Catheter and method for a stent delivery system

• US 6,019,777 A
• Filed: 04/21/1997
• Issued: 02/01/2000
• Est. Priority Date: 04/21/1997
• Status: Expired due to Term

• Current Assignee: Advanced Cardiovascular Systems Incorporated
• Original Assignee: Advanced Cardiovascular Systems Incorporated
• Inventors: Mackenzie, Andrew James
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Lewis, William W.
• Application Number:
  US08/840,495
• Time in Patent Office: 1,016 Days
• Field of Search: 606/1, 606/108, 606/191, 606/194, 606/195, 606/198, 606/200, 623/1, 623/12
• US Class Current: 606/198
• CPC Class Codes: A61F 2/91 made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/826 more than one stent being applied sequentially

Abstract

An apparatus and method for deploying one or more stents within a body lumen comprises a catheter (such as a dilatation catheter) having a detachable proximal portion. Detaching the proximal portion from the catheter shaft allows a substantially tubular sheath to be slidably received over the proximal end of the catheter shaft. The tubular sheath has one or more substantially tubular stents positioned in a delivery configuration over a distal portion of the sheath. The sheath preferably has a proximal portion that is resistant to compressive forces, so that a user may advance the sheath along the catheter by pushing the sheath proximal end, thereby positioning the stent or stents at a desired deployment location within the body lumen. With the stents in position, the catheter proximal portion can be attached to the catheter shaft, and the stents can be deployed at the desired position. After the stents have been deployed, the catheter proximal hub can be removed, the first sheath slidably removed from the catheter shaft, a second sheath (containing additional stents) slidably introduced over the catheter shaft, the catheter proximal hub reattached, and the additional stents deployed. Thus, multiple stents can be deployed without necessitating removal of the catheter shaft until the procedure is completed.

Claims

1. A method for deploying one or more stents in a body lumen, the method comprising the steps of:

(a) introducing a catheter shaft into a body lumen;

(b) positioning a first stent about a distal end portion of a first tubular sheath, the first stent being configured in a delivery configuration;

(c) slidably passing the first tubular sheath over a proximal end of the catheter shaft, thereby introducing the first tubular sheath into the body lumen;

(d) positioning the first stent at a first desired location within the body lumen;

(e) securing a detachable proximal hub to the proximal end of the catheter shaft; and

(f) deploying the first stent at the first desired location, wherein said first stent assumes a deployed configuration.

2. The method of claim 1, including, prior to step (c) but after step (a), the further step of:

(g) removing a detachable proximal hub from a proximal end of the catheter shaft.

3. The method of claim 1, wherein the catheter includes an expandable member at the catheter shaft distal end, and wherein step (a) comprises the further step of:

(h) positioning the expandable member at the first desired position within the body lumen.

4. The method of claim 3, wherein step (d) comprises the step of:

(i) sliding the first tubular sheath over the catheter shaft until the first stent is positioned over the expandable member; and

wherein step (f) includes the further step of;

(j) expanding the expandable member to deploy the first stent.

5. The method of claim 4, wherein the step of expanding the expandable member to deploy the first stent simultaneously dilates the body lumen.

6. The method of claim 3, further comprising the step of:

(k) dilating the body lumen with the expandable member.

7. The method of claim 1, comprising, after step (f), the further steps of:

(l) removing the detachable proximal hub from the catheter shaft;

(m) slidably removing the first tubular sheath from the catheter shaft;

(n) positioning a second stent about a distal end portion of a second tubular sheath, the second stent being configured in a delivery configuration;

(o) slidably passing the second tubular sheath over the proximal end of the catheter shaft, thereby introducing the second tubular sheath into the body lumen;

(p) positioning the second stent at a second desired location within the body lumen;

(q) securing the detachable proximal hub to the proximal end of the catheter shaft; and

(r) deploying the second stent at the second desired location, wherein said second stent assumes a deployed configuration.

8. The method of claim 7, wherein steps (l) through (r) are repeated for additional sheaths and stents.