Medical Device Delivery System Adapter Piece Mechanism

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Solution Overview

Problem

Current delivery systems for implanting medical devices, such as leadless pacemakers, face challenges in safely and easily releasing the device from the system after implantation and testing, requiring partial detachment during positioning and potential repositioning, which can be complex and prone to mechanical bias.

Innovation Solution

A delivery system with a mandrel and adapter piece that moves between positions to control the tethering member's connection and release, using a positive-locking mechanism to securely attach and detach the medical device, allowing for controlled release and testing without mechanical bias.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If the medical device is fully released from the delivery system, then the device can be tested and repositioned freely, but the device may become difficult to recapture if repositioning is needed

Engineering Contradiction:
Improveease of release and testingVSAvoidreliability of recapture
Core Design Contradiction:
Ease of operationVSReliability

Solution Approach 1:

The tethering member acts as an intermediary element that maintains a controlled connection between the medical device and delivery system during testing. This intermediate tether allows the device to be tested and repositioned freely while still providing a mechanical link for potential recapture, resolving the contradiction between ease of operation and reliability of recapture.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Ease of operation

If the adapter piece is moved to the second position to release the positive-locking member, then the medical device can be detached, but the delivery system loses its secure holding capability

Engineering Contradiction:
Improveease of detachmentVSAvoidsecure holding capability
Core Design Contradiction:
Ease of operationVSStrength

Solution Approach 1:

The system transitions from a static locked state to a dynamic controllable state. The adapter piece can be moved between positions to dynamically adjust the connection strength - fully locked during delivery, partially connected during testing via the tethering member, and fully released when needed. This dynamic capability resolves the contradiction between ease of detachment and secure holding.

Inventive Principle:
Principle #15Dynamics

3Ease of operation

If the medical device remains connected to the delivery catheter, then positioning and anchoring are facilitated, but mechanical bias interferes with accurate testing

Engineering Contradiction:
Improveease of positioning and anchoringVSAvoidaccuracy of testing
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The connection between the delivery system and medical device is segmented into two stages: initial strong connection via the adapter piece for positioning and anchoring, followed by a separate tethering member connection for testing. This segmentation allows the device to be firmly positioned during implantation while enabling unbiased testing through the independent tethering mechanism, resolving the contradiction between ease of operation and measurement precision.

Inventive Principle:
Principle #1Segmentation

Data Source

PatentUS12186519B2Delivery system for implanting a medical device
Publication Date: 2025.01.07 BIOTRONIK SE & CO KG
  • US12186519B2 patent drawing
  • US12186519B2 patent drawing
  • US12186519B2 patent drawing

AI summary

A delivery system for implanting a medical device comprises a delivery catheter having an inner lumen, a mandrel received in the inner lumen of the delivery catheter and movable with respect to the delivery catheter, and an adapter piece connected to the mandrel, wherein the adapter piece, by moving the mandrel with respect to the delivery catheter, is displaceable between a first position in which the adapter piece is received within the inner lumen of the delivery catheter and a second position in which the adapter piece is arranged outside of the inner lumen of the delivery catheter. A tethering member comprises a positive-locking member adjoining a tether portion, wherein the positive-locking member in a connection state is received on the adapter piece, but is releasable from the adapter piece by displacing the adapter piece from the first position towards the second position.