STENT DELIVERY SYSTEM

• US 20140343660A1
• Filed: 07/31/2014
• Published: 11/20/2014
• Est. Priority Date: 02/28/2012
• Status: Active Grant

• Current Assignee: Terumo Kabushiki Kaisha
• Original Assignee: Terumo Kabushiki Kaisha
• Inventors: SHIMOYAMA, Masakazu
• Granted Patent: US 9,492,298 B2
• Time in Patent Office: Days
• US Class Current: 623/1.11
• CPC Class Codes: A61F 2/82 Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents stent-grafts for tubular structures of the body other than blood vessels A61F2/04; stent-grafts for blood vessels A61F2/07; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95; for closing wounds, or holding wounds closed A61B17/04 - A61B17/115; dilators A61M29/00
• 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 2250/0073 Force-limiting means

Abstract

An operating unit in a stent delivery system comprises a displacement body including a first body connected to an outer tube body and a second body which is connected to the first body and meshed with a rotary roller. A first connection surface of the first body is formed with a first convex portion and a first concave portion recessed relative to the first convex portion. The first convex portion engages a second concave portion of the second body and a second convex portion engages the first concave portion. When movement of the displacement body becomes difficult for some reason and the operator forcibly rotates the rotary roller, the engaged state of the second body and the first body is released and the second body is relatively moved, thus preventing movement of the first body in the axial direction.

Claims

1. A stent delivery system comprising:

an inner tube;

a stent which is compressed toward a center axis and disposed on a distal side of the inner tube at a time of insertion into a lumen of a living body, and which is restored to its pre-compression shape by expanding outward when put indwelling 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 being axially movable in a proximal direction relative to the inner tube to release the stent to an exterior of the stent delivery system;

an operating unit operatively connected to the outer tube to axially move the outer tube relative to the inner tube, the operating unit comprising;

a housing;

an operation body operable by an operator;

a displacement body which is mounted in the housing to axially move relative to the housing, the displacement body including a first block connected to the outer tube and a second block on which a load is exerted due to operation of the operation body by the operator, the second block being connected to the first block; and

a releasing mechanism by which the connection between the first block and the second block is released so that the second block is moved relative to the first block when a load of not less than a predetermined value is applied to the second block from the operation body.

2. The stent delivery system according to claim 1, wherein the releasing mechanism includes:

a protrusion on the first block or the second block that protrudes in a direction of movement of the displacement body;

an engaging part engaged by the protrusion; and

wherein the second block is moved relative to the first block by release of the engagement between the protrusion and the engaging part due to the load.

3. The stent delivery system according to claim 1, wherein the second block is moved relative to the first block when the load exceeds a friction force between the first block and the second block.

4. The stent delivery system according to claim 1, wherein the first block and the second block are made of different materials.

5. The stent delivery system according to claim 1, wherein the operation body is a rotary body that is rotatably mounted on the housing to rotate relative to the housing, the rotary body including a first tooth portion along an outer circumferential surface of the operation body, and the second block is an axially movable rack that includes a second tooth portion in meshing engagement with the first tooth portion.

6. The stent delivery system according to claim 1, wherein the operation body is a lever which is engaged with or fixed to the second block and moves with the second block relative to the housing.

7. A stent delivery system comprising:

an outer tube possessing a lumen and an inner surface;

an inner tube possessing an outer surface, the inner tube being positioned in the lumen of the outer tube so that an annular space exists between the outer surface of the inner tube and the inner surface of the outer tube;

an operating unit operable by a user to axially move the outer tube in a proximal direction relative to the inner tube;

a stent positioned in the annular space between the outer surface of the inner tube and the inner surface of the outer tube, the stent being positioned at a distal end portion of the inner tube and being compressed radially inwardly, the stent being outwardly expandable exterior of the stent delivery system to be positioned in a lumen of a living body when the outer tube is axially moved in the proximal direction relative to the inner tube; and

the operating unit comprising;

a housing;

an operation body mounted on the housing and operable by an operator;

a first block connected to the outer tube so that axial movement of the first block results in the axial movement of the outer tube relative to the inner tube;

a second block connected to the operation body so that operation of the operation body axially moves the second block; and

the first block and the second block being connected to each other by a releasable connection that maintains the connection between the first and second blocks when a load less than a predetermined value is applied to the second block by the operation of the operation body to transfer axial movement of the second block resulting from the operation of the operation body to the first block to axially move the first block, and that releases the connection between the first and second blocks when a load not less than a predetermined value is applied to the second block by the operation of the operation body so that axial movement of the second block resulting from the operation of the operation body is not transferred to the first block.

8. The stent delivery system according to claim 7, wherein the releasable connection includes a protrusion positioned in a recess when the first and second blocks are connected, the protrusion being provided on one of the of the first and second blocks, and the recess being provided on the other of the first and second blocks.

9. The stent delivery system according to claim 7, wherein the releasable connection includes a first protrusion on the first block projecting towards the second block, a first recess formed in the first block, a second protrusion on the second block and projecting towards the first block, and a second recess formed in the second block, the first protrusion being positioned in the second recess and the second protrusion being positioned in the first recess when the first and second blocks are connected.

10. The stent delivery system according to claim 7, wherein the operation body includes a tooth portion comprised of a plurality of teeth, and the second block includes a tooth portion comprised of a plurality of teeth, the tooth portion on the operation body being engaged with the tooth portion on the second block.

11. The stent delivery system according to claim 10, wherein the operation body is a rotary body that is rotatably mounted on the housing.

12. The stent delivery system according to claim 7, wherein the operation body is a rotary body that is rotatably mounted on the housing.

13. The stent delivery system according to claim 7, wherein the operation body is an axially movable lever connected to the second block and movable together with the second block relative to the housing.

14. The stent delivery system according to claim 7, wherein the releasable connection includes relatively high friction material on a surface of one of the first and second blocks that contacts the other of the first and second blocks.

15. The stent delivery system according to claim 7, wherein the first block and the second block are made of different materials.

16. The stent delivery system according to claim 7, wherein the releasable connection releases the connection between the first and second blocks when the load applied to the second block by the operation of the operation body exceeds a friction force between the first block and the second block.

17. A method comprising:

positioning a distal end of a stent delivery system in a lumen of a living body, the stent delivery system comprising an outer tube, an inner tube positioned in the outer tube, an inwardly compressed stent between an outer surface of the inner tube and an inner surface of the outer tube, an operation body that is operable by an operator, a first block connected to the outer tube, and a second block connected to the operation body, the second block being connected to the first block;

operating the operation body to axially move the second block in a proximal direction while the distal end of the stent delivery system is in the lumen of the living body;

transferring the axial movement of the second block to the first block by maintaining the connection between the second block and the first block when a load less than a predetermined value is applied to the second block by the operation of the operation body to axially move the first block in a proximal direction, the axial movement of the first block in the proximal direction causing the outer tube to axially move in the proximal direction relative to the inner tube to uncover the stent and allow the stent to outwardly expand in the lumen of the living body; and

not transferring the axial movement of the second block to the first block by releasing the connection between the second block and the first block when a load not less than a predetermined value is applied to the second block by the operation of the operation body so that the axial movement of the second block does not result in axial movement of first block.

18. The method according to claim 17, wherein the second block is connected to the operation body by a tooth portion of the second block engaging a tooth portion of the operation body.

19. The method according to claim 17, wherein the releasing of the connection between the second block and the first block comprises a protrusion which is positioned in a recess being disengaged from the recess, the protrusion being provided on one of the first and second blocks, and the recess being provided on the other of the first and second blocks.

20. The method according to claim 17, wherein the releasing of the connection between the second block and the first block occurs when the load applied to the second block by the operation of the operation body exceeds a friction force between the first block and the second block.