# US 11,992,404 B2 · Fluid diversion devices for hydraulic delivery systems and associated methods

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- Number: US 11,992,404 B2
- Document ID: US11992404B2
- Status: Granted
- Kind: B2
- Application number: 17/946,095
- Filed: 2022-09-16
- Published: 2023-01-19
- Granted: 2024-05-28
- Earliest claimed: 2019-05-02
- Assignees: Twelve, Inc.
- Applicants: Twelve, Inc.
- Inventors: Niall F. Duffy; Gavin Kenny; Maurice Donoghue
- Web page: https://patentgrep.com/patent/US11992404B2

## CPC

- A61F 2/2427: {Devices for manipulating or deploying heart valves during implantation}
- A61F 2/2436: {Deployment by retracting a sheath}
- A61F 2/9517: {handle assemblies therefor}
- A61F 2/484: {Fluid means, i.e. hydraulic or pneumatic}
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)

## Abstract

A fluid diversion device configured in accordance with embodiments of the present technology can include, for example, a housing including channels configured to receive respective tubes, and a bore that extends laterally across the plurality of channels. The device can include an occlusion member disposed in the bore, where rotation of the occlusion member selectively occludes either a first subset of tubes or a second subset of tubes. The device can include an actuator that enables rotation of the occlusion member to a first position and a second position such that the first subset of tubes and the second subset of tubes are alternatively occluded in the first position or the second position for fluid communication in different directions relative to chambers of a delivery device operable to deploy and recapture the medical device.

## Claims

### Claim 1

A fluid diversion device for controlling fluid flow in a delivery system to deploy a prosthetic heart valve device, the fluid diversion device comprising:
a housing including a first side, a second side, a junction, and a plurality of channels traversing the housing from the first side through the junction to the second side, wherein the junction extends laterally across the plurality of channels;
an occlusion member disposed in the junction, wherein rotation of the occlusion member enables selective occlusion of either a first subset of channels of the plurality of channels or a second subset of channels of the plurality of channels; and
an actuator operably coupled to the occlusion member to enable selective positioning of the occlusion member in at least a first position that occludes the first subset of channels and a second position that occludes the second subset of channels for fluid communication in different directions relative to a first chamber and a second chamber of the delivery system.

### Claim 2 (depends on 1)

The fluid diversion device of claim 1, wherein, when the occlusion member is in the second position, the first subset of channels is open and the second subset of channels is occluded to allow fluid to drain from the first chamber and to allow fluid to flow towards the second chamber.

### Claim 3 (depends on 2)

The fluid diversion device of claim 2, wherein, when the occlusion member is in the first position, the first subset of channels is occluded and the second subset of channels is open to allow fluid to flow towards the first chamber and to allow fluid to drain from the second chamber.

### Claim 4 (depends on 3)

The fluid diversion device of claim 3, wherein the delivery system is configured to cause deployment of the prosthetic heart valve device when the occlusion member is in the first position, and configured to cause recapture of the prosthetic heart valve device when the occlusion member is in the second position.

### Claim 5 (depends on 1)

The fluid diversion device of claim 1, wherein the delivery system is configured to cause deployment of the prosthetic heart valve device when the occlusion member is in the first position, and configured to cause recapture of the prosthetic heart valve device when the occlusion member is in the second position.

### Claim 6 (depends on 1)

The fluid diversion device of claim 1, further comprising:
a bracket configured to secure the fluid diversion device to a portion of the delivery system.

### Claim 7 (depends on 1)

The fluid diversion device of claim 1, wherein any combination of the plurality of channels is occluded to obstruct fluid flow through the plurality of tubes based on a position of the occlusion member.

### Claim 8 (depends on 1)

The fluid diversion device of claim 1, wherein a rate of fluid flow in each channel of the plurality of channels is proportional to an angle of rotation of the occlusion member.

### Claim 9 (depends on 1)

The fluid diversion device of claim 1, wherein each channel of the plurality of channels are arranged in parallel to the other channels of the plurality of channels.

### Claim 10 (depends on 1)

The fluid diversion device of claim 1, wherein the plurality of channels comprises:
the first subset of channels arranged in parallel; and
the second subset of channels arranged in parallel, wherein a bore extends laterally between the second subset of channels and the first subset of channels.

### Claim 11 (depends on 1)

The fluid diversion device of claim 1, wherein, when the occlusion member is in a third position, the first subset of channels and the second subset of channels are occluded to prevent any fluid flow through the plurality of channels.

### Claim 12 (depends on 1)

The fluid diversion device of claim 1, wherein, when the occlusion member is in a third position, each of the plurality of channels is open to allow fluid flow through all the plurality of channels.

### Claim 13 (depends on 1)

The fluid diversion device of claim 1, wherein the fluid diversion device is configured to be external to a patient during an implantation procedure of the prosthetic heart valve device.

### Claim 14 (depends on 1)

The fluid diversion device of claim 1, wherein the junction is a bore.

### Claim 15

A system for delivering a prosthetic heart valve device into a heart of a patient, the system comprising:
an elongated catheter body including a delivery control component that is hydraulically driven to deploy and recapture the prosthetic heart valve device relative to the heart of the patient;
a plurality of chambers including a first chamber and a second chamber operable to receive or expel fluid to hydraulically drive deployment and recapture of the prosthetic heart valve device; and
a fluid diversion device including:
a housing including a first side, a second side, a junction, and a plurality of channels traversing the housing from the first side through the junction to the second side, wherein the junction extends laterally across the plurality of channels,
an occlusion member disposed in the junction, wherein rotation of the occlusion member enables selective occlusion of either a first subset of channels of the plurality of channels or a second subset of tubes channels of the plurality of channels, and
an actuator operably coupled to the occlusion member to enable selective positioning of the occlusion member in at least a first position that occludes the first subset of channels and a second position that occludes the second subset of channels for fluid communication in different directions relative to the first chamber and the second chamber to cause deployment and recapture of the prosthetic heart valve device.

### Claim 16 (depends on 15)

The system of claim 15, wherein, when the occlusion member is in the second position, the first subset of channels is open and the second subset of channels is occluded to allow fluid to drain from the first chamber and to allow fluid to flow toward the second chamber.

### Claim 17 (depends on 16)

The system of claim 16, wherein, when the occlusion member is in the first position, the first subset of channels is occluded and the second subset of channels is open to allow fluid to flow towards the first chamber and to allow fluid to drain from the second chamber.

### Claim 18 (depends on 17)

The system of claim 17, further comprising:
a handle coupled to the elongated catheter body, wherein the handle contains the second chamber.

### Claim 19 (depends on 17)

The system of claim 17, wherein the delivery control component contains the second chamber.

### Claim 20 (depends on 17)

The system of claim 17, wherein the delivery control component contains the first chamber.

### Claim 21

A fluid diversion device for controlling fluid flow in a delivery system to deploy a medical device, the fluid diversion device comprising:
a housing including a plurality of channels and a junction that extends laterally across the plurality of channels;
an occlusion member disposed in the junction, wherein rotation of the occlusion member selectively occludes either a first subset of channels of the plurality of channels or a second subset of channels of the plurality of tubes; and
an actuator configured to enable rotation of the occlusion member to at least a first position and a second position such that the first subset of channels and the second subset of channels are alternatively occluded in the first position or the second position for fluid communication in different directions relative to a plurality of chambers of a delivery system operable to deploy and recapture the medical device.
