Deploying a balloon expandable stent to induce spiral flow

• US 10,492,937 B2
• Filed: 08/02/2017
• Issued: 12/03/2019
• Est. Priority Date: 10/17/2016
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Merk, James, Mayle, Brent, Spindler, Ralf
• Primary Examiner(s): Lynch, Robert A
• Application Number:
  US15/667,092
• Publication Number:
  US 20180104078A1
• Time in Patent Office: 853 Days
• 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 2/915 with bands having a meander structure, adjacent bands being connected to each other
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/9583 Means for holding the stent on the balloon, e.g. using protrusions, adhesives or an outer sleeve
• CPC Class Codes: A61F 2230/0091 helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section
• CPC Class Codes: A61M 25/1002 characterised by balloon shape A61M25/1006, A61M25/1009 take precedence

Abstract

A balloon expanded stent delivery system includes an inflation constraint, such as a wire, spirally wound about the longitudinal axis in contact with a balloon and attached to an underlying catheter. A balloon expanded stent is mounted about the balloon and the inflation constraint. The delivery system has a predeployment configuration with the balloon deflated and the stent unexpanded. The system has a deployment configuration in which the inflation constraint constrains the inflated balloon to a spiral shape, the stent is expanded and in contact with the balloon, and the stent has a flow directing surface with a spiral contour that matches the spiral shape of the balloon. In a postdeployment configuration, the stent retains the flow directing surface with the spiral contour.

Claims

1. A balloon expanded stent delivery system comprising:

a catheter with a longitudinal axis;

a balloon mounted about the catheter;

an inflation constraint spirally wound about the longitudinal axis in contact with the balloon and being attached to the catheter;

a balloon expanded stent mounted about the balloon and the inflation constraint;

the delivery system having a predeployment configuration characterized by the balloon being deflated, and the stent is unexpanded and in contact with the balloon;

the delivery system having a deployment configuration characterized by the balloon being inflated, the inflation constraint constrains the inflated balloon to a spiral shape, the stent is expanded and in contact with the balloon, and the stent has a flow directing surface with a spiral contour that matches the spiral shape of the balloon; and

the delivery system having a postdeployment configuration characterized by the balloon being deflated and out of contact with the stent, and the stent retains the flow directing surface with the spiral contour.

2. The delivery system of claim 1 wherein the inflation constraint includes a wire spirally wound about the balloon and constraining the balloon to the spiral shape when the balloon is inflated.

3. The delivery system of claim 1 wherein the stent includes a fabric attached to and supported by a framework.

4. The delivery system of claim 3 wherein the fabric includes a fabric tube.

5. The delivery system of claim 1 wherein the balloon has a regular cylindrical shape when inflated and unconstrained.

6. The delivery system of claim 1 wherein the spiral shape of the balloon includes a spiral valley flanked by a pair of spiral peaks;

the inflation constraint is positioned in the spiral valley; and

a portion of the flow directing surface is positioned between the pair of spiral peaks in the deployment configuration.

7. The delivery system of claim 1 wherein the inflation constraint is one of a plurality of inflation constraints.

8. The delivery system of claim 7 wherein the each of the plurality of inflation constraints are out of contact with each other over a length of the balloon.

9. The delivery system of claim 1 wherein the inflation constraint encircles the balloon at least once.

10. The delivery system of claim 1 wherein the inflation constraint is in contact with, but unattached to, the balloon.

11. A balloon expanded stent delivery system comprising:

a balloon catheter that includes a catheter with a balloon mounted thereon, and including a wire attached to the catheter and spirally wrapped on the balloon;

a stent mounted on the balloon; and

wherein the balloon is inflated and the stent has a spiral contour that is defined by and responsive to a spiral shape of the inflated balloon as constrained by the wire.

12. The delivery system of claim 11 wherein the stent includes a fabric tube attached to and supported by a framework.

13. The delivery system of claim 12 wherein the inflation constraint is in contact with, but unattached to, the balloon.

14. The delivery system of claim 13 wherein the inflation constraint encircles the balloon at least once.