the compartment during the deploying step reduces a force required to retract the distal sheath off of the medical implant, thereby reducing a force required for deployment.