Stent delivery system with imaging capability

• US 20050278010A1
• Filed: 05/27/2004
• Published: 12/15/2005
• Est. Priority Date: 05/27/2004
• Status: Abandoned Application

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Richardson, M. Kevin
• Application Number:
  US10/856,260
• Publication Number:
  US 20050278010A1
• Time in Patent Office: Days
• US Class Current: 623/1.110
• CPC Class Codes: A61B 1/00165 with light-conductive means, e.g. fibre optics A61B1/07 takes precedence
• CPC Class Codes: A61B 1/042 characterised by a proximal camera, e.g. a CCD camera
• CPC Class Codes: A61B 1/0607 for annular illumination
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61M 2025/0037 characterized by lumina being arranged side-by-side
• CPC Class Codes: A61M 2025/0039 characterized by lumina being arranged coaxially
• CPC Class Codes: A61M 2025/004 characterized by lumina being arranged circumferentially
• CPC Class Codes: A61M 25/0029 characterized by features relating to least one lumen located at the middle part of the catheter, e.g. slots, flaps, valves, cuffs, apertures, notches, grooves or rapid exchange ports catheter shaft surface irregularities A61M2025/006

Abstract

A stent delivery system includes a catheter shaft defining two lumens, for respectively receiving a guidewire and a fiber optic cable having a viewing capability. Specifically, the fiber optic cable has a first (e.g., proximal) end and a second (e.g., distal) end, and is adapted for transmitting illumination light from its first end to its second end while transmitting an image from its second end to its first end. The system further includes a stent positioned over the catheter shaft, and may also include means for deploying the stent. The stent may be of a self-expanding type or of an inflation type. The fiber optic cable is used to visually inspect proper deployment of the stent before, during, and after the stent deployment.

Claims

1. A stent delivery system, comprising:

a catheter shaft defining first and second lumens therein;

a guidewire removably received within one of the first or second lumens;

a fiber optic cable having a first end and a second end, the fiber optic cable transmitting illumination light from its first end to its second end while transmitting an image from its second end to its first end, the fiber optic cable being received within another of the first or second lumens; and

a stent positioned over the catheter shaft.

2. The system of claim 1, further comprising means for deploying the stent.

3. The system of claim 2, wherein the stent is of self-expanding type, and the means for deploying the stent comprises a proximally retractable sleeve coaxially placed over the stent.

4. The system of claim 2, wherein the stent is of inflation type, and the means for deploying the stent comprises an inflatable balloon positioned between the catheter shaft and the stent.

5. The system of claim 1, wherein the diameter of the fiber optic cable is less than 1 mm.

6. The system of claim 1, wherein the fiber optic cable is removably received within the second lumen.

7. The system of claim 1, wherein at least a portion of the catheter shaft is made of clear material so as to permit imaging with the fiber optic cable through the clear portion of the catheter shaft when the second end of the fiber optic cable is within the catheter shaft.

8. The system of claim 1, wherein the fiber optic cable further comprises an optical element placed at its second end to achieve a backward viewing capability.

9. A method of delivering and deploying a stent within a body cavity or vessel, comprising:

(a) providing a stent delivery system, comprising;

(i) a catheter shaft defining first and second lumens therein;

(ii) a guidewire removably received within the first lumen;

(iii) a fiber optic cable having a first end and a second end, the fiber optic cable transmitting illumination light from its first end to its second end while transmitting an image from its second end to its first end, the fiber optic cable being received within the second lumen; and

(iv) a stent positioned over the catheter shaft;

(b) advancing the guidewire through the body cavity or vessel to a desired position;

(c) passing the catheter shaft along the guidewire to place the stent relative to the desired position; and

(d) deploying the stent.

10. The method of claim 9, further comprising placing the second end of the fiber optic cable relative to a distal end of the guidewire to observe an image of an area that the distal end of the guidewire is advancing to visually confirm the desired position.

11. The method of claim 9, further comprising placing the second end of the fiber optic cable relative to the stent being deployed to observe proper deployment thereof.

12. The method of claim 9, further comprising removing a cover from the stent to allow it to self-expand at the desired position.

13. The method of claim 12, wherein the cover is removed by proximally retracting the cover from the stent.

14. The method of claim 9, further comprising deploying the stent by inflating a balloon beneath the stent.

15. The method of claim 14, wherein the balloon is inflated by injecting a fluid through a proximal portion of the balloon.

16. A stent delivery system, comprising:

a catheter shaft defining a lumen therein, the catheter shaft further defining a guide which extends axially along at least a portion of an axial length of the catheter shaft;

a guidewire removably received within the guide;

a fiber optic cable having a first end and a second end, the fiber optic cable transmitting illumination light from its first end to its second end while transmitting an image from its second end to its first end, the fiber optic cable being removably received within the lumen; and

a stent positioned over the catheter shaft.

17. The system of claim 16, wherein the catheter shaft has a generally circular cross section.

18. The system of claim 16, wherein the guide has a generally C-shaped cross section.

19. The system of claim 16, further comprising means for deploying the stent.

20. The system of claim 19, wherein the stent is of self-expanding type, and the means for deploying the stent comprises a proximally retractable sleeve coaxially placed over the stent.

21. The system of claim 19, wherein the stent is of inflation type, and the means for deploying the stent comprises an inflatable balloon positioned between the catheter shaft and the stent.

22. The system of claim 16, wherein the diameter of the fiber optic cable is less than 1 mm.

23. A method of delivering and deploying a stent within a body cavity or vessel, comprising:

(a) providing a stent delivery system, comprising;

(i) a catheter shaft defining a lumens therein;

(ii) a guidewire removably received within the lumen; and

(iii) a stent positioned over the catheter shaft;

(b) providing a fiber optic cable having a first end and a second end, the fiber optic cable transmitting illumination light from its first end to its second end while transmitting an image from its second end to its first end;

(c) advancing the catheter shaft along the guidewire and the fiber optic cable through the body cavity or vessel to place the stent at a desired position; and

(d) deploying the stent.

24. The method of claim 23, wherein step (c) further comprises the sub-steps of:

(c-1) advancing the guidewire through the body cavity or vessel to the desired position;

(c-2) advancing the fiber optic cable through the body cavity or vessel while positioning the second end of the fiber optic cable relative to a distal end of the guidewire to observe an image of an area that the distal end of the guidewire is advancing to visually confirm the desired position; and

(c-3) passing the catheter shaft along the guidewire.

25. The method of claim 24, wherein sub-step (c-3) is performed concurrently with sub-steps (c-1) and (c-2).

26. The method of claim 23, further comprising positioning the second end of the fiber optic cable relative to the stent being deployed to observe proper deployment thereof.

27. The method of claim 23, further comprising removing a cover from the stent to allow it to self-expand at the desired location.

28. The method of claim 27, wherein the cover is removed by proximally retracting the cover from the stent.

29. The method of claim 23, further comprising deploying the stent by inflating a balloon beneath the stent.

30. The method of claim 29, wherein the balloon is inflated by injecting a fluid through a proximal portion of the balloon.

31. A stent delivery system, comprising:

a catheter shaft defining first and second lumens therein;

a guidewire removably received within the first lumen;

an elongate imaging device being received within the second lumen, the device having a first end and a second end, the device transmitting an image from its second end to its first end; and

a stent positioned over the catheter shaft.

32. The system of claim 31, wherein the elongate imaging device comprises a fiber optic cable having a first end and a second end, the fiber optic cable transmitting illumination light from its first end to its second end while transmitting an image from its second end to its first end.

33. The system of claim 31, wherein the elongate imaging device comprises a signal cable having a proximal end and a distal end and an image sensor coupled to the distal end of the signal cable, the signal cable transmitting an image obtained by the image sensor from its distal end to its proximal end.