Transluminal implantation device

• US 5,591,172 A
• Filed: 03/07/1994
• Issued: 01/07/1997
• Est. Priority Date: 06/14/1991
• Status: Expired due to Term

• Current Assignee: AMS Medinvent SA
• Original Assignee: AMS Medinvent SA
• Inventors: Bachmann, Michel, Nissels, Robert
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US08/207,324
• Time in Patent Office: 1,037 Days
• Field of Search: 606/108
• US Class Current: 623/1.11
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/00902 transparent or translucent
• CPC Class Codes: A61B 2217/007 with irrigation system
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2002/3008 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61M 3/0279 Cannula; Nozzles; Tips; their connection means

Abstract

A device for transluminal implantation of a substantially tubular, radially expansible stent. The device includes a central tube surrounded by an outer tube axially displaceable relative to the central tube, with the radial dimensions of the tubes being such as to form an annular space therebetween capable of accommodating the stent in an unexpanded state. The outer tube is axially displaceable relative to the central tube. In one embodiment of the device, the central tube, at a distal end thereof, is provided with a section of reduced diameter at the proximal end of which there is an undercut groove forming a circumferential flange within which a proximal end of the stent rests until release of the stent by rearward displacement of the outer tube. In a modification of the device, the central tube, at its distal end, includes a sleeve slidably positioned therearound for capturing at least a proximal portion of the stent restraining the proximal portion against movement until stent deployment.

Claims

1. A transluminal implantation device comprising a central tube surrounded by an outer tube axially displaceable relative to said central tube, the tubes being sized to form an annular space therebetween capable of accommodating a stent in an unexpanded state, said central tube having a distal end and further including sleeve means slidably positioned around and located proximate the distal end of said central tube and adapted for capturing at least a proximal portion of said stent restraining the proximal portion of said stent against movement, said sleeve means further including releasable latching means comprising at least one member being biased into engagement with a recess in said central tube and coacting with said outer tube for maintaining said sleeve in a first position, wherein said outer tube includes means for releasing said latching means and for engaging said sleeve for rearward sleeve movement and stent release, and means for axial displacement of said outer tube and said sleeve relative to said central tube, wherein the proximal portion of said stent is adapted to remain stationary until release thereof by rearward displacement of said sleeve and said outer tube whereupon the stent becomes fully deployed.

2. The device according to claim 1 wherein said central tube at said distal end includes one or more outwardly projecting members adapted to engage said stent from the inside.

3. The device according to claim 2 wherein said projecting members number at least three being substantially evenly circumferentially distributed around said distal end.

4. The device according to claim 3 wherein said members are conical teeth.

5. The device according to claim 4 wherein said teeth are truncated.

6. The device according to claim 1 wherein said latching means comprises at least one claw member coacting with said outer tube, said claw member being biased into engagement with a recess in said central tube.

7. The device according to claim 6 wherein said claw member numbers at least three being substantially evenly circumferentially distributed around said sleeve.

8. The device according to claim 7 wherein said central tube includes track means for linearly guiding said claw member.

9. The device according to claim 1 further comprising a stabilizing tube surrounding a portion of said outer tube, with said outer tube being axially displaceable within said stabilizing tube.

10. The device according to claim 1 wherein said outer tube further includes one or more radial openings to enable inspection of the position of the stent during implantation thereof.

11. The device according to claim 1 wherein said outer tube is made of a transparent material to enable inspection of the position of the stent during implantation thereof.

12. The device according to claim 1 wherein said axial displacement means includes safety catches defining extreme axial positions of said central tube.

13. The device according to claim 1 wherein said central tube is adapted to accommodate a viewing means positioned inside said central tube and axially displaceable therein.

14. The device according to claim 1 wherein said axial displacement means includes a fluid inlet for flushing or for contrast purposes.

15. The device according to claim 1 wherein said sleeve and said distal end of said central tube are complementarily conically tapered.

16. The device according to claim 1 wherein said distal end of said central tube further includes a cuff adapted to accommodate said proximal portion of said stent disposed between the cuff and said sleeve.

17. The device according to claim 1 wherein said central tube further includes one or more radial openings for monitoring the positioning of said stent during stent implantation.