Stent delivery system

• US 8,366,760 B2
• Filed: 10/26/2009
• Issued: 02/05/2013
• Est. Priority Date: 04/27/2007
• Status: Active Grant

• Current Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Original Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Inventors: Kumoyama, Kenichi
• Primary Examiner(s): Jackson, Gary
• Assistant Examiner(s): LOUIS, RICHARD G
• Application Number:
  US12/605,824
• Publication Number:
  US 20100076541A1
• Time in Patent Office: 1,198 Days
• Field of Search: 623/1.12, 623/1.11, 623/1.1, 623/1.15, 623/1.2, 606/108, 606/200, 604/507, 604/264, 600/137
• US Class Current: 623/1.11
• CPC Class Codes: A61F 2/91 made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
• 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 2002/9665 with additional retaining means

Abstract

A stent delivery system includes a distal-side tube having a guide wire lumen, a proximal-side tube, a fixing tube at which a proximal portion of the distal-side tube and a distal portion of the proximal-side tube are fixed and which has an opening communicating with the guide wire lumen, a stent accommodation tubular member which encloses a distal side of the distal-side tube and is slidable toward a proximal end of the distal-side tube, a stent accommodated inside the stent accommodation tubular member, and a pulling wire whose one end portion is fixed to the stent accommodation tubular member and which extends inside the proximal-side tube for moving the stent accommodation tubular member toward a proximal side by being pulled toward the proximal side.

Claims

1. A stent delivery system comprising:

a distal-side tube possessing a guide wire lumen through which a guide wire is adapted to extend;

a proximal-side tube having an interior;

a fixing tube fixed to a proximal portion of the distal-side tube and a distal portion of the proximal-side tube, the fixing tube possessing an opening communicating with the guide wire lumen;

a stent accommodation tubular member enclosing a distal side of the distal-side tube and slidable toward a proximal end of the distal-side tube, the stent accommodation tubular member possessing a proximal end;

a cylindrically-shaped stent accommodated inside the stent accommodation tubular member in a compressed condition and being expandable outwardly when the stent is discharged from the stent accommodation tubular member so the stent returns to a configuration exhibited by the stent before being accommodated in the stent accommodation tubular member in the compressed condition;

at least one pulling wire possessing one end portion fixed relative to the stent accommodation tubular member so that movement of the one end portion of the wire toward a proximal side of the stent accommodation tubular member causes movement of the stent accommodation tubular member toward the proximal side;

the distal-side tube comprising a stent proximal portion-locking portion which contacts a proximal end of the stent accommodated inside the stent accommodation tubular member to prevent the stent from moving toward the proximal side;

a slide tube disposed proximally of the proximal end of the stent accommodation tubular member, the slide tube not being fixed to the stent accommodation tubular member;

the slide tube being movable toward the proximal side, together with the stent accommodation tubular member, when the pulling wire is pulled toward the proximal side so the slide tube either is received inside the fixing tube or receives the fixing tube.

2. A stent delivery system according to claim 1, wherein the pulling wire is fixed at a fixing region to an inner surface of the slide tube or is fixed at the fixing region to a member which is moved by being pulled by pulling wire, the fixing region being positioned on the proximal side of the one end portion of the pulling wire that is fixed relative to the stent accommodation tubular member.

3. A stent delivery system according to claim 1, further comprising a ring-shaped member accommodated inside the slide tube and movable together with the slide tube, the pulling wire being fixed to the ring-shaped member so that pulling of the pulling wire toward the proximal side causes the ring-shaped member to move toward the proximal side.

4. A stent delivery system according to claim 3, wherein the slide tube comprises a ring-shaped member-holding portion accommodated inside the slide tube in an unfixed state, the ring-shaped member-holding portion holding the ring-shaped member in a manner allowing the ring-shaped member to freely rotate in the ring-shaped member-holding portion while substantially preventing the ring-shaped member from axially moving relative to the ring-shaped member-holding portion.

5. A stent delivery system according to claim 1, wherein a proximal end of the slide tube is positioned in the fixing tube and the slide tube is slidably movable inside the fixing tube as the pulling wire is pulled toward the proximal side, and a slide tube-locking portion is fixed to the distal-side tube, the slide tube-locking portion being positioned inside the fixing tube and being contacted by a proximal end of the slide tube as the pulling wire is pulled toward the proximal side.

6. A stent delivery system according to claim 5, further comprising a linear rigidity-imparting member extending inside the proximal-side tube and extending inside the fixing tube, the rigidity-imparting member possessing a distal portion fixed to the slide tube-locking portion.

7. A stent delivery system according to claim 6, wherein the fixing tube comprises a rigidity-imparting member-fixing portion disposed nearer to a proximal end of the stent delivery system than the slide tube-locking portion.

8. A stent delivery system according to claim 1, wherein the stent accommodation tubular member comprises a smaller-diameter portion at a proximal portion of the stent accommodation tubular member, the smaller-diameter portion possessing an outside diameter smaller than the outside diameter of a distally located portion of the stent accommodation tubular member, the slide tube enclosing a proximal portion of the smaller-diameter portion of the stent accommodation tubular member.

9. A stent delivery system according to claim 1, wherein the stent accommodation tubular member comprises a smaller-diameter portion at a proximal portion of the stent accommodation tubular member, the smaller-diameter portion possessing an outside diameter smaller than the outside diameter of a distally located portion of the stent accommodation tubular member, a distal portion of the pulling wire being fixed to an outer surface of the smaller-diameter portion of the stent accommodation tubular member.

10. A stent delivery system according to claim 1, wherein the stent accommodation tubular member comprises a smaller-diameter portion at a proximal portion of the stent accommodation tubular member, the smaller-diameter portion possessing an outside diameter smaller than the outside diameter of a distally located portion of the stent accommodation tubular member, a distal portion of the pulling wire being fixed by a ring-shaped member fixed to the outer surface of the smaller-diameter portion.

11. A stent delivery system according to claim 1, wherein the stent accommodation tubular member comprises a smaller-diameter portion at a proximal portion of the stent accommodation tubular member, the smaller-diameter portion possessing an outside diameter smaller than the outside diameter of a distally located portion of the stent accommodation tubular member, and a tubular portion enclosing the smaller-diameter portion.

12. A stent delivery system according to claim 1, further comprising an operation part connected to a proximal portion of the proximal-side tube, the operation part comprising a rotatable pulling wire winding mechanism to which a proximal end of the pulling wire is connected, the pulling wire winding mechanism being rotatable to wind the pulling wire and move the stent accommodation tubular member toward the proximal side.

13. A stent delivery system according to claim 12, wherein the operation part comprises a housing, and the pulling wire winding mechanism comprises a rotatable roller, a portion of the rotatable roller being exposed outside the housing to be manually rotated to wind the pulling wire.

14. A stent delivery system according to claim 12, the operation part comprising a locking mechanism for releasably locking rotation of the rotating roller of the pulling wire winding mechanism.

15. A stent delivery system according to claim 12, wherein the operation part comprises a reverse rotation prevention mechanism which prevents the rotating roller of the pulling wire winding mechanism from rotating in a direction opposite to a pulling wire winding direction in which the pulling wire is wound.

16. A stent delivery system according to any one of claim 12, wherein the pulling wire winding mechanism comprises a rotatable roller and a winding shaft portion, the winding shaft portion possessing an outside diameter smaller than the outside diameter of the rotational roller, the winding shaft portion being coaxial with and of a unitary one-piece construction with the rotational roller, and a proximal portion of the pulling wire is fixed to the winding shaft portion.

20. A stent delivery system according to claim 1, further comprising a ring-shaped member positioned in a ring-shaped member-holding portion in the slide tube in a manner allowing the ring-shaped member to rotate in the ring-shaped member-holding portion, the pulling wire being fixed to the ring-shaped member so that the pulling force applied to the pulling wire in the proximal direction moves the slide tube in the proximal direction by virtue of the pulling wire being fixed to the ring-shaped member.

17. A stent delivery system comprising:

a distal-side tube in which extends a guide wire lumen adapted to receive a guide wire to direct the stent delivery system to a desired site, the guide wire lumen extending from a distal end of the distal-side tube to a proximal end of the distal-side tube;

a proximal-side tube at least partially axially overlapping the distal-side tube, the proximal-side tube possessing an interior;

a fixing tube having a proximal portion fixed to the distal-side tube, the fixing tube possessing an opening communicating with the guide wire lumen;

a stent accommodation tubular member surrounding a portion of the distal-side tube and possessing a proximal-most end located distally of a distal-most end of the proximal-side tube, the stent accommodation tubular member surrounding a space;

a stent positioned in the space in a compressed condition and expandable outwardly when the stent is discharged from the space in the stent accommodation tubular member;

a pulling wire;

connecting means for connecting the pulling wire and the stent accommodation tubular member so that the stent accommodation tubular member is moved in the proximal direction when a pulling force in the proximal direction is applied to the pulling wire;

a slide tube positioned axially between the stent accommodation tubular member and the fixing tube, the slide tube not being fixed to the stent accommodation tubular member, the slide tube being axially movable together with the stent accommodation tubular member and being axially movable relative to the fixing tube;

the slide tube moving in the proximal direction relative to the fixing tube when the pulling wire is pulled in the proximal direction to cause axial overlap between the slide tube and the fixing tube that increases with continued movement of the slide tube in the proximal direction relative to the fixing tube.

18. A stent delivery system according to claim 17, wherein the pulling wire is fixed to an inner surface of the slide tube so that pulling the pulling wire in the proximal direction causes the slide tube to move in the proximal direction.

19. A stent delivery system according to claim 17, further comprising a ring-shaped member accommodated inside the slide tube and movable together with the slide tube, the pulling wire being fixed to the ring-shaped member so that the pulling force applied to the pulling wire in the proximal direction moves the slide tube in the proximal direction by virtue of the pulling wire being fixed to the ring-shaped member.