Stent delivery system and method

• US 5,851,210 A
• Filed: 03/21/1997
• Issued: 12/22/1998
• Est. Priority Date: 03/21/1997
• Status: Expired due to Fees

• Current Assignee: Richard Torossian
• Original Assignee: Richard Torossian
• Inventors: Torossian, Richard
• Primary Examiner(s): Dawson, Glenn K.
• Application Number:
  US08/822,162
• Time in Patent Office: 641 Days
• Field of Search: 606/1, 606/106, 606/108, 606/113, 606/127, 606/151, 606/191-200, 604/96-104, 604/264
• US Class Current: 606/108
• CPC Class Codes: A61B 2090/062 penetration depth
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2250/0087 colour-coded
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61M 2025/0008 having visible markings on its surface, i.e. visible to the naked eye, for any purpose, e.g. insertion depth markers, rotational markers or identification of type

Abstract

A stent deployment system includes a delivery catheter, a dilation balloon disposed at the distal end of the delivery catheter, and a stent deployment mechanism disposed at a predetermined distance from the dilation balloon. The delivery catheter includes a plurality of markers at the proximal end that are used to gauge the movement of the delivery catheter and to align the dilation balloon and stent deployment mechanism with a target region in a vessel, such as a lesion or blocked region. The stent deployment method includes introducing the delivery catheter into the vessel until the dilation balloon is aligned with the target region, and inflating the dilation balloon to predilate the target region. The delivery catheter is then advanced until the stent deployment mechanism is aligned with the predilated target region using the markers on the proximal end of the delivery catheter. When properly aligned with the predilated target region, the stent deployment mechanism deploys the stent against the target region of the vessel. The delivery catheter is then withdrawn until the dilation balloon is again aligned with the stent deployed in the target region, and the dilation balloon is inflated to post-dilate or further embed the stent into the target region of the vessel.

Claims

1. A stent delivery system, for delivering a stent to a target region in a vessel, said stent delivery system comprising:

a delivery catheter having a distal end and a proximal end, wherein said distal end of said delivery catheter is adapted to extend through said vessel to said target region in said vessel;

at least one dilation balloon disposed on said delivery catheter proximate to said distal end of said delivery catheter, for pre-dilating said target region of said vessel, said dilation balloon having a leading end and a trailing end;

a stent deployment mechanism disposed on said delivery catheter proximate to said dilation balloon, for deploying a stent to said target region of said vessel that has been pre-dilated by said dilation balloon, said stent deployment mechanism having a leading end and trailing end, wherein said leading end of said stent deployment mechanism is disposed at a predetermined distance from said leading end of said dilation balloon; and

said delivery catheter including at least one set of markers disposed proximate to said proximal end of said delivery catheter, wherein said at least one set of markers provides an indication of said predetermined distance between said leading end of said stent delivery mechanism and said leading end of said dilation balloon, for gauging movement of said dilation balloon and said stent delivery mechanism into alignment with said target region in said vessel.

2. The stent delivery system of claim 1 wherein said at least one set of markers includes at least one set of a first type of markers and at least one adjacent set of a second type of markers disposed proximate to said proximal end of said delivery catheter, wherein said second type of markers is visually distinguishable from said first type of markers, and wherein said at least one set of a first type of markers and said at least one adjacent set of a second type of markers have a predetermined length corresponding to said predetermined distance between said leading end of said dilation balloon and said leading end of said stent delivery mechanism.

3. The stent delivery system of claim 2 wherein each of said at least one set of a first type of markers and said at least one adjacent set of a second type of markers include a corresponding predetermined number of markers evenly spaced within said predetermined length, wherein the distance between one of said first type of markers in said one set and a corresponding one of said second type of markers in said adjacent set corresponds to said predetermined distance between said leading end of said dilation balloon and said leading end of said stent delivery mechanism.

4. The stent delivery system of claim 2 wherein said first type of markers has a first color and said second type of markers has a second color, for visually distinguishing said first type of markers and said second type of markers.

5. The stent delivery system of claim 2, wherein said at least one set of a first type of markers and said at least one adjacent set of a second type of markers include a plurality of sets of said first type of markers alternating with a plurality of sets of said second type of markers.

6. The stent delivery system of claim 1 wherein said at least one set of markers includes at least first and second adjacent sets of indicia disposed on said delivery catheter, wherein a distance between one of said first adjacent set of indicia and a corresponding one of said second adjacent set of indicia corresponds to said predetermined distance between said leading end of said dilation balloon and said leading end of said stent delivery mechanism.

7. The stent delivery system of claim 1 wherein said dilation balloon is a high pressure balloon, for pre-dilating said target region of said vessel and for further embedding said stent in said vessel at said target region.

8. The stent delivery system of claim 1 wherein said dilation balloon is generally cylindrical in shape.

9. The stent delivery system of claim 1 wherein said dilation balloon has an expanded diameter of between 2.5 to 4.0 mm.

10. The stent delivery system of claim 1 wherein said stent deployment mechanism includes a stent deployment balloon, for expanding said stent disposed over said stent deployment balloon.

11. The stent delivery system of claim 10 wherein said stent includes an expandable metal stent disposed over said stent deployment balloon.

12. The stent delivery system of claim 10 wherein said delivery catheter includes a dilation balloon flow passage, for inflating said dilation balloon, and a stent deployment balloon flow passage, for independently inflating said stent deployment balloon.

13. A method of delivering a stent to a target region in a vessel using a stent delivery system having a delivery catheter, a dilation balloon disposed proximate to a distal end of said delivery catheter, and a stent deployment mechanism disposed proximate to said dilation balloon, said method comprising the steps of:

guiding said distal end of said delivery catheter through said vessel to said target region of said vessel;

moving said delivery catheter until said dilation balloon is aligned with said target region of said vessel;

inflating said dilation balloon, for pre-dilating said target region of said vessel;

moving said delivery catheter until said stent deployment mechanism is aligned with said target region of said vessel;

deploying a stent to said target region of said vessel;

moving said delivery catheter until said dilation balloon is aligned with said stent;

inflating said dilation balloon, for further embedding said stent into said vessel; and

withdrawing said delivery catheter from said vessel.

14. The method of claim 13 wherein the step of deploying said stent to said target region in said vessel includes inflating a stent deployment balloon, for expanding said stent into engagement with said vessel.

15. The method of claim 13 wherein a leading end of said stent deployment mechanism is disposed a predetermined distance from a leading end of said dilation balloon, and wherein the step of moving said delivery catheter until said stent deployment mechanism is aligned with said target region of said vessel includes moving said delivery catheter said predetermined distance between said leading end of said dilation balloon and said leading end of said balloon deployment mechanism.

16. The method of claim 13 wherein said step of guiding said distal end of said delivery catheter includes:

inserting a guide catheter into said vessel until a distal end of said guide catheter is disposed proximate to said target region of said vessel; and

inserting said delivery catheter into said guide catheter until said distal end of said delivery catheter is disposed proximate said target region of said vessel.

17. The method of claim 13 wherein said delivery catheter includes a plurality of markers disposed proximate a proximal end of said delivery catheter, wherein a distance between one of said plurality of markers and a corresponding one of said plurality of markers corresponds to a predetermined distance between said leading end of said dilation balloon and a leading end of said stent deployment mechanism.

18. The method of claim 17 wherein said one of said plurality of markers is aligned with a fixed alignment member when said dilation balloon is aligned with said target region in said vessel, and wherein the step of moving said delivery catheter until said stent deployment mechanism is aligned with said target region of said vessel includes moving said delivery catheter until said corresponding one of said plurality of markers is aligned with said fixed alignment member.

19. A stent delivery system, for delivering a stent to a target region in a vessel, said stent delivery system comprising:

a delivery catheter having a distal end and a proximal end, wherein said distal end of said delivery catheter is adapted to extend through said vessel to said target region in said vessel;

at least one dilation balloon disposed on said delivery catheter proximate to said distal end of said delivery catheter, for pre-dilating said target region of said vessel, said dilation balloon having a leading end and a trailing end;

a stent deployment balloon disposed on said delivery catheter proximate to said dilation balloon, for deploying a stent to said target region of said vessel that has been pre-dilated by said dilation balloon, said stent deployment balloon having a leading end and a trailing end, wherein a point on said stent deployment balloon is disposed at a predetermined distance from a point on said dilation balloon; and

wherein said delivery catheter includes at least one set of markers disposed proximate said proximal end of said delivery catheter, for providing an indication of said predetermined distance between said stent deployment balloon and said dilation balloon and for gauging movement of said dilation balloon and said stent deployment balloon into alignment with said target region in said vessel.

20. The stent delivery system of claim 19 in combination with a stent, said stent disposed on said stent deployment balloon, wherein a length of said dilation balloon is substantially equal to a length of said stent, for further embedding said stent deployed at said target region of said vessel.

21. The stent delivery system of claim 19 further including a guide catheter for receiving said delivery catheter, said guide catheter having a proximal end adapted to align with at least one of said markers, for gauging movement of said dilation balloon and said stent delivery balloon into alignment with said target region in said vessel.