Insertion device for stents and methods for use

• US 6,517,569 B2
• Filed: 03/20/2001
• Issued: 02/11/2003
• Est. Priority Date: 09/14/1998
• Status: Expired due to Fees

• Current Assignee: Endocare Inc. (Siemens AG)
• Original Assignee: Endocare Inc. (Siemens AG)
• Inventors: Eum, Jay J., Mikus, Paul W., Kelly, Gregory, Bui, Dennis
• Primary Examiner(s): Milano, Michael J.
• Assistant Examiner(s): HO, UYEN T
• Application Number:
  US09/813,118
• Publication Number:
  US 20020062129A1
• Time in Patent Office: 693 Days
• Field of Search: 623/1.11, 623/1.1, 623/1.23, 623/23.7, 623/23.64, 623/1.12, 606/190-195, 606/108, 606/200, 606/198
• US Class Current: 623/1.11
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61M 2210/166 Prostate
• CPC Class Codes: A61M 25/0068 Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
• CPC Class Codes: A61M 25/0662 Guide tubes
• CPC Class Codes: A61M 25/0668 splittable, tear apart
• CPC Class Codes: A61M 29/00 Dilators with or without means for introducing media, e.g. remedies instruments for performing visual medical inspections of cavities or tubes of the body A61B1/00

Abstract

Two embodiments for a stent delivery catheter are disclosed. In the first embodiment, the stent delivery catheter comprises an outer sheath, a peel-away sheath, and an inner sheath. In the second embodiment, the stent delivery catheter comprises an outer sheath and an inner tubular member which distally ends in a tongue having an arcuate cross section.

Claims

1. A stent delivery catheter, comprising:

an outer sheath having a distal and proximal end and a lumen therethrough;

a peel-away sheath having a distal and proximal end and a lumen therethrough, said peel-away sheath slidably disposed within the lumen of said outer sheath, said peel-away sheath possessing at least one slit extending longitudinally from the distal end of said peel-away sheath and ending substantially at the proximal end of said peel-away sheath; and

an inner sheath having a distal and proximal end and a lumen therethrough, said inner sheath slidably disposed within the lumen of said peel-away sheath, said inner sheath having a distal portion proximally extending from the distal end of said inner sheath to a proximal end of said distal portion, said distal portion adapted to receive at least a portion of a stent.

2. The stent delivery catheter of claim 1, wherein said distal portion of said inner sheath includes at least two slits extending longitudinally from the distal end of said distal portion and ending at the proximal end of said distal portion whereby said distal portion is capable of enclosing a proximal portion of a stent.

3. The stent delivery catheter of claim 1, wherein said distal portion of said inner sheath comprises a tongue having an arcuate cross section whereby said tongue receives a proximal portion of a stent.

4. The stent delivery catheter of claim 1, wherein said inner sheath includes luer ports and wherein said inner sheath is optically clear.

5. The stent delivery catheter of claim 1, further comprising:

a stent having a proximal portion received by said distal portion of said inner sheath, said stent having a distal end, said stent being disposed within the lumen of said peel-away sheath whereby the distal end of said stent, the distal end of said peel-away sheath, and the distal end of said outer sheath are substantially aligned, and wherein said peel-away sheath has a proximal extension proximally extending from the proximal end of said outer sheath, and wherein said inner sheath has a proximal extension proximally extending from the proximal end of said peel-away sheath;

at least one restrainer clamped about said proximal extension of said peel-away sheath whereby said outer sheath is prevented from proximal displacements with respect to said peel-away sheath; and

at least one restrainer clamped about said proximal extension of said inner sheath whereby said peel-away sheath is prevented from proximal displacements with respect to said inner sheath.

6. A method of placing a stent within a prostatic urethra, said method comprising:

providing a stent delivery catheter comprising;

an outer sheath having a distal and a proximal end and a lumen therethrough;

a peel-away sheath having a distal and a proximal end and a lumen therethrough, said peel-away sheath slidably disposed within the lumen of said outer sheath;

said peel-away sheath possessing at least one slit extending longitudinally from the distal end of said peel-away sheath and ending substantially at the proximal end of said peel-away sheath;

an inner sheath having a distal and proximal end and a lumen therethrough, said inner sheath slidably disposed within the lumen of said peel-away sheath, said inner sheath having a distal portion proximally extending from the distal end of said inner sheath to a proximal end of said distal portion, said distal portion adapted to receive at least a portion of a stent;

a stent having a distal end and a proximal portion received by said distal portion of said inner sheath, said stent enclosed within the lumen of said peel-away sheath whereby the distal end of said stent is substantially aligned with the distal end of said peel-away sheath and with the distal end of said outer sheath, wherein said peel-away sheath has a proximal extension proximally extending from the proximal end of said outer sheath, and wherein said inner sheath has a proximal extension proximally extending from the proximal end of said peel-away sheath;

inserting the catheter through the urethra into the prostatic urethra;

proximally displacing the outer sheath with respect to said peel-away sheath along the proximal extension of the peel-away sheath whereby a distal portion of the outer sheath is exposed within the prostatic urethra;

distally displacing the inner sheath with respect to the peel-away sheath along the proximal extension of the inner sheath whereby a distal portion of the stent is deployed within the prostatic urethra and resists further displacement; and

proximally retracting the inner sheath and the peel-away sheath from the stent whereby the stent is fully deployed within the prostatic urethra.

7. The method of claim 6, wherein said stent delivery catheter further comprises at least one restrainer clamped along the proximal extension of the peel-away sheath;

at least one restrainer clamped along the proximal extension of the inner sheath; and

wherein said method further comprises;

removing all restrainers from the proximal extension of the peel-away sheath prior to the proximal displacement of the outer sheath with respect to the peel-away sheath; and

removing all restrainers from the proximal extension of the inner sheath prior to the distal displacement of the inner sheath with respect to the peel-away sheath.