Stent delivery system

• US 10,016,292 B2
• Filed: 04/18/2014
• Issued: 07/10/2018
• Est. Priority Date: 04/18/2014
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Senness, Charles, White, John, Dent, Wanda
• Primary Examiner(s): Yabut, Diane
• Assistant Examiner(s): TON, MARTIN TRUYEN
• Application Number:
  US14/256,136
• Publication Number:
  US 20150297378A1
• Time in Patent Office: 1,544 Days
• Field of Search: 623 111
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2/9522 Means for mounting a stent or stent-graft onto or into a placement instrument
• CPC Class Codes: A61F 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod

Abstract

A stent delivery system includes a handle and an elongate catheter extending from the handle, and defining a leading end and a trailing end, and having a longitudinal axis. The elongate catheter includes an inner member, an outer member mounted about the inner member and adapted for longitudinal movement relative to the inner member from an extended position to a retracted position and a stent mounted about the inner member. The stent delivery system also includes a thumbwheel mounted to the handle and operatively connected to the outer member, and a lock member releasably mountable to the handle. The thumbwheel is adapted for rotational movement to cause corresponding movement of the outer member from the extended position to the retracted position. The lock member is adapted to engage at least one of the outer member and the thumbwheel to prevent movement thereof when the lock member is secured relative to the handle, and is adapted to release the at least one of the outer member and the thumbwheel when the lock member is released relative to the handle. The lock member may be adapted to engage each of the outer member and the thumbwheel to prevent respective movement thereof when the lock member is secured relative to the handle and adapted to release each of the outer member and the thumbwheel when the lock member is released relative to the handle.

Claims

1. A stent delivery system, which comprises:

a handle defining a channel;

an elongate catheter extending from the handle, the elongate catheter defining a leading end and a trailing end, and having a longitudinal axis, the elongate catheter including;

an inner member;

an outer member mounted about the inner member and adapted for longitudinal movement relative to the inner member from an extended position to a retracted position; and

a stent mounted about the inner member;

a thumbwheel mounted to the handle and connected to the outer member, the thumbwheel adapted for rotational movement to cause corresponding movement of the outer member from the extended position to the retracted position; and

a clip connected to the outer member and comprising a lock wall, wherein the clip includes an anti-rotation wing configured to be received within the channel and to traverse the channel in response to rotation of the thumbwheel;

a lock member releasably mountable to the handle and including a clip restraint configured to engage with the lock wall of the clip distal to a proximal end of the anti-rotation wing, wherein the lock member is adapted to engage the thumbwheel to prevent movement thereof when the lock member is secured relative to the handle, and adapted to release the thumbwheel when the lock member is released relative to the handle.

2. The stent delivery system according to claim 1, the system further including:

a pull cable having a first end and a second end, the first end of the pull cable being coupled to the clip and the second end of the pull cable being coupled to the thumbwheel, wherein an intermediate section of the pull cable between the first end and the second end extends about a pulley disposed within the handle.

3. The stent delivery system according to claim 2 wherein the anti-rotation wing is configured to prevent rotational movement of the outer member relative to the handle.

4. The stent delivery system of claim 2 wherein the pull cable extends about a hub of the thumbwheel.

5. The stent delivery system of claim 2 wherein a distance between a center of the hub and the pulley ranges from about 5 inches to about 7 inches.

6. The stent delivery system of claim 2 wherein the clip defines an opening and the first end of the pull cable includes a ball segment configured to engage with the opening to couple the first end of the pull cable to the clip.

7. The stent delivery system according to claim 1 wherein, the lock wall is dimensioned to be engaged by the clip restraint of the lock member when the lock member is secured relative to the handle to prevent longitudinal movement of the clip and the outer member.

8. The stent delivery system according to claim 1 wherein the lock member includes a trailing thumbwheel constraint having a lock detent, the lock detent dimensioned and adapted to be received within a recess of the thumbwheel to prevent rotational movement of the thumbwheel when the lock member is secured relative to the handle.

9. The stent delivery system according to claim 1 wherein the lock member includes a resilient lock spring, the lock spring releasably engageable with the handle, and being adapted to transition between a lock position in which the lock member is secured to the handle and a release position in which the lock member is removable from the handle.

10. The stent delivery system according to claim 1 including a ratchet to permit selective incremental movement of the thumbwheel in a first rotational direction corresponding to movement of the outer member toward the retracted position while preventing rotational movement thereof in a second negative direction opposite the first rotational direction.

11. The stent delivery system according to claim 10 wherein the ratchet includes a ratchet spring mounted to the handle, the ratchet spring engageable with ratchet teeth defined within the thumbwheel.

12. The stent delivery system according to claim 1 wherein the anti-rotation wing comprises a pair of diametrically opposed anti-rotation wings, and the channel comprises a pair of channels, wherein each of the diametrically opposed anti-rotation wings is configured to be received within a respective channel of the pair of channels of the handle.

13. The stent delivery system according to claim 1 wherein the elongate catheter includes a stop member mounted about the inner member, the stop member dimensioned to engage the stent upon movement of the outer member from the extended position to the retracted position to minimize movement of the stent.

14. The stent delivery system according to claim 1 wherein the stent is adapted to expand from a constrained condition when the outer member is in the extended position thereof to an expanded condition upon movement of the outer member toward the retracted position thereof.

15. The stent delivery system according to claim 1 including an isolation sheath assembly coaxially mounted about the outer member, the isolation sheath assembly being fixed from longitudinal movement.

16. The stent delivery system according to claim 15 wherein the isolation sheath assembly is mechanically secured to a strain relief, the strain relief being releasably secured to the handle to permit release of the strain relief and the isolation sheath assembly from the handle.

17. The stent delivery system of claim 1 wherein the clip comprises a cylindrical mount configured to receive a trailing end of the outer member.

18. A stent delivery system comprising:

a handle;

a catheter extending from the handle, the catheter including;

an inner member;

an outer member mounted about the inner member and adapted for longitudinal movement relative to the inner member from an extended position to a retracted position; and

a stent mounted about the inner member;

a hub;

a thumbwheel rotatably mounted to the handle via the hub, the thumbwheel including a radial surface defining a plurality of radial recesses, wherein each radial recess of the plurality of radial recesses is defined by a closed boundary, is spaced from an adjacent radial recess of the plurality of radial recesses, and is separated from the adjacent radial recess by the radial surface, the thumbwheel being connected to the outer member and adapted for rotational movement to cause corresponding movement of the outer member from the extended position to the retracted position; and

a lock member releasably mountable to the handle and including a lock detent, wherein the lock detent is adapted to engage a radial recess of the plurality of radial recesses of the thumbwheel to prevent movement of the thumbwheel when the lock member is secured relative to the handle.

19. The stent delivery system of claim 18 wherein the lock member is adapted to engage the outer member to prevent movement of the outer member when the lock member is secured relative to the handle.

20. The stent delivery system of claim 18 wherein the handle comprises a handle frame defining a gap on a first side of the handle frame, the thumbwheel protruding through a second side of the handle frame different than the first side, and wherein the lock member is adapted to extend through the gap to engage the lock detent with the radial recess.

21. The stent delivery system of claim 18 wherein the outer member includes an outer clip, the outer clip including a lock wall dimensioned to be engaged by the lock member when the lock member is secured relative to the handle to prevent longitudinal movement of the outer clip and the outer member.