STENT DELIVERY SYSTEM

• US 20120022635A1
• Filed: 08/12/2011
• Published: 01/26/2012
• Est. Priority Date: 02/16/2009
• Status: Active Grant

• Current Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Original Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Inventors: YAMASHITA, Hideaki
• Granted Patent: US 8,702,783 B2
• Time in Patent Office: Days
• US Class Current: 623/1.12
• 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 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod

Abstract

A stent delivery system includes: a distal-side tube; a proximal-side tube; a tubular member which contains a stent; a wire which has one end fixed to the tubular member; and an operating section which has a wire winding mechanism and a wire winding amount restriction mechanism for restricting the length of wire which is pulled. The operating section has an operating rotary roller; a winding shaft section and driving gear which are provided coaxially and integrally with the roller; and a driven gear which is intermittently rotated by the driving gear. The driving gear and the driven gear have the stopper function by which rotation of the driving gear is stopped after the driving gear is rotated a predetermined amount.

Claims

1. A stent delivery system comprising:

a tube body having a guide wire lumen;

a stent-containing tubular member enveloping a distal end portion of the tube body and being slidable relative to the tube body toward a proximal end of the tube body;

a stent contained in the stent-containing tubular member;

a wire having one end portion fixed to the stent-containing tubular member and operable to move the stent-containing tubular member in a proximal direction;

the tube body including a stent lock section abutting a proximal end of the stent contained in the stent-containing tubular member to restrict movement of the stent in the proximal direction;

the stent possessing a cylindrical shape and being contained in the stent-containing tubular member while in a compressed state in which the stent is compressed toward a center axis of the stent, and the stent being restored to a pre-compression shape through outward expansion when indwelled in a living body;

an operating section located proximally of the stent-containing tubular member;

the operating section including a wire winding mechanism for winding the wire to thereby move the stent-containing tubular member toward the proximal direction and a wire winding amount restriction mechanism for restricting a length of the wire pulled by the wire winding mechanism;

the wire winding mechanism including an operating section housing and an operating rotary roller having a portion exposed from the operating section housing which is operable by a user to rotate the operating rotary roller and wind the wire;

the wire winding mechanism including a winding shaft section coaxial and integral with the operating rotary roller, the one end portion of the wire being held on the winding shaft section;

the winding shaft section having a smaller outer diameter than the operating rotary roller;

the wire winding amount restriction mechanism including a driving gear coaxial and integral with the operating rotary roller and a driven gear rotated intermittently by the driving gear; and

the driven gear and the driving gear being configured as a stopper to stop rotation of the driving gear after rotation of the driving gear by a predetermined amount.

2. The stent delivery system according to claim 1, wherein:

the driven gear includes a centrally located rotary shaft by which the driven gear is rotatably mounted, and a plurality of turning grooves extending a predetermined length toward the rotary shaft, and one stopping recess, the turning grooves and the stopping recess being spaced part from one another along a circumference of the driven gear;

the driving gear includes a driven gear turning projection movable into and out of the turning grooves, one-by-one, during successive rotations of the driving gear to rotate the driven gear, and engageable with the stopping recess.

3. The stent delivery system according to claim 2, wherein the stopping recess is a recess which does not have a portion extending toward the rotary shaft such that the stopping recess is more shallow than each of the turning grooves.

4. The stent delivery system according to claim 2, wherein:

an outer edge of the driven gear includes outer edge portions extending between the turning grooves and the stopping recess, the outer edge portions being configured as commonly configured arcuate recesses; and

the driving gear has an arcuate rib possessing an outer surface shape corresponding to each of the arcuate recesses of the driven gear, the arcuate rib on the driving gear successively contacting the outer edge portions of the driven gear during successive rotations of the driving gear.

5. The stent delivery system according to claim 4, wherein the arcuate rib is a circular surface which possesses a radius of curvature, and including a rib-missing portion devoid of the arcuate rib, the rib-missing section also possessing said radius of curvature, the rib-missing section being positioned in radial alignment with the driven gear turning projection.

6. The stent delivery system according to claim 1, wherein the driving gear and the winding shaft section are located on opposite axial sides of the rotary roller.

7. The stent delivery system according to claim 1, wherein the operating section housing includes a shaft-forming projection forming a rotary shaft for the driven gear, and the driven gear includes a bearing section for receiving the shaft-forming projection.

8. The stent delivery system according to claim 1, wherein an inner surface of the operating section housing includes a recess in which is positioned the driven gear and the projection of the driving gear.

9. The stent delivery system according to claim 1, wherein the operating section housing includes a driven gear containing section in which is positioned the driven gear, and wherein the driven gear and the driven gear containing section are each provided with a through-hole.

10. The stent delivery system according to claim 1, wherein the driving gear possesses an outer diameter smaller than an outer diameter of the operating rotary roller.

11. The stent delivery system according to claim 1, wherein the operating section includes a lock for unlockably locking rotation of the wire winding mechanism.

12. The stent delivery system according to claim 1, wherein the operating section has a reverse rotation restriction mechanism for restricting rotation of the wire winding mechanism in a reverse direction relative to a winding direction in which the wire is wound on the winding shaft section.

13. The stent delivery system according to claim 1, wherein the wire winding mechanism includes a collar section enveloping the winding shaft section so that an annular space exists between an inner surface of the collar section and an outer surface of the winding shaft section, the collar section restraining loosening of the wire wound onto the winding shaft section.

14. The stent delivery system according to claim 1, wherein the driving gear and the driven gear constitute a Geneva gear mechanism.

15. The stent delivery system according to claim 1, wherein the tube body includes a distal-side tube having a guide wire lumen, and a proximal-side tube fixed to the distal-side tube so that the distal-side tube is positioned distally of the proximal-side tube, the stent-containing tubular member surrounding a distal end portion of the distal-side tube and being slidable toward a proximal end of the distal-side tube, the wire extending inside the proximal-side tube, and the distal-side tube containing the stent lock section.

16. The stent delivery system according to claim 15, further comprising a fixed tube to which a proximal portion of the distal-side tube and a distal portion of the proximal-side tube are fixed, the fixed tube having an opening communicating with the guide wire lumen.

17. The stent delivery system according to claim 16, further comprising:

a slide tube adjacent a proximal end of the stent-containing tubular member and slidable in the proximal direction;

the fixed tube being positioned to slidably receive a proximal portion of the slide tube;

the slide tube being slidable toward the proximal direction together with the stent-containing tubular member by winding the wire, the slide tube not being fixed to the stent-containing tubular member;

the slide tube including a slide tube body and a distal-side tubular member fixed to a distal end portion of the slide tube body, the distal-side tubular member covering a distal end of the slide tube body and extending distally beyond a distal-most end of the slide tube body; and

the distal-side tubular member is a one-piece unitary tubular body having a reduced-diameter section located between a distal end and a proximal end of the distal-side tubular member and possessing at least an inside diameter that is reduced relative to the inside diameter of portions of the distal-side tubular member on opposite sides of the reduced-diameter section.

18. A stent delivery system comprising:

a tube body having a guide wire lumen for receiving a guide wire to guide movement of the stent delivery system;

a stent-containing tubular member surrounding a portion of the tube body and axially movable relative to the tube body;

a compressed stent positioned in the stent-containing tubular member, the compressed stent expanding to a non-compressed state when removed from the stent-containing tubular member and indwelled in a living body;

a wire having one end portion fixed to the stent-containing tubular member, the wire also possessing an opposite end portion;

a rotary roller rotatably mounted in a housing and rotatably operable from outside the housing to rotate the operating rotary roller;

a winding shaft coaxial with the rotary roller and fixed to the rotary roller to rotate together with the rotary roller, the opposite end portion of the wire being held on the winding shaft so that the wire is wound on the winding shaft during rotation of the rotary roller in one rotational direction to move the stent-containing tubular member proximally to allow the stent to be removed from the stent-containing tubular member;

a driving gear coaxial and integral with the rotary roller to rotate with the rotary roller about a first rotation axis, the driving gear including an engaging portion which rotates together with the driving gear;

a driven gear positioned adjacent the driving gear and rotatable about a second rotation axis non-coaxially arranged relative to the first rotation axis;

the engaging portion of the driving gear engaging the driven gear during rotation of the driving gear to cause the driven gear to rotate; and

the driven gear including a stop portion engageable by the engaging portion of the driving gear after the driving gear has rotated a predetermined amount so that further rotation of the driving gear is stopped when the engaging portion engages the stop, the predetermined amount of rotation of the driving gear being an amount that winds a portion of the wire on the winding shaft so that the stent-containing tubular member is moved proximally to allow the stent to be removed from the stent-containing tubular member.

19. The stent delivery system according to claim 18, wherein the driven gear includes a plurality of turning grooves extending radially inwardly from an outer periphery of the driven gear and opening to the outer periphery of the driven gear, the engaging portion of the driving gear being a projection extending away from the driving gear, the stop portion being a recess formed in the outer periphery of the driven gear, the turning grooves and the recess being spaced part from one another along the outer periphery of the driven gear, the recess being shallower than the turning grooves.

20. The stent delivery system according to claim 19, wherein:

the outer periphery of the driven gear includes a plurality of outer peripheral, portions each extending between adjacent turning grooves, each of the outer peripheral portions being commonly shaped as an arcuate recess; and

the driving gear has an arcuate rib possessing an outer surface shape corresponding to the shape of the arcuate recesses of the driven gear, the arcuate rib on the driving gear successively contacting the outer peripheral portions of the driven gear during successive rotations of the driving gear.