Delivery System With Curved Preloaded Catheter

• US 20140121749A1
• Filed: 10/28/2013
• Published: 05/01/2014
• Est. Priority Date: 10/29/2012
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Roeder, Blayne A.
• Granted Patent: US 9,763,817 B2
• Time in Patent Office: Days
• US Class Current: 623/1.11
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2/962 having an outer sleeve
• CPC Class Codes: A61F 2002/061 provided with means for allowing access to secondary lumens
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2230/0091 helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section

Abstract

A delivery system for a medical device includes a proximal tip having a curved groove formed therein and a pre-loaded catheter disposed in the groove such that the pre-loaded catheter is disposed at least partly circumferentially with regard to the proximal tip. A guidewire can be advanced through the pre-loaded catheter and extended laterally from the delivery system.

Claims

1. A delivery system for a medical device comprising:

a first catheter having a distal end, a proximal end, and a longitudinal axis;

a nose cone dilator disposed at the proximal end of the first catheter, the nose cone dilator having a groove formed in an outer surface of the nose cone dilator, the groove having a distal portion parallel to the longitudinal axis and a proximal portion extending circumferentially about the outer surface; and

a second catheter, pre-loaded in the delivery system, and having a proximal end and a distal end, the second catheter proximal end being disposed in at least the proximal portion of the groove and extending from the proximal portion of the groove to the distal portion of the groove.

2. The delivery system of claim 1 further comprising:

a sheath disposed about the nose cone dilator proximate the groove, wherein the second catheter is constrained within the groove by the sheath.

3. The delivery system of claim 1 wherein the groove is at least partially helical.

4. The delivery system of claim 1 wherein the groove has a bottom surface that extends to the outer surface of the nose cone dilator.

5. The delivery system of claim 1 further comprising:

a branched stent graft retained on the proximal end of the first catheter and having a stent graft lumen and a side branch extending from the stent graft between the proximal and distal ends of the stent graft.

6. The delivery system of claim 5 wherein the side branch is aligned with the distal portion of the groove.

7. The delivery system of claim 5 wherein the side branch is aligned with the proximal portion of the groove.

8. The delivery system of claim 5 wherein the second catheter extends through the stent graft lumen and through the side branch to the nose cone dilator.

9. The delivery system of claim 1 wherein the proximal portion of the groove is substantially perpendicular to the longitudinal axis.

15. The delivery system of claim 1 further comprising:

a fenestrated stent graft retained on the delivery catheter, the fenestrated stent graft having proximal end, a distal end and a fenestration disposed between the proximal end and the distal end, where the second catheter is disposed through the fenestration.

10. A delivery system for a medical device comprising:

a delivery catheter having a proximal tip and a longitudinal axis;

a groove disposed in an exterior surface of the proximal tip, the groove having a distal portion parallel to the longitudinal axis and a proximal portion extending circumferentially about the proximal tip;

a sheath disposed at least partially over the proximal tip and the groove, the sheath slidable in a longitudinal direction relative to the delivery catheter from a first position to a second position; and

a pre-loaded guiding catheter extending a length of the delivery catheter and disposed in the groove.

11. The delivery system of claim 10 further comprising a branched stent graft disposed on the delivery catheter and within the sheath, and having a proximal end and a distal end, the branched stent graft having a lumen and a side branch extending from the stent graft between the proximal end and the distal end.

12. The delivery system of claim 11 wherein the pre-loaded guiding catheter extends from the side branch into the distal portion of the groove.

13. The delivery system of claim 10 wherein the groove has a bottom surface that extends to the outer surface of the proximal tip.

14. The delivery system of claim 10 wherein the guiding catheter is constrained within the groove with the sheath in the second position exposing a portion of the groove.

16. The delivery system of claim 10 further comprising:

a fenestrated stent graft retained on the delivery catheter, the fenestrated stent graft having proximal end, a distal end and a fenestration disposed between the proximal end and the distal end, where the pre-loaded guiding catheter is disposed through the fenestration.

17. A method of delivering a guidewire comprising:

accessing a delivery system comprising;

a delivery catheter having a proximal tip;

a groove disposed in a surface of the proximal tip, the groove having a distal portion parallel to a longitudinal axis of the catheter and a proximal circumferential portion;

a sheath covering the groove, the sheath movable from a first position covering the groove to a second position at which a proximal portion of the groove in uncovered;

a fenestrated stent graft disposed between the sheath and the delivery catheter, the fenestrated stent graft having a side branch extending from the fenestrated stent graft between a proximal end and distal end of the fenestrated stent graft;

a guiding catheter extending from the side branch into the proximal portion of the groove; and

a guidewire disposed in the guiding catheter;

introducing the delivery system into a vessel lumen;

moving the sheath from the first position to the second position exposing a portion of the groove and guiding catheter; and

extending the guidewire from the guiding catheter lateral relative to the delivery catheter.

18. The method of claim 17 wherein the guiding catheter remains at least partially in the groove when the sheath is moved to the second position.

19. The method of claim 17 wherein the guiding catheter remains at least partially in the groove when the guidewire is extended from the guiding catheter.

20. The method of claim 17 wherein the second position releases the fenestrated stent graft.