Stent delivery device

• US 20060259124A1
• Filed: 03/28/2006
• Published: 11/16/2006
• Est. Priority Date: 03/28/2005
• Status: Active Grant

• Current Assignee: Terumo Kabushiki Kaisha
• Original Assignee: Terumo Kabushiki Kaisha
• Inventors: Morishita, Keitaro, Moriuchi, Yousuke, Matsuoka, Emi
• Granted Patent: US 7,815,669 B2
• Time in Patent Office: Days
• US Class Current: 623/1.120
• 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 2002/9665 with additional retaining means
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

A stent delivery device includes a distal-side tube having a guide wire lumen; a proximal-side tube whose distal portion is fixed to a proximal portion of the distal-side tube; a cylindrical member which encloses a distal side of the distal-side tube and is slidable toward a proximal end of the distal-side tube; a stent accommodated in the cylindrical member; and a pulling member 6 for moving the cylindrical member toward a proximal side of the stent delivery device. The distal-side tube has a proximal-side opening which is open at the proximal side of the distal-side tube; and a stent-locking portion for preventing the stent from moving to the proximal side of the stent delivery device. The outer diameter of the proximal-side tube is set smaller than that of a portion, having a maximum diameter, which is disposed in a region of the stent delivery device which is distal from the proximal-side tube.

Claims

1. A stent delivery device comprising:

a distal-side tube having a guide wire lumen;

a proximal-side tube whose distal portion is fixed to a proximal portion of said distal-side tube;

a cylindrical member which encloses a distal side of said distal-side tube and is slidable toward a proximal end of said distal-side tube;

a stent housed in said cylindrical member; and

a pulling wire which extends inside said proximal-side tube, with one end portion thereof fixed to said cylindrical member,

wherein said distal-side tube has a proximal-side opening which is open at said proximal side of said distal-side tube and communicates with said guide wire lumen; and

a stent-locking portion which is disposed at said distal side of said distal-side tube and contacts a proximal end of said stent, thus preventing said stent from moving to said proximal side of said stent delivery device; and

said stent is formed approximately cylindrically, housed in said cylindrical member, with said stent being compressed in an axial direction thereof, and expands outward and returns to a configuration before said stent is compressed, when said stent is implanted in an organism;

said stent delivery device further comprising an operation portion, disposed at a proximal portion of said proximal-side tube, which has a pulling wire winding mechanism for winding said pulling wire and moving said cylindrical member toward a proximal side of said stent delivery device.

2. A stent delivery device according to claim 1, wherein said operation portion has a housing;

and said pulling wire winding mechanism has a rotational roller for operational use having a portion exposed from said housing; and

said pulling wire is wound around said rotational roller at a proximal side thereof by rotating said rotational roller.

3. A stent delivery device according to claim 1, wherein said operation portion has a locking mechanism for releasably locking a rotation of said pulling wire winding mechanism.

4. A stent delivery device according to claim 1, wherein said operation portion has a reverse rotation prevention mechanism for preventing a rotation of said pulling wire winding mechanism in a direction opposite to a pulling wire winding direction.

5. A stent delivery device according to claim 1, wherein said pulling wire winding mechanism has a rotational roller for operational use;

and a winding shaft portion, having a diameter smaller than that of said rotational roller for operational use, which is provided coaxially and integrally with said rotational roller for operational use; and

a proximal portion of said pulling wire is fixed to said winding shaft portion.

6. A stent delivery device according to claim 1, wherein said operation portion has a connector connected with a proximal portion of said proximal-side tube;

and said connector has a sealing member through which said pulling wire penetrates liquid-tightly.

7. A stent delivery device according to claim 1, further comprising a member, for maintaining a position of said pulling wire, which is disposed on an outer surface of said distal-side tube and has a passage through which said pulling wire is capable of penetrating.

8. A stent delivery device according to claim 1, further comprising a projected portion provided on an outer surface of said distal-side tube;

and said cylindrical member has a slit which extends from a proximal end thereof toward a distal side thereof and into which said projected portion is capable of moving.

9. A stent delivery device according to claim 8, wherein said projected portion is composed of a tubular member or a ring-shaped member.

10. A stent delivery device according to claim 1, further comprising a movement distance restriction portion for restricting a movement distance of said cylindrical member toward a proximal side of said stent delivery device.

11. A stent delivery device according to claim 1, wherein said pulling wire winding mechanism has a winding shaft portion;

and a collar portion enclosing said winding shaft portion, forming an annular space between said collar portion and an outer surface of said winding shaft portion, and preventing said pulling wire wound around said winding shaft portion from becoming loose.

12. A stent delivery device according to claim 1, further comprising an intermediate tube which encloses a proximal side of said distal-side tube and a proximal side of said cylindrical member and is fixed at a proximal portion thereof to a proximal portion of said distal-side tube and a distal portion of said proximal-side tube, wherein said intermediate tube encloses said proximal side of said distal-side tube and said proximal side of said cylindrical member without preventing said cylindrical member from moving toward said proximal side of said stent delivery device;

one end portion of said pulling wire is fixed to said cylindrical member inside said intermediate tube; and

said pulling wire passes a space between said intermediate tube and said distal-side tube and extends into said proximal-side tube.

13. A stent delivery device according to claim 1, wherein said distal-side tube has a passage through which said pulling wire is capable of penetrating.

14. A stent delivery device according to claim 1, wherein said distal-side tube has a small-diameter portion formed at a distal side thereof;

and said stent-locking portion is constructed of a proximal end of said small-diameter portion.

15. A stent delivery device according to claim 1, wherein two pulling wires are provided.

16. A stent delivery device according to claim 1, wherein said operation portion has a wire winding amount restriction mechanism for restricting a length of a wire pulled by said pulling wire winding mechanism.

17. A stent delivery device according to claim 5, wherein said operation portion has a wire winding amount restriction mechanism for restricting a length of a wire pulled by said pulling wire winding mechanism, and said wire winding amount restriction mechanism is constructed of a linear member, having a predetermined length, whose one end is held by said operation portion, an other end of said linear member is fixed to said winding shaft portion of said rotational roller or a linear member-winding shaft portion provided separately from said winding shaft portion;

and after a predetermined amount of said linear member is wound around said winding shaft portion or around said linear member-winding shaft portion by a rotation of said rotational roller in a wire-winding direction, said linear member cannot further wound.

18. A stent delivery device according to claim 17, wherein said wire winding amount restriction mechanism has a bobbin on which said linear member is wound, with one end of said linear member held thereby and which is rotatably accommodated inside said operation portion.

19. A stent delivery device according to claim 16, wherein said wire winding amount restriction mechanism includes a projected portion provided at said rotation roller and a locking portion with which a rotational roller provided in said operation portion contacts after said rotational roller rotates in a predetermined amount in a wire-winding direction and which prevents a further rotation of said rotational roller.

20. A stent delivery device according to claim 19, wherein a position of a projected portion of said wire winding amount restriction mechanism can be adjusted in said rotational roller to adjust a rotatable amount of said rotational roller.

21. A stent delivery device according to claim 1, wherein an outer diameter of said proximal-side tube is set smaller than an outer diameter of a portion, having a maximum diameter, which is disposed in a region distal from said proximal-side tube.

22. A stent delivery device according to claim 1, wherein said stent delivery device has a rigidity-imparting member which passes inside said proximal-side tube and penetrates into said cylindrical member;

a distal end of said rigidity-imparting member is fixed to an outer surface of said distal-side tube, and a proximal portion of said rigidity-imparting member is fixed to a proximal portion of said proximal-side tube or said operation portion.

34. A stent delivery device according to claim 1, wherein an outer diameter of said proximal-side tube is set smaller than an outer diameter of a portion where said distal-side tube and said proximal-side tube are fixed to each other.

35. A stent delivery device according to claim 1, wherein an outer diameter of said proximal-side tube is set smaller than an outer diameter of said cylindrical member.

36. A stent delivery device according to claim 1, wherein said stent delivery device has a rigidity-imparting member which passes inside said proximal-side tube and penetrates into said cylindrical member;

a distal end of said rigidity-imparting member is fixed to an outer surface of said distal-side tube, and a proximal portion of said rigidity-imparting member is fixed to a proximal portion of said proximal-side tube or said operation portion.

23. A stent delivery device comprising:

a distal-side tube having a guide wire lumen;

a proximal-side tube whose distal portion is fixed to a proximal portion of said distal-side tube;

a cylindrical member which encloses a distal side of said distal-side tube and is slidable toward a proximal end of said distal-side tube;

a stent housed in said cylindrical member; and

a pulling member which extends inside said proximal-side tube, with one end portion thereof fixed to said cylindrical member and is pulled toward said proximal side of said proximal-side tube to move said cylindrical member toward a proximal side of said stent delivery device,

wherein said distal-side tube has a proximal-side opening which is open at said proximal side of said distal-side tube and communicates with said guide wire lumen; and

a stent-locking portion which is disposed at said distal side of said distal-side tube and contacts a proximal end of said stent accommodated inside said cylindrical member, thus preventing said stent from moving to said proximal side of said stent delivery device; and

said stent is formed approximately cylindrically, accommodated in said cylindrical member, with said stent being compressed in an axial direction thereof, and expands outward and returns to a configuration before said stent is compressed, when said stent is implanted in an organism; and

an outer diameter of said proximal-side tube is set smaller than an outer diameter of a portion, having a maximum diameter, which is disposed in a region distal from said proximal-side tube.

24. A stent delivery device according to claim 23, wherein said distal-side tube has a projected portion, for preventing a movement of said stent, which is provided at a side distal from said distal end of said stent;

and a distal side of said projected portion for preventing said movement of said stent is gradually decreased in a diameter thereof toward a distal end thereof.

25. A stent delivery device according to claim 23, further comprising a member, for maintaining a position of said pulling member, which is disposed on an outer surface of said distal-side tube and has a passage through which said pulling member is capable of penetrating.

26. A stent delivery device according to claim 23, further comprising a projected portion provided on an outer surface of said distal-side tube;

and said cylindrical member has a slit which extends from a proximal end thereof toward a distal side thereof and into which said projected portion is capable of moving.

27. A stent delivery device according to claim 23, wherein an axis of said proximal-side tube is shifted in a direction away from said proximal-side opening with respect to an axis of said distal-side tube.

28. A stent delivery device according to claim 23, wherein said pulling member extends from a proximal end of said proximal-side tube and has a member for pulling operation fixed to an extended portion of said pulling member.

29. A stent delivery device according to claim 23, wherein said proximal-side tube has a sealing member through which said pulling member penetrates in a liquid-tight state.

30. A stent delivery device according to claim 23, wherein a hub having a valve holding said pulling member slidably and liquid-tightly is provided at a proximal portion of said proximal-side tube.

31. A stent delivery device according to claim 23, further comprising a movement distance restriction portion for restricting a movement distance of said cylindrical member toward a proximal side of said stent delivery device.

32. A stent delivery device according to claim 23, further comprising an intermediate tube which encloses a proximal side of said distal-side tube and a proximal side of said cylindrical member and is fixed at a proximal portion thereof to a proximal portion of said distal-side tube and a distal portion of said proximal-side tube, wherein said intermediate tube encloses said proximal side of said distal-side tube and said proximal side of said cylindrical member without preventing said cylindrical member from moving toward said proximal side of said stent delivery device;

one end portion of said pulling member is fixed to said cylindrical member inside said intermediate tube; and

said pulling member passes a space between said intermediate tube and said distal-side tube and extends into said proximal-side tube.

33. A stent delivery device according to claim 23, wherein two pulling members are provided.