Stent delivery system

• US 8,343,205 B2
• Filed: 03/30/2010
• Issued: 01/01/2013
• Est. Priority Date: 03/31/2009
• Status: Active Grant

• Current Assignee: Terumo Kabushiki Kaisha
• Original Assignee: Terumo Kabushiki Kaisha
• Inventors: Sugimoto, Ryota, Kitaoka, Takashi
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): MILES, JONATHAN WADE
• Application Number:
  US12/750,061
• Publication Number:
  US 20100249896A1
• Time in Patent Office: 1,008 Days
• Field of Search: 606/108, 606/109, 606/191, 606/192, 606/194, 623/1.11, 623/1.23, 623/2.11
• 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 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2002/9665 with additional retaining means
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers

Abstract

A stent delivery system includes a stent formed in a substantially hollow cylindrical shape and compressed toward its center axis when inserted in vivo, with the stent being capable of restoring its pre-compression shape through outward expansion when left indwelling in vivo. The stent delivery system also includes an inner tube possessing a guide wire lumen, and a stent accommodating tube having a distal portion accommodating the stent. The stent is disposed as to cover a distal portion of the inner tube, and the stent is adapted to be exposed by moving the stent accommodating tube toward the proximal side relative to the inner tube.

Claims

1. A stent delivery system comprising:

a stent accommodating tube possessing a distal end portion;

an inner tube positioned inside the stent accommodating tube in a manner permitting the stent accommodating tube to be moved proximally relative to the inner tube, the inner tube possessing a guide wire lumen extending along at least a portion of a longitudinal extent of the inner tube and being configured to receive a guide wire, the guide wire lumen having opposite ends opening outside the stent accommodating tube;

a hollow cylindrically shaped stent which possesses a proximal end, the stent being removably positioned in the stent accommodating tube in a configuration in which the stent is inwardly compressed, the stent encircling a distal end portion of the inner tube, the stent being exposable outside the stent accommodating tube by proximally moving the stent accommodating tube relative to the inner tube, the stent being configured to automatically expand outwardly after being exposed outside the stent accommodating tube and left indwelling in vivo;

a plurality of radiopaque markers on the inner tube, the radiopaque markers being spaced apart from one another along a longitudinal extent of the inner tube, the plurality of radiopaque markers comprising a first one of the radiopaque markers positioned at the proximal end of the stent and additional ones of the plurality of radiopaque markers being positioned proximally from the first radiopaque markers, the first radiopaque marker being a distal-most radiopaque marker on the inner tube, adjacent ones of the plurality of radiopaque markers being spaced apart from one another by a common distance to permit distance determination during use of the stent delivery system; and

the radiopaque markers comprising a plurality of main scales and a plurality of auxiliary scales, a plurality of the auxiliary scales being positioned between adjacent ones of the main scales, and the auxiliary scales being lower in radiopacity than the main scales.

2. A stent delivery system comprising:

a stent accommodating tube possessing a distal end portion;

an inner tube positioned inside the stent accommodating tube, the inner tube possessing a guide wire lumen extending along at least a portion of a longitudinal extent of the inner tube and being configured to receive a guide wire;

a stent possessing a hollow cylindrical shape and having a central axis, the stent possessing a proximal end, the stent being removably positioned in the stent accommodating tube and covering a distal end portion of the inner tube, the stent being exposable outside the stent accommodating tube by moving the stent accommodating tube toward the proximal side relative to the inner tube, the stent being configured to be compressed toward its central axis when positioned in the stent accommodating tube and to outwardly expand towards its pre-compression shape after being exposed outside the stent accommodating tube and left indwelling in vivo;

the inner tube comprising a radiopaque indication region extending at least over a predetermined length of the inner tube in a proximal direction from the proximal end of the stent, the radiopaque region comprising a plurality of radiopaque markers, with a distance between adjacent radiopaque markers being the same to permit distance determination; and

the plurality of radiopaque markers are scale-forming radiopaque markers comprising a plurality of main scales and a plurality of auxiliary scales, a plurality of the auxiliary scales being positioned between adjacent ones of the main scales, and the auxiliary scales being lower in radiopacity than the main scales.

3. The stent delivery system according to claim 2, wherein the radiopaque indication region extends proximally over a distance of more than 5 mm from the proximal end of the stent.

4. The stent delivery system according to claim 2, wherein the radiopaque indication region includes a starting point at which is located a first one of the radiopaque markers, the starting point being located at a position corresponding to the distal end or a middle portion of the stent, and the radiopaque indication region extending proximally from the starting point.

5. The stent delivery system according to claim 4, wherein the inner tube includes a distal-side tube having the guide wire lumen, and an inner tube body having a distal portion fixed to a proximal end of the distal-side tube, and the rupture portion is provided at a distal portion of the inner tube body.

6. The stent delivery system according to claim 4, wherein the stent proximal end fixing linear member is a heat-rupturing stent proximal end fixing linear member, and the rupture portion is a heat-rupturing portion.

7. The stent delivery system according to claim 2, comprising a stent proximal end fixing linear member possessing opposite ends both fixed to the inner tube, the stent proximal end fixing linear member also possessing an intermediate portion moored to the proximal end of the stent, the stent proximal end fixing linear member also comprising a rupturable rupture portion configured to rupture the stent proximal fixing linear member to release the mooring of the stent.

8. The stent delivery system according to claim 7, wherein the stent comprises a plurality of through holes arranged in an annular fashion, and the intermediate portion of the stent proximal end fixing linear member passing through the plurality of holes in an annular fashion.

9. The stent delivery system according to claim 7, wherein the proximal end of the stent includes a plurality of proximal end direction bent portions, and the intermediate portion of the stent proximal end fixing linear member passing through the plurality of proximal end direction bent portions in an annular fashion.

10. The stent delivery system according to claim 2, wherein the inner tube has an opening communicating with the guide wire lumen proximally of the stent accommodating portion of the stent accommodating tube, and the radiopaque indication region extends to the opening.

11. A stent delivery system comprising:

a stent accommodating tube possessing a distal end portion;

an inner tube positioned inside the stent accommodating tube in a manner permitting the stent accommodating tube to be moved proximally relative to the inner tube, the inner tube possessing a guide wire lumen extending along at least a portion of a longitudinal extent of the inner tube and being configured to receive a guide wire, the guide wire lumen having opposite ends opening outside the stent accommodating tube;

a hollow cylindrically shaped stent which possesses a proximal end, the stent being removably positioned in the stent accommodating tube in a configuration in which the stent is inwardly compressed, the stent encircling a distal end portion of the inner tube, the stent being exposable outside the stent accommodating tube by proximally moving the stent accommodating tube relative to the inner tube, the stent being configured to automatically expand outwardly after being exposed outside the stent accommodating tube and left indwelling in vivo;

a plurality of radiopaque markers on the inner tube, the radiopaque markers being spaced apart from one another along a longitudinal extent of the inner tube, the plurality of radiopaque markers comprising a first one of the radiopaque markers positioned at the proximal end of the stent and additional ones of the plurality of radiopaque markers being positioned proximally from the first radiopaque markers, the first radiopaque marker being a distal-most radiopaque marker on the inner tube, adjacent ones of the plurality of radiopaque markers being spaced apart from one another by a common distance to permit distance determination during use of the stent delivery system; and

the radiopaque markers comprising a plurality of main scales and a plurality of auxiliary scales, with the main scales being visually distinguishable and visually different from the auxiliary scales, and a plurality of the auxiliary scales being positioned between two adjacent ones of the main scales.

12. A stent delivery system comprising:

a stent accommodating tube possessing a distal end portion;

an inner tube positioned inside the stent accommodating tube, the inner tube possessing a guide wire lumen extending along at least a portion of a longitudinal extent of the inner tube and being configured to receive a guide wire;

a stent possessing a hollow cylindrical shape and having a central axis, the stent possessing a proximal end, the stent being removably positioned in the stent accommodating tube and covering a distal end portion of the inner tube, the stent being exposable outside the stent accommodating tube by moving the stent accommodating tube toward the proximal side relative to the inner tube, the stent being configured to be compressed toward its central axis when positioned in the stent accommodating tube and to outwardly expand towards its pre-compression shape after being exposed outside the stent accommodating tube and left indwelling in vivo;

the inner tube comprising a radiopaque indication region extending at least over a predetermined length of the inner tube in a proximal direction from the proximal end of the stent, the radiopaque region comprising a plurality of radiopaque markers, with a distance between adjacent radiopaque markers being the same to permit distance determination; and

the plurality of radiopaque markers are scale-forming radiopaque markers comprising a plurality of main scales and a plurality of auxiliary scales, with the main scales being visually distinguishable and visually different from the auxiliary scales, and a plurality of the auxiliary scales being positioned between two adjacent ones of the main scales.