STENT DELIVERY DEVICE WITH EMBOLIC PROTECTION

• US 20100211156A1
• Filed: 05/04/2010
• Published: 08/19/2010
• Est. Priority Date: 11/09/2001
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: JOHNSON, STEVEN W., LINDER, RICHARD J., SCHLEGEL, KARRI L., EDMISTON, DARYL R.
• Granted Patent: US 8,579,957 B2
• Time in Patent Office: Days
• US Class Current: 623/1.110
• CPC Class Codes: A61F 2/011 Instruments for their placement or removal
• CPC Class Codes: A61F 2/013 Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
• 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 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2/97 the outer sleeve being splittable
• CPC Class Codes: A61F 2002/018 made from tubes or sheets of material, e.g. by etching or laser-cutting
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2230/0006 circular
• CPC Class Codes: A61F 2230/0067 conical
• CPC Class Codes: A61F 2230/008 paraboloidal
• CPC Class Codes: A61F 2250/0071 breakable or frangible

Abstract

A delivery device adapted to insert and deploy a stent within a body lumen. The delivery device includes a guide member adapted to retain a dilation assembly and a stent within a lumen thereof until the stent is to be deployed into the body lumen. The delivery device is configured to enable simultaneous insertion of the guide member, dilation assembly, stent, and optional guidewire within a body lumen. Following deploying the stent, the delivery device can be removed, while providing the capability of optionally maintaining the guide member or the guidewire to function or act as an exchange wire for additional surgical devices.

Claims

1. A stent delivery system, comprising:

a dilation tube having a balloon disposed on a distal portion thereof;

a self-expanding stent disposed about the dilation tube and positioned distal of the balloon;

a sheath disposed over the self-expanding stent, the sheath having a plurality of cuts formed therein;

a sleeve slidably disposed over the sheath; and

an actuation member attached to the sleeve.

2. The stent delivery system of claim 1, wherein the cuts formed in the sheath define a plurality of struts in the sheath.

3. The stent delivery system of claim 2, wherein the sleeve is disposed over the struts.

4. The stent delivery system of claim 2, wherein the sleeve has a sleeve length, wherein the struts have a strut length, and wherein the sleeve length is substantially the same as the strut length.

5. The stent delivery system of claim 1, wherein the actuation member includes a pull wire.

6. The stent delivery system of claim 1, wherein the actuation member extends along an exterior surface of the sheath.

7. The stent delivery system of claim 1, wherein the sheath includes an opening formed therein and wherein the actuation member extends through the opening.

8. The stent delivery system of claim 1, wherein the dilation tube includes one or more inflation ports in fluid communication with the balloon.

9. A stent delivery system, comprising:

an inner member;

a stent disposed about the inner member;

a sheath disposed about the inner member and being configured to shift between a first configuration where the sheath is disposed about and restrains the stent and a second configuration where the stent is unconstrained; and

wherein the sheath includes a plurality of struts, a covering over the struts, and a cord that secures the covering to the sheath.

10. The stent delivery system of claim 9, wherein the covering includes sleeve having a plurality of lateral extensions.

11. The stent delivery system of claim 10, wherein the cord is threaded through channels formed in the lateral extensions.

12. The stent delivery system of claim 9, wherein the covering includes a restraining wire having a number of hoops formed therein.

13. The stent delivery system of claim 12, wherein the cord is disposed within the hoops.

14. The stent delivery system of claim 9, wherein the covering includes a flexible member having a pair of flaps formed therein.

15. The stent delivery system of claim 14, wherein the flaps are weaved in and out of the struts.

16. The stent delivery system of claim 9, wherein the covering includes a sheet having a plurality of apertures formed therein.

17. The stent delivery system of claim 16, wherein the cord is stitched through the apertures.

18. The stent delivery system of claim 9, wherein the inner member includes a dilation tube having a balloon attached thereto.

19. The stent delivery system of claim 9, wherein the stent is a self-expanding stent.

20. A self-expanding stent delivery system, comprising:

a dilation tube;

a balloon attached to the dilation tube;

a self-expanding stent disposed about the dilation tube and positioned distal of the balloon;

a sheath disposed over the self-expanding stent, the sheath having a proximal portion;

wherein the distal portion has a plurality of struts formed therein;

a sleeve disposed about the sheath and being configured to shift between a first position where the sleeve is disposed about and restrains the struts and a second position where the sleeve is disposed proximally of the struts;

a cord attached to the sleeve, the cord being configured to shift the sleeve between the first position and the second position; and

wherein the cord extends along an exterior surface of the sheath, extends through an opening in the sheath, and then extends proximally along an interior surface of the sheath.