Stent delivery system having stent securement apparatus

• US 7,670,364 B2
• Filed: 12/16/2003
• Issued: 03/02/2010
• Est. Priority Date: 08/23/1996
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Di Caprio, Fernando, Blaeser, David J., Mattison, Richard C., Dusbabek, Andrew J., Euteneuer, Charles L., Larson, Christopher R., Nordin, Stanley A., Ellis, Louis G., Lorentzen Cornelius, Linda R., Willard, Martin R., Brown, Terry V., Mertens, Steven P.
• Primary Examiner(s): Bui; Vy Q
• Application Number:
  US10/737,497
• Publication Number:
  US 20040133263A1
• Time in Patent Office: 2,268 Days
• Field of Search: 623/1.11, 606/108, 606/194, 604/101.05
• US Class Current: 623/1.11
• CPC Class Codes: A61F 2/9522 Means for mounting a stent or stent-graft onto or into a placement instrument
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/9583 Means for holding the stent on the balloon, e.g. using protrusions, adhesives or an outer sleeve
• CPC Class Codes: A61F 2002/9586 the means being inside the balloon
• CPC Class Codes: A61M 2025/1013 with concentrically mounted balloons, e.g. being independently inflatable
• CPC Class Codes: A61M 2025/1063 having only one lumen used for guide wire and inflation, e.g. to minimise the diameter
• CPC Class Codes: A61M 2025/1079 having radio-opaque markers in the region of the balloon
• CPC Class Codes: A61M 2025/1081 having sheaths or the like for covering the balloon but not forming a permanent part of the balloon, e.g. retractable, dissolvable or tearable sheaths
• CPC Class Codes: A61M 2025/1093 having particular tip characteristics
• CPC Class Codes: A61M 25/1011 Multiple balloon catheters
• CPC Class Codes: A61M 25/1018 Balloon inflating or inflation-control devices
• CPC Class Codes: A61M 25/10182 Injector syringes
• CPC Class Codes: A61M 25/10184 Means for controlling or monitoring inflation or deflation
• CPC Class Codes: A61M 25/10186 One-way valves
• CPC Class Codes: A61M 25/104 used for angioplasty

Abstract

A system/assembly for delivery and deployment of an inflation expandable stent within a vessel, comprising a catheter having proximal and distal ends; a stent, inflation expandable from a delivery diameter to a deployment diameter, such that the delivery diameter is reduced from the deployment diameter for conforming the stent to the catheter, such that the stent, in its delivery diameter, is coaxially mounted on the catheter near the catheter distal end; an expandable inflation means coaxially mounted on the catheter axially within the stent, for expansion of the stent from the delivery diameter to the deployment diameter upon application of fluid deployment pressure to the inflation means; and a securement component coaxially mounted on the catheter, axially within the expandable inflation means, the securement component designed and adapted to provide a securement pressure to the stent in the delivery diameter to maintain the stent in position on the catheter during delivery to the deployment site.

Claims

1. A stent delivery system for delivery and deployment of a stent within a vessel, comprising:

a catheter, the catheter comprising a proximal portion, a distal portion and an inner shaft, the inner shaft having a distal portion;

a first balloon mounted about the inner shaft, the first balloon having a collapsed state, an expanded state, a distal portion terminating at a distal end, a proximal portion terminating at a proximal end and a central portion positioned between the distal portion and the proximal portion, the central, distal and proximal portions defining a fluid chamber, wherein the fluid chamber is common to the central, distal and proximal portions, and each having an inner diameter when the first balloon is in the expanded state, wherein, when the first balloon is in the expanded state, the inner diameter of the central portion is less than the inner diameter of either the distal portion or the proximal portion;

a second balloon mounted on the catheter, the second balloon being positioned about the first balloon, such that the entirety of the first balloon is within the second balloon, and having a collapsed state and an expanded state, the second balloon being between the first balloon and the stent and independently expandable relative to the first balloon, wherein the second balloon is not permeable by liquid; and

a stent mounted on the catheter and positioned about the first balloon.

2. The stent delivery system of claim 1, the central, distal and proximal portions each having an outer diameter when the first balloon is in the expanded state, wherein, when the first balloon is in the expanded state, the outer diameter of the central portion is less than the outer diameter of either the distal portion or the proximal portion.

3. The stent delivery system of claim 1 wherein the first and second balloons are sized such that, when the first and second balloons are both in their expanded state, the first balloon and the second balloon are not in contact with one another.

4. The stent delivery system of claim 3, the catheter further comprising a conduit in fluid communication with the fluid chamber, through which the first balloon is inflated to the expanded state.

5. The stent delivery system of claim 4, further comprising a first valve communicating the conduit with the first balloon for inflation of the first balloon.

6. The stent delivery system of claim 5, wherein the conduit is within the inner shaft.

7. The stent delivery system of claim 5, further comprising a second valve positioned within the first balloon.

8. The stent delivery system of claim 1, wherein the distal end of the first balloon is bonded to the inner shaft.

9. The stent delivery system of claim 8, wherein the proximal end of the first balloon is bonded to the inner shaft.

10. The stent delivery system of claim 1, wherein the second balloon defines a fluid chamber between the first balloon and the second balloon, the catheter further comprising a conduit in fluid communication with the fluid chamber of the second balloon, through which the second balloon is inflated with fluid to its expanded state, wherein the conduit in fluid communication with the fluid chamber of the second balloon is primed with a fluid and wherein the second balloon is not permeable by the fluid.

11. The stent delivery system of claim 10, wherein, when the second balloon is in the collapsed state, it conforms to the first balloon when the first balloon is in the expanded state.

12. A stent delivery system for delivery and deployment of a stent within a vessel, comprising:

a catheter, the catheter comprising a proximal portion, a distal portion and an inner shaft, the inner shaft having a distal portion;

a first balloon mounted about the inner shaft, the first balloon having a collapsed state, an expanded state, a distal portion terminating at a distal end, a proximal portion terminating at a proximal end and a central portion positioned between the distal portion and the proximal portion, the central, distal and proximal portions defining a fluid chamber, wherein the fluid chamber is common to the central, distal and proximal portions, and each having an outer diameter and an inner diameter when the first balloon is in the expanded state, wherein, when the first balloon is in the expanded state, the outer diameter of the central portion is less than the outer diameter of either the distal portion or the proximal portion;

a second balloon mounted on the catheter, the second balloon being positioned about the first balloon, such that the entirety of the first balloon is within the second balloon, and having a collapsed state and an expanded state, the second balloon being between the first balloon and the stent and independently expandable relative to the first balloon, wherein the second balloon is not permeable by liquid; and

a stent mounted on the catheter and positioned about the first balloon.

13. The stent delivery system of claim 12, wherein, when the first balloon is in the expanded state, the inner diameter of the central portion is less than the inner diameters of the distal portion and the proximal portion.

14. The stent delivery system of claim 13, the catheter further comprising a conduit in fluid communication with the fluid chamber, through which the first balloon is inflated to the expanded state.

15. The stent delivery system of claim 14, further comprising a first valve communicating the conduit with the first balloon for inflation of the first balloon.

16. The stent delivery system of claim 15, wherein the conduit is within the inner shaft.

17. The stent delivery system of claim 15, further comprising a second valve positioned within the first balloon.

18. The stent delivery system of claim 12, wherein the distal end of the first balloon is bonded to the inner shaft.

19. The stent delivery system of claim 18, wherein the proximal end of the first balloon is bonded to the inner shaft.

20. The stent delivery system of claim 12, wherein the first and second balloons are sized such that, when the first and second balloons are both in their expanded state, the first balloon and the second balloon are not in contact with one another.

21. The stent delivery system of claim 20, wherein, when the second balloon is in the collapsed state, it conforms to the first balloon when the first balloon is in the expanded state.

22. A stent delivery system for delivery and deployment of a stent within a vessel, comprising:

a catheter, the catheter comprising a proximal portion, a distal portion and an inner shaft, the inner shaft having a distal portion;

a first balloon mounted about the inner shaft, the first balloon having a collapsed state, an expanded state, a distal portion terminating at a distal end, a proximal portion terminating at a proximal end and a central portion positioned between the distal portion and the proximal portion, the central, distal and proximal portions defining a fluid chamber, wherein the fluid chamber is common to the central, distal and proximal portions, and each having an inner diameter and an outer diameter when the first balloon is in the expanded state,

a second balloon mounted on the catheter, the second balloon being positioned about the first balloon and having a collapsed state and an expanded state, the second balloon being between the first balloon and the stent and independently expandable relative to the first balloon, wherein the second balloon is not permeable by liquid, the first and second balloons sized such that, when the first and second balloons are both in their expanded state, the first balloon and the second balloon are not in contact with one another,

a stent mounted on the catheter and positioned about the first balloon; and

wherein, when the first balloon is in the expanded state;

the inner diameter of the central portion is less than the inner diameter of either the distal portion or the proximal portion; and

/or

the outer diameter of the central portion is less than the outer diameter of either the distal portion or the proximal portion.