Implant retention, detachment, and delivery system

• US 10,617,544 B2
• Filed: 09/16/2016
• Issued: 04/14/2020
• Est. Priority Date: 09/18/2015
• Status: Active Grant

• Current Assignee: Microvention Incorporated (Terumo Corporation)
• Original Assignee: Microvention Incorporated (Terumo Corporation)
• Inventors: Sepetka, Ivan, Lei, Cathy
• Primary Examiner(s): Fishback, Ashley L
• Application Number:
  US15/268,271
• Publication Number:
  US 20170079817A1
• Time in Patent Office: 1,306 Days
• CPC Class Codes: A61F 2/844 folded prior to deployment
• CPC Class Codes: A61F 2/88 the wire-like elements formed as helical or spiral coils forming a net-like or mesh-like structure A61F2/90
• 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 2002/068 Modifying the blood flow model, e.g. by diffuser or deflector
• CPC Class Codes: A61F 2002/8486 provided on at least one of the ends
• 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 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2002/9534 for repositioning of stents
• CPC Class Codes: A61F 2002/9665 with additional retaining means
• CPC Class Codes: A61F 2210/0076 multilayered, e.g. laminated structures
• CPC Class Codes: A61F 2230/0067 conical

Abstract

A medical implant delivery system is described. The system can be used to deliver a variety of implants including stents and/or stent grafts. The delivery system retains the implant during delivery and detaches the implant at a target location.

Claims

1. A delivery system for an implant, comprising:

an elongated pusher having a distal pusher end and a proximal pusher end;

a retention structure having a proximal structure end fixed to said pusher near said distal pusher end, and a distal structural end being located distally away from said distal pusher end;

said retention structure having a radially compressed configuration and a radially expanded configuration;

a plurality of engagement elements fixed on said retention structure and protruding radially inwards of said retention structure; and

,

an implant located near said distal pusher end and in contact with said retention structure;

wherein said distal structural end of said retention structure is positioned over a proximal end of said implant so as to leave a distal end of said implant uncovered by said retention structure; and

,

wherein said retention structure engages said implant in said radially compressed configuration and releases said implant in said radially expanded configuration.

2. The delivery system of claim 1, wherein said retention structure is composed of mesh formed from one or more braided wires.

3. The delivery system of claim 2, wherein said retention structure has a tubular shape in said radially compressed configuration and a conical shape opening distally relative to said elongated pusher when in said radially expanded configuration.

4. The delivery system of claim 3, wherein said implant is a stent having a plurality of loops extending from its proximal end.

5. The delivery system of claim 4, wherein said retention structure overlaps a proximal portion of said stent.

6. The delivery system of claim 1, wherein the implant includes a plurality of gaps sized to fit the plurality of engagement elements.

7. The delivery system of claim 6, wherein the implant is comprised of braided wires, a plurality of braided wire crossing points, and the gaps of the implant are located between braided wire crossing points of the implant.

8. A delivery system for an implant, comprising:

a catheter having a passage therethrough between a distal catheter end and a proximal catheter end;

an elongated pusher having a distal pusher end and a proximal pusher end;

said elongated pusher being disposed in said passage of said catheter so as to move longitudinally relative to said catheter;

a retention structure having a proximal structure end fixed to said pusher near said distal pusher end, and a distal structural end being located distally away from said distal pusher end;

said retention structure having a radially compressed configuration and a radially expanded configuration;

said retention structure including a plurality of engagement structures connected to and protruding from said retention structure;

and,

an implant located near said distal pusher end and in contact with said retention structure;

wherein said distal structural end of said retention structure is positioned over a proximal end of said implant while leaving a distal end of said implant exposed by said retention structure; and

,

wherein said retention structure engages said implant in said radially compressed configuration within said passage of said catheter and releases said implant in said radially expanded configuration when advanced distally outside of said distal catheter end.

9. The delivery system of claim 8, wherein said retention structure is composed of mesh formed from one or more braided wires;

and wherein said retention structure has a tubular shape in said radially compressed configuration and a conical shape opening distally relative to said elongated pusher when in said radially expanded configuration.

10. The delivery system of claim 8, wherein said engagement structures are composed of a polymer or metal;

and wherein said engagement structures are spherical, elliptical, oval, pyramidal, rectangular, conical, truncated cone, truncated pyramid, or square.

11. The delivery system of claim 8, wherein the implant includes a plurality of gaps sized to fit the plurality of engagement elements.

12. The delivery system of claim 11, wherein the implant is comprised of braided wires, a plurality of braided wire crossing points, and the gaps of the implant are located between braided wire crossing points of the implant.

13. A vessel prosthesis delivery device comprising:

an elongated pusher having a distal pusher end and a proximal pusher end;

a retention structure connected to the pusher, the retention structure comprising a mesh of braided wires;

the retention structure having a proximal end fixed to the pusher near the distal pusher end, and a distal end of the retention structure being free from direct connection to the pusher so as to allow radial expansion of the distal end of the retention structure and being at least partially located distally of the distal end of the pusher, the retention structure having a radially compressed configuration and a radially expanded configuration; and

,

engagement elements protruding radially inward of the retention structure and sized to fit corresponding gaps in a prosthesis.

14. The vessel prosthesis delivery device of claim 13, wherein the retention structure has a conical or trumpeted shape.

15. The vessel prosthesis delivery device of claim 13, wherein the shape of the engagement elements is spherical, elliptical, oval, pyramidal, rectangular, conical, truncated cone, truncated pyramid, or square.

16. The vessel prosthesis delivery device of claim 13, wherein the prosthesis is comprised of braided wires, a plurality of braided wire crossing points, and the gaps of the prosthesis are located between braided wire crossing points of the prosthesis.

17. The vessel prosthesis delivery device of claim 13, wherein the prosthesis has proximal end loops and the gaps of the prosthesis gripped by the engagement elements are located at the proximal looped end of the prosthesis.

18. The vessel prosthesis delivery device of claim 13, wherein the retention structure has a plurality of braided wire crossing points, and wherein there are a plurality of retention structure gaps located between the plurality of braided wire crossing points, and the engagement elements are located in the retention structure gaps.

19. The vessel prosthesis delivery device of claim 13, wherein the retention structure is heat set to adopt a radially compressed configuration when constrained within a delivery sheath and a radially expanded configuration when not constrained within a delivery sheath.

20. The vessel prosthesis delivery device of claim 13, wherein the distal end of the retention member extends distally beyond the distal end of the pusher.