Rapid-exchange retractable sheath self-expanding delivery system with incompressible inner member and flexible distal assembly

• US 8,114,144 B2
• Filed: 10/17/2008
• Issued: 02/14/2012
• Est. Priority Date: 10/17/2007
• Status: Expired due to Fees

• Current Assignee: Abbott Cardiovascular Systems Incorporated (Abbott Laboratories)
• Original Assignee: Abbott Cardiovascular Systems Incorporated (Abbott Laboratories)
• Inventors: Chow, Mina, Fox, William Jason, Chan, Gregory W., Webler, William E. Jr.
• Primary Examiner(s): Jackson, Gary
• Assistant Examiner(s): STRANSKY, KATRINA MARIE
• Application Number:
  US12/253,757
• Publication Number:
  US 20090157162A1
• Time in Patent Office: 1,215 Days
• Field of Search: 623/1.11, 623/1.12, 623/1.23, 623/1.34, 623/1.42, 606/108, 604/93.01, 604/96.01, 604/264, 604/523, 604/524, 604/525, 604/526
• 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: 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 2250/0098 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61M 25/0045 multi-layered, e.g. coated coating materials A61L29/08
• CPC Class Codes: A61M 25/005 with embedded materials for reinforcement, e.g. wires, coils, braids
• CPC Class Codes: A61M 25/0051 made from fenestrated or weakened tubing layer
• CPC Class Codes: A61M 25/0133 Tip steering devices

Abstract

Delivery system for delivery of a medical device includes an inner member having a proximal section, a distal section and a longitudinal axis therebetween. The inner member has a first layer and a second layer wherein the first layer and the second layer are attached together at a first segment and a second segment. The second segment is spaced from the first segment along a length of the inner member and the first layer and the second layer are free of attachment between the first segment and the second segment. The inner member further includes at least two wires disposed along the length of the inner member between the first layer and the second layer. As disclosed, the at least two wires can include a first coil and a second coil moveable relative to each other between the first and second segments.

Claims

1. A delivery system for delivery of a medical device, the delivery system comprising:

an inner member having a proximal section, a distal section and a longitudinal axis therebetween, the inner member including a first layer and a second layer, the first layer and the second layer being attached together at a first segment and a second segment, the second segment being spaced from the first segment along a length of the inner member, the first layer and the second layer being free of attachment between the first segment and the second segment;

the inner member further comprising at least two wires disposed along the length of the inner member between the first layer and the second layer, wherein the at least two wires include a first coil wound about the longitudinal axis in a first direction and a second coil wound about the longitudinal axis in an opposite direction, the first coil having a first diameter and the second coil having a second diameter, wherein at least one of the first diameter and the second diameter changes when a torque is applied; and

an outer member disposed about the inner member.

2. The delivery system of claim 1, wherein the length of the inner member is incompressible and exhibits minimal elongation.

3. The delivery system of claim 1, wherein the first layer is rotationally moveable relative to the second layer.

4. The delivery system of claim 1, wherein the at least two wires are capable of movement relative to each other between the first segment and the second segment.

5. The delivery system of claim 1, wherein the inner member further includes a middle layer disposed between the first layer and the second layer.

6. The delivery system of claim 1, wherein the first layer is lubricious.

7. The delivery system of claim 1, wherein the inner member includes at least two radiopaque markers.

8. The delivery system of claim 7, wherein the outer member is a sheath moveable relative to the inner member and the two radiopaque markers are configured to inhibit movement of the sheath from a first position to a second position.

9. The delivery system of claim 8, wherein the radiopaque markers have polymer bumps.

10. The delivery system of claim 1, further comprising a stent mounted on the inner member.

25. The catheter of claim 1, wherein the change of the at least one of the first diameter and the second diameter cause the first coil and the second coil to cinch together.

11. A catheter shaft comprising:

a multilayered tubular member having an axis and a first layer and a second layer, the first layer and the second layer being attached together at a first segment and a second segment, the second segment being spaced from the first segment along a length of the tubular member, the first layer and the second layer being free of attachment between the first segment and the second segment;

the tubular member further comprising at least a first coil and a second coil disposed along the length of the tubular member between the first layer and the second layer, the first coil having a first diameter and the second coil having a second diameter, wherein at least one of the first diameter and the second diameter changes when a torque is applied.

12. The catheter shaft of claim 11, wherein the multilayered tubular member is bonded to the second layer at at least the first segment or the second segment with the first and second coils therebetween.

13. The catheter shaft of claim 12, wherein the first and second layers and the first and second coils are bonded together at the first segment and the second segment of the tubular member.

14. The catheter shaft of claim 11, wherein the first coil is wound in a first direction about the axis and the second coil is wound in a second direction about the axis opposite the first direction.

15. The catheter shaft of claim 14, wherein the first and second coils are wound at substantially equal pitches.

16. The catheter shaft of claim 11, further including at least a third coil disposed between the first and second layers.

17. The catheter shaft of claim 16, wherein the first and second coils are wound in opposite directions.

18. The catheter shaft of claim 17, wherein the third coil is wound in opposite direction as the second coil.

19. The catheter shaft of claim 16, wherein the first coil is disposed radially-inward relative to the second coil and the third coil is disposed radially-outward relative to the second coil.

20. The catheter shaft of claim 19, wherein the third coil has a pitch greater than a pitch of the first coil.

21. The catheter shaft of claim 19, wherein the first and second coils have substantially the same pitches.

22. The catheter shaft of claim 11, wherein the catheter is a sensor and at least one of the first and second coils is an electrode or lead.

23. The catheter shaft of claim 22, wherein the catheter further includes at least one insulating wire coupled with the at least one of the first and second coils.

24. The catheter shaft of claim 11, wherein the change of the at least one of the first diameter and the second diameter cause the first coil and the second coil to cinch together.