Rotary handle stent delivery system and method

• US 10,736,762 B2
• Filed: 10/11/2019
• Issued: 08/11/2020
• Est. Priority Date: 09/18/2018
• Status: Active Grant

• Current Assignee: Vesper Medical, Inc. (Koninklijke Philips N.V.)
• Original Assignee: Vesper Medical, Inc. (Koninklijke Philips N.V.)
• Inventors: Longo, Michael A., O'Neil, Timothy W., Turek, Christopher John
• Primary Examiner(s): Nguyen, Vi X
• Application Number:
  US16/599,461
• Publication Number:
  US 20200085601A1
• Time in Patent Office: 305 Days
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
• CPC Class Codes: A61M 2025/0004 having two or more concentrically arranged tubes for forming a concentric catheter system
• CPC Class Codes: A61M 2025/0681 Systems with catheter and outer tubing, e.g. sheath, sleeve or guide tube
• CPC Class Codes: A61M 25/0023 by the form of the lumen, e.g. cross-section, variable diameter
• CPC Class Codes: A61M 25/0113 Mechanical advancing means, e.g. catheter dispensers
• CPC Class Codes: A61M 25/0662 Guide tubes

Abstract

A delivery device according to principles described herein includes a catheter having three concentric shafts including an inner core, an outer sheath over the inner core and an outer support shaft at least partially extending over the inner core and the outer sheath. A timing belt having a plurality of belt teeth on a surface of the timing belt is coupled to an outer sheath over a medical device or stent on the inner core such that movement of the timing belt link causes movement of the outer sheath from its position over the medical device or stent. The delivery device is actuated by rotation of a thumbwheel a thumbwheel coupled to a barrel having a plurality of teeth such that rotation of the thumbwheel causes movement of the barrel such that the barrel teeth engage the belt teeth to cause movement of the timing belt causing movement of the outer sheath.

Claims

1. A system for delivery of an intraluminal stent, comprising:

a delivery device comprising;

a catheter having three concentric shafts including;

an inner core having the intraluminal stent thereon;

an outer sheath over the intraluminal stent in an unexpanded state on the inner core therein, the outer sheath holding the intraluminal stent in an unexpanded state, the outer sheath translatable coaxially over the inner core and the intraluminal stent; and

an outer support shaft at least partially extending over the inner core and the outer sheath;

a timing belt having a first plurality of belt teeth and a second plurality of belt teeth the timing belt, each of the first plurality of belt teeth extending from the timing belt in direction different from each of the second plurality of belt teeth;

a timing belt link coupled to the outer sheath such that movement of the timing belt link causes movement of the outer sheath to expose the intraluminal stent;

a barrel having barrel teeth corresponding to at least one of the first plurality of belt teeth and the second plurality of belt teeth; and

a thumbwheel coupled to the barrel such that rotation of the thumbwheel causes movement of the barrel such that the barrel teeth engage at least one of the first plurality of belt teeth and the second plurality of belt teeth to cause movement of the timing belt causing movement of the outer sheath.

2. The delivery system of claim 1, further comprising a housing, wherein a portion of the thumbwheel is external to the housing, wherein the barrel is internal to the housing and the timing belt is internal to the housing.

3. The delivery system of claim 1, wherein the first plurality of belt teeth protrudes in a first direction from the timing belt and the second plurality of belt teeth protrudes in a second direction from the timing belt, the first direction opposite the second direction.

4. The delivery system of claim 1, further comprising at least one pulley, the timing belt extending around the pulley such that the direction of rotation of the thumbwheel imparts a desired direction of translation of the outer sheath.

5. The delivery system of claim 1, further comprising a belt tensioner comprising a torsion spring, a tensioner arm, a tensioner pulley.

6. The delivery system of claim 5, the belt tensioner further comprising a tensioner arm axle and tensioner pulley axle.

7. The delivery system of claim 1, further comprising a metal shaft at an outer diameter of the inner core.

8. The delivery system of claim 7, wherein the metal shaft is bonded to the outer diameter of the inner core.

9. The delivery system of claim 7, wherein the metal shaft comprises stainless steel.

10. The delivery system of claim 7, wherein the thumbwheel is rotatable in a forward direction and a reverse direction such that the outer sheath translates in first direction when the thumbwheel is rotated in the forward direction and the outer sheath translates in a second direction when the thumbwheel is rotated in the reverse direction.