Transluminal Implantation device

• US 5,759,186 A
• Filed: 09/26/1996
• Issued: 06/02/1998
• 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): Hafer, Robert A.
• Assistant Examiner(s): YU, JUSTINE ROMANG
• Application Number:
  US08/723,939
• Time in Patent Office: 614 Days
• Field of Search: 606/108, 606/191, 606/195, 606/194, 606/198, 623/1, 623/12
• US Class Current: 606/108
• 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. An apparatus for implantation of a substantially tubular, radially expansible stent comprising a central tube having a distal portion, an outer tube at least partially surrounding and axially displaceable relative to the central tube, the outer tube being sized and configured to form an annular space with the central tube, a sleeve slidably positioned at least partially around and located proximate the distal portion of the central tube and positioned within the outer tube, coupling structure on said sleeve and said outer tube operatively coupling said sleeve to said outer tube during displacement movement of said outer tube, and a self-expanding stent in an unexpanded state having a proximal portion and a distal portion, the sleeve and stent being located in said annular space, the proximal portion of the stent being releasably held between the sleeve and the central tube and adapted to remain stationary until release thereof by displacement of the sleeve and the outer tube with the displacement being in a direction from the distal towards the proximal portion of the stent, wherein, as the outer tube and sleeve are displaced relative to the central tube, the stent is controllably self-expanded with expansion beginning at the distal portion and continuing towards the proximal portion of the stent until the stent becomes fully expanded.

2. The apparatus according to claim 1 wherein said sleeve includes a releasable latch for releasably maintaining the position of said sleeve relative to said stent.

3. The apparatus according to claim 1 including engaging structure on said sleeve and said central tube engaging said sleeve with said central tube before said outer tube is moved in its displacement direction, and movement of said outer tube in said displacement direction causing said engaging structure to become disengaged to thereby permit said sleeve to move in said displacement direction when said coupling structure couples said sleeve to said outer tube.

4. The apparatus according to claim 1 wherein said sleeve has a proximal end located at said distal portion of said central tube.

5. The apparatus according to claim 1 including a stabilizing tube around said outer tube.

6. A stent deployment device comprising a first tube being coaxially disposed around a second tube and with the tubes being axially movable relative to each other in a longitudinal direction, the tubes being sized and configured to form an annular space therebetween for accommodating a self-expanding stent, said second tube having a distal portion and further including a sleeve positioned about said distal portion, said stent in a first state having a first diameter and a first elongation, said stent being positioned between said sleeve and said second tube with said sleeve maintaining said stent in said first state, said sleeve and said stent being disposed within said annular space, coupling structure on said first tube and said sleeve operatively coupling said sleeve to said first tube during retraction movement of said first tube to move said sleeve and said first tube longitudinally, causing said stent to self-expand from said first state to a second state having a second diameter greater than said first diameter and a second elongation lesser than said first elongation.

7. The device according to claim 6 wherein said sleeve includes a releasable latch for releasably positioning said sleeve.

8. The device according to claim 6 including engaging structure on said sleeve and said second tube engaging said sleeve with said second tube before said first tube is moved in a retraction direction, and said retraction movement of said first tube causing said engaging structure to become disengaged to thereby permit said sleeve to move in its retraction direction when said coupling structure couples said sleeve to said first tube.

9. The device according to claim 6 wherein said sleeve has a proximal end located at said distal portion of said second tube.

10. The device according to claim 6 including a stabilizing tube around said first tube.

11. A device for transluminal implantation of a substantially tubular, radially expansible stent, comprising in combination an inner tube surrounded by an outer tube with the tubes being axially displaceable relative to each other, the tubes being configured and sized to define an annular space therebetween, a self-expanding stent in an unexpanded state being located in said space, said stent having a proximal end and a distal end, said inner tube having a distal portion and further including a sleeve slidably positioned around and located proximate the distal portion of said inner tube for releasably capturing said proximal end of said stent and maintaining said stent in said unexpanded state and restraining the proximal end of said stent against movement, the proximal end of said stent being disposed between said sleeve and said inner tube, with said inner tube at said distal portion including one or more outwardly projecting members adapted to engage said stent, coupling structure on said sleeve and said outer tube operatively coupling said sleeve to said outer tube during displacement movement of said outer tube, and means for axially displacing said outer tube and said sleeve relative to said inner tube, wherein the proximal end of the stent remains stationary until release thereof by displacement of the sleeve and the outer tube whereupon the stent self-expands.

12. The device according to claim 11 wherein said sleeve includes a releasable latch for releasably positioning said sleeve.

13. The device according to claim 11 including engaging structure on said sleeve and said inner tube engaging said sleeve with said inner tube before said outer tube is moved in its displacement direction, and movement of said outer tube in said displacement direction causing said engaging structure to become disengaged to thereby permit said sleeve to move in said displacement direction when said coupling structure couples said sleeve to said outer tube.

14. The device according to claim 11 wherein said sleeve has a proximal end located at said distal portion of said inner tube.

15. The device according to claim 11 including a stabilizing tube around said outer tube.