Method and system for stent delivery

• US 5,158,548 A
• Filed: 07/24/1991
• Issued: 10/27/1992
• Est. Priority Date: 04/25/1990
• Status: Expired due to Term

• Current Assignee: Advanced Cardiovascular Systems Incorporated (Abbott Laboratories)
• Original Assignee: Advanced Cardiovascular Systems Incorporated (Abbott Laboratories)
• Inventors: Lau, Lilip, Hartigan, William M.
• Primary Examiner(s): YASKO JR, JOHN D
• Application Number:
  US07/735,195
• Time in Patent Office: 461 Days
• Field of Search: 604/164-167, 604/96-104, 604/280, 604/282
• US Class Current: 606/194
• CPC Class Codes: A61F 2/92 Stents in the form of a rolled-up sheet expanding after insertion into the vessel , e.g. with a spiral shape in cross-section
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/9583 Means for holding the stent on the balloon, e.g. using protrusions, adhesives or an outer sleeve
• CPC Class Codes: A61F 2230/0054 V-shaped
• CPC Class Codes: A61M 2025/1068 having means for varying the length or diameter of the deployed balloon, this variations could be caused by excess pressure
• CPC Class Codes: A61M 2025/1081 having sheaths or the like for covering the balloon but not forming a permanent part of the balloon, e.g. retractable, dissolvable or tearable sheaths
• CPC Class Codes: A61M 25/1006 Balloons formed between concentric tubes

Abstract

A stent delivery system having an expandable stent in a contracted condition positioned on an expandable member, such as an inflatable balloon, disposed on the distal portion of an elongated catheter body. A guidewire extends through an inner lumen within the elongated catheter body and out its distal end. A tubular protective sheath is secured by its distal end to the portion of the guidewire which extends out of the distal end of the catheter body and fits over the rolled up stent mounted on the expandable member on the distal end of the catheter body. The catheter assembly is advanced to a desired location within a patient'"'"'s body lumen, such as the patient'"'"'s arterial system, with the sheath in place over the stent. Once in proper position, the guidewire is advanced distally in order to remove the attached sheath and completely expose the stent. The expandable member on the catheter is expanded to expand the stent. The stent is preferably self-locking in the expanded condition so that the expanded expandable member can be contracted and the catheter can be removed therefrom.

Claims

1. A stent delivery system, comprising:

a) an elongated catheter body having an expandable member on the distal end thereof and at least one inner lumen extending therein;

b) an expandable stent which is disposed about the expandable member in a contracted condition;

c) a guidewire which is disposed within the inner lumen of the catheter body and which has a distal portion extending out the distal end of the catheter body;

d) a protective tubular sheath which is secured by its distal end to the distal portion of the guidewire extending out of the distal end of the catheter body and which fits over the stent disposed about the expandable member;

e) means to move the guidewire distally through the inner lumen to remove the sheath from the stent;

f) means to expand the expandable member to thereby expand the stent surrounding the expandable member;

g) means to hold the stent in an expanded condition; and

h) means to contract the expanded member so that it can be removed from the stent in the expanded condition.

2. The stent delivery system of claim 1 wherein the expandable member is an inflatable balloon.

3. The stent delivery system of claim 2 wherein the elongated catheter body has a second lumen extending therein which is in fluid communication with the interior of the inflatable balloon to direct inflation fluid therein.

4. The stent delivery system of claim 1 wherein the distal end of the tubular protective sheath is tapered.

5. The stent delivery system of claim 1 wherein the stent is formed of flat sheet which is rolled up into the contracted condition and mounted onto the expandable member.

6. The stent delivery system of claim 5 wherein the stent has overlapping longitudinal edge sections, the inner most edge section having fingers which project outwardly and engage apertures in the outer overlaying longitudinal sections to lock the stent in an expanded condition when the stent is expanded.

7. The stent delivery system of claim 1 wherein the stent has an open reticulated structure.

8. The stent delivery system of claim 7 wherein the open reticulated structure comprises an array of diamond shaped apertures.

9. The stent delivery system of claim 8 wherein the diamond shaped apertures have long and short dimensions and the fingers point in the longitudinal direction.

10. The stent delivery system of claim 1 wherein the sheath has an inner diameter of sufficient size to be slid over the stent when it is disposed about the expandable member.

11. The stent delivery system of claim 1 wherein the sheath is formed of flexible material, has a proximal end secured to the distal end of the catheter body and is doubled over the stent.

12. The stent delivery system of claim 11 wherein the sheath snugly fits over the stent.

13. A method of delivering an expandable stent to a region within a patient'"'"'s bodily lumen, comprising:

a) providing a stent delivery system which includes an elongate catheter body with an expandable member on the distal end thereof and a guidewire disposed within an inner lumen in the catheter body with a distal portion of the guidewire extending out of the distal end of the catheter body with a tubular protective sheath secured by the distal end thereof to the distal portion of the guidewire;

b) mounting an expandable stent in a contracted condition onto the expanded member

c) disposing the protective tubular sheath over the expandable stent mounted on the expandable member

d) advancing the stent delivery system through a patient'"'"'s bodily lumen until the stent is disposed within a desired region therein;

e) advancing the guidewire distally within the lumen to remove the protective sheath from over the mounted stent;

f) expanding the expandable member to expand the stent thereon;

g) locking the stent in an expanded condition; and

h) contracting the expandable member sufficiently to facilitate removing the expandable member from within the expanded stent.

14. The method of claim 13 wherein the stent delivery system is removed from the patient'"'"'s body lumen.

15. The method of claim 13 wherein the expandable member is an inflatable balloon and wherein the balloon is inflated with inflation liquid.