Guided deployment of stents

• US 5,928,248 A
• Filed: 02/25/1998
• Issued: 07/27/1999
• Est. Priority Date: 02/14/1997
• Status: Expired due to Term

• Current Assignee: Biosense, Inc. (Cardinal Health, Inc.)
• Original Assignee: Biosense, Inc. (Cardinal Health, Inc.)
• Inventors: Acker, David E.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US09/030,407
• Time in Patent Office: 517 Days
• Field of Search: 606/108, 606/191, 606/194, 606/192, 606/198, 128/898, 600/424, 607/122
• US Class Current: 623/1.11
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61F 2/856 Single tubular stent with a side portal passage
• 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

Abstract

A stent is placed in a tubular structure of the anatomy such as the vascular or respiratory system by advancing a probe bearing the stent into the body. The disposition of the probe, and hence the disposition of the stent are monitored using a system which transmits non-ionizing fields between a transducer or transducers on the probe and external transducers. The disposition of the stent relative to the tubular structure is depicted showing a representation of the stent superposed on an image of the tubular structure. This provides accurate placement, particularly for complex stents with features such as one or more branches which must be aligned with anatomical features.

Claims

1. A method of applying a stent in a tubular structure within the body of a patient comprising the steps of:

(a) advancing a probe bearing a stent into the tubular body structure;

(b) determining a disposition of the stent relative to the patient, the determining step including the step of transmitting one or more non-ionizing fields to or from at least one internal field transducer on said probe or said stent, detecting each such transmitted field and deducing the disposition of the stent at least partially from the properties of said transmitted fields; and

(c) releasing said stent from said probe when said determining step indicates that said stent is at a preselected disposition relative to said tubular structure.

2. A method as claimed in claim 1 wherein said determining step includes the step of determining the orientation of said stent relative to the patient'"'"'s body.

3. A method as claimed in claim 1 wherein said tubular body structure includes a primary tube having a longitudinal axis, and wherein said step of determining the disposition of the stent includes the step of determining the orientation of the stent in roll about the longitudinal axis while the stent is at least partially positioned within said primary tube.

4. A method as claimed in claim 3 wherein said tubular structure includes a branch intersecting said primary tube, and wherein said stent includes a primary reinforcing element and a branch reinforcing element intersecting the primary reinforcing element, the method including the step of adjusting the orientation of the stent based upon the determined disposition of the stent so that the primary reinforcing element is disposed in said primary tube whereas the branch reinforcing element is disposed in said branch of said tubular element.

5. A method as claimed in claim 3 wherein said tubular structure includes a plurality of tubular branches intersecting said primary tube, and wherein said stent includes a primary reinforcing element and a plurality of branch reinforcing elements, the method including the step of adjusting the orientation of the stent based upon the determined disposition of the stent so that the primary reinforcing element is disposed in said primary tube whereas each branch reinforcing element is disposed in one of said tubular branches.

6. A method as claimed in claim 5 wherein said tubular structure is Y-shaped.

7. A method as claimed in claim 5 wherein said tubular structure is a structure of the vascular system or the respiratory system.

8. A method as claimed in claim 1 wherein said tubular structure is a structure of the vascular system, the digestive tract or the respiratory system.

9. A method as claimed in claim 1 wherein said step of determining the disposition of the stent relative to the patient includes the step of superposing a representation of the stent or the probe on an image of the patient.

10. A method as claimed in claim 9 wherein said determining step includes the step of transmitting said one or more fields between each said internal field transducer and one or more additional field transducers defining a locating frame of reference, determining the disposition of the probe in said locating frame of reference and transforming said disposition of said probe and said image into a common frame of reference.

11. A method as claimed in claim 10 wherein said one or more additional field transducers include at least one external field transducer mounted outside of the patient'"'"'s body.

12. A method as claimed in claim 1 wherein said internal field transducer is mounted on said stent and said internal field transducer remains on the stent within the patient'"'"'s body after the stent is released from the probe.

13. A method as claimed in claim 12 further comprising the step of determining the disposition of the stent after the stent had been released by transmitting one or more fields to or from said internal transducer.