Radial expansion and contraction features of medical devices
This disclosure concerns medical devices, such as catheters and implantable devices, having radially adjustable features. More particularly, the catheters and implantable devices can radially expand and contract to perform various functions within the body. Expansion and contraction can be performed by a radially adjustable structure mounted on the medical device. For example, a medical device can include an body configured for in vivo introduction, a strip attached to the body and rolled into a ring such that layers of the strip radially overlap each other, and at least one motor actuatable by electrical energy to move the radially overlapping layers of the strip relative to one another and change a diameter of the ring and the body.
1. A method of in vivo motor operation for implant deployment in a patient, the method comprising:
introducing a catheter body into the patient, the catheter body comprising one or more motors, wherein an implant is mounted in a radially compressed state on the catheter body, wherein the implant has a constant outer diameter in the radially compressed state;
deploying the implant in vivo from the catheter body, the implant radially expanding during the deploying of the implant, the deploying of the implant driven by the one or more motors performing a plurality of actuation cycles while in vivo;
wherein the one or more motors comprise a plurality of motors axially spaced from each other along the catheter body; and
wherein deploying the implant comprises independently controlling the plurality of motors by actuating the plurality of motors different amounts such that the plurality of motors radially expand the implant to a radially expanded state in contact with anatomical structure surrounding the implant, the implant in the radially expanded state having a variable diameter along a length of the implant;
withdrawing the catheter body including the motors from the patient while the implant remains in the radially expanded state with the variable diameter along the length of the implant and in contact with the anatomical structure within the patient.
2. The method of claim 1 , wherein:
the catheter body comprises a first outer diameter;
the constant outer diameter of the implant comprises a second outer diameter; and
deploying the implant from the catheter body comprises increasing the first outer diameter of the catheter body which causes the second outer diameter of the implant to increase, the increase in the first outer diameter driven by each motor of the plurality of motors performing the plurality of actuation cycles while in vivo.
3. The method of claim 1 , wherein the implant comprises a proximal portion and a distal portion, the plurality of motors comprises a first motor and a second motor, the first motor located proximally along the catheter body relative to the second motor, and deploying the implant comprises:
actuating the first motor through the plurality of actuation cycles to expand the proximal portion of the implant; and
actuating the second motor through the plurality of actuation cycles to expand the distal portion of the implant, the first motor and the second motor being controlled such that the proximal portion is expanded to a different size than the distal portion.
4. The method of claim 1 , wherein the implant comprises a stent.
5. The method of claim 1 , further comprising controlling a controller in a handle connected to the catheter body, wherein controlling the controller comprises generating, in response to user input, one or more control signals that actuate the plurality of motors.
6. The method of claim 1 , wherein the implant comprises a valve.
7. A method of in vivo motor operation for implant deployment in a patient, the method comprising:
introducing a catheter body into the patient, the catheter body comprising one or more motors;
deploying an implant in vivo from the catheter body, the implant radially expanding during the deploying of the implant, the deploying of the implant driven by the one or more motors performing a plurality of actuation cycles while in vivo;
wherein the one or more motors comprise a plurality of motors axially spaced from each other along the catheter body; and
wherein deploying the implant comprises independently controlling the plurality of motors by actuating the plurality of motors different amounts such that the plurality of motors radially expand the implant to a radially expanded state in contact with anatomical structure surrounding the implant, the implant in the radially expanded state having a variable diameter along a length of the implant;
withdrawing the catheter body including the motors from the patient while the implant remains in the radially expanded state with the variable diameter along the length of the implant and in contact with the anatomical structure within the patient;
wherein deploying the implant comprises radially expanding a plurality of radially adjustable structures of the catheter body via actuation of the plurality of motors to produce radial expansion of the implant;
wherein the plurality of radially adjustable structures comprises a first radially adjustable structure and a second radially adjustable structure;
wherein the implant comprises first and second portions disposed over the first and second radially adjustable structures, respectively;
wherein when the catheter body is introduced into the patient, the first and second radially adjustable structures have first and second initial diameters, respectively, wherein the first and second initial diameters are the same; and
wherein radially expanding the plurality of radially adjustable structures via actuation of the plurality of motors comprises radially expanding the first radially adjustable structure a first amount from the first initial diameter to a first expanded diameter to expand the first portion of the implant and radially expanding the second radially adjustable structure a second amount from the second initial diameter to a second expanded diameter, different than the first expanded diameter, to expand the second portion of the implant, such that the first and second portions of the implant have different diameters in the radially expanded state of the implant.
8. The method of claim 7 , wherein the plurality of radially adjustable structures comprise a plurality of expandable rings.
9. A method of in vivo motor operation for implant deployment in a patient, the method comprising:
introducing a catheter body into the patient, the catheter body comprising one or more motors;
deploying an implant in vivo from the catheter body, the implant radially expanding during the deploying of the implant, the deploying of the implant driven by the one or more motors performing a plurality of actuation cycles while in vivo;
withdrawing the catheter body including the one or more motors from the patient while the implant remains within the patient;
wherein the one or more motors comprise a plurality of motors axially spaced from each other along the catheter body;
wherein deploying the implant comprises independently controlling the plurality of motors such that the plurality of motors radially expand the implant to a radially expanded state having a variable diameter along a length of the implant;
wherein deploying the implant comprises radially expanding a plurality of radially adjustable structures of the catheter body via actuation of the plurality of motors to produce radial expansion of the implant; and
wherein the plurality of radially adjustable structures comprise a plurality of coiled strips, wherein each coiled strip has radially overlapping windings.
10. A method of in vivo motor operation for implant deployment in a patient, the method comprising:
introducing an implant and a distal end section of a catheter body of an implant delivery device into the patient, wherein the implant delivery device comprises one or more motors mounted on one or more radially adjustable structures, wherein the one or more radially adjustable structures are disposed in one or more trenches formed in an outer surface of the distal end section of the catheter body, wherein the implant is in a radially compressed state and coupled to the distal end section of the catheter body; and
actuating the one or more motors while the one or more motors are inside the patient, which causes the one or more radially adjustable structures to radially expand outside the one or more trenches to radially expand the implant from the radially compressed state to a radially expanded state inside the patient.
11. The method of claim 10 , wherein the act of introducing comprises advancing the implant delivery device over a guide wire.
12. The method of claim 10 , wherein the one or more motors comprise one or more piezoelectric motors.
13. The method of claim 10 , wherein the implant delivery device comprises a handle comprising a controller including a user input and wherein actuating the one or more motors comprises actuating the controller via the user input to generate one or more control signals that actuate the one or more motors.
14. The method of claim 13 , wherein the implant delivery device comprises one or more electrical conductors extending through the catheter body, wherein the one or more electrical conductors electrically connect the one or more motors to the controller.
15. The method of claim 10 , wherein the implant is mounted in the radially compressed state around the distal end section of the catheter body and the one or more motors during the act of introducing.
16. The method of claim 10 , wherein the one or more radially adjustable structures comprise one or more non-helical coiled strips, wherein each coiled strip has radially overlapping windings.
17. The method of claim 10 , wherein the implant delivery device comprises a layer of compliant material covering the one or more radially adjustable structures and being attached to the outer surface of the catheter body at locations proximal and distal to the one or more radially adjustable structures, wherein the layer of compliant material radially expands relative to the catheter body when the one or more radially adjustable structures are radially expanded.
18. A method of in vivo motor operation for implant deployment in a patient, the method comprising:
introducing an implant delivery device into the patient, wherein the implant delivery device comprises a handle comprising a controller including a user input, a catheter body extending from the handle, one or more electrostatic motors disposed along a distal end section of the catheter body, wherein an implant is coupled to the distal end section of the catheter body and is in a radially compressed state having a constant outer diameter;
advancing the distal end section of the catheter body, the one or more motors, and the implant through a blood vessel of the patient; and
while the one or more motors are inside the patient, actuating the controller via the user input to generate one or more control signals, wherein the one or more control signals actuate the one or more motors, which radially expand the implant from the radially compressed state to a radially expanded state inside the patient;
wherein the one or more electrostatic motors comprise a plurality of electrostatic motors and the method further comprises independently actuating the plurality of electrostatic motors different amounts to radially expand the implant such that the diameter of the implant varies along its length in the radially expanded state.
19. The method of claim 18 , wherein the implant comprises a valve.
20. The method of claim 18 , wherein the plurality of electrostatic motors comprises first and second electrostatic motors and independently actuating the plurality of electrostatic motors comprises controlling the first electrostatic motor to undergo a first actuation cycle and controlling the second electrostatic motor to undergo a second actuation cycle that is different than the first actuation cycle.