STENT DELIVERY SYSTEM

• US 20130304189A1
• Filed: 07/22/2013
• Published: 11/14/2013
• Est. Priority Date: 03/03/2011
• Status: Active Grant

• Current Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Original Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Inventors: SHIMOYAMA, Masakazu
• Granted Patent: US 9,452,071 B2
• Time in Patent Office: Days
• US Class Current: 623/1.12
• CPC Class Codes: A61F 2/07 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 housing that houses a rotary roller, a support body in sliding contact with the outer surface of the rotary roller, and a resilient member composed of a coil spring acting on the support body. If, for any reason, it becomes difficult to axially move a rack member and an operator forcibly rotates the rotary roller, a load of not less than a predetermined value is applied to the rotary roller and the rotary roller moves downward while the support body is being pushed down, and meshing engagement between the rack member and the rotary roller is released. Axial movement of the rack member is thus avoided as there is no transmission of the rotating force of the rotary roller to the rack member. Other embodiments are also disclosed for preventing transmission of the rotating force of the rotary roller to the rack member.

Claims

1. A stent delivery system comprising:

an inner tube;

a stent possessing a center axis, the stent being compressed toward the center axis and being disposed on a distal-side outer surface of the inner tube during insertion of the stent into a lumen of a living body, the stent being restorable into its pre-compression shape by expanding outwardly when indwelled in the lumen of the living body;

an outer tube disposed on an outer surface side of the inner tube and possessing a lumen containing the stent, the outer tube permitting release of the stent to exterior of the stent deliver system by axially and proximally moving the outer tube relative to the inner tube; and

an operating unit for axially moving the outer tube relative to the inner tube;

the operating unit comprising;

a housing;

a rotary body rotatably supported relative to the housing so that the rotary body is rotatable relative to the housing, the rotary body possessing a first tooth portion;

a rack body axially movable relative to the housing so that the rack body is movable relative to the housing in an axial direction, the rack body possessing a second tooth portion in meshing engagement with the first tooth portion, the rack body being connected to the outer tube so that the rack body and the outer tube move together in the axial direction; and

a releasing mechanism by which the meshing engagement between the rotary body and the rack body is released when a load of not less than a predetermined value is exerted on either one of the rotary body and the rack body.

2. The stent delivery system according to claim 1, wherein load is equal to or less than a yield point of a member having the lowest yield point, the member being one of the inner tube, the outer tube and the operating unit.

3. The stent delivery system according to claim 1, wherein the releasing mechanism moves either one of the rotary body and the rack body in a direction orthogonal to the axial direction.

4. The stent delivery system according to claim 1, wherein the releasing mechanism includes a resilient member in the housing which biases the rotary body toward the rack body.

5. The stent delivery system according to claim 1, wherein the releasing mechanism includes a plurality of springs positioned in the housing and biasing the rotary body toward the rack body.

6. The stent delivery system according to claim 1, further comprising a curved wall positioned in the housing, and wherein the releasing mechanism includes a support body positioned in the housing and a plurality of springs positioned in the housing between the curved wall and the support body.

7. The stent delivery system according to claim 1, wherein the releasing mechanism includes the rack body which has an inner cavity therein and which is bendable in a direction for spacing away from the rotary body.

8. The stent delivery system according to claim 1, wherein the releasing mechanism includes an elastic body disposed between the housing and the rack body and applying a resilient force biasing the rack body toward the rotary body.

9. A stent delivery system comprising:

an inner tube possessing a lumen and open opposite ends communicating with the lumen, the inner tube possessing an outer surface;

an outer tube possessing an inner surface and surrounding the inner tube so that a space exists between the inner surface of the outer tube and the outer surface of the inner tube, the outer tube being axially movable relative to the inner tube;

a stent positioned in the space between the inner surface of the outer tube and the outer surface of the inner tube, the stent being compressed radially inwardly and disposed in surrounding relation to the inner tube, and being expandable radially outwardly to be indwelled in the lumen of the living body when the outer tube is axially moved relative to the inner tube to expose the stent to exterior of the outer tube; and

an operating unit for axially moving the outer tube relative to the inner tube;

the operating unit comprising;

a housing possessing an interior in which is positioned the inner tube and the outer tube;

a rotary body rotatably supported on the housing so that the rotary body is manually rotatable relative to the housing, the rotary body possessing an outwardly projecting first tooth portion;

an axially movable second tooth portion in meshing engagement with the first tooth portion so that rotation of the rotary body results in axial movement of the second tooth portion, the second tooth portion being connected to the outer tube so that axial movement of the second tooth portion resulting from rotation of the rotary body results in axial movement of the outer tube; and

a resilient deformable member which is positioned in the housing in operative association with either the rotary body or the second tooth portion and which is deformed when a load of not less than a predetermined value is exerted on the rotary body so that the first tooth portion and the second tooth portion move out of meshing engagement with one another to prevent rotation of the rotary body from being transferred to the second tooth portion by way of the first tooth portion.

10. The stent delivery system according to claim 9, wherein the resilient deformable member includes a spring in the housing which biases the rotary body toward the second tooth portion.

11. The stent delivery system according to claim 9, wherein the second tooth portion is provided on a rack body, and wherein the resilient deformable member includes a plurality of springs positioned in the housing and biasing the rotary body toward the rack body.

12. The stent delivery system according to claim 9, further comprising a curved wall positioned in the housing, and wherein the resilient deformable member includes a support body positioned in the housing and a plurality of springs positioned in the housing between the curved wall and the support body.

13. The stent delivery system according to claim 9, wherein the second tooth portion is provided on a rack body, the deformable member including the rack body being provided with an inner cavity so that the rack body is bendable in a direction spacing the second teeth away from the first tooth portion of the rotary body.

14. The stent delivery system according to claim 9, wherein the second tooth portion is provided on a rack body, the deformable member including an elastic body disposed between the housing and the rack body and possessing a resilient force biasing the rack body toward the rotary body.

15. A method of operating a stent delivery system comprising:

advancing an outer tube and an inner tube of a stent delivery system along a guide wire inside a lumen of a living body, the inner tube being positioned inside the outer tube with a space between an inner surface of the outer tube and an outer surface of the inner tube, the stent delivery system also including;

a compressed stent positioned in the space between the inner surface of the outer tube and the outer surface of the inner tube;

a housing in which at least a portion of the inner and outer tube are located;

a rotary body rotatably supported relative to the housing and possessing a first tooth portion; and

a rack body axially movable relative to the housing and possessing a second tooth portion in meshing engagement with the first tooth portion, the rack body being connected to the outer tube so that the rack body and the outer tube move together in the axial direction;

stopping the advancing of the inner and outer tube within the lumen of the living body;

rotating the rotary body so that the meshing engagement between the first tooth portion and the second tooth portion causes the rack body and the outer tube to move in a proximal direction relative to the inner tube to expose the stent so that the stent expands outwardly; and

releasing the meshing engagement between the first tooth portion of the rotary body and the second tooth portion of the rack body when a load of not less than a predetermined value is exerted on either one of the rotary body and the rack body.