Apparatus for loading and delivering a stent

• US 8,535,368 B2
• Filed: 05/19/2006
• Issued: 09/17/2013
• Est. Priority Date: 05/19/2006
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Headley, F. Anthony Jr., Damarati, John, Leanna, Gary J., Wood, Mark
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): EASTWOOD, DAVID C
• Application Number:
  US11/437,889
• Publication Number:
  US 20070270932A1
• Time in Patent Office: 2,678 Days
• Field of Search: 623/1.12, 623/1.11, 606/108, 606/198, 606/200
• US Class Current: 623/1.12
• 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 2/9522 Means for mounting a stent or stent-graft onto or into a placement instrument
• CPC Class Codes: A61F 2/9525 using a funnel
• 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 2002/826 more than one stent being applied sequentially
• CPC Class Codes: A61F 2002/9528 for retrieval of stents
• CPC Class Codes: A61F 2002/9534 for repositioning of stents
• CPC Class Codes: A61F 2002/9583 Means for holding the stent on the balloon, e.g. using protrusions, adhesives or an outer sleeve

Abstract

A stent loading and deployment device includes an outer elongate tubular member having opposed proximal and distal ends and an inner elongate tubular member having opposed proximal and distal ends and slidably disposed within the outer tubular member. When the distal ends of the outer tubular member and the inner tubular member are axially aligned, a stent deployment region is defined there in between. The device further includes a stent loading member having opposed proximal and distal ends and slidably disposed between the outer tubular member and the inner tubular member. The distal end of the stent loading member is slidable to a distal position past the distal end of the outer tubular member for receiving a stent and is further slidable toward the proximal end of the outer tubular member to a location past the stent deployment region for disengagement of a stent from the stent loading member.

Claims

1. A stent loading and deployment device comprising:

an outer elongate tubular member having opposed proximal and distal ends and a length therein between;

an outer tubular handle disposed at the proximal end of the outer tubular member;

an inner elongate tubular member having opposed proximal and distal ends, a length therein between and slidably disposed within the outer tubular member, wherein when the distal ends of the outer tubular member and the inner tubal member are axially aligned, a stent deployment region is defined therein between;

an inner tubular handle disposed at the proximal end of the inner tubular member;

a stent loading member having opposed proximal and distal ends, a length therein between and slidably disposed between the outer tubular member and the inner tubular member;

a stent loading member handle disposed at the proximal end of the stent loading member; and

a stent engaging member having opposed proximal and distal ends, wherein the proximal end of the stent engaging member is securably disposed to the distal end of the stent loading member;

wherein the stent engaging member has a truncated-conical shape, being smaller at its proximal end;

wherein the stent engaging member is a radially distensible member which is collapsible such that the stent engaging member may be slidably contained within the outer tubular member;

wherein the distal end of the stent loading member is slidable to a distal position past the distal end of the outer tubular member for receiving a stent and is further slidable toward the proximal end of the outer tubular member to a location past the stent deployment region for disengagement of a stent from the stent loading member;

wherein the length of the stent loading member is greater than the length of the outer elongate tubular member;

wherein the inner elongate tubular member comprises a distal portion and a proximal portion with the distal portion having a greater diameter than the proximal portion, and

wherein the proximal portion of the inner elongate tubular member is slidable throughout the stent loading member handle while the distal portion of the inner elongate tubular member is slidable through only a portion of the stent member handle.

2. The device of claim 1, wherein the stent engaging member is a polymeric member.

3. The device of claim 2, wherein the stent engaging member comprises braided filaments.

4. The device of claim 2, wherein the stent engaging member comprises a film.

5. The device of claim 3, wherein the braided filaments are contained within a thin polymeric film.

6. The device of claim 1, wherein the stent loading member is an elongate tubular device.

7. The device of claim 1, wherein the stent loading member is removably disposed within the device.

8. The device of claim 1, further comprising a tubular band disposed toward the distal end of the inner tubular member for releasably securing a stent in the stent deployment region directly between the inner and outer tubular member;

wherein the tubular band may partially or completely encompass a portion of the inner tubular member.

9. The device of claim 1, wherein the outer tubular member is proximally slidable for releasing a stent from the stent deployment region.

10. The device of claim 1, wherein the stent loading member handle is axially disposed between the outer tubular handle and inner tubular handle.

11. The device of claim 1, wherein the stent loading member handle is integrated with the inner tubular handle.

12. The device of claim 10, wherein the outer tubular handle is axially disposed before the proximal end if the inner tubular handle.

13. The device of claim 1, wherein the stent loading member handle, the outer tubular handle or the inner tubular handle are interlocking handles.

14. The device of claim 1, further including a radially distensible stent.

15. The device of claim 14, wherein the radially distensible stent is a polymeric stent.

16. The device of claim 14, wherein the radially distensible stent is a self-expanding stent.

17. The device of claim 15, wherein the polymeric stent is a braided stent.

18. The device of claim 14, further comprising a graft disposed over at least a portion of the stent.

19. The device of claim 18, wherein the graft is selected from the group consisting of a covering, a liner, a film, a coating and combinations thereof.

20. The device of claim 19, wherein the stent is a braid polymeric stent and the grate comprises silicone.

34. The device of claim 1, wherein the stent loading member handle has a distal opening and a proximal opening with the distal opening being larger in diameter than the proximal opening;

and

wherein the proximal portion of the inner elongate tubular member is slidable through the distal and proximal openings of the stent loading member handle while the distal portion of the inner elongate tubular member is slidable through the distal opening of the stent loading member handle, but not slidable through the proximal opening of the stent loading member handle.

21. A stent loading and deployment system comprising:

a radially distensible stent;

an outer elongate tubular member having opposed proximal and distal ends and a length therein between;

an outer tubular handle disposed at the proximal end of the outer tubular member;

an inner elongate tubular member having opposed proximal and distal ends, a length therein between and slidably disposed within the outer tubular member, wherein, when the distal ends of the outer tubular member and the inner tubular member are axially aligned, a stent deployment region is defined therein between;

an inner tubular handle disposed at the proximal end of the inner tubular member;

a stent loading member having opposed proximal and distal ends, a length therein between and slidably disposed between the outer tubular member and the inner tubular member;

a stent loading member handle disposed at the proximal end of the stent leading member; and

a stent engaging member having opposed proximal distal ends, wherein the proximal end of the stent engaging member is securably disposed to the distal end of the stent loading member;

wherein the stent engaging member has truncated-conical shape, being smaller at its proximal end;

wherein the stent engaging member is radially distensible member which is collapsible such that the stent engaging member may be slidably contained within the outer tubular member;

wherein the distal end of the stent loading member is slidable to a distal position past the distal end of the outer tubular member for receiving the stent and is further slidable toward the proximal end of the outer tubular member to a location past the stent deployment region for disengagement of the stent from the stent loading member;

wherein the length of the stent loading member is greater than the length of the outer elongate tubular member;

wherein the inner elongate tubular member comprises a distal portion and a proximal portion with the distal portion having a greater diameter than the proximal portions; and

wherein the proximal portion of the inner elongate tubular member is slidable throughout the stent loading member handle while the distal portion of the inner elongate tubular member is slidable through only a portion of the stent loading member handle.

22. The system of claim 21, wherein the stent engaging member is polymeric member.

23. The system of claim 22, wherein the stent engaging member comprises braid filaments.

24. The system of claim 23, wherein the stent engaging member comprises a film.

25. The system of claim 24, wherein the braided filaments are contained within a thin polymeric film.

26. The system of claim 21, wherein the radially distensible stent is a polymeric stent.

27. The system of claim 21, wherein the radially distensible stent is a self-expanding stent.

28. The system of claim 21, wherein the polymeric stent is a braided stent.

29. The system of claim 21, further comprising a tubular band disposed toward the distal end of the inner tubular member for releasably securing the stent in the stent deployment region directly between the inner and outer tubular members;

wherein the tubular band may partially or completely encompass a portion of the inner tubular member.

30. The system of claim 21, wherein the stent loading member handle is axially disposed between the outer tubular handle and the inner tubular handle;

and wherein the outer tubular handle is axially disposed before the proximal end of the inner tubular handle.

31. The system of claim 21, wherein the stent loading member handle is integrated with the inner tubular handle.

32. The system of claim 21, wherein the stent loading member handle, the outer tubular handle or the inner tubular handle are interlocking handles.

35. The system of claim 21, wherein the stent loading member handle has a distal opening and a proximal opening with the distal opening being larger in diameter than the proximal opening;

and

wherein the proximal portion of the inner elongate tubular member is slidable through the distal and proximal openings of the stent loading member handle while the distal portion of the inner elongate tubular member is slidable through the distal opening of the stent loading member handle, but not slidable through the proximal opening of the stent loading member handle.

33. A stent loading and deployment system comprising:

a radially distensible stent;

an outer elongate tubular member having opposed proximal and distal ends and a length therein between;

an outer tubular handle disposed at the proximal end of the outer tubular member;

an inner elongate tubular member having opposed proximal and distal ends, a length therein between and slidably disposed within the outer tubular member, wherein, when the distal ends of the outer tubular member and the inner tubular member are axially aligned, a stent deployment region is defined therein between;

an inner tubular handle disposed at the proximal end of the inner tubular member;

a stent loading member having opposed proximal and distal ends, a length therein between and slidably disposed between the outer tubular member and the inner tubular member;

a stent loading member handle disposed at the proximal and end of the stent loading member;

a stent engaging member having opposed proximal and distal ends, wherein the proximal end of the stent engaging member is securably disposed to the distal end of the stent loading member; and

a tubular band disposed toward the distal end of the inner tubular member for releasably securing a stent in the stent deployment region directly between the inner and outer tubular members;

wherein the tubular band may partially or completely encompass a portion of the inner tubular member;

wherein the stent engaging member had a truncated-conical shape, being smaller at its proximal end;

wherein the stent engaging member is a radially distensible member which is collapsible such that the stent engaging member may be slidably contained within the outer tubular member;

wherein the distal end of the stent loading member is slidable to a distal portion past the distal end of the outer tubular member for receiving the stent and is further slidable toward the proximal end of the outer tubular member to a location past the stent deployment region for disengagement of the stent from the stent loading member;

wherein the length of the stent loading member is greater than the length of the outer elongate tubular member;

wherein the tubular band is disposed distally away from the stent holding member when the stent loading member handle is proximally placed towards the outer tubular handle;

wherein the inner elongate tubular member comprises a distal portion and a proximal portion with the distal portion having a greater diameter than the proximal portion;

wherein the stent loading member handle has a distal opening and a proximal opening with the distal opening being larger in diameter than the proximal opening; and

wherein the proximal portion of the inner elongate tubular member is slidable through the distal and proximal openings of the stent loading member handle while the distal portion of the inner elongate tubular member is slidable through the distal opening of the stent loading member handle but not slidable through the proximal opening of the stent loading member handle.