Prosthesis deployment system

• US 8,465,536 B2
• Filed: 04/06/2005
• Issued: 06/18/2013
• Est. Priority Date: 04/06/2004
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Parker, Fred T.
• Primary Examiner(s): TYSON, MELANIE RUANO
• Application Number:
  US11/099,733
• Publication Number:
  US 20050222664A1
• Time in Patent Office: 2,995 Days
• Field of Search: 623/1.11, 623/1.12
• 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

Abstract

A stent deployment system includes a handle and a flexible sheath coupled the handle. A flexible tube extends from the handle through the sheath. A tapered flexible extension is coupled to the flexible tube, the tapered flexible extension has a taper angle of between about 5 degrees and 15 degrees towards the handle. A bead of adhesive can be supplied at an end of the tapered flexible extension. A thrust block is coupled to the flexible tube, and an endoluminal prosthesis is positioned around the flexible tube between the thrust block and the tapered flexible extension with a space situated between the endoluminal prosthesis and the thrust block.

Claims

1. A stent deployment system, comprising:

a handle,

a flexible sheath coupled to the handle,

a flexible tube extending into the handle and through the sheath about a longitudinal axis,

a tapered flexible extension coupled to the flexible tube, the tapered extension having a continuous reverse taper from a maximum diameter of the tapered flexible extension to an outer diameter of the flexible tube, the reverse taper facing toward the handle,

an endoluminal prosthesis disposed about the flexible tube, having a proximal end and a distal end, and

a distally advanceable thrust block coupled to and circumferentially surrounding the flexible tube, the thrust block disposed a longitudinal distance away from the proximal end of said prosthesis, providing tactile feedback to an operator when contact between the thrust block and said prosthesis is made after distal movement of the thrust block.

2. The system of claim 1 further comprising a retaining tube coupled to an outer surface of the flexible sheath and extending distally therefrom to the tapered flexible extension, wherein the thrust block has an outer diameter slightly less than an inner diameter of the retaining tube.

3. The system of claim 2 further comprising a closed position and an open position, the closed position being defined as the retaining tube coaxially disposed around the thrust block, said prosthesis, and a proximal portion of the tapered flexible extension, the open position being defined as the thrust block, said prosthesis, and said proximal portion of the tapered flexible extension located distal to a distal end of the retaining tube,

wherein, in the closed position, the thrust block is movable between a first position and a second position for contacting said prosthesis, the first and second positions being spaced from one another by said longitudinal distance.

4. The system of claim 1 further comprising a rigid tube coupled to the flexible tube, the rigid tube extending into the handle.

5. The system of claim 4 further comprising a hub coupled to the rigid tube.

6. A stent deployment system, comprising:

a handle,

a flexible sheath coupled to the handle,

a flexible tube extending from the handle and through the sheath about a longitudinal axis;

a tapered flexible extension coupled to the flexible tube, the tapered flexible extension having a transition to define a maximum diameter of the tapered flexible extension and a continuous reverse taper from the maximum diameter of the tapered flexible extension to an outer diameter of the flexible tube, where the reverse taper faces toward the handle and comprises an angle of between five degrees and fifteen degrees relative to the longitudinal axis,

a distally advanceable thrust block coupled to and circumferentially surrounding the flexible tube, and

an endoluminal prosthesis positioned coaxial with the flexible tube between the thrust block and the tapered flexible extension, said prosthesis spaced a longitudinal distance away from the thrust block, where the longitudinal distance is sufficient to provide tactile feedback to an operator when contact between the thrust block and said prosthesis is made after distal movement of the thrust block and before deployment of said prosthesis.

7. The system of claim 6 further comprising a bead of adhesive adapted to reduce sharpness in a transition between the tapered flexible extension and the flexible tube, the bead of adhesive disposed adjacent to a proximal end of the tapered flexible extension along the flexible tube.

8. The system of claim 6 further comprising a rigid tube coupled to the flexible tube, the rigid tube extending into the handle.

9. The system of claim 8 further comprising a hub coupled to the rigid tube.

10. The system of claim 6 further comprising a retaining tube coupled to an outer surface of the flexible sheath and extending distally therefrom to the tapered flexible extension.

11. The system of claim 10 wherein the retaining tube has an interior diameter greater than the maximum diameter of the tapered extension.

12. The system of claim 10 wherein said system has a closed position and an open position, the closed position defined as the retaining tube coaxially disposed around the thrust block, said prosthesis, and the tapered flexible extension, the open position defined as extension of the thrust block, said prosthesis and the tapered flexible extension past an end of the retaining tube.

13. The system of claim 6 wherein the tapered flexible extension includes a continuous forward taper facing away from the handle and disposed distal to the transition, the tapered flexible extension having a proximal end and a distal end and a smooth edges therebetween to provide a smooth edge along the entire tapered flexible extension to eliminate sharp or rough edges on the tapered flexible extension that are catchable on said prosthesis during withdrawal of said tapered flexible extension through said prosthesis.

14. The system of claim 6 wherein the tapered flexible extension has a forward taper facing away from the handle and comprising a second taper angle of between five degrees and thirty degrees relative to the longitudinal axis.