Devices, systems, and methods for positioning an anchor for an artificial chordae tendineae
Implantable devices formed of materials which are not readily imageable, and which may shift from a delivery configuration to a deployment configuration upon deployment, are delivered and deployed with a deployment/delivery device having sensors generating a signal indicating contact of the delivery/deployment device with tissue to guarantee purchase of the implantable device with tissue upon deployment. The implantable device may be a tissue anchor with talons which shift from a delivery configuration to a deployed configuration. The sensors may be positioned along a distal end of the delivery/deployment device to indicate purchase of the device with tissue, to ensure purchase of the talons with tissue upon deployment. The sensors may include at least three sensors, which may be spaced apart from one another, to indicate full contact of the distal end of the delivery/deployment device with tissue. The sensors may optionally be aligned with the talons.
1 . A delivery and deployment device for transluminally delivering and/or deploying an implantable device at a deployment site within a body, the implantable device having a portion which shifts from a delivery configuration to a deployment configuration upon deployment, the delivery and deployment device comprising:
a delivery device configured to deliver an implantable device;
wherein the delivery device comprises an anchor garage configured to deliver a tissue anchor to a deployment site, the tissue anchor having two or more talons shiftable from a delivery configuration to a deployment configuration; and
three or more sensors positioned along a distal end of the delivery device and configured to generate a signal when the distal end of the delivery device is in contact with tissue to ensure purchase of tissue by the implantable device upon deployment.
2 . The delivery and deployment device of claim 1 , wherein the three or more sensors are positioned spaced apart along a periphery of a distal end of the delivery device.
3 . The delivery and deployment device of claim 2 , wherein the three or more sensors are equidistantly spaced apart from one another.
4 . The delivery and deployment device of claim 1 , wherein the three or more sensors include at least one sensor associated with each talon of the tissue anchor delivered by the anchor garage.
5 . The delivery and deployment device of claim 1 , wherein the anchor garage has a blunt distal end along which the three or more sensors are positioned.
6 . The delivery and deployment device of claim 1 , wherein the three or more sensors include contact sensors.
7 . The delivery and deployment device of claim 1 , further comprising a delivery shaft through which lead wires extend from the three or more sensors.
8 . A system for delivering and deploying an implantable device to a deployment site in a body, the system comprising:
an implantable device;
a delivery device configured to deliver the implantable device to the deployment site;
wherein the delivery device comprises an anchor garage configured to deliver a tissue anchor to a deployment site, the tissue anchor having two or more talons shiftable from a delivery configuration to a deployment configuration; and
three or more sensors positioned along a distal end of the delivery device and configured to generate a signal when the distal end of the delivery device is in contact with tissue to ensure purchase of tissue by the implantable device upon deployment without the need for imaging.
9 . The system of claim 8 , wherein the three or more sensors are positioned spaced apart along a periphery of a distal end of the delivery device.
10 . The delivery and deployment system of claim 8 , wherein:
the implantable device is a tissue anchor; and
the anchor garage is configured to deliver the tissue anchor to a deployment site.
11 . The system of claim 10 , wherein the tissue anchor is clocked with respect to the anchor garage.
12 . The system of claim 11 , wherein:
the tissue anchor has two or more talons shiftable from a delivery configuration to a deployment configuration; and
the three or more sensors include at least one sensor associated with a talon of the tissue anchor.
13 . The system of claim 11 , wherein the anchor garage includes a projection extending longitudinally along a portion thereof engaging a groove extending longitudinally along a portion of the tissue anchor to clock the tissue anchor with respect to the anchor garage.
14 . The system of claim 13 , wherein lead wires from the three or more sensors extend within the projection along the anchor garage to a device generating a signal indicating contact of the three or more sensors with tissue.
15 . The system of claim 11 , wherein the tissue anchor is clocked with respect to the anchor garage to align at least one of the talons of the tissue anchor with a sensor of the three or more sensors.
16 . The system of claim 11 , further comprising an artificial chordae tendineae tensioning and locking device associated with the tissue anchor, wherein the tissue anchor is clocked with respect to the anchor garage to align an artificial chordae tendineae associated with the artificial chordae tendineae tensioning and locking device with a groove in the anchor garage.
17 . A method of delivering and deploying an implantable device, the method comprising:
delivering a delivery and deployment device transluminally to a deployment site within a body;
wherein the delivery and deployment device comprises an anchor garage configured to deliver a tissue anchor to a deployment site, the tissue anchor having two or more talons shiftable from a delivery configuration to a deployment configuration; and
contacting three or more sensors on a distal end of the delivery and deployment device with tissue at the delivery site to generate a signal indicative of a position of the delivery and deployment device ensuring purchase of the implantable device with tissue at the deployment site.
18 . The method of claim 17 , wherein the three or more sensors are positioned spaced apart along a distal end of the delivery and deployment device, the method further comprising deploying the implantable device when three of the three or more sensors generate a signal indicating contact with tissue.
19 . The method of claim 18 , wherein the deployment site is cardiac tissue and the implantable device is a tissue anchor, the method further comprising deploying the tissue anchor into cardiac tissue when all three of the three or more sensors generate a signal indicating contact of a distal end of the delivery and deployment device with tissue at the deployment site and without imaging the implantable device or the deployment site.