System for delivering bifurcation stents

• US 6,514,281 B1
• Filed: 09/04/1998
• Issued: 02/04/2003
• Est. Priority Date: 09/04/1998
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Blaeser, David J., Mattison, Richard C.
• Primary Examiner(s): Thaler; Michael H.
• Application Number:
  US09/148,179
• Time in Patent Office: 1,614 Days
• Field of Search: 606/1,108,194,195,198 623/12,1.35,1.11,1.12,123
• US Class Current: 623/1.12
• 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
• CPC Class Codes: A61F 2002/067 modular
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2002/9623 the sleeve being reinforced

Abstract

A stent deployment system includes a tubular member having a first end and a second end and a generally longitudinal opening between the first and second ends. The tubular member has an inner periphery sized to receive a stent therein. A plurality of apertures are disposed on opposite sides of the generally longitudinal opening. An elongate retainer is removably receivable within the apertures to retain the stent in the tubular member and to release the stent from the tubular member when removed from the apertures.

Claims

1. A stent deployment system, comprising:

a tubular member having a first end and a second end and a generally longitudinal opening between the first and second ends, the tubular member having an inner periphery sized to receive a stent therein and further comprising

a first branch portion,

a second branch portion, and

a trunk portion coupled to the first and second branch portions;

a stent received within the inner periphery of the tubular member;

a plurality of apertures disposed on the tubular member; and

an elongate retainer removably receivable within the apertures to retain the stent in the tubular member and to release the stent from the tubular member when removed from the apertures.

2. The stent deployment system of claim 1 wherein the first and second branch portions each include a generally longitudinal opening with a plurality of apertures disposed on opposite sides thereof and wherein the retainer includes a first elongate portion removably receivable within the apertures on the first branch portion and a second elongate portion removably receivable within the apertures on the second branch portion.

3. The stent deployment system of claim 2 wherein the first and second branch portions have distal ends and are biased in an expanded position in which the distal ends tend to separate from one another.

4. The stent deployment system of claim 3 wherein the retainer is configured to selectively retain the first and second branch portions in a collapsed position in which the distal ends thereof are located closely proximate one another.

5. The stent deployment system of claim 4 wherein the retainer includes a third elongate portion removably receivable within the apertures on the first and second branch portions to retain the first and second branch portions in the collapsed position.

6. The stent deployment system of claim 1 and further comprising:

a plurality of rings fixedly connected to the tubular member and defining the plurality of apertures.

7. The stent deployment system of claim 6 and further comprising:

a plurality of support members having first and second ends and an elongate portion, the elongate portion extending around the tubular member and each of the ends being fixedly coupled to one of the plurality of rings.

8. The stent deployment system of claim 7 wherein the tubular member includes a wall portion and wherein the support members are embedded in the wall portion of the tubular member.

9. The stent deployment system of claim 1 wherein the tubular member comprises:

a first elongate tube having a first trunk portion and a first branch portion; and

a second elongate tube having a second trunk portion and a second branch portion, the first and second trunk portions being connected to one another to form a single trunk, and the first and second branch portions being pre-formed in an expanded formation in which the first and second branch portions tend to diverge from one another.

10. The stent deployment system of claim 1 wherein the tubular member comprises:

a coextruded, dual lumen tube having first and second separated branch portions and a single lumen trunk portion.

11. The stent deployment system of claim 1 wherein the tubular member comprises:

a single sheet of material pre-formed into a bifurcated tubular member having a trunk portion and first and second branch portions.

12. The stent deployment system of claim 1 wherein the tubular member comprises:

a trunk portion and first and second branch portions sized to receive a bifurcated stent therein, and wherein the retainer includes a single elongate member removable from the apertures to release the bifurcated stent from the first and second branch portions and the trunk portion.

13. The stent deployment system of claim 1 wherein the tubular member comprises:

a single sheet of pliable material foldable into a stent receiving shape having a trunk portion and first and second branch portions, the longitudinal opening being disposed at least on the trunk portion when the sheet is folded into the stent receiving shape.

14. The stent deployment system of claim 1 and further comprising:

an elongate delivery member configured for delivery of the tubular member through vasculature to a stent deployment site.

15. The stent deployment system of claim 1 and further comprising:

an elongate removal member, coupled to the tubular member, and actuable to remove the tubular member from a deployment site at which the stent is deployed.

16. A stent deployment system, comprising:

a sheet of pliable material foldable into a stent receiving shape having a trunk portion and first and second branch portions; and

a retainer disposed relative to the sheet to selectively retain the sheet in the stent receiving shape and release the sheet from the stent receiving shape.

17. The stent deployment system of claim 16 wherein the sheet includes a plurality of apertures arranged to be generally aligned with one another when the sheet is in the stent receiving shape and wherein the retainer includes an elongate member receivable within the apertures to maintain the sheet in the stent receiving shape and removable from the apertures to release the sheet from the stent receiving shape.

18. A stent deployment system, comprising:

a first branch sheath sized to receive a stent;

a second branch sheath sized to receive a stent; and

an elongate deployment actuator, coupled to the first and second branch sheaths and actuable to move the first and second branch sheaths from a stent retaining position to a stent deploying position.

19. The stent deployment system of claim 18 and further comprising:

a trunk sheath sized to receive a stent and coupled to the elongate stent deployment actuator, the elongate stent deployment actuator being actuable to move the trunk sheath from a stent retaining position to a stent deploying position.

20. The stent deployment system of claim 19 and further comprising:

a stent having a trunk portion disposed within the trunk sheath and first and second branch portions disposed within the first and second branch sheaths, respectively, the stent being movable between a low profile delivery position and an expanded deployed position.

21. The stent deployment system of claim 20 wherein the elongate deployment actuator comprises:

a first elongate member coupled to the trunk sheath; and

an elongate branch deployment actuator coupled to the first and second branch sheaths.

22. The stent deployment system of claim 21 wherein the elongate branch deployment actuator comprises:

a second elongate member coupled to the first branch sheath; and

a third elongate member coupled to the second branch sheath.

23. The stent deployment system of claim 21 wherein the elongate branch deployment actuator comprises:

a first elongate portion extending within the first branch sheath and coupled to a distal end thereof; and

a second elongate portion extending within the second branch sheath and coupled to a distal end thereof.

24. The stent deployment system of claim 23 wherein the first and second branch sheaths are sized to be withdrawn through the stent when the stent is in the deployed position.

25. The stent deployment system of claim 20 wherein the stent comprises:

a single bifurcated stent.

26. The stent deployment system of claim 20 wherein the trunk portion and the first and second branch portions each comprise separate stents.

27. The stent deployment system of claim 20 wherein the first and second branch portions comprise:

a single articulated stent.

28. A method of deploying a stent at a stent deployment site in a bifurcation within vasculature, the method comprising:

providing a stent having first and second branch portions disposed within first and second branch sheaths;

advancing the first and second branch sheaths, with the first and second branch portions of the stent disposed therein, within the bifurcation;

advancing the first and second branch sheaths distally off of the first and second branch portions of the stent exposing the branch portions of the stent to the vasculature; and

deploying the first and second branch portions in the bifurcation.

29. The method of claim 28 wherein the stent includes a trunk portion coupled to the first and second branch portions of the stent and disposed within a trunk sheath, and further comprising:

withdrawing the trunk sheath proximally of the trunk portion of the stent exposing the trunk portion of the stent to the vasculature; and

deploying the trunk portion of the stent.

30. The method of claim 39 and further comprising:

withdrawing the first and second branch sheaths proximally through the deployed first and second branch portions of the stent.

31. The method of claim 30 and further comprising:

withdrawing the first and second branch sheaths proximally through the deployed trunk portion of the stent.