WIRE COLLECTION DEVICE WITH VARYING COLLECTION DIAMETER

• US 20150250631A1
• Filed: 03/05/2015
• Published: 09/10/2015
• Est. Priority Date: 03/10/2014
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Cummins, Sean
• Granted Patent: US 9,974,678 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• 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 wire collection device which is constructed with a thumbwheel coupled to a collection spindle that is rotatable to collect a retraction wire about a varying collection diameter of the collection spindle. A proximal end of an outer stent-constraining sheath is coupled to the collection spindle by the retraction wire and a distal end of the outer sheath retractably surrounds a distally-disposed self-expanding stent. The collection spindle includes a substantially constant outer diameter greater than the varying collection diameter, and the varying collection diameter increases from a first end of the spindle towards a second end of the spindle along a spiral groove formed between the varying collection diameter and the substantially constant outer diameter in a manner that provides substantially constant rotating force on the thumbwheel, thereby accommodating changing resistance as the outer sheath is retracted and releases binding force of the stent.

Claims

1. A stent delivery system including a wire collection device, the device comprising:

a thumbwheel coupled to a collection spindle that is rotatable to collect a retraction wire about a varying collection diameter of the collection spindle, wherein;

a proximal end of an outer stent-constraining sheath is coupled to the collection spindle by the retraction wire and a distal end of the outer sheath retractably surrounds a distally-disposed self-expanding stent;

the collection spindle comprises a substantially constant outer diameter greater than the varying collection diameter; and

the varying collection diameter increases from a first end of the spindle towards a second end of the spindle along a spiral groove formed between the varying collection diameter and the substantially constant outer diameter in a manner that provides substantially constant rotating force on the thumbwheel, accommodating changing resistance as the outer sheath is retracted and releases binding force of the stent.

2. The system of claim 1, wherein a wall defining lateral sides of the spiral groove comprises a height that varies with the varying collection diameter and is equal to a difference between the substantially constant outer diameter and the varying collection diameter.

3. The system of claim 2, wherein the wall of the spiral groove maintains the retraction wire within the spiral groove as the collection spindle is rotated to collect the retraction wire about the varying collection diameter.

4. The system of claim 1, wherein the thumbwheel is attached to the first end of the collection spindle, and the proximal end of the retraction wire is attached nearer the first end of the collection spindle, so that collection of the retraction wire begins nearer the first end of the collection spindle and ends nearer the second end of the collection spindle, and a ratio of outer sheath retraction distance to thumbwheel rotational displacement increases as the varying collection diameter increases.

5. The system of claim 1, wherein the thumbwheel is attached to the second end of the collection spindle, and the proximal end of the retraction wire is attached nearer the second end of the collection spindle, so that collection of the retraction wire begins nearer the second end of the collection spindle and ends nearer the first end of the collection spindle, and a ratio of outer sheath retraction distance to thumbwheel rotational displacement decreases as the varying collection diameter decreases.

6. The system of claim 1, wherein the thumbwheel further comprises a ratcheted extension that allows rotation of the thumbwheel in one direction, and prevents rotation of the thumbwheel in a reverse direction.

7. The system of claim 1, further comprising a retention clip that substantially surrounds the outer diameter of the collection spindle so as to maintain the retraction wire within the spiral groove as the collection spindle is rotated to collect the retraction wire about the varying collection diameter.

8. The system of claim 1, wherein the thumbwheel further comprises a grooved or notched surface that provides grip to the user.

9. The system of claim 1, wherein the varying diameter increases along a curvilinear profile from the first end of the spindle to the second end of the spindle.

10. The system of claim 1, wherein the varying diameter increases along a first portion of the spindle and decreases along a second portion of the spindle.

11. The system of claim 1, wherein the thumbwheel is axially offset from the collection spindle and coupled to the collection spindle by a transmission mechanism comprising mesh gears, a belt, a rack and pinion, a clutch, a ratchet, or any combination thereof.

13. The system of claim 8, wherein the first collection spindle and the second collection spindle each comprise a common substantially constant outer diameter greater than the first varying collection diameter and the second varying collection diameter.

14. The system of claim 7, wherein the first varying collection diameter increases, from a first end to a second end of the first collection spindle, along a first spiral groove formed between the first varying collection diameter and the common substantially constant outer diameter, and the second varying collection diameter increases, from a first end to a second end of the second collection spindle, along a second spiral groove formed between the first varying collection diameter and the common substantially constant outer diameter.

15. The system of claim 9, wherein:

a wall of the first spiral groove comprises a height that varies with the first varying collection diameter and is equal to a difference between the common substantially constant outer diameter and the first varying collection diameter; and

a wall of the second spiral groove comprises a height that varies with the second varying collection diameter and is equal to a difference between the common substantially constant outer diameter and the second varying collection diameter.

16. The system of claim 10, wherein:

the wall of the first spiral groove maintains the first retraction wire within the first spiral groove as the first retraction wire collects about the first varying collection diameter; and

the wall of the second spiral groove maintains the second retraction wire within the second spiral groove as the second retraction wire collects about the second varying collection diameter.

17. The system of claim 9, wherein the thumbwheel is attached at the first end of the first collection spindle and the first end of the second collection spindle.

12. A stent delivery system including a wire collection device, the device comprising:

a first collection spindle coupled to a proximal end of an outer sheath by a first retraction wire, the first collection spindle rotatable to collect the first retraction wire about a first varying collection diameter of the first collection spindle;

a second collection spindle coupled to the proximal end of the outer sheath by a second retraction wire, the second collection spindle rotatable to collect the second retraction wire about a second varying collection diameter of the first collection spindle; and

a thumbwheel coupled between the first collection spindle and the second collection spindle and rotatable to control a retraction speed of the outer sheath by rotating the first collection spindle and the second collection.

18. The system of claim 12, wherein:

the first retraction wire is attached to the first collection spindle nearer the thumbwheel, so that collection of the retraction wire begins nearer the first end of the first collection spindle and ends nearer the second end of the first collection spindle; and

the second retraction wire is attached to the second collection spindle nearer the thumbwheel, so that collection of the retraction wire begins nearer the first end of the second collection spindle and ends nearer the second end of the second collection spindle.

19. A wire collection device for a stent delivery system, the device comprising:

a pair of collection spindles coupled to a proximal end of an outer sheath by a pair of retraction wires, the collection spindles rotatable to collect the retraction wires about varying collection diameters of the collection spindles, wherein;

the collection spindles comprise substantially constant outer diameters that are greater than the varying collection diameters,

the varying collection diameters increase from a first end of each collection spindle to a free end of each collection spindle,

the retraction wires are coupled to the first end of each collection spindle, so that collection of the wires begin nearer the first end of each collection spindle and ends nearer the free end of each collection spindle;

a thumbwheel coupled between the collection spindles and rotatable to control a retraction speed of the outer sheath by actuating rotation of the collection spindles.

20. The device of claim 19, further comprising retention clips that substantially surround the outer diameters of the collection spindles so as to maintain the retraction wires within the spiral grooves as the collection spindles are rotated to collect the retraction wires about the varying collection diameters.