Circumferential trigger wire for deploying an endoluminal prosthesis

• US 10,172,731 B2
• Filed: 03/07/2016
• Issued: 01/08/2019
• Est. Priority Date: 12/14/2011
• Status: Active Grant

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Original Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Inventors: Roeder, Blayne A.
• Primary Examiner(s): Eastwood, David C
• Application Number:
  US15/062,762
• Publication Number:
  US 20160184119A1
• Time in Patent Office: 1,037 Days
• CPC Class Codes: A61F 2/844 folded prior to deployment
• CPC Class Codes: A61F 2/848 having means for fixation to the vessel wall, e.g. barbs
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• 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 2002/8483 Barbs
• CPC Class Codes: A61F 2002/9665 with additional retaining means

Abstract

A deployment device for deploying an expandable endoluminal prosthesis within a body vessel may include an elongate member extending longitudinally along at least a portion of a length of the deployment device. The deployment device may include at least one engagement member coupled to the elongate member and extending outwardly from the elongate member. The deployment device may include a circumferential trigger wire extending at least partially circumferentially around the elongate member and removably received between the engagement member and the elongate member. The circumferential trigger wire may be manipulatable from a distal end of the deployment device, whereby the circumferential trigger wire is removable from between the engagement member and the elongate member.

Claims

1. An expandable endoluminal prosthesis and deployment device for deploying the expandable endoluminal prosthesis within a body vessel, the deployment device comprising:

a proximal end and a distal end;

an elongate member extending longitudinally along at least a portion of a length of the deployment device from the distal end to the proximal end and having an inner lumen;

an expandable endoluminal prosthesis disposed about the elongate member, the expandable endoluminal prosthesis comprising a tube of graft material having an exterior and at least one self-expanding stent disposed about the exterior and having an external circumference;

at least one axial trigger wire disposed in the lumen of the elongate member from the distal end of the deployment device, the at least one trigger wire extending outwardly from the lumen of the elongate member through an axial trigger wire aperture in the elongate member to form an axial loop external to the elongate member and through the stent; and

a circumferential trigger wire extending out of a first circumferential trigger wire aperture in the enlongate member, forming a single loop circumferentially around substantially the entire exterior circumference of the stent to hold the stent in a compressed configuration and re-entering a second circumferential trigger wire aperture in the elongate member spaced from the first circumferential trigger wire aperture, the single loop removably received under the axial loop of the at least one axial trigger wire such that the circumferential trigger wire is between the axial loop of the axial trigger wire and the stent without extending around the axial trigger wire.

2. The deployment device of claim 1, wherein removal of the at least one axial trigger wire from over the circumferential trigger wire releases the stent from the compressed configuration.

3. The deployment device of claim 1, wherein removal of the circumferential trigger wire from under the axial loop of the at least one axial trigger wire releases the stent from the compressed configuration.

4. The deployment device of claim 1, wherein the at least one axial trigger wire comprises a plurality of axial trigger wires and the elongate member further comprises a plurality of pairs of axially spaced trigger wire apertures, wherein each of the plurality of axial trigger wires extends through a corresponding one of the plurality of pairs of axially spaced trigger wire apertures to form an axial loop over the circumferential trigger wire.

5. The deployment device of claim 1, wherein the at least one axial trigger wire prevents the circumferential trigger wire from radial movement away from the external circumference of the stent.

6. The deployment device of claim 1, wherein the at least one axial trigger wire prevents axial movement of the circumferential trigger wire relative to the stent.

7. The deployment device of claim 1, wherein the stent comprises proximal apices having an opening and the axial loop extends through a proximal apex opening and over the circumferential trigger wire.

8. The deployment device of claim 1, wherein the at least one axial trigger wire comprises a plurality of axial trigger wires.

9. The deployment device of claim 1, wherein the first circumferential trigger wire aperture is generally aligned with a void in the stent such that the first circumferential trigger wire exits the first circumferential trigger wire aperture and extends through the void in the stent to the exterior of the stent.

10. The deployment device of claim 1, wherein the stent comprises proximal apices and proximal barbs, wherein the circumferential trigger wire restrains each proximal apex and each proximal barb in a compressed configuration.

11. An expandable endoluminal prosthesis and deployment device for deploying the expandable endoluminal prosthesis within a body vessel, the deployment device comprising:

a proximal end and a distal end;

an elongate member extending longitudinally along at least a portion of a length of the deployment device from the distal end to the proximal end and having an inner lumen;

an expandable endoluminal prosthesis disposed about the elongate member, the expandable endoluminal prosthesis comprising a tube of graft material having an exterior and at least one self-expanding stent disposed about the exterior and having an external circumference;

at least one axial trigger wire disposed in the lumen of the elongate member from the distal end of the deployment device, the at least one trigger wire extending outwardly from the lumen of the elongate member through an axial trigger wire aperture in the elongate member to form an axial loop external to the elongate member and through the stent; and

a circumferential trigger wire extending out of a first circumferential trigger wire aperture in the enlongate member, forming a single loop circumferentially around substantially the entire exterior circumference of the stent to hold the stent in a compressed configuration and re-entering a second circumferential trigger wire aperture in the elongate member spaced from the first circumferential trigger wire aperture, the single loop removably received under the axial loop of the at least one axial trigger wire such that the circumferential trigger wire is between the axial loop of the axial trigger wire and the stent without extending around the axial trigger wire;

wherein both the circumferential trigger wire and the at least one axial trigger wire are manipulatable from the distal end of the deployment device such that the stent is released from the compressed configuration by either removing the circumferential trigger wire from between the axial loop of the at least one axial trigger wire or removing the at least one axial trigger wire from over the circumferential trigger wire.

12. The deployment device of claim 11, wherein the axial trigger wire aperture is one aperture through which the at least one axial trigger wire exits the lumen to extend over the circumferential trigger wire and re-enters the lumen of the elongate member.

13. The deployment device of claim 11, wherein the axial trigger wire aperture comprises a first aperture through which the at least one axial trigger wire exits from the lumen and a second aperture axially spaced from the first aperture into which the at least one axial trigger wire re-enters the lumen of the elongate member.

14. The deployment device of claim 11, wherein the at least one axial trigger wire comprises a plurality of axial trigger wires and the elongate member further comprises a plurality of pairs of axially spaced trigger wire apertures, wherein each of the plurality of axial trigger wires extends through a corresponding one of the plurality of pairs of axially spaced trigger wire apertures to form an axial loop over the circumferential trigger wire.

15. The deployment device of claim 11, wherein the first circumferential trigger wire aperture is generally aligned with a void in the stent such that the first circumferential trigger wire exits the first circumferential trigger wire aperture and extends through the void in the stent to the exterior of the stent.

16. The deployment device of claim 11, wherein the at least one axial trigger wire prevents the circumferential trigger wire from radial movement away from the external circumference of the stent.

17. The deployment device of claim 11, wherein the at least one axial trigger wire prevents axial movement of the circumferential trigger wire relative to the stent.

18. The deployment device of claim 11, wherein the stent comprises proximal apices and proximal barbs, wherein the circumferential trigger wire restrains each proximal apex and each proximal barb in a compressed configuration.