Medtronic Vascular, Inc.

Medtronic, Inc.

Medtronic Ardian Luxembourg S.a.r.l.

Sean Ward

Paula McDonnell

Aram Jamous

Rónán Wood

Gwenda Francis

Gerry Oliver McCaffrey

Tomas K Kelly

John K Tuohy

Pat McHugh

Barry O'Connell

Fiachra Sweeney

Brendan Patrick Geraghty

Kevin M Mauch

Francis Denis McEvoy

Christopher Murphy

Gwenda McMullin

Ronan Wood

James M Keaveney

Richard McEvoy

Todd Jon Sheldon

Matthew David Bonner

Kevin Lee McFarlin

Erik Griswold

Wenjeng Li

John Kelly

Stephen Nash

Brian Kelly

James Calvin Allan

Dwayne S Yamasaki

Colin William Meade

Matthew Fleming

H Allan Steingisser

Ronan Rogers

Bryan L Courtney

Joshua Hillas

Rudolph A Beasley

David J Hobbins

Suruchi Anand

Michael Donegan

Kealan E O'Carroll

Ronan Finn

Timothy Jones

Gabriel Brennan

David Gannon

Matthew Bonner

Verona Duane

Rónán P Wood

Michael Morrissey

A guide extension catheter assembly including a guide extension catheter and a support device. The guide extension catheter includes a shaft and a tubular member. The support device includes a push member and a shuttle member. The guide extension catheter assembly is configured to selectively provide a delivery state in which at least a portion of the shuttle member is disposed within the lumen, a leading end of the shuttle member is distal a distal end of the tubular member, and the shuttle member is directly, physically connected to the tubular member. In the delivery state, a longitudinal distal force applied to the push member is transferred to the tubular member as a longitudinal distal force via the shuttle member. The guide extension catheter assemblies of the present disclosure can promote a two stage guide extension catheter deployment.

Guide extension catheter assemblies, systems and methods of use

A tool has an outer assembly, which includes a deployment tube, extending around, and moveable with respect to an inner assembly of the tool; the inner assembly includes a single pull wire and a distal member configured to engage an end of an implantable medical device. The deployment tube includes an articulating segment located just proximal to an enlarged distal-most portion, which contains the device and the distal member. Relatively soft and stiff sections of a composite sidewall define the articulating segment and extend alongside one another, such that, when the pull wire is actuated, the composite sidewall causes bending of the segment in two directions. A handle assembly of the tool includes a control member for the pull wire, and may further include a flushing subassembly that has a connector port located at an end of the handle assembly that is opposite a proximal port of the handle.

Tools and assemblies thereof for implantable medical devices

A catheter, such as a fractional flow reserve catheter, includes an elongate shaft having a pressure sensing wire extending to the distal portion of the elongate shaft. The wire has a pressure sensor mounted on the distal end for measuring a pressure of a fluid within lumen of vessel. The pressure sensor wire is disposed within a pocket formed adjacent to the pressure sensor thereby minimizing the profile of the catheter. Bending stresses experienced by a pressure sensor mounted to a fractional flow reserve catheter when tracking the catheter through the vasculature creates a distortion of the sensor resulting in an incorrect pressure reading or bend error. In order to isolate the sensor from bending stresses, the sensor is spaced apart from the pressure sensor wire to allow the pressure sensor and the pressure sensor wire to move independently from one another.

Microcatheter sensor design for minimizing profile and impact of wire strain on sensor

A catheter includes a proximal shaft, a distal shaft, a pressure sensor, and at least one pressure sensor wire. The proximal shaft is substantially C-shaped such that in cross-section, the proximal shaft includes a first circumferential end, a second circumferential end, and a gap between the first circumferential and circumferential end. The proximal shaft defines a groove configured to receive a guidewire therein. The distal shaft is coupled to the proximal shaft and defines a guidewire lumen therein. The pressure sensor is coupled to the distal shaft. The pressure sensor wire is operably connected to the pressure sensor. A proximal portion of the pressure sensor wire is disposed within a proximal shaft wall of the proximal shaft and a distal portion of the pressure sensor wire is disposed within a distal shaft wall of the distal shaft.

Reduced profile FFR catheter

In a system for retrieving an implanted device, a flared inner surface of a catheter tubular sidewall may define a distal-most opening of a device receptacle; the opening has a first diameter equal to that of the receptacle, and a second diameter, coincident with a distal-most edge of the tubular sidewall, and at least 5% greater than the receptacle diameter. Alternately, a retrieval tool in sliding engagement within a lumen of a catheter includes a shaft assembly, through which a snare member passes, and which includes a collapsible spring-biased perimeter sidewall; the sidewall defines a capture member passageway approximately coaxial, and in fluid communication with a lumen of the shaft assembly. A distal-most opening of the passageway has a spring-biased diameter that is greater than that of a distal-most opening of a device receptacle of the catheter, and a collapsed diameter that is less than the receptacle distal-most opening diameter.

Interventional medical systems, catheters, and methods

A guide extension catheter includes a proximal shaft, a distal shaft, and a plurality of perfusion openings. The distal shaft includes a jacket and a helical coil structure embedded in the jacket, the distal shaft defining a lumen. The plurality of perfusion openings are disposed though the jacket of the distal shaft between windings of the helical coil structure. The guide extension catheter provides additional back support to the guide catheter. The plurality of perfusion openings allow fluid communication between an area outside the guide extension catheter and the lumen.

Guide extension catheter with perfusion openings

A distal shaft for measuring pressure distally of a stenosis includes a housing, a pressure sensor, a cover, a tip, and an aperture. The pressure sensor is mounted in the housing. The cover is coupled to the housing and covers the pressure sensor. The tip is coupled to a distal end of the housing. The aperture is disposed through the tip and/or cover. The aperture is configured to allow blood flow to the pressure sensor. The cover further includes a coupling mechanism or coupling that couples the cover to the housing. The coupling mechanism may be a snap-fit mechanism, a friction-fit mechanism, and/or an adhesive.

FFR catheter with covered distal pressure sensor and method of manufacture

A catheter includes a catheter shaft having a shaft wall and a lumen extending longitudinally within the shaft wall. The lumen is bounded in radially outward and radially inward directions. The lumen includes a feed portion and an identification symbol fluidly connected to the feed portion. The lumen is configured to receive a contrast media. The lumen may be formed by a channel formed in an outer surface of a first shaft of the catheter shaft, and a covering disposed around the outer surface of the first shaft to cover the channel.

Catheter with a lumen shaped as an identification symbol

A shaft of an interventional medical system catheter has a distal end formed by opposing elastically deformable retention features that protrude into a lumen of the shaft, and that define an expandable distal opening of the lumen. The retention features secure an implantable medical device to the catheter by an interlocking engagement within a gap defined by a necked-in portion of a device holding member. Each retention feature includes a distal-facing surface defining the distal opening, and, when an elongate release member of the catheter, which extends within the shaft lumen, applies a push force against proximal-facing surfaces of the features, the distal opening expands from a constricted to an open configuration, wherein the open configuration allows passage of the device holding member through the distal opening, and the constricted configuration allows for the interlocking engagement with the device.

Interventional medical systems and associated methods

The disclosure describes techniques and systems for delivering an implantable medical device. In one example, an implantable medical device (IMD) delivery system may include an elongated member comprising a first distal end configured to mate with the IMD, a resilient member disposed along at least a portion of the elongated member, a housing configured to accept a first proximal end of the elongated member and a second proximal end of the resilient member, a rotation control mechanism wherein user movement of the rotation control mechanism causes rotation of the elongated member with respect to the housing and a fixation element of the IMD into tissue, and a deflection control mechanism wherein user movement of the deflection control mechanism causes longitudinal displacement of the resilient member along a longitudinal axis of the elongated member and the housing resulting in angular deflection of the first distal end of the elongated member.

Medical device delivery system

An engagement subassembly of a catheter, for retrieving an implanted medical device, may include at least three segments or, alternately, capture members being spring biased outward from a longitudinal axis of the subassembly, wherein a device receptacle of the catheter forces the capture members/segments, against the spring bias thereof, toward the axis. Each capture member includes a spring-biased wire and a grip, which is located between proximal and distal portions of the corresponding wire, and which is configured to interlock within a gap between a device attachment feature and housing; a length of each wire distal portion may be approximately equal to that of the device housing. An interlocking edge of each segment interlocks within the gap between the attachment feature and housing, when a distal-facing surface of each segment, which tapers outward from the axis in a distal direction, comes into confronting engagement with the device housing.

Interventional medical systems, catheters, and subassemblies

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Dublin, Ireland

Sean Ward