Stent delivery system having stent securement apparatus

• US 8,709,062 B2
• Filed: 09/14/2012
• Issued: 04/29/2014
• Est. Priority Date: 08/23/1996
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Dusbabek, Andrew J., Brown, Terry V., Mertens, Steven P., Mattison, Richard C., Blaeser, David J., Lorentzen Cornelius, Linda R., Willard, Martin R., DiCaprio, Fernando, Nordin, Stanley A., Ellis, Louis G., Larson, Christopher R., Euteneuer, Charles L.
• Primary Examiner(s): Bui, Vy Q
• Application Number:
  US13/619,231
• Publication Number:
  US 20130060317A1
• Time in Patent Office: 592 Days
• Field of Search: 623/1.11, 606/108, 606/194, 604/101.05
• US Class Current: 623/1.11
• CPC Class Codes: A61F 2/9522 Means for mounting a stent or stent-graft onto or into a placement instrument
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/9583 Means for holding the stent on the balloon, e.g. using protrusions, adhesives or an outer sleeve
• CPC Class Codes: A61F 2002/9586 the means being inside the balloon
• CPC Class Codes: A61M 2025/1013 with concentrically mounted balloons, e.g. being independently inflatable
• CPC Class Codes: A61M 2025/1063 having only one lumen used for guide wire and inflation, e.g. to minimise the diameter
• CPC Class Codes: A61M 2025/1079 having radio-opaque markers in the region of the balloon
• CPC Class Codes: A61M 2025/1081 having sheaths or the like for covering the balloon but not forming a permanent part of the balloon, e.g. retractable, dissolvable or tearable sheaths
• CPC Class Codes: A61M 2025/1093 having particular tip characteristics
• CPC Class Codes: A61M 25/1011 Multiple balloon catheters
• CPC Class Codes: A61M 25/1018 Balloon inflating or inflation-control devices
• CPC Class Codes: A61M 25/10182 Injector syringes
• CPC Class Codes: A61M 25/10184 Means for controlling or monitoring inflation or deflation
• CPC Class Codes: A61M 25/10186 One-way valves
• CPC Class Codes: A61M 25/104 used for angioplasty

Abstract

Medical devices and methods for making and using medical devices are disclosed. An example medical device may include an elongate shaft including a first tubular member and a second tubular member. A balloon may be coupled to the shaft. A first member may be coupled to the first tubular member and positioned within the balloon. A second member may be coupled to the first tubular member and positioned within the balloon. A medical implant may be coupled to the shaft and positioned adjacent to the balloon.

Claims

1. A medical device, comprising:

an elongate shaft including a first tubular member and a second tubular member;

a balloon coupled to the shaft;

a first member coupled to the first tubular member and positioned within the balloon, the first member including a distal stop with a tapered distal portion;

wherein the distal stop includes a proximal end face extending substantially perpendicular to a longitudinal axis of the elongate shaft;

a second member coupled to the first tubular member and positioned within the balloon, the second member having a distal end disposed proximal of the distal stop; and

a medical implant coupled to the shaft and positioned adjacent to the balloon.

2. The medical device of claim 1, wherein the first tubular member is an inner tubular member and wherein the second tubular member is an outer tubular member.

3. The medical device of claim 2, wherein an inflation lumen is defined between the inner tubular member and the outer tubular member, the inflation lumen being in fluid communication with the balloon.

4. The medical device of claim 3, wherein the balloon has a proximal portion coupled to the outer tubular member and wherein the balloon has a distal portion coupled to the inner tubular member.

5. The medical device of claim 4, wherein the proximal portion of the balloon is adhesively bonded to the outer tubular member.

6. The medical device of claim 4, wherein the distal portion of the balloon is adhesively bonded to the inner tubular member.

7. The medical device of claim 1, wherein the second member is a support member configured to support the medical implant.

8. The medical device of claim 1, wherein the second member includes a distal portion having a substantially constant outer diameter.

9. The medical device of claim 1, wherein the first member and the second member are longitudinally spaced from each other.

10. The medical device of claim 1, wherein the medical implant includes a stent.

11. The medical device of claim 1, wherein the medical implant is configured to be expanded by expanding the balloon.

12. The medical device of claim 1, wherein the first member, the second member, or both include a radiopaque marker.

13. A system for delivering a medical device, the system comprising:

a catheter shaft, the catheter shaft including an inner tubular member and an outer tubular member;

a balloon coupled to the catheter shaft;

a distal stop including a tapered distal portion attached to the inner tubular member and positioned at least partially underneath the balloon;

wherein the distal stop includes a proximal end face extending substantially perpendicular to a longitudinal axis of the catheter shaft;

a proximal member attached to the inner tubular member and positioned underneath the balloon, the proximal member having a distal end disposed proximal of the distal stop; and

a cardiovascular implant disposed along the catheter shaft, the cardiovascular implant being configured to shift between a first configuration and an expanded configuration.

14. The system of claim 13, wherein an inflation lumen is defined between the inner tubular member and the outer tubular member, the inflation lumen being in fluid communication with the balloon.

15. The system of claim 14, wherein the balloon has a proximal portion coupled to the outer tubular member and wherein the balloon has a distal portion coupled to the inner tubular member.

16. The system of claim 13, wherein the proximal member includes a distal region having a substantially constant outer diameter.

17. The system of claim 13, wherein the distal stop and the proximal member are longitudinally spaced from each other.

18. The system of claim 13, wherein the cardiovascular implant includes a stent.

19. The system of claim 13, wherein the cardiovascular implant is configured to be expanded by the balloon.

20. The system of claim 13, wherein the distal stop, the proximal member, or both include a radiopaque marker.

21. A medical device for implanting a medical implant, the medical device comprising:

a catheter shaft, the catheter shaft including an inner tubular member and an outer tubular member;

a balloon attached to the catheter shaft;

wherein a proximal portion of the balloon is coupled to the outer tubular member and a distal portion of the balloon is coupled to the inner tubular member;

wherein an inflation lumen is defined between the inner tubular member and the outer tubular member, the inflation lumen being in fluid communication with the balloon;

wherein a body portion of the balloon extends over an implant receiving region of the inner tubular member;

a distal stop including a tapered distal portion attached to the inner tubular member adjacent to the implant receiving region;

wherein the distal stop includes a proximal end face extending substantially perpendicular to a longitudinal axis of the catheter shaft;

wherein at least a portion of the distal stop is disposed within the balloon;

a proximal member attached to the implant receiving region and positioned between the implant receiving region and the body portion of the balloon, the proximal member having a distal end disposed proximal of the distal stop; and

an implantable endoprosthesis disposed along the catheter shaft, the implantable endoprosthesis being configured to be received along the implant receiving region.

22. The medical device of claim 21, wherein the proximal member includes a distal region having a substantially constant outer diameter.

23. The medical device of claim 21, wherein the distal stop and the proximal member are longitudinally spaced from each other.

24. The medical device of claim 21, wherein the implantable endoprosthesis includes a stent.

25. The medical device of claim 21, further comprising a radiopaque marker coupled to the inner tubular member.

26. A system for delivering an implantable medical device, the system comprising:

a catheter shaft, the catheter shaft including an inner tubular member and an outer tubular member;

wherein the inner tubular member has a distal end that extends distally beyond a distal end of the outer tubular member;

wherein the inner tubular member defines a guidewire lumen;

a balloon attached to the catheter shaft, the balloon being configured to shift between a collapsed configuration and an expanded configuration;

wherein a proximal portion of the balloon is coupled to the outer tubular member and a distal portion of the balloon is coupled to the inner tubular member;

wherein an inflation lumen is defined between the inner tubular member and the outer tubular member, the inflation lumen being in fluid communication with the balloon;

wherein a body portion of the balloon extends over an implant receiving region of the inner tubular member;

a distal stop attached to the inner tubular member at a position adjacent to the implant receiving region, the distal stop being disposed at least partially between the balloon and the inner tubular member;

wherein at least a section of the distal stop is tapered;

a proximal member attached to the implant receiving region and being positioned between the implant receiving region and the body portion of the balloon;

wherein the distal stop is axially spaced from the proximal member;

a first radiopaque marker disposed along the implant receiving region and positioned adjacent to the distal stop;

a second radiopaque marker disposed along the implant receiving region and positioned adjacent to the proximal member;

wherein the first radiopaque marker is axially spaced from the second radiopaque marker; and

an implantable endoprosthesis disposed along the catheter shaft and configured to be received along the implant receiving region, the implantable endoprosthesis being configured to be expandable by the balloon.