Catheter tip designs and method of manufacture
First Claim
1. A method for assembling a stent loaded, self-expanding stent delivery catheter comprising the steps of:
- providing a shaft having a distal region and a lumen therethrough, a retractable sheath disposed over said shaft, a self-expanding tubular stent, said shaft, stent, and sheath cooperatively sized so as to allow axially receiving said stent between said shaft and said sheath;
providing means for securing a distal tip to said shaft distal region;
axially sliding said stent proximally over said shaft distal region and within said sheath lumen; and
securing said distal tip to said inner shaft distal region.
1 Assignment
0 Petitions
Accused Products
Abstract
Methods for making a loaded catheter assembly for delivering a self-expanding stent where the self-expanding stent is carried in a compressed state and the compressed stent has an inside diameter smaller than the outside diameter of the catheter distal tip. The methods can utilize catheter sub-assemblies lacking already attached tips or having partially formed distal tips. A stent can be proximally and co-axially slid over the distal end of the catheter shaft and constrained by a retractable sheath disposed co-axially about the compressed stent. The catheter distal tip can be added or more fully formed after the loading of the stent. Some catheters include a preformed distal conical tip held in position by a heat-shrink film. Other catheters have an elastomeric distal tip waist for slipping over and engaging an outward projection on the catheter shaft distal region. Some catheters are adapted to engage catheter shaft distal threaded regions.
76 Citations
46 Claims
-
1. A method for assembling a stent loaded, self-expanding stent delivery catheter comprising the steps of:
-
providing a shaft having a distal region and a lumen therethrough, a retractable sheath disposed over said shaft, a self-expanding tubular stent, said shaft, stent, and sheath cooperatively sized so as to allow axially receiving said stent between said shaft and said sheath;
providing means for securing a distal tip to said shaft distal region;
axially sliding said stent proximally over said shaft distal region and within said sheath lumen; and
securing said distal tip to said inner shaft distal region. - View Dependent Claims (2)
-
-
3. A method for assembling a stent loaded, self-expanding stent delivery catheter comprising the steps of:
-
providing a shaft, a retractable sheath, a self-expanding tubular stent, said shaft, stent, and sheath cooperatively sized so as to allow axially receiving said stent between said shaft and said sheath, said shaft having a distal region and a distal end, said sheath having a distal region and a distal end, said stent having a distal end;
providing a shrinkable film material;
providing a distally decreasing tapered tip having a lumen therethrough and a proximal end;
affixing a portion of said shrinkable film material to said shaft at a position in said shaft distal region proximal of said distal end such that there exists a free portion of said film distal of said affixed position;
positioning said sheath co-axially over said shaft such that said sheath distal end is positioned near said affixed film position;
positioning said compressed stent proximally and co-axially over said shaft such that said stent distal end is disposed near said affixed film position and said stent is radially constrained by said sheath distal region;
disposing said tip co-axially over said shaft such that said tip proximal end is positioned near said affixed film position;
draping at least some of said film free portion over said distal tip; and
shrinking said film free portion over said tip such that said tip is secured in place over said shaft by said shrunken film. - View Dependent Claims (4, 5, 6)
-
-
7. A loaded, self-expanding stent delivery catheter assembly comprising:
-
a shaft having a distal end and a distal region;
a retractable sheath having a distal region and a distal end disposed co-axially over said shaft distal region such that said sheath distal end is positioned proximally of said shaft distal end;
a self-expanding tubular stent co-axially disposed over said shaft distal region and disposed co-axially within said sheath distal region, such that said stent is radially constrained by said sheath distal region; and
a tapered tip co-axially disposed over said shaft distal region substantially distally of said sheath distal region, said tip secured at least in part to said shaft by a film secured to said shaft distal region and secured to said tip. - View Dependent Claims (8, 9, 10)
-
-
11. A loaded, self-expanding stent delivery catheter assembly comprising:
-
a shaft having a distal end and a distal region;
a retractable sheath having a distal region and a distal end disposed co-axially over said shaft distal region such that said sheath distal end is positioned proximally of said shaft distal end;
a self-expanding tubular stent co-axially disposed over said shaft distal region and disposed co-axially within said sheath distal region, such that said stent is radially constrained by said sheath distal region; and
a tapered tip co-axially disposed over said shaft distal region substantially distally of said sheath distal region, said tip secured to said shaft, wherein said tip has a maximum radial extent not less than the radial extent of said sheath distal region. - View Dependent Claims (13, 14, 15, 16, 17, 18, 20, 21, 22, 23, 26, 27, 29)
-
-
12. A method for assembling a loaded, self-expanding stent delivery catheter comprising the steps of:
-
providing a shaft, a retractable sheath, a self-expanding tubular stent, said shaft, stent, and sheath cooperatively sized so as to allow co-axially receiving said stent between said shaft and said sheath, said shaft having a distal region and a distal end with at least one outward projection in said distal region, said sheath having a distal region and a distal end, said stent having a distal end;
providing a tapered tip having a lumen therethrough, a proximal region, and a proximal end;
positioning said sheath co-axially over said shaft such that said sheath distal end is positioned near said shaft distal region;
positioning said compressed stent proximally co-axially over said shaft such that said stent distal end is disposed near said shaft distal region and said stent is radially constrained by said sheath distal region;
disposing said tip co-axially over said shaft such that said tip proximal end is positioned near said shaft distal region; and
forcing said tip proximal region co-axially over said shaft outward projections such that said tip is caught on said projections and secured to said shaft.
-
-
19. A loaded, self-expanding stent delivery catheter assembly comprising:
-
a shaft having a distal end, a distal region, and at least one outwardly extending projection in said shaft distal region;
a retractable sheath having a distal region and a distal end disposed axially over said shaft distal region such that said sheath distal end is positioned proximally of said shaft distal end;
a self-expanding tubular stent co-axially disposed over said shaft distal region and disposed co-axially within said sheath distal region, such that said stent is radially constrained by said sheath distal region; and
a distal tip co-axially disposed over said shaft distal region substantially distally of said sheath distal region, said tip secured to said shaft, wherein said tip has a proximal region wall and said tip is secured to said shaft by said projection extending into said tip proximal region wall.
-
-
24. A method for assembling a loaded, self-expanding stent delivery catheter comprising the steps of:
-
providing a shaft, a retractable sheath, and a self-expanding tubular stent, said shaft, stent, and sheath cooperatively sized so as to allow co-axially receiving said stent between said shaft and said sheath, said shaft having a distal region and a distal end, said sheath having a distal region and a distal end, said stent having a distal end;
providing a shrinkable film material;
providing a distal tip having a lumen therethrough and a proximal end;
affixing a portion of said shrinkable film material to said shaft at a position in said distal region proximal of said distal end such that there exists a free portion of said film distal of said affixed position;
positioning said sheath co-axially over said shaft such that said sheath distal end is positioned near said affixed film position;
positioning said compressed stent proximally and co-axially over said shaft such that said stent distal end is disposed near said affixed film position and said stent is radially constrained by said sheath distal region;
disposing said tip axially over said shaft such that said tip proximal end is positioned near said affixed film position;
draping at least some of said film free portion over said distal tip; and
shrinking said film free portion over said tip such that said tip is secured in place over said shaft by said shrunken film.
-
-
25. A method for assembling a loaded, self-expanding stent delivery catheter comprising the steps of:
-
providing a shaft, a retractable sheath, and a self-expanding tubular stent, said shaft, stent, and sheath cooperatively sized so as to allow co-axially receiving said stent between said shaft and said sheath, said shaft having a distal region and a distal end, said sheath having a distal region and a distal end, said stent having a distal end;
providing a polymeric sleeve;
affixing a portion of said polymeric sleeve to said shaft at a position in said distal region proximal of said distal end such that there exists a free portion of said polymeric sleeve distal of said affixed position;
positioning said sheath co-axially over said shaft such that said sheath distal end is positioned near said affixed polymeric sleeve position;
positioning said compressed stent proximally co-axially over said shaft such that said stent distal end is disposed near said affixed polymeric sleeve position and said stent is radially constrained by said sheath distal region;
disposing said tip axially over said shaft such that said tip proximal end is positioned near said affixed sleeve position; and
transforming said polymeric sleeve into a distal tip.
-
-
28. A loaded, self-expanding stent delivery catheter assembly comprising:
-
a shaft having a distal end, a distal region, and at least one outwardly extending projection in said shaft distal region;
a retractable sheath having a distal region and a distal end disposed co-axially over said shaft distal region such that said sheath distal end is positioned proximally of said shaft distal end;
a self-expanding tubular stent co-axially disposed over said shaft distal region and disposed co-axially within said sheath distal region, such that said stent is radially constrained by said sheath distal region; and
a distal tip co-axially disposed over said shaft distal region distally of said sheath distal region, said tip secured to said shaft, wherein said tip has a maximum radial extent greater than the inside diameter of said stent in a constrained state.
-
-
30. A method for assembling a loaded, self-expanding stent delivery catheter comprising the steps of:
-
providing a shaft, a retractable sheath and a self-expanding tubular stent, said shaft, stent, and sheath cooperatively sized so as to allow axially receiving said stent between said shaft and said sheath, said shaft having a threaded distal region and a distal end, said sheath having a distal region and a distal end, said stent having a distal end;
providing a distal tip, having a threaded proximal region adapted to mate to said shaft distal threaded region and having a proximal end;
positioning said sheath co-axially over said shaft such that said sheath distal end is positioned near said shaft distal region;
positioning said compressed stent proximally co-axially over said shaft such that said stent distal end is disposed near said shaft distal region and said stent is radially constrained by said sheath distal region; and
threading said tip unto said shaft distal region such that said tip is secured to said shaft by said tip and shaft threads.
-
-
31. A loaded, self-expanding stent delivery catheter assembly comprising:
-
a shaft having a distal end, a distal region, and at least one outwardly extending projection in said shaft distal region;
a retractable sheath having a distal region and a distal end disposed co-axially over said shaft distal region such that said sheath distal end is positioned proximally of said shaft distal end;
a self-expanding tubular stent co-axially disposed over said shaft distal region and disposed co-axially within said sheath distal region, such that said stent is radially constrained by said sheath distal region; and
a distal tip co-axially disposed over said shaft distal region distally of said sheath distal region, said tip secured to said shaft, wherein said shaft distal region has threads and said tip has threads adapted to mate to said shaft threads and said shaft and tip are threadably secured together. - View Dependent Claims (32)
-
-
33. A loaded, self-expanding stent delivery catheter assembly comprising:
-
a shaft having a distal end, a distal region, and a threaded distal region;
a retractable sheath having a distal region and a distal end disposed co-axially over said shaft distal region such that said sheath distal end is positioned proximally of said shaft distal end;
a self-expanding tubular stent co-axially disposed over said shaft distal region and disposed co-axially within said sheath distal region, such that said stent is radially constrained by said sheath distal region; and
a distal tip co-axially disposed over said shaft distal region distally of said sheath distal region, said tip secured to said shaft, said tip having a coil adapted to mate to said shaft threads, wherein and said shaft and tip are secured together by said coil pressing against said threads. - View Dependent Claims (34, 35, 38, 40)
-
-
36. A method for assembling a loaded, self-expanding stent delivery catheter comprising the steps of:
-
providing a shaft, a retractable sheath, a self-expanding tubular stent, said shaft, stent, and sheath cooperatively sized so as to allow axially receiving said stent between said shaft and said sheath, said shaft having a reversibly radially compressible distal tip having a maximum outside diameter, said sheath having a distal region and a distal end, said stent having a distal end and an inside diameter;
radially compressing said tip such that said maximum outside diameter is less than said stent inside diameter;
positioning said sheath co-axially over said tip and shaft such that said sheath distal end is positioned near said distal tip;
positioning said compressed stent proximally co-axially over said shaft such that said stent distal end is disposed near said distal tip and said stent is radially constrained by said sheath distal region; and
uncompressing said tip such that said tip maximum radial extent increases.
-
-
37. A loaded, self-expanding stent delivery catheter assembly comprising:
-
a shaft having a distal end, a distal region, and a threaded distal region;
a retractable sheath having a distal region and a distal end disposed co-axially over said shaft distal region such that said sheath distal end is positioned proximally of said shaft distal end;
a self-expanding tubular stent co-axially disposed over said shaft distal region and disposed co-axially within said sheath distal region, such that said stent is radially constrained by said sheath distal region; and
a reversibly radially compressible distal tip affixed to said shaft distal region.
-
-
39. A method for assembling a loaded, self-expanding stent delivery catheter comprising the steps of:
-
providing a shaft, a retractable sheath, a self-expanding tubular stent, said shaft, stent, and sheath cooperatively sized so as to allow co-axially receiving said stent between said shaft and said sheath, said shaft having a swellable radially expandable distal tip having a pre-swollen maximum outside diameter and a post-swelling maximum outside diameter, said sheath having a distal region and a distal end, said stent having a distal end and an inside diameter;
positioning said sheath co-axially over said tip and shaft such that said sheath distal end is positioned near said distal tip;
positioning said stent proximally and co-axially over said shaft such that said stent distal end is disposed near said distal tip and said stent is radially constrained by said sheath distal region; and
swelling said tip such that said tip maximum radial extent increases.
-
-
41. A loaded, self-expanding stent delivery catheter assembly comprising:
-
a shaft having a distal end, a distal region, and a threaded distal region;
a retractable sheath having a distal region and a distal end disposed co-axially over said shaft distal region such that said sheath distal end is positioned proximally of said shaft distal end;
a self-expanding tubular stent co-axially disposed over said shaft distal region and disposed co-axially within said sheath distal region, such that said stent is radially constrained by said sheath distal region; and
a swollen tip affixed to said shaft distal region. - View Dependent Claims (42, 43)
-
-
44. A catheter comprising:
-
an elongate shaft having a distal end; and
a distal tip secured to said shaft distal end with a shrunken film extending over said tip and shaft distal end.
-
-
45. A catheter comprising:
-
an elongate shaft having a distal region, a distal end, and radially outward projections extending from said shaft distal region; and
a distal tip having a body with a lumen therethrough, wherein said distal tip is disposed over said shaft distal region and is secured at least in part to said shaft by said outward projections extending into said tip body.
-
-
46. A method for assembling a catheter comprising:
-
providing an elongate catheter shaft;
providing a catheter tip having a lumen therethrough;
providing a solvent capable of swelling said tip;
swelling said tip with said solvent;
co-axially disposing said tip over said shaft distal region; and
removing said solvent from said tip and allowing said tip to shrink over said shaft distal region, wherein said tip lumen prior to swelling is not large enough to allow said shaft to pass into said lumen.
-
Specification