Prosthesis delivery systems and methods

• US 7,147,657 B2
• Filed: 10/23/2003
• Issued: 12/12/2006
• Est. Priority Date: 10/23/2003
• Status: Active Grant

• Current Assignee: Medtronic Vascular, Inc. (Medtronic Plc)
• Original Assignee: Aptus Endosystems Inc. (Medtronic Plc)
• Inventors: Bolduc, Lee, Chiang, Andrew L.
• Primary Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US10/692,283
• Publication Number:
  US 20050090834A1
• Time in Patent Office: 1,146 Days
• Field of Search: 606191-198, 623/1.1, 623/1.11, 623/1.12, 623/1.13, 623/1.2, 623/1.23
• US Class Current: 623/1.11
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2/9661 the proximal portion of the stent or stent-graft is released first
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2002/9665 with additional retaining means
• CPC Class Codes: A61F 2220/0075 sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable

Abstract

Apparatus and method deliver a prosthesis into a hollow body organ or blood vessel. The systems and methods make use of a catheter. A carrier on the distal end of the catheter is sized and configured to carry the prosthesis. A release mechanism and an enclosure mechanism on the distal end are operable to retain and enclose the prosthesis on the carrier. The release mechanism and the enclosure mechanism are also operable to selectively expose and release the prosthesis from the carrier for deployment in the hollow body organ or blood vessel.

Claims

1. A method for deploying an endovascular prosthesis comprising

(i) providing a self-expanding prosthesis for deployment in a blood vessel, the prosthesis having a distal end and a proximal end, the prosthesis being adapted to self expand from a radially reduced configuration to a radially enlarged configuration,

(ii) providing an apparatus comprising a catheter sized and configured for introduction into a blood vessel, the catheter having a distal end, a carrier on the distal end sized and configured to carry the prosthesis, a tapered outer sheath tapered between a larger distal diameter and a smaller proximal diameter and movable between an advanced position enclosing the prosthesis when in the radially reduced configuration and a withdrawn position free of the prosthesis permitting self expansion of the prosthesis into the radially enlarged configuration, a release mechanism operable to retain the distal end of the prosthesis on the carrier in the radially reduced configuration when the tapered outer sheath is in the withdrawn position, the release mechanism also being operable to selectively release the distal end of the prosthesis from the carrier, and at least one actuator coupled to the release mechanism and the tapered outer sheath to selectively operate the release mechanism and move the tapered outer sheath,

(iii) operating the release mechanism to retain the distal end of the prosthesis on the carrier in the radially reduced configuration,

(iv) moving the tapered outer sheath to the advanced position to enclose the prosthesis on the carrier in the radially reduced configuration

(v) after steps (iii) and (iv) introducing the catheter into a region of the blood vessel targeted for deployment of the prosthesis,

(vi) after step (v), moving the tapered outer sheath to the withdrawn position without operating the release mechanism,

(vii) only after step (vi), operating the release mechanism to release the distal end of the prosthesis from the carrier, and

(viii) fastening the prosthesis to body tissue within the blood vessel.

2. A method according to claim 1

wherein the prosthesis comprises a stent structure.

3. A method according to claim 1

wherein a region of the prosthesis is sized and configured to receive a fastening element to secure the prosthesis to body tissue.