Stent delivery system having stent securement apparatus

• US 5,968,069 A
• Filed: 08/22/1997
• Issued: 10/19/1999
• Est. Priority Date: 08/23/1996
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Blaeser, David J., Mattison, Richard C., Dusbabek, Andrew J., Euteneuer, Charles L., Larson, Christopher R., Di Caprio, Fernando, Nordin, Stanley A., Ellis, Louis G., Lorentzen Cornelius, Linda R., Willard, Martin R., Brown, Terry V., Mertens, Steven P.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Trinh, Vikki
• Application Number:
  US08/916,554
• Time in Patent Office: 788 Days
• Field of Search: 606/191-198, 606/108, 623/1, 623/12, 604/96, 604/104, 604/280, 604/282, 604/273
• US Class Current: 606/194
• CPC Class Codes: A61F 2/9522 Means for mounting a stent or stent-graft onto or into a placement instrument
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/9583 Means for holding the stent on the balloon, e.g. using protrusions, adhesives or an outer sleeve
• CPC Class Codes: A61F 2002/9586 the means being inside the balloon
• CPC Class Codes: A61M 2025/1013 with concentrically mounted balloons, e.g. being independently inflatable
• CPC Class Codes: A61M 2025/1063 having only one lumen used for guide wire and inflation, e.g. to minimise the diameter
• CPC Class Codes: A61M 2025/1079 having radio-opaque markers in the region of the balloon
• CPC Class Codes: A61M 2025/1081 having sheaths or the like for covering the balloon but not forming a permanent part of the balloon, e.g. retractable, dissolvable or tearable sheaths
• CPC Class Codes: A61M 2025/1093 having particular tip characteristics
• CPC Class Codes: A61M 25/1011 Multiple balloon catheters
• CPC Class Codes: A61M 25/1018 Balloon inflating or inflation-control devices
• CPC Class Codes: A61M 25/10182 Injector syringes
• CPC Class Codes: A61M 25/10184 Means for controlling or monitoring inflation or deflation
• CPC Class Codes: A61M 25/10186 One-way valves
• CPC Class Codes: A61M 25/104 used for angioplasty

Abstract

A system/assembly for delivery and deployment of an inflation expandable stent within a vessel, comprising a catheter having proximal and distal ends; a stent, inflation expandable from a delivery diameter to a deployment diameter, such that the delivery diameter is reduced from the deployment diameter for conforming the stent to the catheter, such that the stent, in its delivery diameter, is coaxially mounted on the catheter near the catheter distal end; an expandable inflation means coaxially mounted on the catheter axially within the stent, for expansion of the stent from the delivery diameter to the deployment diameter upon application of fluid deployment pressure to the inflation means; and a securement component coaxially mounted on the catheter, axially within the expandable inflation means, the securement component designed and adapted to provide a securement pressure to the stent in the delivery diameter to maintain the stent in position on the catheter during delivery to the deployment site.

Claims

1. A system/assembly for delivery and deployment of an inflation expandable stent within a vessel, comprising:

a catheter having proximal and distal ends;

a stent, inflation expandable from a delivery diameter to a deployment diameter, such that the delivery diameter is reduced from the deployment diameter for conforming the stent to the catheter, such that the stent, in its delivery diameter, is coaxially mounted on the catheter near the catheter distal end;

an expandable inflation means coaxially mounted on the catheter within the stent, for expansion of the stent from the delivery diameter to the deployment diameter upon application of fluid deployment pressure to the expandable inflation means; and

a mounting and retaining means coaxially mounted on the catheter within the expandable inflation means, the mounting and retaining means designed and adapted to provide a securement pressure to the stent in the delivery diameter to maintain the stent in position on the catheter during delivery to the deployment site,

the catheter having a shaft and the expandable inflation means being positioned at a distal part of the shaft, the mounting and retaining means being positioned for receiving the stent on the expandable inflation means for radial expansion of the stent upon expansion of the expandable inflation means, the mounting and retaining means including at least one enlarged mounting body carried on the shaft inside the expandable inflation means whereby the diameter of the shaft and expandable inflation means are increased at the distal part for facilitating the mounting and retaining of the stent, and further including

a first sleeve at the distal end of the catheter, having a first end gripped to the catheter and a second end overlying an first end portion of the stent, the sleeve releasing the stent upon expansion of the expandable inflation means.

2. The system of claim 1, wherein at least two spaced enlarged mounting bodies are included.

3. The system of claim 1 wherein at least three spaced enlarged mounting bodies are included.

4. The system of claim 1 wherein at least four spaced mounting bodies are included.

5. The system of claim 1, further comprising a second sleeve at the distal end of the catheter, having a first end gripped to the catheter and a second end overlying a second end portion of the stent, the sleeves releasing the stent upon expansion of the expandable inflation means.

6. The stent delivery system of claim 2 further comprising a second sleeve at the distal end of the catheter, having a first end gripped to the catheter and a second end overlying a second end portion of the stent, the sleeves releasing the stent upon expansion of the expandable inflation means.

7. The stent delivery system of claim 6 wherein the expandable inflation means comprises a balloon.

9. The system according to claim 3 further including

a second sleeve at the distal end of the catheter, having a first end gripped to the catheter and a second end overlying a second end portion of the stent, the sleeves releasing the stent upon expansion of the expandable inflation means.

10. The stent delivery system of claim 6 wherein the enlarged mounting bodies are of a material which resiliently deforms under radial pressure.

11. The stent delivery system of claim 10 wherein the material is elastomeric.

12. The stent delivery system of claim 10 wherein the material comprises polyurethane.

13. The stent delivery system of claim 6 wherein the stent is crimped to the mounting and retaining means for delivery.

14. The stent delivery system of claim 6 including marker bands positioned on the shaft proximally and distally of the stent.

15. The stent delivery system of claim 6 wherein the expandable inflation means comprises a balloon.

8. A system/assembly for delivery and deployment of an inflation expandable stent within a vessel, comprising:

a catheter having proximal and distal ends;

a stent, inflation expandable from a delivery diameter to a deployment diameter, such that the delivery diameter is reduced from the deployment diameter for conforming the stent to the catheter, such that the stent, in its delivery diameter, is coaxially mounted on the catheter near the catheter distal end;

an expandable inflation means coaxially mounted on the catheter within the stent, for expansion of the stent from the delivery diameter to the deployment diameter upon application of fluid deployment pressure to the expandable inflation means; and

a mounting and retaining means coaxially mounted on the catheter within the expandable inflation means, the mounting and retaining means designed and adapted to provide a securement pressure to the stent in the delivery diameter to maintain the stent in position on the catheter during delivery to the deployment site, the mounting and retaining means comprising at least one mounting body carried by the catheter at the distal end portion, the expandable inflation means comprising an expandable balloon coaxially mounted over the catheter distal end and the mounting body, the balloon being expandable from a contracted to an expanded state, the stent having an end portion overlying the balloon, the assembly further comprising;

first and second cups coaxially mounted on the catheter distal end, each cup having a first end portion overlying a stent end portion, respectively, the cups constructed and arranged to retain the stent therebetween on the catheter in the stent reduced condition when the balloon is in the contracted state, the balloon and catheter cooperatively constructed and arranged to cause expansion of the balloon from the contracted to the expanded state to cause expansion of the stent, including the stent end portions, from the reduced to the enlarged condition, and thereby release the stent from abutting the cup end portions.

16. A system/assembly for delivery and deployment of an inflation expandable stent within a vessel, comprising:

a catheter having proximal and distal ends;

a stent, inflation expandable from a delivery diameter to a deployment diameter, such that the delivery diameter is reduced from the deployment diameter for conforming the stent to the catheter, such that the stent, in its delivery diameter, is coaxially mounted on the catheter near the catheter distal end;

an expandable inflation means coaxially mounted on the catheter within the stent, for expansion of the stent from the delivery diameter to the deployment diameter upon application of fluid deployment pressure to the expandable inflation means; and

a mounting and retaining means coaxially mounted on the catheter within the expandable inflation means, the mounting and retaining means designed and adapted to provide a securement pressure to the stent in the delivery diameter to maintain the stent in position on the catheter during delivery to the deployment site,

the catheter having a shaft and the expandable inflation means being positioned at a distal part of the shaft, the mounting and retaining means being positioned for receiving the stent to be delivered upon expansion of the inflatable means, the mounting and retaining means including at least one ring-shaped body inside the expandable inflation means and carried by the shaft, and the stent crimped to the expandable inflation means and the mounting body such that the stent is carried on the shaft and mounting body until expansion of the stent and expandable inflation means, the system further comprising a first and second sleeve in the distal part of the catheter positioned around the catheter, each having a first end gripped to the catheter and a second end overlying first and second end portions of the stent respectively, the first and second sleeves separately holding the stent before expansion thereof and upon expansion of the expandable inflation means and stent releasing the stent by sliding axially from over the stent.

17. The stent delivery system of claim 16 wherein the stent is generally tubular in shape and the mounting body is generally ring-shaped.

18. The stent delivery system of claim 16 wherein at least two spaced mounting bodies are included.

19. The stent delivery system of claim 16 wherein at least three spaced mounting bodies are included.

20. The stent delivery system of claim 16 wherein at least four spaced mounting bodies are included.

21. A system/assembly for delivery and deployment of an inflation expandable stent within a vessel, comprising:

a catheter having proximal and distal ends;

a stent, inflation expandable from a delivery diameter to a deployment diameter, such that the delivery diameter is reduced from the deployment diameter for conforming the stent to the catheter, such that the stent in its delivery diameter, is coaxially mounted on the catheter near the catheter distal end;

an expandable inflation means coaxially mounted on the catheter within the stent, for expansion of the stent from the delivery diameter to the deployment diameter upon application of fluid deployment pressure to the expandable inflation means; and

a mounting and retaining means coaxially mounted on the catheter within the expandable inflation means, the mounting and retaining means designed and adapted to provide a securement pressure to the stent in the delivery diameter to maintain the stent in position on the catheter during delivery to the deployment site, the catheter comprising a shaft, the expandable inflation means comprising a balloon positioned at a distal portion of the shaft for receiving a stent, and means for inflating the balloon, the mounting and retaining means including at least one ring-like mounting body carried on the shaft inside the balloon whereby the diameter of the shaft is increased inside the balloon to facilitate mounting of a stent to the catheter over the balloon and further including, the system further comprising a first and second sleeve in the distal part of the catheter positioned around the catheter, each having a first end gripped to the catheter and a second end overlying first and second end portions of the stent respectively, the first and second sleeves separately holding the stent before expansion thereof and upon expansion of the expandable inflation means and stent releasing the stent by sliding axially from over the stent.