Radiopaque catheter tip for enhanced delivery precision of a stent using a guidewire

• US 7,491,224 B2
• Filed: 12/29/2003
• Issued: 02/17/2009
• Est. Priority Date: 05/17/1999
• Status: Expired due to Fees

• Current Assignee: Advanced Cardiovascular Systems Incorporated
• Original Assignee: Advanced Cardiovascular Systems Incorporated
• Inventors: Harrison, William James, Ventura, Joseph A., Cox, Daniel L., Schultz, Michael D., Fitz, Matthew J.
• Primary Examiner(s): Pellegrino; Brian E.
• Application Number:
  US10/748,947
• Publication Number:
  US 20040158315A1
• Time in Patent Office: 1,877 Days
• Field of Search: 606/191, 606/192, 606/194, 606/198, 623/1.11, 623/1.12, 604/103.1, 604/529, 604/164.13
• US Class Current: 623/1.11
• CPC Class Codes: A61F 2/91 made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
• CPC Class Codes: A61F 2/915 with bands having a meander structure, adjacent bands being connected to each other
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2002/91516 the meander having a change in frequency along the band
• CPC Class Codes: A61F 2002/91533 characterised by the phase between adjacent bands
• CPC Class Codes: A61F 2002/91575 connected peak to trough
• CPC Class Codes: A61F 2230/0013 Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped

Abstract

The invention is directed to a self-expanding stent for implantation into a body lumen, such as an artery. The stent consists of a plurality of radially expandable cylindrical elements generally aligned on a common longitudinal stent axis and interconnected by a plurality of interconnecting members placed on the stent in a collinear arrangement such as to create at least one continuous spine which extends along the length of the stent. The invention is also directed to a stent delivery system for implantation of a stent in a vessel which includes an outer tubular member having a restraining sheath and an inner tubular member having a distal end which has a compressed stent mounted thereto. The proximal end of the inner tubular member is connected to a housing assembly which prevents the inner tubular member from moving when the outer tubular member is retracted to deploy the stent. The proximal end of the outer tubular member is attached to a pull-back handle which is slidably mounted on the base of the housing assembly. When the pull-back handle is retracted, the restraining sheath is retracted to deploy the sheath, while the inner tubular member remains stationary.

Claims

1. A stent delivery system comprising:

a guide wire;

a delivery catheter having an inner tubular member with a proximal end and a distal end and a guide wire lumen extending from the proximal end to the distal end for receiving the guide wire, the tubular member including a region for mounting a compressed stent thereon with a tip assembly attached to the mounting region including a tip component having a tapered shape which facilitates the insertion and delivery of the delivery catheter in a patient'"'"'s body vessel and an outer tubular member having a restraining sheath overlying a portion of said inner tubular member to maintain the stent in a compressed position, the outer tubular member and restraining sheath being adapted for axial movement with respect to said inner tubular member, the tip component being made from a polymeric material compounded with a radiopaque substance and a wire coil molded into the polymeric material; and

a housing assembly having a pull-back handle slidably mounted on a base, the inner tubular member having a proximal end attached to the base and the outer tubular member having a proximal end attached to the pull-back handle, wherein movement of the pull-back handle proximally retracts the restraining sheath proximally from the compressed stent on the inner tubular member while the inner tubular member remains stationary.

2. The stent delivery system of claim 1, further including means for evacuating air from the delivery catheter.

3. The stent delivery system of claim 2, wherein the means for evacuating air from the delivery catheter includes a syringe which can be placed in fluid engagement with the guide wire lumen for introducing a fluid into the delivery catheter.

4. The stent delivery system of claim 2 wherein the means for evacuating air from the delivery catheter includes an annular space formed between the outer tubular member and the inner tubular member and the delivery catheter further comprising an opening in the inner tubular member which is in fluid communication with the annular space and the guide wire lumen, wherein fluid may be introduced into the guide wire lumen through the opening in the inner tubular member so that the fluid is introduced into annular space and eventually flows through the distal end of the outer tubular member and a distal opening formed on the tip assembly.

5. The stent delivery system of claim 1, wherein the tip component is made from poly-ether-block amide.

6. The stent delivery system of claim 1, wherein the tip component is made from poly-ether-block amide which contains BaSO₄.

7. The stent delivery system of claim 1, wherein the polymeric material is urethane.

8. The stent delivery system of claim 1, wherein the tip component is made from PEBAX.

9. The stent delivery system of claim 1, wherein the tip component is made from PEBAX which contains BaSO₄.

10. The stent delivery system of claim 1, wherein the proximal end of the inner tubular member is adapted to receive a syringe for introducing a fluid into the delivery catheter.

11. The stent delivery system of claim 1, further including a plurality of openings formed along the length of the inner tubular member which allows fluid to flow from the guide wire lumen into the annular space formed between the outer tubular member and the restraining sheath to evacuate air from the delivery catheter.

12. The stent delivery system of claim 1, wherein distal mounting region includes a plurality of openings formed therein for allowing fluid to pass from the guide wire lumen to the annular space formed between the inner tubular member and the restraining sheath.

13. The stent delivery system of claim 12, wherein the openings are formed as channels on the distal mounting region.