Prosthesis delivery and deployment device

• US 8,118,853 B2
• Filed: 06/19/2007
• Issued: 02/21/2012
• Est. Priority Date: 06/19/2006
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Grewe, David D.
• Primary Examiner(s): Deak, Leslie
• Assistant Examiner(s): DOWE, KATHERINE MARIE
• Application Number:
  US11/764,969
• Publication Number:
  US 20070293934A1
• Time in Patent Office: 1,708 Days
• Field of Search: 623/1.11, 623/1.12, 623/1.23, 606/108, 606/194, 606/195, 604/216
• 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

Abstract

A system for delivering and deploying an expandable endoluminal prosthesis comprises a delivery catheter and a sheath. The delivery catheter has a proximal end and a distal end and is slidably disposed within a lumen of the sheath. An operating mechanism comprises a contractible air vessel that couples the sheath and the delivery catheter so that contraction of the air vessel causes the sheath to retract proximally over the delivery catheter. Additional aspects of the invention include a method of deploying an expandable endoluminal prosthesis.

Claims

1. A system for delivering and deploying an expandable endoluminal prosthesis, the system comprising:

a distal end portion defining a prosthesis delivery section and a proximal end portion defining an external manipulation section;

an elongate sheath having a proximal end disposed at the proximal end portion of the system, a distal end disposed at the distal end portion of the system, and an inner lumen;

a delivery catheter having a proximal end disposed at the proximal end portion of the system and a distal end disposed at the distal end portion of the system, wherein the delivery catheter is slidably disposed within the sheath lumen; and

an operating mechanism comprising a contractible air vessel disposed entirely at the external manipulation section and having an expanded length and a contracted length, the air vessel coupling the sheath and the delivery catheter, so that pneumatic contraction of the air vessel causes the sheath to retract proximally over the delivery catheter,

wherein the air vessel comprises a resilient tubular member having a proximal end, a distal end, and a lumen disposed therebetween, the tubular member being radially disposed about the sheath and the delivery catheter, the distal end of the tubular member sealingly engaging the sheath and the proximal end of the tubular member sealingly engaging the delivery catheter, whereby the tubular member, the sheath, and the delivery catheter define an annular air chamber therebetween.

2. The system according to claim 1, wherein the air vessel comprises a tubular bellows.

3. The system according to claim 1, wherein the operating mechanism comprises an air port configured to provide pneumatic communication between the air vessel and a pressure source.

4. The system according to claim 3, wherein the operating mechanism comprises an actuation switch configured to selectively halt contraction of the air vessel by effecting pneumatic communication between the pressure source and the air vessel.

5. The system according to claim 1, wherein the operating mechanism comprises a check valve for preventing expansion of the air vessel.

6. The system according to claim 1, wherein the operating mechanism comprises a mechanical conversion mechanism for converting a vessel contraction into a sheath retraction.

7. The system according to claim 6, wherein the conversion mechanism comprises a linear gear configured to mechanically increase sheath retraction in relation to vessel contraction.

8. The system according to claim 6, wherein the ratio between sheath retraction and vessel contraction is greater than 1.

9. The system according to claim 1, wherein the air vessel is vacuum-contractible.

10. A system for delivering and deploying an expandable endoluminal prosthesis, the system comprising:

a distal end portion defining a prosthesis delivery section and a proximal end portion defining an external manipulation section;

an elongate sheath having a proximal end disposed at the proximal end portion of the system, a distal end disposed at the distal end portion of the system, and an inner lumen;

a delivery catheter having a proximal end disposed at the proximal end portion of the system and a distal end disposed at the distal end portion of the system, wherein the delivery catheter is slidably disposed within the sheath lumen; and

an operating mechanism comprising a contractible air vessel disposed entirely at the external manipulation section and having an expanded length and a contracted length, the air vessel coupling the sheath and the delivery catheter, so that pneumatic contraction of the air vessel causes the sheath to retract proximally over the delivery catheter,

wherein the air vessel comprises a tubular bellows having a proximal end, a distal end, and a lumen disposed therebetween, the bellows being radially disposed about the sheath and the delivery catheter, the distal end of the bellows sealingly engaging the sheath and the proximal end of the bellows sealingly engaging the delivery catheter, whereby the bellows, the sheath, and the delivery catheter define an annular air chamber therebetween, and

wherein the system further comprises;

an air port configured to provide pneumatic communication between the air vessel and a pressure source;

an actuation switch configured to selectively halt contraction of the air vessel by effecting pneumatic communication between the pressure source and the air vessel;

a check valve for preventing expansion of the air vessel;

a mechanical conversion mechanism for converting a vessel contraction into a sheath retraction, the conversion mechanism comprising a linear gear configured to mechanically increase sheath retraction in relation to vessel contraction so that the ratio between sheath retraction and vessel contraction is greater than 1; and

wherein the air vessel is vacuum-contractible.

11. A pneumatic operating mechanism for an endoluminal prosthesis delivery and deployment device having a distal end portion defining a prosthesis delivery section and a proximal end portion defining an external manipulation section, the device having a sheath and a delivery catheter slidingly disposed within a lumen of the sheath, the operating mechanism comprising:

a contractible air vessel disposed entirely at the external manipulation section and having a proximal end, a distal end, an expanded length, and a contracted length;

wherein the proximal end of the air vessel is engageable with the delivery catheter and the distal end of the air vessel is engageable with the sheath so that contraction of the air vessel causes the sheath to retract proximally over the delivery catheter,

wherein the air vessel comprises a resilient tubular member having a proximal end, a distal end, and a lumen disposed therebetween, the tubular member being radially disposed about the sheath and the delivery catheter, the distal end of the tubular member sealingly engaging the sheath and the proximal end of the tubular member sealingly engaging the delivery catheter, whereby the tubular member, the sheath, and the delivery catheter define an annular air chamber therebetween.

12. The operating mechanism according to claim 11, wherein the air vessel comprises a tubular bellows.

13. The operating mechanism according to claim 11, further comprising a check valve for preventing expansion of the air vessel.

14. The operating mechanism according to claim 11, further comprising an air port configured to provide pneumatic communication between the air vessel and a pressure source.

15. The operating mechanism according to claim 11, further comprising a mechanical conversion mechanism for converting a vessel contraction into a sheath retraction, the conversion mechanism including a linear gear configured to mechanically increase or decrease sheath retraction in relation to vessel contraction.

16. The operating mechanism according to claim 15, wherein the ratio between sheath retraction and vessel contraction is greater than 1.

17. The operating mechanism according to claim 11, wherein the air vessel comprises a tubular bellows, the operating mechanism further comprising:

a check valve for preventing expansion of the air vessel;

an air port configured to provide pneumatic communication between the air vessel and a pressure source; and

a mechanical conversion mechanism for converting a vessel contraction into a sheath retraction, the conversion mechanism including a linear gear configured to mechanically increase or decrease sheath retraction in relation to vessel contraction, wherein the ratio between sheath retraction and vessel contraction is greater than 1.

18. A method of deploying an expandable endoluminal prosthesis, the method comprising the steps of:

providing a prosthesis delivery and deployment system having a distal end portion defining a prosthesis delivery section and a proximal end portion defining an external manipulation section, the system comprising an elongate sheath having a proximal end, a distal end, and an inner lumen and a delivery catheter having a proximal end and a distal end, wherein the delivery catheter is slidably disposed within the sheath lumen;

providing an operating mechanism comprising a contractible air vessel disposed entirely at the external manipulation section and having an expanded length and a contracted length, wherein the air vessel couples the sheath and the delivery catheter; and

pneumatically contracting the air vessel to cause the sheath to retract over the delivery catheter, and

wherein the air vessel comprises a resilient tubular member having a proximal end, a distal end, and a lumen disposed therebetween, the tubular member being radially disposed about the sheath and the delivery catheter, the distal end of the tubular member sealingly engaging the sheath and the proximal end of the tubular member sealingly engaging the delivery catheter, whereby the tubular member, the sheath, and the delivery catheter define an annular air chamber therebetween.

19. The method according to claim 18, wherein the contracting step comprises applying vacuum pressure to the air vessel.

20. A system for delivering and deploying an expandable endoluminal prosthesis, the system comprising:

an elongate sheath having a proximal end, a distal end, and an inner lumen;

a delivery catheter having a proximal end and a distal end, wherein the delivery catheter is slidably disposed within the sheath lumen; and

an operating mechanism comprising a contractible air vessel having an expanded length and a contracted length, the air vessel coupling the sheath and the delivery catheter, so that pneumatic contraction of the air vessel causes the sheath to retract proximally over the delivery catheter;

where the air vessel comprises a resilient tubular member having a proximal end, a distal end, and a lumen disposed therebetween, the tubular member being radially disposed about the sheath and the delivery catheter, the distal end of the tubular member sealingly engaging the sheath and the proximal end of the tubular member sealingly engaging the delivery catheter, whereby the tubular member, the sheath, and the delivery catheter define an annular air chamber therebetween.