Stent delivery system having stent securement means

• US 6,391,032 B2
• Filed: 08/31/1999
• Issued: 05/21/2002
• Est. Priority Date: 08/23/1996
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Blaeser, David J., Lorentzen Cornelius, Linda R., Willard, Martin R.
• Primary Examiner(s): YU, JUSTINE ROMANG
• Application Number:
  US09/387,179
• Publication Number:
  US 20010029378A1
• Time in Patent Office: 994 Days
• Field of Search: 606/108, 606/195, 606/194, 606/198, 604/96
• US Class Current: 606/108
• 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 25/10184 Means for controlling or monitoring inflation or deflation
• CPC Class Codes: A61M 25/104 used for angioplasty

Abstract

A stent delivery system to facilitate introduction and placement of a stent, including a catheter having an expandable distal portion constructed and arranged for expanding the outer diameter of the catheter from a contracted state to an expanded state: a stent positioned around the distal portion of the catheter having a contracted condition and being expandable to an expanded condition, and being sized in the contracted condition to closely surround the catheter in the contracted state, the expandable distal portion of the catheter including a balloon within which there is included on the catheter shaft at least one body of a diameter larger than the catheter shaft to which the stent and balloon are fitted, as by crimping, for holding the stent in place until it is released therefrom by expansion of the balloon and further including axially slidable sleeves over the stent in the unexpanded condition.

Claims

1. A stent delivery system used for delivering a stent of predetermined size comprising in combination:

a catheter having a shaft, the shaft having a diameter, and a expandable means associated therewith at a distal part of the shaft, the expandable means having an expanded state and a contracted state, the catheter further including mounting and retaining means providing a seat for supporting and receiving a stent on the expandable means for radial expansion of the stent of said predetermined size upon expansion of the expandable means, the mounting and retaining means including at least two axially spaced mounting bodies carried on the shaft inside the expandable means, whereby the diameter of the shaft, when the expandable means is in its contracted state, are increased at the distal part of the shaft for facilitating the mounting and retaining of the stent of said predetermined size, wherein when a stent of said predetermined size is crimped onto the catheter it will be seated over the at least two mounting bodies and wherein a portion of the stent of said predetermined size between the mounting bodies would be crimped to a lesser diameter than that of the mounting bodies when said stent of said predetermined size is crimped onto the catheter.

2. The stent delivery system of claim 1, wherein therein are three axially spaced mounting bodies wherein when a stent of said predetermined size is crimped onto the catheter it will be seated over the three mounting bodies, wherein a portion of the stent of said predetermined size between the mounting bodies would be crimped to a lesser diameter than that of the mounting bodies when said stent of said predetermined size is crimped onto the catheter.

3. The stent delivery system of claim 2, the system further comprising a first sleeve at the distal portion of the catheter, the sleeve having a first end attached to the catheter and a second end overlying an end portion of the stent of said predetermined size, wherein the sleeve releases the stent of said predetermined size upon expansion of the expandable means.

4. The stent delivery system of claim 3, further comprising a second sleeve in the distal part of the catheter positioned around the catheter, each sleeve having a first end attached to the catheter and a second end overlying the end portions of the stent of said predetermined size, the first and second sleeves separately overlapping the ends of the stent of said predetermined size on the expandable means before expansion thereof and upon expansion of the expandable means releasing the stent of said predetermined size.

5. The stent delivery system of claim 4 wherein the mounting bodies are of a material which resiliently deforms under radial pressure.

6. The stent delivery system of claim 4 wherein the mounting bodies are rings having an outer surface, wherein the outer surface of the rings have a substantially constant radius.

7. The stent delivery system of claim 4 wherein the mounting bodies have substantially squared off shoulders, wherein the stent of said predetermined size is crimped down over and around the shoulders.

8. The stent delivery of claim 3 wherein the mounting bodies are of a material which resiliently deforms under radial pressure.

9. The stent delivery system of claim 1, the system further comprising a first sleeve at the distal portion of the catheter, the sleeve having a first end attached to the catheter and a second end overlying an end portion of the stent of said predetermined size, wherein the sleeve releases the stent of said predetermined size upon expansion of the expandable means.

10. The stent delivery system of claim 9 wherein the mounting bodies are of a material which resiliently deforms under radial pressure.

11. The stent delivery system of claim 9, further comprising a second sleeve in the distal part of the catheter positioned around the catheter, each sleeve having a first end attached to the catheter and a second end overlying the end portions of the stent of said predetermined size, the first and second sleeves separately overlapping the ends of the stent of said predetermined size on the expandable means before expansion thereof and upon expansion of the expandable means releasing the stent of said predetermined size.

12. The stent delivery system of claim 11 wherein the mounting bodies are of a material which resiliently deforms under radial pressure.

13. The stent delivery of claim 11 wherein the mounting bodies have an outer surface, wherein the outer surface of the rings have a substantially constant radius.

14. The stent delivery system of claim 11 wherein the mounting bodies are rings having substantially squared off shoulders, wherein the stent of said predetermined size is crimped down over and around the shoulders.

15. The stent delivery system of claim 11 wherein the expandable means comprises a balloon.

16. The stent delivery system of claim 15 including marker bands positioned on the shaft proximally and distally of the stent of said predetermined size.

17. The stent delivery system of claim 11 wherein at least four spaced mounting bodies are included.

18. A stent delivery system comprising in combination:

a radially expandable stent of generally cylindrical configuration, the stent having a predetermined size, and

a catheter having a shaft, the shaft having a diameter, and an expandable means associated with the shaft at a distal part of the shaft, the expandable means having an expanded state and a contract state, the catheter further including mounting and retaining means for receiving the stent of said predetermined size on the expandable means for radial expansion of the stent of said predetermined size upon expansion of the expandable means, the mounting and retaining means including at least one mounting body, the at least one mounting body having a length and an outer surface diameter and being carried on the shaft inside the expandable means, the outer surface diameter of the at least one mounting body being substantially constant along its length, whereby the diameter of the shaft and expandable means, when the expandable means is in its contracted state, are increased at the distal part of the shaft for facilitating the mounting and retaining of the stent of said predetermined size, wherein the stent of said predetermined size is crimped onto the at least one mounting body, and further including

a sleeve at the distal portion of the catheter, the sleeve having a first end attached to the catheter and a second end overlying an end portion of the stent of said predetermined size, wherein, when the expandable means is expanded, the second end of the sleeve slides off from over the end portion of the stent, releasing the stent, while the first end of the sleeve remains relatively stationary relative to the shaft.

19. The stent delivery system of claim 18, further comprising a second sleeve in the distal part of the catheter positioned around the catheter, the second sleeve having a first end attached to the catheter and a second end overlying a second end portion of the stent of said predetermined size, the first and second sleeves separately overlapping the ends of the stent of said predetermined size on the expandable means before expansion thereof and upon expansion of the expandable means releasing the stent of said predetermined size.

20. The stent delivery system of claim 19, further comprising a second mounting body positioned on the shaft, within the expandable means and under the stent when the stent is mounted on the catheter.

21. The stent delivery system of claims 20, further comprising a third mounting body positioned on the shaft, within the expandable means and under the stent when the stent is mounted on the catheter.

22. The stent delivery system of claims 18, further comprising a second mounting body positioned on the shaft, within the expandable means and under the stent when the stent is mounted on the catheter.

23. The stent delivery system of claims 22, further comprising a third mounting body positioned on the shaft, within the expandable means and under the stent when the stent is mounted on the catheter.

24. The stent delivery system of claim 23 wherein at least four spaced mounting bodies are included.

25. The stent delivery of claims 22 wherein the mounting bodies are of a material which resiliently deforms under radial pressure.