Coupling units for medical device delivery systems

• US 10,376,396 B2
• Filed: 01/19/2017
• Issued: 08/13/2019
• Est. Priority Date: 01/19/2017
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Nageswaran, Ashok, Dang, Cong, Barrett, Aaron, Phan, James
• Primary Examiner(s): Shi, Katherine M
• Assistant Examiner(s): Restaino, Andrew P.
• Application Number:
  US15/410,444
• Publication Number:
  US 20180200092A1
• Time in Patent Office: 936 Days
• Field of Search: 623 111
• 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 2/95 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 2/9662 the middle portion of the stent or stent-graft is released first
• 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 2002/9665 with additional retaining means
• CPC Class Codes: A61F 2230/0069 cylindrical

Abstract

A stent coupler for use with a medical device delivery system is disclosed. A stent delivery system includes a core member having a distal segment and a coupler positioned about the core member distal segment. the coupler is rotatably coupled to the core member and includes a rigid plate having a first end surface, a second end surface, and a side surface extending between the first and second end surfaces, the side surface comprising one or more projections separated by recesses. The delivery system further includes a stent extending along the core member distal segment such that an inner surface of the stent is engaged by the one or more projections of the engagement member.

Claims

1. A stent delivery system, comprising:

a core member having a distal segment;

a coupler positioned about the core member distal segment and rotatably and slidably coupled to the core member, the coupler comprising a rigid plate having;

a first substantially flat end surface,

a second substantially flat end surface,

a side surface extending between the first and second end surfaces, the side surface comprising one or more projections separated by recesses, wherein a maximum diameter of the first and second end surfaces is at least 5 times greater than a length of the side surface, and

an aperture extending through the first and second end surfaces and receiving the core member therethrough, the aperture defining a radial gap between an outer surface of the core member and an inner surface of the coupler, the gap configured to permit the coupler to slide and rotate with respect to the core member distal segment;

a proximal restraint coupled to the core member distal segment at a position proximal to the first plate,

a distal restraint coupled to the core member distal segment at a position distal to the first plate,

one or more second rigid plates slidably and rotatably coupled to the core member distal segment between the proximal restraint and the distal restraint;

one or more spacers coupled to the core member distal segment between the proximal restraint and the distal restraint; and

a stent extending along the core member distal segment such that an inner surface of the stent is engaged by the one or more projections of the coupler,

wherein the proximal restraint and the distal restraint are spaced apart along the core member by a longitudinal distance that is greater than the combined length of the first and second rigid plates and the one or more spacers coupled to the core member distal segment between the proximal restraint and the distal restraint.

2. The stent delivery system of claim 1, wherein the projections comprise rounded edges.

3. The stent delivery system of claim 1, wherein the one or more projections comprises three or more projections.

4. The stent delivery system of claim 1, wherein a longest dimension of the first and second end surfaces is configured to fit within a 0.017″

, 0.021″

or 0.027″

inner diameter catheter.

5. The stent delivery system of claim 1, wherein the maximum diameter of the first and second end surfaces are generally orthogonal to the length of the side surface.

6. The stent delivery system of claim 1, wherein the first rigid plate comprises at least one of a metal or a rigid polymer.

7. The stent delivery system of claim 1, wherein the first rigid plate side surface has a length of between about 25-100 microns.

8. The stent delivery system of claim 1, wherein the spacer comprises a cylindrical body having end walls orthogonal to a long axis of the core member.

9. The stent delivery system of claim 1, wherein the first and second rigid plates are spaced apart from one another by a distance corresponding to a pore pitch of the stent.

10. The stent delivery system of claim 1, wherein the first and second end surfaces are substantially orthogonal to a long axis of the core member.

11. The stent delivery system of claim 1, wherein the projections interlock with the stent such that each projection is at least partially received within a pore of the stent.

12. A stent delivery system, comprising:

a catheter having a lumen and an inner surface extending along the lumen;

a core member, extending within the catheter lumen;

a first plate comprising;

a first substantially flat end surface, a second substantially flat end surface, and a side surface extending between the first end surface and the second end surface, wherein a maximum diameter of the first and second end surfaces is at least 5 times greater than a length of the side surface; and

an aperture extending through the first and second end surfaces, the core member extending through the aperture, the aperture defining a radial gap between an outer surface of the core member and an inner surface of the plate, the gap configured such that the first plate can rotate and slide longitudinally about the core member;

a proximal restraint coupled to the core member at a position proximal to the first plate;

a distal restraint coupled to the core member at a position distal to the first plate;

a second plate rotatably and slidably coupled to the core member at a position between the proximal restraint and the distal restraint;

one or more spacers coupled to the core member at a position between the proximal restraint and the distal restraint; and

a stent extending along the core member and over the first plate and the second plate, at least a portion of the stent being radially positioned between the first plate side surface and the catheter inner surface,

wherein the proximal and distal restraints are spaced apart along the core member by a longitudinal distance that is greater than the combined length of the first and second plates and the one or more spacers.

13. The stent delivery system of claim 12, wherein the first plate side surface comprises a plurality of projections separated by recesses.

14. The stent delivery system of claim 13, wherein the projections interlock with the stent such that each projection is at least partially received within a pore of the stent.

15. The stent delivery system of claim 13, wherein the one or more projections comprises three or more projections.

16. The stent delivery system of claim 12, wherein the maximum diameter of the first and second end surfaces are generally orthogonal to the length of the side surface.

17. The stent delivery system of claim 12, wherein the first plate comprises at least one of a metal or a rigid polymer.

18. The stent delivery system of claim 12, wherein the spacer comprises a cylindrical body having end walls orthogonal to a long axis of the core member.

19. The stent delivery system of claim 12, wherein the first and second plates are spaced apart from one another by a distance corresponding to a pore pitch of the stent.

20. The stent delivery system of claim 12, wherein the first plate side surface has a length of between about 25-100 microns.