Stent delivery systems and methods for use

• US 10,058,443 B2
• Filed: 11/01/2012
• Issued: 08/28/2018
• Est. Priority Date: 11/02/2011
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Munsinger, Joel R., Pederson, Jr., Gary J., Gerdts, Michael D.
• Primary Examiner(s): Erezo, Darwin
• Assistant Examiner(s): HOLLM, JONATHAN A
• Application Number:
  US13/666,547
• Publication Number:
  US 20130110223A1
• Time in Patent Office: 2,126 Days
• Field of Search: 606 1, 606108, 623 111- 1125, 623 123
• CPC Class Codes: A61F 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
• CPC Class Codes: A61F 2250/0029 differing in bending or flexure capacity

Abstract

The disclosure describes stent delivery systems and its related methods of use. A stent delivery system including an inner shaft with a stent disposed about the distal region, a deployment sheath slidably disposed about the inner shaft, a handle coupled to the deployment sheath, and an intermediate shaft disposed about the inner shaft, positioned proximally of the stent. Further, proximal portion of the intermediate shaft is disposed within the handle and includes a support member.

Claims

1. A stent delivery system, comprising:

an inner shaft having a distal region;

a stent disposed about the distal region;

a single intermediate shaft disposed over the inner shaft and positioned proximally of the stent, a distal end of the intermediate shaft comprising a bumper that is disposed adjacent a proximal end of the stent, wherein the intermediate shaft includes a supported region having a reduced wall thickness, the supported region positioned at a proximal end of the intermediate shaft;

a support member positioned along the supported region;

a deployment sheath slidably disposed over the intermediate shaft and the support member, the deployment sheath comprising a proximal end and a distal end;

a gear rack assembly attached to the proximal end of the deployment sheath with a clip, and a clip member is positioned within a groove of the gear rack assembly near the inner shaft and intermediate shaft such that the clip member can be associated therewith to fix a longitudinal position of the inner shaft and the intermediate shaft relative to the handle;

a handle coupled to the deployment sheath; and

wherein the proximal portion of the intermediate shaft is disposed within the handle.

2. The stent delivery system of claim 1, wherein only the supported region includes the support member.

3. The stent delivery system of claim 1, wherein the supported region extends distally from the handle.

4. The stent delivery system of claim 1, wherein the support member includes a cable tube.

5. The stent delivery system of claim 1, wherein the support member includes a slotted tubular member.

6. The stent delivery system of claim 1, wherein the support member includes a support sleeve.

7. The stent delivery system of claim 6, wherein the support member is disposed coaxially about the inner shaft and positioned adjacent to a proximal end of the intermediate shaft.

8. The stent delivery system of claim 1, wherein the inner shaft includes a second support member.

9. The stent delivery system of claim 8, wherein the second support member includes a cable tube.

10. The stent delivery system of claim 8, wherein the second support member includes a slotted tubular member.

11. A stent delivery system, comprising:

an inner shaft having a distal region;

a stent disposed about the distal region;

a single intermediate shaft disposed over the inner shaft and positioned proximally of the stent, wherein a distal end of the intermediate shaft is disposed adjacent a proximal end of the stent, wherein the intermediate shaft comprises a supported portion with a reduced wall thickness, the supported portion being positioned adjacent to a proximal end of the intermediate shaft;

a support member disposed along the supported portion of the intermediate shaft;

a deployment sheath slidably disposed over the intermediate shaft, a distal end of the deployment sheath comprising a stepped portion, the stepped portion of the deployment sheath comprising a reinforcing member, the reinforcing member extending only along the stepped portion and extending at least along the stent, the reinforcing member is a braid, coil, or mesh;

a handle coupled to the deployment sheath, the handle including a handle housing;

a clip member disposed within the handle and configured to be secured along an interior surface of the handle, wherein the clip member allows a longitudinal position of the inner shaft and the intermediate shaft to be fixed relative to the handle;

wherein the supported portion of the intermediate shaft extends under the deployment sheath and within the handle housing;

wherein the support member is configured to resist bowing of the intermediate shaft during proximal retraction of the deployment sheath; and

an outer shaft disposed over the deployment sheath and positioned proximally of the stent.

12. The stent delivery system of claim 11, wherein the support member includes a cable tube.

13. The stent delivery system of claim 11, wherein the support member includes a slotted tubular member.

14. The stent delivery system of claim 11, wherein the support member of the intermediate shaft includes a support sleeve that is disposed coaxially about the inner shaft and positioned adjacent to a proximal end of the intermediate shaft.

15. The stent delivery system of claim 11, wherein the inner shaft includes a second support member.

16. The stent delivery system of claim 15, wherein the second support member includes a cable tube, a slotted tubular member, or both.

17. The stent delivery system of claim 11, wherein the reinforcing member of the stepped portion is embedded therein.

18. The stent delivery system of claim 11, wherein in the stepped portion of the deployment sheath, the thickness of a tubular wall of deployment sheath is not increased.

19. The stent delivery system of claim 11, wherein in the stepped portion of the deployment sheath, the thickness of a tubular wall of deployment sheath is increased.

20. A method for delivering a medical device, the method comprising:

advancing a stent delivery system through a body lumen to a position adjacent to an area of interest, the stent delivery system comprising;

an inner shaft having a distal region,

a stent disposed about the distal region,

a single intermediate shaft disposed over the inner shaft and positioned proximally of the stent, a distal end of the intermediate shaft comprising a bumper that is disposed adjacent a proximal end of the stent, wherein the intermediate shaft includes a supported region, the supported region positioned at a proximal end of the intermediate shaft, the intermediate shaft is formed as a hybrid tube with only the supported region of the proximal end of the intermediate shaft including a cable tube;

a support member positioned along the supported region;

a deployment sheath slidably disposed over the intermediate shaft and the support member

a handle coupled to the deployment sheath,

wherein at least the supported region of the proximal end of the intermediate shaft is disposed within the handle;

a clip member disposed within the handle and configured to be secured along an interior surface of the handle, wherein the clip member allows a longitudinal position of the inner shaft and the intermediate shaft to be fixed relative to the handle;

proximally retracting the deployment sheath; and

wherein the support member resists bowing of the intermediate shaft during proximal retraction of the deployment sheath.