Stent-graft delivery system

• US 20040148008A1
• Filed: 01/24/2003
• Published: 07/29/2004
• Est. Priority Date: 01/24/2003
• Status: Active Grant

• Current Assignee: Medtronic Vascular, Inc. (Medtronic Plc)
• Original Assignee: Medtronic Vascular, Inc. (Medtronic Plc)
• Inventors: Goodson, Harry B. IV, Elkins, Jeff
• Granted Patent: US 7,611,528 B2
• Time in Patent Office: Days
• US Class Current: 623/1.12
• 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: 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 2002/9665 with additional retaining means

Abstract

A method of delivering a stent-graft includes mounting the stent-graft on a pushrod; radially constraining the stent-graft within a sheath; securing a crown portion of the stent-graft to the pushrod with a retainer structure of a stent-graft retainment system; retracting the sheath to expose the crown portion of the stent-graft; and further retracting the sheath to cause the retainer structure to release the crown portion from the pushrod thus deploying the stent-graft. The retainer structure releases the stent-graft automatically as a result of the retraction of the sheath.

Claims

1. A stent-graft delivery system comprising:

a pushrod comprising;

a lumen; and

a trigger aperture;

a stent-graft retainment system comprising;

a retainer structure; and

a retainer release trigger coupled to said retainer structure, said retainer release trigger comprising a trigger portion extending radially from said lumen through said trigger aperture; and

a sheath comprising a trigger trip surface.

2. The stent-graft delivery system of claim 1 wherein a longitudinal trigger trip distance exists between said trigger trip surface and said trigger portion prior to retraction of said sheath.

3. The stent-graft delivery system of claim 1 wherein said trigger portion extends radially outwards from said pushrod a first radial distance, and wherein a second radial distance exists between said pushrod and said sheath, said first radial distance being greater than said second radial distance.

4. The stent-graft delivery system of claim 3 wherein said trigger trip surface contacts said trigger portion during retraction of said sheath.

5. The stent-graft delivery system of claim 1 wherein said retainer release trigger further comprises a pull rod portion coupled to said trigger portion, said pull rod portion extending longitudinally through said lumen.

6. The stent-graft delivery system of claim 5 wherein said retainer release trigger further comprises a locking feature coupled to said trigger portion.

7. The stent-graft delivery system of claim 6 wherein said locking feature secures said trigger portion to said sheath during use of said stent-graft delivery system.

8. The stent-graft delivery system of claim 1 wherein said retainer structure comprises at least one hook extending from said lumen through at least one corresponding retainer aperture of said pushrod.

9. The stent-graft delivery system of claim 8 wherein a proximal end of said retainer structure is coupled to said retainer release trigger by a trigger wire coupler.

10. The stent-graft delivery system of claim 9 wherein said at least one hook extends distally from said trigger wire coupler through said at least one corresponding retainer aperture and curves to extend back in the proximal direction.

11. The stent-graft delivery system of claim 10 further comprising a stent-graft, wherein said at least one hook extends over a portion of said stent-graft.

12. The stent-graft delivery system of claim 11 wherein said portion of said stent-graft comprises a crown portion of said stent-graft.

13. The stent-graft delivery system of claim 11 wherein said at least one hook secures said portion of said stent-graft to said pushrod.

14. The stent-graft delivery system of claim 11 wherein said sheath radially constrains said stent-graft.

15. The stent-graft delivery system of claim 1 wherein said pushrod comprises at least one trench defined by at least one proximal annular surface, at least one distal annular surface, and at least one longitudinal ring surface of said pushrod, said retainer structure comprising at least one wire extending across said at least one trench.

16. The stent-graft delivery system of claim 15 wherein said at least one wire extends distally from said pushrod through a proximal retainer aperture in said at least one proximal annular surface, across said at least one trench, and back into said pushrod through a distal retainer aperture of said at least one distal annular surface.

17. The stent-graft delivery system of claim 15 wherein said at least one proximal annular surface, said at least one distal annular surface, said at least one longitudinal ring surface and said at least one wire define at least one pocket, said stent-graft delivery system further comprising a stent-graft comprising a portion located in said at least one pocket.

18. The stent-graft delivery system of claim 15 further comprising at least one swing pivotally attached to said at least one distal annular surface.

19. A stent-graft retainment system comprising:

a retainer structure; and

a retainer release trigger coupled to said retainer structure, said retainer release trigger comprising a pull rod portion coupled to a trigger portion.

20. The stent-graft retainment system of claim 19 further comprising a trigger wire coupler coupling said retainer structure to said retainer release trigger.

21. The stent-graft retainment system of claim 19 wherein said retainer release trigger further comprises a locking feature coupled to said trigger portion.

22. A method comprising:

mounting a stent-graft on a pushrod;

radially constraining said stent-graft within a sheath;

securing a crown portion of said stent-graft to said pushrod with a retainer structure of a stent-graft retainment system;

retracting said sheath to expose said crown portion of said stent-graft; and

further retracting said sheath to release said crown portion from said pushrod.

23. The method of claim 22 wherein said stent-graft self-expands upon said release of said crown portion from said pushrod.

24. The method of claim 22 wherein said further retracting comprises contacting a trigger portion of said stent-graft retainment system with a trigger trip surface of said sheath.

25. The method of claim 24 wherein said further retracting further comprises retracting said trigger portion to retract said retainer structure into said pushrod.

26. The method of claim 25 wherein said retainer structure is retracted to expose said crown portion.

27. A stent-graft delivery system comprising:

a stent-graft mounted on a pushrod;

a sheath for radially constraing said stent-graft;

a means for securing a crown portion of said stent-graft to said pushrod;

a means for retracting said sheath to expose said crown portion of said stent-graft; and

a means for releasing said crown portion from said pushrod during further retraction of said sheath.