Introducer for deploying a stent graft in a curved lumen

• US 8,480,725 B2
• Filed: 10/30/2009
• Issued: 07/09/2013
• Est. Priority Date: 10/31/2008
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Rasmussen, Erik, hlenschlaeger, Bent, Jensen, Kim Moegelvang
• Primary Examiner(s): Jackson, Gary
• Assistant Examiner(s): HOLLM, JONATHAN A
• Application Number:
  US12/609,553
• Publication Number:
  US 20100114290A1
• Time in Patent Office: 1,348 Days
• Field of Search: 623/1.11, 623/1.12, 623/1.13, 623/1.15, 623/1.16, 623/1.23
• US Class Current: 623/1.12
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/89 the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
• 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 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2002/828 Means for connecting a plurality of stents allowing flexibility of the whole structure
• CPC Class Codes: A61F 2002/9505 having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires

Abstract

An introducer (10) includes release wires (42′) that constrain at least one stent (4′) while the remainder of a stent graft (18) is expanded during deployment. By allowing the constrained stent (4′) to expand after an adjacent stent (4), the constrained stent (4′) overlaps with the interior of the adjacent stent (4) where the stent graft (18) is deployed within a curved body lumen (70).

Claims

1. An introducer for deploying a stent graft in a curved lumen, the introducer including:

a carrier for a stent graft;

a withdrawable sheath for retaining a stent graft in a compressed condition;

a release mechanism including a constraining mechanism, wherein the constraining mechanism includes at least one release wire;

a substantially cylindrical stent graft, including a plurality of stents, mounted on the carrier, the stent graft including at least one wire-receiver co-operating with the at least one release wire of the release mechanism, wherein the at least one wire-receiver and the at least one release wire radially constrain at least a portion of at least one constrainable stent of the plurality of stents of the stent graft to form a constrained stent portion of a constrained stent that is radially constrained substantially entirely therearound, wherein at least an adjacent portion of an adjacent stent of the plurality of stents of the stent graft is not radially constrained by the at least one release wire and forms an expanded portion of the stent graft when not compressed by the sheath whilst the constrained stent portion is simultaneously maintained in its radially constrained configuration by the at least one wire-receiver and the at least one release wire, wherein at least the most proximal stent of the stent graft and at least the most distal stent of the stent graft are not constrained by the at least one wire-receiver and the at least one release wire while the constrained stent portion is maintained in its radially constrained configuration;

the at least one release wire and the at least one wire-receiver together being releasable to enable the constrained stent portion to expand so as to overlap with the interior of the adjacent portion of the adjacent stent in an the expanded portion of the stent graft, thereby to enable the stent graft to be deployed in a curved lumen without the need to match the curve of the stent graft to the lumen either prior to, or during deployment.

2. An introducer as claimed in claim 1, wherein at least a portion of more than one stent is constrained by the at least one wire-receiver and the at least one release wire.

3. An introducer as claimed in claim 1, wherein the at least one wire-receiver is a loop of material.

4. An introducer as claimed in claim 3, wherein the loop of material is a thread.

5. An introducer as claimed in claim 1, wherein the at least one wire-receiver is provided only at one end of the constrained stent, and wherein another end of the constrained stent is not provided with any wire-receiver.

6. An introducer as claimed in claim 1, wherein the at least one wire-receiver is provided at both a proximal end and a distal end of the constrained stent.

7. An introducer claimed in claim 1, wherein more than one stent of the stent graft is constrained.

8. An introducer as claimed in claim 7, including at least one constrained stent in which a wire-receiver is provided only at one of its ends and at least one constrained stent in which a wire-receiver is provided at both its proximal end and its distal end.