Percutaneously retrievable stent assembly with fluid draining capability

• US 8,267,917 B2
• Filed: 07/27/2005
• Issued: 09/18/2012
• Est. Priority Date: 07/27/2004
• Status: Expired due to Fees

• Current Assignee: University of Southern California
• Original Assignee: University of Southern California
• Inventors: Jabbour, Nicolas, Shaolian, Samuel M.
• Primary Examiner(s): Zalukaeva, Tatyana
• Assistant Examiner(s): Hanrahan, Benedict L
• Application Number:
  US11/191,745
• Publication Number:
  US 20060129223A1
• Time in Patent Office: 2,610 Days
• Field of Search: 604/341, 604/350, 604/355, 604/540
• US Class Current: 604/540
• CPC Class Codes: A61F 2/04 Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts A61F2/18, A61F2/20 take precedence; devices, other than stent-grafts, providing patency to, or preventing collapsing of, tubular structures of the body other than stent-grafts, e.g. stents A61F2/82; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95
• CPC Class Codes: A61M 27/00 Drainage appliance for wounds or the like , i.e. wound drains, implanted drains negative pressure wound therapy devices A61M1/90; implements for holding wound open A61B17/02 ; middle ear drainage A61F11/202
• CPC Class Codes: A61M 27/008 pre-shaped, for use in the urethral or ureteral tract

Abstract

The present invention provides a stent assembly for expanding a bodily passage in a patient and draining a fluid therefrom. The assembly comprises at least one expandable stent and an elongated carrier for delivery or retrieval of the stent. The stent is circumferentially attached to a distal end of the carrier. The carrier defines at least two concentric lumens therethrough, a drainage lumen in fluid communication with the bodily passage for drainage of the fluid and an inflation lumen in fluid communication with the expandable stent. The invention also provides a method of expanding a bodily passage in a patient and draining a fluid therefrom. The method comprises providing a stent assembly of the present invention; inserting a guidewire into the bodily passage through the drainage lumen of the carrier; advancing the assembly along the guidewire until the assembly reaches a desired location; expanding the stent; and draining the fluid through drainage lumen of the carrier.

Claims

1. A stent assembly for expanding a constricted bodily passage in a patient and draining a fluid thereform, the assembly comprising:

a stent having an inflatable body; and

an elongated carrier for delivery or retrieval of the stent, the carrier having a distal end and a proximal end, wherein the stent is —

circumferentially attached to the distal end of the carrier,

the carrier comprising a combination of at least two movable tubes, wherein a first tube comprises a drainage lumen and an inflation lumen and a second tube is a movable member that houses the first tube and is movable over the stents in an expanded form wherein the drainage lumen is in fluid communication with the bodily passage and the inflation lumen in fluid communication with the expandable stent such that the stent may be gradually, continuously or intermittently expanded in place to dynamically dilate the constricted passage,and whereby when the bodily passage is dilated by expansion of said stents within said bodily passage, fluid is drained in place via the drainable lumen of said carrier;

wherein the stent is detachable from the catheter; and

wherein the second tube has a perforated section to allow the tube to move over the expanded stent.

2. The assembly of claim 1, wherein the drainage lumen is sized to accommodate a removable guidewire.

3. The assembly of claim 1, wherein the carrier further comprises a separate guidewire lumen sized to accommodate a guidewire.

4. The assembly of claim 1, wherein the inflation lumen communicates with an internal cavity of the stent through inflation holes located within an orthogonal projection of the stent onto the inflation lumen of the carrier.

5. The assembly of claim 1, wherein the drainage lumen communicates with the bodily passage through a plurality of drainage holes connecting an outer surface of the carrier with the drainage lumen.

6. The assembly of claim 1, wherein the carrier is a catheter with an outer diameter from 8 to 18 French.

7. The assembly of claim 1, wherein the carrier comprises a plurality of drainage lumens.

8. The assembly of claim 1, wherein the carrier is made from a polymeric biocompatible material with hardness in the range of 80 A to 50 D.

9. The assembly of claim 1, wherein the stent comprises a resilient polymeric material.

10. The assembly of claim 1, wherein an outer diameter of the stent when expanded is larger than an internal diameter of the bodily passage to be treated.

11. The assembly of claim 1, wherein the passage is selected from a group consisting of biliary duct, kidney duct, sinus pathway, intracranial passages and voids, esophagus, urinary tract, gastrointestinal (GI) tract, and the tracheo-bronchial tree.

12. The assembly of claim 11, wherein an outer diameter of the stent is from 4 to 12 mm when expanded.

13. The assembly of claim 11, wherein a length of the stent is from 20 to 100 mm when expanded.

14. The assembly of claim 1, wherein an outer diameter of the stent when expanded is larger than an internal diameter of the bodily passage to be treated by from 1 to 2 mm.

15. The assembly of claim 1, wherein the assembly further comprises a connector attached to the proximal end of the carrier, the connector having a first side arm in a communication with the drainage lumen and a second side arm in a communication with the inflation lumen.

16. The assembly of claim 15, wherein the first side arm is further connected to a fluid collection container.

17. The assembly of claim 15, wherein the second side arm is further removably connected to an inflation device for inflation or deflation of the stent via a valve connector or a three-way stopcock.

18. The assembly of claim 17, wherein the valve connector allows injection of a solution into the expandable stents while preventing retrograde flow of the solution from the stent.

19. The assembly of claim 15, wherein the carrier further comprises a separate guidewire lumen sized to accommodate a guidewire and the connector further comprises a third side arm in a communication with the guidewire lumen of the carrier.

20. The assembly of claim 1, wherein the stent is permanently affixed to the carrier.

21. The assembly of claim 1, wherein the drainage lumen is sized to accommodate a guidewire during insertion of the assembly into the bodily passage.

22. The assembly of claim 1, wherein the drainage lumen is structured to remain connected to the stents and act as a fluid discharge channel when other parts of the carrier are removed.

23. The assembly of claim 1,

wherein the carrier further comprises a third tube capable of moving over the second tube to seal the second tube over the expanded stent.

24. The assembly of claim 1, wherein the stent further comprises a valve assembly for inflation or deflation of the stents, the valve assembly is in a fluid communication with an internal cavity of the stent.

25. The assembly of claim 24, wherein the valve assembly allows injection of a solution into the cavity of the stent while preventing retrograde flow from the stents when the carrier is disengaged from the stent.

26. The assembly of claim 1, wherein the stent further comprises a cylindrical net-like structure.

27. The assembly of claim 26, wherein the net-like structure is fused or connected to an outer surface of the stent.