Delivery of medical devices

• US 10,265,207 B2
• Filed: 09/27/2013
• Issued: 04/23/2019
• Est. Priority Date: 08/27/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Luong, Hieu, Johnson, Garrett, Barrett, Aaron, Newell, Gabriel, Huynh, Andy, Farhat, Lawrence
• Primary Examiner(s): Rosen, Eric J
• Assistant Examiner(s): Mannan, Mikail A
• Application Number:
  US14/040,516
• Publication Number:
  US 20150066131A1
• Time in Patent Office: 2,034 Days
• Field of Search: 623 111, 623 112
• CPC Class Codes: A61F 2/82 Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents stent-grafts for tubular structures of the body other than blood vessels A61F2/04; stent-grafts for blood vessels A61F2/07; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95; for closing wounds, or holding wounds closed A61B17/04 - A61B17/115; dilators A61M29/00
• CPC Class Codes: A61F 2/86 Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/92 Stents in the form of a rolled-up sheet expanding after insertion into the vessel , e.g. with a spiral shape in cross-section
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2/962 having an outer sleeve
• 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 2/97 the outer sleeve being splittable
• CPC Class Codes: A61F 2002/823 Stents, different from stent-grafts, adapted to cover an aneurysm
• CPC Class Codes: A61F 2002/9505 having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
• CPC Class Codes: A61F 2002/9528 for retrieval of stents
• CPC Class Codes: A61F 2230/0091 helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section
• CPC Class Codes: A61F 2250/0018 differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61M 25/0053 having a variable stiffness along the longitudinal axis, e.g. by varying the pitch of the coil or braid
• CPC Class Codes: A61M 25/008 Strength or flexibility characteristics of the catheter tip

Abstract

A stent delivery system can include a core member, a stent, and a stent engagement member. The engagement member can be positioned along a distal segment of the core member and be coupled to the core member. The engagement member can have an outer surface. The stent can extending along the core member distal segment such that the outer surface of the engagement member engages an inner surface of the stent along at least a portion of only a distal half of the stent for transmitting an axial force from the core member to only the stent distal half of the stent.

Claims

1. A stent delivery system, comprising:

a core member having a distal segment;

a first stent engagement member positioned along the core member distal segment and coupled to the core member, the first stent engagement member comprising a first outer surface and a first lumen through which the core member distal segment extends;

a second stent engagement member coupled to the core member and positioned proximal to the first stent engagement member, the second stent engagement member comprising a second outer surface and a second lumen through which the core member distal segment extends, wherein the first and second stent engagement members are separate and distinct members separated by a gap; and

a stent extending along the core member distal segment such that (i) the first outer surface of the first stent engagement member engages an inner surface of the stent along at least a portion of only a distal half of the stent for transmitting an axial force from the core member to only the stent distal half, and (ii) the second outer surface of the second stent engagement member engages the inner surface of the stent along at least a portion of only a proximal half of the stent, wherein the second stent engagement member comprises a retraction-only interface that engages the stent only during retraction of the core member, and

wherein, when the first outer surface of the first stent engagement member engages the stent, the second outer surface of the second stent engagement member is not engaging the inner surface of the stent, and a distal end of the first stent engagement member is proximal to a distal end of the stent.

2. The system of claim 1, wherein an axial force on the core member is transmitted to the stent only through the first and second stent engagement members.

3. The system of claim 1, wherein a proximal end of the first stent engagement member is positioned distal to a midpoint of the stent such that transmission of a distal axial force allows the first stent engagement member to pull the stent.

4. The system of claim 1, wherein a distal end of the second stent engagement member is positioned proximal to a midpoint of the stent such that transmission of a distal axial force allows the second stent engagement member to push the stent.

5. The system of claim 1, wherein the second stent engagement member comprises a radially expandable member coupled to the core member proximal to the first stent engagement member, the radially expandable member having a collapsed position and an expanded position, wherein in the expanded position, the radially expandable member is configured to engage a proximal portion of the stent.

6. The system of claim 5, wherein the radially expandable member comprises a balloon coupled to the core member proximal to the first stent engagement member, the balloon being inflatable to engage a proximal portion of the stent.

7. The system of claim 5, wherein the radially expandable member comprises a wedge component having an outer portion configured to expand radially when the core member is proximally retracted such that the wedge component engages with the stent to transmit a proximal force to the stent.

8. The system of claim 1, further comprising a stent cover component having a first end coupled to the core member distal segment and a second end extending from the first end, the second end configured to at least partially surround at least a distal portion of the stent carried by the stent delivery system.

9. The system of claim 1, wherein the distal end of the first stent engagement member is proximal to a distal end of the core member.