Apparatus and method for deployment of radially expandable stents by a mechanical linkage

• US 5,618,300 A
• Filed: 08/10/1995
• Issued: 04/08/1997
• Est. Priority Date: 02/10/1994
• Status: Expired due to Term

• Current Assignee: Cardinal Health Switzerland 515 GmbH (Cardinal Health, Inc.)
• Original Assignee: Endovascular Systems, Inc.
• Inventors: Marin, Michael L., Marin, Ralph
• Primary Examiner(s): Buiz, Michael Powell
• Assistant Examiner(s): LEWIS, WILLIAM W
• Application Number:
  US08/513,412
• Time in Patent Office: 607 Days
• Field of Search: 606/108, 606/191, 606/192, 606/194, 606/195, 606/152, 606/153, 606/1, 623/1, 623/12, 128/898, 128/899, 604/53, 604/104-107
• US Class Current: 623/1.11
• CPC Class Codes: A61F 2/07 Stent-grafts
• 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 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61M 29/02 Dilators made of swellable material balloon catheters for angioplasty A61M25/104

Abstract

The invention provides a method and apparatus for intraluminal delivery and deployment of an expandable prosthesis at a site within a body lumen. The apparatus for intraluminal delivery and deployment includes a support for supporting the expandable prosthesis while being delivered to the site within the body lumen, and a radially displaceable mechanical linkage connected to the support for radially displacing the support. The linkage is adapted to deploy the expandable prosthesis when it is displaced radially outward. The linkage permits continuous fluid flow within the body lumen while the expandable prosthesis is being deployed. The present invention can also be used without stents for expanding a body lumen. The present method comprises the steps of transmitting a radially, outwardly directed displacement force to the support from a control mechanism, the support being displaced radially outwardly to an expanded stance such that the prosthesis contacts the body passageway, and transmitting a radially, inwardly directed displacement force to the support from a control mechanism, the support being displaced radially inwardly to a recoiled stance less than the diameter of the body passageway while leaving the prosthesis in contact the body passageway. Fluid flow is permitted throughout the delivery and deployment process.

Claims

1. An apparatus at a predetermined location on a catheter for expanding a graft, stent, or stenosed body lumen or the like, comprising:

a member, said member being movably mounted with respect to the catheter;

a deployment wire having a distal end coupled to said member for axially moving said member with respect to the catheter;

a plurality of wings surrounding said member;

a linkage for linking said wings to said member and the catheter and for providing a force sufficient to expand the graft, stent, stenosed body lumen or the like;

initiating means axially movably mounted with respect to the catheter for initiating displacement of said wings; and

an initiating wire fixedly coupled to said initiating means for axially moving said initiating means with respect to the catheter.

2. An apparatus as in claim 1, further comprising an actuator coupled to said initiating wire such that movement of said actuator causes said initiating means to move axially with respect to the catheter.

3. An apparatus as in claim 1, further comprising a stent.

4. An apparatus at a predetermined location on a catheter for expanding a graft, stent, or stenosed body lumen or the like, comprising:

a stent;

a member, said member being movably mounted with respect to the catheter;

a deployment wire having a distal end coupled to said member for axially moving said member with respect to the catheter;

a plurality of wings surrounding said member;

a linkage for linking said wings to said member and the catheter and for providing a force sufficient to expand the graft, stent, stenosed body lumen or the like;

a rigid portion axially mounted with respect to said catheter, said rigid portion being coupled to said wings; and

wherein the linkage comprises a plurality of first and second arms, each of said wings being linked to said member by at least one of said first arms and to said rigid portion by at least one of said second arms.

5. An apparatus as in claim 4, further comprising initiating means axially movably mounted with respect to the catheter for initiating displacement of said wings, each of said second arms having a distal portion free of contact of said initiating means and a proximal portion that engages said initiating means when said initiating means moves axially in said first direction.

6. An apparatus at a predetermined location on a catheter for expanding a graft, stent, or stenosed body lumen or the like, comprising:

a member, said member being movably mounted with respect to the catheter;

a deployment wire having a distal end coupled to said member for axially moving said member with respect to the catheter;

a plurality of wings surrounding said member;

a linkage for linking said wings to said member and the catheter and for providing a force sufficient to expand the graft, stent, stenosed body lumen or the like;

a rigid portion axially mounted with respect to said catheter, said rigid portion being coupled to said wings; and

a steering wire fixedly coupled at a distal end to said rigid portion.

7. An apparatus as in claim 6, further comprising a steering control coupled to a proximal end of said steering wire.

8. An apparatus as in claim 6, further comprising a stent.

9. An apparatus at a predetermined location on a catheter for expanding a graft, stent, or stenosed body lumen or the like, comprising:

a member, said member being movably mounted with respect to the catheter;

a deployment wire having a distal end coupled to said member for axially moving said member with respect to the catheter;

a plurality of wings surrounding said member;

a linkage for linking said wings to said member and the catheter and for providing a force sufficient to expand the graft, stent, stenosed body lumen or the like;

initiating means axially movably mounted with respect to the catheter for initiating displacement of said wings; and

a rigid portion axially mounted with respect to said catheter, said rigid portion being coupled to said wings;

wherein said rigid portion is articulately mounted at a distal end of the catheter.

10. An apparatus as in claim 9, further comprising a trigger mechanism, said catheter being rotatably mounted at a proximal end thereof to said trigger mechanism, said trigger mechanism being coupled to a proximal end of said deployment wire.

11. An apparatus as in claim 9, further comprising a stent.

12. An apparatus at a predetermined location on a catheter for expanding a graft, stent, or stenosed body lumen or the like, comprising:

a member, said member being movably mounted with respect to the catheter;

a deployment wire having a distal end coupled to said member for axially moving said member with respect to the catheter and a proximal end terminated with a slotted portion;

a plurality of wings surrounding said member; and

a linkage for linking said wings to said member and the catheter and for providing a force sufficient to expand the graft, stent, stenosed body lumen or the like.

13. An apparatus as in claim 12, further comprising a trigger mechanism, said trigger mechanism engaging said slotted portion such that movement of said trigger mechanism causes said member to move axially with respect to the catheter in one of said first and second directions and causes each of said wings to displace radially.

14. An apparatus as in claim 12, further comprising a stent.