STENT-GRAFT DELIVERY SYSTEM HAVING AN INNER SHAFT COMPONENT WITH A LOADING PAD OR COVERING ON A DISTAL SEGMENT THEREOF FOR STENT RETENTION

• US 20170304097A1
• Filed: 04/21/2016
• Published: 10/26/2017
• Est. Priority Date: 04/21/2016
• Status: Abandoned Application

• Current Assignee: Medtronic Vascular, Inc. (Medtronic Plc)
• Original Assignee: Medtronic Vascular, Inc. (Medtronic Plc)
• Inventors: Corwin, Lisa, Larson, Peter, Murray, III, Robert, Piccagli, Francesco, Wittrock, Theresa
• Application Number:
  US15/134,427
• Publication Number:
  US 20170304097A1
• Time in Patent Office: Days
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2017/00862 elastic or resilient
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• 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 2002/9665 with additional retaining means

Abstract

A catheter for delivering a self-expanding stent-graft prosthesis includes an inner shaft component having a distal segment over which the stent-graft prosthesis is loaded in a compressed delivery configuration. The distal segment has a covering that is intimately disposed thereover. The covering forms a raised outer surface on the distal segment and includes a plurality of protrusions that extend radially outward from the raised outer surface. An outer shaft component is slidingly disposed over the distal segment of the inner shaft component for holding the stent-graft prosthesis in the compressed delivery configuration. In the compressed delivery configuration, the stent-graft prosthesis is disposed over and makes contact with the covering of the distal segment of the inner shaft component such that at least the plurality of protrusions provide sufficient friction to of the covering secure a longitudinal position of the stent-graft prosthesis relative to the inner shaft component.

Claims

1. A catheter for delivering a self-expanding stent-graft prosthesis comprising:

an inner shaft component having a distal segment over which the stent-graft prosthesis is loaded in a compressed delivery configuration, wherein the distal segment has a covering that is intimately disposed thereover, the covering forming a raised outer surface on the distal segment and including at least one protrusion that extends radially outward from the raised outer surface; and

an outer shaft component slidingly disposed over the distal segment of the inner shaft component for holding the stent-graft prosthesis in the compressed delivery configuration,

wherein in the compressed delivery configuration the stent-graft prosthesis is disposed over and makes contact with the covering of the distal segment of the inner shaft component, such that at least the at least one protrusion provides sufficient friction to the covering to secure a longitudinal position of the stent-graft prosthesis relative to the inner shaft component.

2. The catheter of claim 1, wherein the at least one protrusion is a circumferential band that extends around the raised outer surface.

3. The catheter of claim 2, wherein the circumferential band includes opposing first and second edges that taper to the raised outer surface.

4. The catheter of claim 1, wherein the at least one protrusion includes a plurality of protrusions and each protrusion is a bump having a generally cylindrical, semi-spherical, dome-shaped, or conical configuration.

5. The catheter of claim 1, wherein the at least one protrusion includes a plurality of protrusions and the plurality of protrusions are regularly spaced over a length of the raised outer surface.

6. The catheter of claim 1, wherein the covering is an outer layer formed on the inner shaft component.

7. The catheter of claim 1, wherein the inner shaft component is formed from a tubing of a first material and the covering is formed from a second material different from the first material.

8. The catheter of claim 7, wherein the second material is elastomeric.

9. A stent-graft delivery system comprising:

an inner shaft component having a proximal segment and a distal segment, wherein the distal segment has a plurality of protrusions that radially extend away from an outer surface of the inner shaft component;

a self-expanding stent-graft prosthesis disposed over the distal segment, the self-expanding stent-graft prosthesis having a radially compressed configuration for delivery within a vasculature and a radially expanded configuration for deployment within a body lumen; and

an outer shaft component slidingly disposed over the distal segment of the inner shaft component for holding the self-expanding stent-graft prosthesis in the radially compressed configuration,

wherein the plurality of protrusions secure a longitudinal position of the self-expanding stent-graft prosthesis relative to the inner shaft component during loading and deployment of the self-expanding stent-graft prosthesis.

10. The stent-graft delivery system of claim 9, wherein each protrusion is a circumferential band that extends around the inner shaft component.

11. The stent-graft delivery system of claim 10, wherein the circumferential band includes opposing first and second edges that taper to the inner shaft component.

12. The stent-graft delivery system of claim 9, wherein the distal segment has a raised outer surface relative to the proximal segment and the plurality of protrusions radially extend away from the raised outer surface.

13. The stent-graft delivery system of claim 12, wherein each protrusion is a bump having a generally cylindrical, semi-spherical, dome-shaped, or conical configuration or each protrusion is a circumferential band that extends around the raised outer surface.

14. The stent-graft delivery system of claim 12, wherein an elastomeric layer attached to the distal segment forms the raised outer surface and the plurality of protrusions.

15. The stent-graft delivery system of claim 14, wherein the inner shaft component is formed from a tubing of a non-elastomeric material.

16. The stent-graft delivery system of claim 12, wherein a length of the raised outer surface is equal to or greater than a length of the self-expanding stent-graft prosthesis and the length of the self-expanding stent-graft prosthesis is disposed over the raised outer surface.

17. The stent-graft delivery system of claim 12, wherein a length of the raised outer surface is less than a length of the self-expanding stent-graft prosthesis and at least a distal portion of the self-expanding stent-graft prosthesis is disposed over the raised outer surface.

18. The stent-graft delivery system of claim 12, wherein the plurality of protrusions are regularly spaced over a length of the raised outer surface.

19. A method of loading a self-expanding stent-graft prosthesis into a delivery catheter, the method including the steps of:

radially compressing a self-expanding stent-graft prosthesis onto a loading pad on a distal segment of an inner shaft component of the delivery catheter, the loading pad being intimately disposed over the distal segment and defining a raised outer surface of the distal segment and a plurality of protrusions that extend radially away from the raised outer surface;

positioning the inner shaft component with the self-expanding stent-graft prosthesis radially compressed thereon within a lumen of an outer shaft component, wherein at least the plurality of protrusions secure a longitudinal position of the self-expanding stent-graft prosthesis relative to the inner shaft component such that the self-expanding stent-graft prosthesis does not move relative to the inner shaft component while the inner shaft component is being positioned within the lumen of the outer shaft component.

20. The method of claim 19, wherein the step of positioning the inner shaft component within the lumen of the outer shaft component includes pulling or pushing the inner shaft component into the lumen of the outer shaft component.