METHOD OF LOADING AND DELIVERING A SELF-EXPANDING STENT

• US 20160022456A1
• Filed: 07/22/2015
• Published: 01/28/2016
• Est. Priority Date: 07/25/2014
• Status: Active Grant

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Original Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Inventors: Butler, James, Cummins, Sean, O'Sullivan, Donagh, Holland, Shane
• Granted Patent: US 9,877,855 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61F 2/9522 Means for mounting a stent or stent-graft onto or into a placement instrument
• CPC Class Codes: A61F 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod

Abstract

A method is provided for loading and delivering a self-expanding stent. The stent is compressed from its expanded diameter to a smaller delivery diameter. While compressed, the stent is pushed from the proximal end through the proximal end opening of a restraining sheath. The restraining sheath retains the stent in the delivery diameter. In order to deliver the stent, the proximal end of the stent is pushed and the restraining sheath is withdrawn proximally from the stent. As a result, the stent is released from the distal end opening of the restraining sheath.

Claims

1. A method for loading and delivering a self-expanding stent, comprising:

compressing said stent in a stent crimper from an expanded diameter to a compressed diameter being smaller than the expanded diameter, said stent comprising a series of struts interconnected by proximal bends and distal bends;

loading said stent into a restraining sheath by pushing on a proximal end of said stent when said stent is in said compressed diameter, said proximal bends being flared outward against an inner surface of said restraining sheath in response to said pushing and said distal bends remaining unflared, said proximal end of said stent being pushed until an entire outer surface of said stent contacts the inner surface of said restraining sheath and a distal end of said stent is proximate a distal end of said restraining sheath;

attaching said restraining sheath being loaded with said stent to a delivery system, said delivery system comprising a stop disposed adjacent said proximal end of said stent and a handle adapted to withdraw said restraining sheath proximally relative to said stop; and

delivering said stent by manipulating said handle to withdraw said restraining sheath, said stop pushing on said proximal end of said stent to restrain said stent longitudinally while said restraining sheath is withdrawn proximally from said stent, said stent pressing outward against said inner surface of said restraining sheath as said restraining sheath slides proximally along an exterior surface of said stent, wherein said unflared distal bends slide against said inner surface of said restraining sheath respectively ahead of said flared proximal bends.

2. The method according to claim 1, wherein the step of loading said stent comprises loading said stent wherein said inner surface of said restraining sheath comprises polytetrafluoroethylene.

3. The method according to claim 1, wherein the step of compressing said stent comprises compressing said stent being at least 100 mm long.

4. The method according to claim 3, wherein the step of compressing said stent comprises compressing said stent being at least 120 mm long.

5. The method according to claim 1, wherein the step of loading said stent comprises loading said stent wherein said distal end of said stent is pushed through a proximal end of said restraining sheath.

6. The method according to claim 1, wherein the step of attaching said restraining sheath comprises attaching said restraining sheath wherein a proximal end of said restraining sheath is disposed distal from said handle.

7. The method according to claim 6, wherein the step of attaching said restraining sheath comprises attaching said restraining sheath being connected to said handle with a wire, said wire being pulled to withdraw said restraining sheath.

8. The method according to claim 1, wherein the step of loading said stent comprises loading said stent wherein a length of said restraining sheath between a proximal end of said restraining sheath and said distal end of said restraining sheath is less than two times a length of said stent between said proximal end of said stent and said distal end of said stent.

9. The method according to claim 1, wherein the step of loading said stent comprises loading said stent wherein a length of said restraining sheath between said proximal end of said restraining sheath and said distal end of said restraining sheath is no more than 50 mm longer than a length of said stent between said proximal end of said stent and said distal end of said stent.

10. The method according to claim 1, wherein the step of attaching said restraining sheath comprises attaching said restraining sheath wherein a proximal end of said restraining sheath extends to and is attached to said handle.

11. The method according to claim 1, wherein the step of loading said stent comprises loading said stent into said restraining sheath directly from said stent crimper.

12. The method according to claim 1, wherein the step of loading said stent comprises loading said stent being at least 100 mm long, said distal end of said stent is pushed through a proximal end of said restraining sheath, and said proximal end of said restraining sheath is disposed distal from said handle.

13. The method according to claim 12, wherein the step of loading said stent comprises loading said stent wherein a length of said restraining sheath between said proximal end of said restraining sheath and said distal end of said restraining sheath is less than two times a length of said stent between said proximal end of said stent and said distal end of said stent.

14. The method according to claim 13, wherein the step of attaching said restraining sheath comprises attaching said restraining sheath being connected to said handle with a wire, said wire being pulled to withdraw said restraining sheath.

15. The method according to claim 14, wherein the step of loading said stent comprises loading said stent into said restraining sheath directly from said stent crimper.

16. The method according to claim 15, wherein the step of compressing said stent comprises compressing said stent being at least 120 mm long.

17. The method according to claim 16, wherein the step of loading said stent comprises loading said stent wherein a length of said restraining sheath between said proximal end of said restraining sheath and said distal end of said restraining sheath is no more than 50 mm longer than a length of said stent between said proximal end of said stent and said distal end of said stent.

18. The method according to claim 17, wherein the step of loading said stent comprises loading said stent wherein said inner surface of said restraining sheath comprises polytetrafluoroethylene.

19. The method according to claim 1, wherein the step of loading said stent comprises loading said stent wherein said inner surface of said restraining sheath comprises polytetrafluoroethylene, and said stent is at least 120 mm long.

20. The method according to claim 19, wherein the step of loading said stent comprises loading said stent wherein said distal end of said stent being pushed through a proximal end of said restraining sheath, and said proximal end of said restraining sheath is disposed distal from said handle, and a length of said restraining sheath between said proximal end of said restraining sheath and said distal end of said restraining sheath is less than two times a length of said stent between said proximal end of said stent and said distal end of said stent.