Delivery system and method for expandable intracorporeal device

• US 7,066,951 B2
• Filed: 04/17/2003
• Issued: 06/27/2006
• Est. Priority Date: 02/02/2000
• Status: Expired due to Term

• Current Assignee: Endologix
• Original Assignee: Trivascular Incorporated
• Inventors: Chobotov, Michael V.
• Primary Examiner(s): SNOW, BRUCE EDWARD
• Application Number:
  US10/419,312
• Publication Number:
  US 20030220681A1
• Time in Patent Office: 1,167 Days
• Field of Search: 623/1.11, 623/1.12, 623/1.25, 606/108, 606/194, 606/195
• US Class Current: 623/1.12
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/88 the wire-like elements formed as helical or spiral coils forming a net-like or mesh-like structure A61F2/90
• CPC Class Codes: A61F 2/89 the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2230/0054 V-shaped

Abstract

A catheter for delivery of an expandable intracorporeal device and method of using the catheter. The catheter may have an elongate shaft with a proximal section, distal section, proximal end and distal end. The distal section has a radially expandable shear barrier which is at least partially radially constrained by an outer radially constraining section. An expandable intracorporeal device, specifically an expandable endovascular graft, is disposed within an inner space within the radially expandable shear barrier. The catheter is guided to a desired site within a patient'"'"'s body and the radial constraint of the outer radially constraining section is at least partially removed from the radially expandable shear barrier so as to allow the shear barrier and expandable intracorporeal device to expand and deploy. Typically, the radial constraint of the outer radially constraining section is carried out by relative axial movement between the outer radially constraining section and the radially expandable shear barrier.

Claims

1. A method for deploying an expandable intracorporeal device within a patient'"'"'s body comprising:

a) providing a catheter system including;

an elongate shaft having a proximal section, a distal section, a proximal end and a distal end,

the distal section of the elongate shaft comprising a radially expandable shear barrier disposed about an inner space of the elongate shaft configured to accept the expandable intracorporeal device in a collapsed state,

an outer radially constraining section which is disposed about and radially constrains at least a portion of the radially expandable shear barrier,

the expandable intracorporeal device disposed within the inner space of the radially expandable shear barrier, the expandable intracorporeal device comprising an injection port in fluid communication with an inflatable portion of the expandable intracorporeal device, and

an injection lumen which is disposed within the inner space of the elongate shaft, wherein the injection lumen is configured to be removably coupled to the injection port;

b) introducing the distal end of the catheter system into the patient'"'"'s body;

c) advancing the catheter system to a desired site within the patient'"'"'s body;

d) initiating relative axial movement between the radially expandable shear barrier and the outer constraining section to at least partially remove the radial constraint on the radially expandable shear barrier sufficiently for the expandable intracorporeal device to expand and deploy at the desired site, and

e) injecting an inflation material through the injection lumen and into the injection port.

2. The method of claim 1 wherein the expandable intracorporeal device disposed within the inner space of the radially expandable shear barrier comprises an expandable endovascular device.

3. The method of claim 2 wherein the expandable endovascular device disposed within the inner space of the radially expandable shear barrier comprises an expandable endovascular graft.

4. The method of claim 1 wherein the radially expandable shear barrier comprises a slitted tubular section and the outer radially constraining section comprises an outer tubular section.

5. The method of claim 4 wherein the relative axial movement between the slitted inner tubular section and the outer tubular section comprises axially withdrawing the outer tubular section from the slitted tubular section in a proximal direction.

6. The method of claim 4 wherein the expandable intracorporeal device comprises an expandable endovascular graft having an expandable anchor portion disposed within an inner lumen of the outer tubular section distal of a distal end of the slitted inner tubular section prior to initiation of relative axial movement between the slitted inner tubular section and the outer tubular section.

7. The method of claim 1 wherein a maximum outside transverse dimension of the distal section of the elongate shaft is about 2.5 to about 6 mm prior to initiation of relative axial movement between the radially expandable shear barrier and the outer constraining section.

8. The method of claim 1 wherein a maximum outside transverse dimension of the distal section of the elongate shaft is about 2.5 to about 3.5 mm prior to initiation of relative axial movement between the radially expandable shear barrier and the outer constraining section.

9. A method for deploying an expandable endovascular graft within a patient'"'"'s body comprising:

providing a catheter system including;

an elongate shaft having a proximal section, a distal section, a proximal end and a distal end,

the distal section of the elongate shaft comprising a radially expandable shear barrier disposed about an inner space configured to accept the expandable endovascular graft in a collapsed state,

an outer radially constraining section which is disposed about and radially constrains at least a portion of the radially expandable shear barrier, and

an expandable endovascular grail disposed within the inner space of the radially expandable shear barrier, the endovascular grail comprising a distal inflatable cuff and a distal anchor member;

introducing the distal end of the catheter system into the patient'"'"'s vasculature;

advancing the catheter system to a desired site within the patient'"'"'s vasculature;

initiating relative axial movement between the radially expandable shear barrier and the outer constraining section to a least partially remove the radial constraint on the radially expandable shear barrier;

initiating radial expansion of the distal anchor member so as to contact the inside surface of the patient'"'"'s vasculature, and

initiating radial expansion of the distal inflatable cuff.

10. The method of claim 9 wherein the outer radially constraining section comprises an outer tubular section.

11. The method of claim 9 wherein the relative axial movement between the radially expandable shear barrier and the outer constraining section comprises axially withdrawing the outer constraining section from the radially expandable shear barrier in a proximal direction.

12. The method of claim 9 wherein a maximum outside transverse dimension of the distal section of the elongate shaft is about 2.5 to about 6 mm prior to initiation of relative axial movement between the radially expandable shear barrier and the outer constraining section.