Balloon catheter for multiple adjustable stent deployment

• US 8,147,536 B2
• Filed: 07/15/2009
• Issued: 04/03/2012
• Est. Priority Date: 03/29/2001
• Status: Expired due to Term

• Current Assignee: JW Medical Systems Ltd
• Original Assignee: XTENT, Inc.
• Inventors: Chermoni, Israel S.
• Primary Examiner(s): Houston, Elizabeth
• Application Number:
  US12/503,791
• Publication Number:
  US 20090299461A1
• Time in Patent Office: 993 Days
• Field of Search: 623 111- 113, 623/1.16, 623/1.35, 606/108, 606/194, 606/198, 604/96.01
• US Class Current: 623/1.11
• CPC Class Codes: A61B 17/3207 Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions A61B17/32037 takes precedence; endoscopic cutting instruments A61B17/320016
• CPC Class Codes: A61B 2017/22094 for crossing total occlusions, i.e. piercing
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/826 more than one stent being applied sequentially
• CPC Class Codes: Y10S 623/903 Blood vessel

Abstract

A catheter configured to carry one or more stents and having an inflatable balloon for expanding a stent surrounding the balloon. The catheter is characterized in having a positioner for moving the one or more stents relative to the balloon from a first position in which the stent does not surround the balloon to a second position in which the stent surrounds the balloon. Also disclosed is a method for deploying a stent at a desired location in the vascular system.

Claims

1. A method of delivering a plurality of stents, comprising:

intravascularly positioning a catheter proximate or adjacent to a first lesion, the catheter having a distal end, an inflatable balloon near the distal end, at least a first stent and a second stent slidably positionable into direct contact upon the balloon via a positioner which is slidable longitudinally along the catheter independently of each of the stents, and a separating mechanism comprising a separating ring positioned between the first stent and the second stent, wherein the at least first and second stents can be arranged in any order along the catheter;

positioning the first stent such that the first stent is positioned into direct contact upon the balloon, whereby the first stent to be expanded is further separated from the second stent;

expanding the balloon to expand the first stent at the first lesion while the second stent is retained unexpanded on the catheter;

repositioning the catheter proximate or adjacent to a second lesion; and

expanding the balloon to expand the second stent at the second lesion,

wherein the first stent and the second stent have different lengths.

2. The method of claim 1 wherein prior to expanding the balloon to expand the first stent comprises slidably adjusting the positioner over the balloon to constrain a portion of the balloon from expanding such that a length of the expanded balloon is coextensive with a length of the first stent.

3. The method of claim 1 wherein the separating mechanism is movable relative to the balloon.

4. The method of claim 1 wherein positioning the first stent further comprises slidably urging a sliding element of the positioner along the catheter to push at least the first and second stents distally along the catheter so as to move the first stent adjacent to the balloon into a position in which it surrounds the balloon.

5. The method of claim 4 wherein urging the sliding element comprises urging a proximal end of a wire attached to the sliding element and extending longitudinally along a length of the catheter such that the sliding element slides along the catheter in response to a longitudinal movement of the wire.

6. The method of claim 1 wherein the second lesion is at a location separate from the first lesion.

7. The method of claim 1 wherein prior to expanding the balloon to expand the second stent, adjusting an expandable portion of the balloon such that the balloon expands along a length which is coextensive with a length of the second stent.

8. The method of claim 1 wherein prior to expanding the balloon to expand the second stent, slidably adjusting the positioner over the balloon to constrain a portion of the balloon from expanding.

9. The method of claim 1 wherein expanding the balloon to expand the second stent comprises expanding the balloon within the second stent such that a length of the expanded balloon is coextensive with a length of the second stent.

10. A method of delivering a plurality of stents, comprising:

intravascularly positioning a catheter proximate or adjacent to a first lesion, the catheter having a distal end, an inflatable balloon near the distal end, a first stent, a second stent adjacent to and proximal to the first stent, the first stent and the second stent each slidably positionable to surround the balloon via a positioner which is slidable longitudinally along the catheter independently of each of the stents, and a separating mechanism comprising a separating ring positioned between the first and the second stent;

sliding the first stent via the positioner into direct contact upon the balloon;

separating the first stent from the second stent such that while the first stent is in direct contact with the balloon the second stent is proximal to the balloon;

expanding the balloon to expand the first stent at the first lesion;

sliding the second stent via the positioner toward the distal end so that the second stent is positioned in direct contact upon the balloon;

repositioning the catheter proximate or adjacent to a second lesion; and

expanding the balloon to expand the second stent at the second lesion.

11. The method of claim 10 wherein sliding the first stent comprises directly surrounding the balloon with the first stent such that the first stent overlays the balloon without an intervening member.

12. The method of claim 10 wherein the separating mechanism is movable relative to the balloon.

13. The method of claim 10 wherein sliding the second stent comprises urging a sliding element of the positioner along the catheter to push at least the second stent distally along the catheter so as to move the second stent adjacent to the balloon into a position in which it surrounds the balloon.

14. The method of claim 13 wherein urging the sliding element comprises urging a proximal end of a wire attached to the sliding element and extending longitudinally along a length of the catheter such that the sliding element slides along the catheter in response to a longitudinal movement of the wire.

15. The method of claim 10 wherein repositioning the catheter comprises repositioning the second stent proximate or adjacent to the second lesion at a location separate from the first lesion.

16. The method of claim 10 wherein prior to expanding the balloon to expand the second stent, adjusting an expandable portion of the balloon such that the balloon expands along a length which is coextensive with a length of the second stent.

17. The method of claim 10 wherein prior to expanding the balloon to expand the second stent, slidably adjusting the positioner over the balloon to constrain a portion of the balloon from expanding.

18. The method of claim 10 wherein expanding the balloon to expand the second stent comprises expanding the balloon within the second stent such that a length of the expanded balloon is coextensive with a length of the second stent.

19. A method of delivering a plurality of stents, comprising:

intravascularly advancing a catheter proximate or adjacent to a first lesion, the catheter carrying a plurality of stents slidably positionable in direct contact upon an inflatable balloon near a distal end of the catheter via a positioner which is slidable longitudinally along the catheter independently of each of the stents, the catheter further carrying a separating mechanism comprising separating rings positioned between adjacent stents;

separating at least one stent from a remainder of the plurality of stents by sliding the positioner to place the one stent in direct contact with the balloon;

expanding the one stent at the first lesion while the remainder of stents is retained unexpanded on the catheter; and

removing the catheter with the remainder of stents from the first lesion;

wherein the one stent has a deployed length when expanded greater than the length of one of the remainder of stents retained on the catheter.

20. The method of claim 19 further comprising selecting a second stent for expansion from the remainder of stents, sliding the second stent upon the balloon, and slidably adjusting the positioner over the balloon to constrain a portion of the balloon from expanding such that a length of the expanded balloon is coextensive with a length of the second stent.

21. The method of claim 20 further comprising expanding the balloon to expand the second stent such that a length of the expanded balloon is coextensive with a length of the second stent.

22. The method of claim 19 wherein the separating mechanism is movable relative to the balloon.

23. The method of claim 19 wherein sliding the one stent comprises urging a sliding element of the positioner along the catheter to push at least the one stent distally along the catheter so as to move the one stent adjacent to the balloon into a position in which it surrounds the balloon.

24. The method of claim 23 wherein urging the sliding element comprises urging a proximal end of a wire attached to the sliding element and extending longitudinally along a length of the catheter such that the sliding element slides along the catheter in response to a longitudinal movement of the wire.

25. A method of delivering a plurality of stents, comprising:

positioning a catheter in a vessel having a first lesion and a second lesion, the catheter having a shaft, a distal tip, a plurality of stents over the shaft proximal to the distal tip and slidably positionable in direct contact upon an inflatable balloon near a distal end of the catheter via a positioner which is slidable longitudinally along the catheter independently of each of the stents, and a separating mechanism comprising separating rings positioned between adjacent stents, wherein the plurality of stents can be arranged in any order along the catheter;

advancing the catheter so that the distal tip is distal to the first lesion;

separating one stent from the plurality of stents such that the one stent is positioned upon the balloon;

expanding the one stent at the first lesion while at least a second stent of the plurality of stents is retained unexpanded on the catheter, the distal tip being maintained in a stationary position distal to the first lesion while the at least one stent is expanded;

repositioning the catheter so that the distal tip is distal to a second lesion spaced apart from the first lesion; and

expanding the second stent at the second lesion, the distal tip being maintained in a stationary position distal to the second lesion while the second stent is expanded.

26. The method of claim 25 wherein expanding the one stent comprises inflating a balloon to reconfigure the at least one stent from a low-profile configuration to an expanded configuration for placement against the first lesion.

27. The method of claim 25 wherein prior to expanding the one stent, slidably adjusting the positioner over the balloon to constrain a portion of the balloon from expanding such that a length of the expanded balloon is coextensive with a length of the one stent.

28. The method of claim 25 wherein the separating mechanism is movable relative to the balloon.

29. The method of claim 25 wherein repositioning the catheter comprises repositioning the second stent proximate or adjacent to the second lesion at a location separate from the first lesion.

30. The method of claim 25 wherein expanding the second stent comprises inflating the balloon to reconfigure the second stent from a low-profile configuration to an expanded configuration for placement against the second lesion.

31. The method of claim 25 wherein expanding the second stent comprises expanding the balloon within the second stent such that a length of the expanded balloon is coextensive with a length of the second stent.