Catheter system and methods of using same

• US 8,808,350 B2
• Filed: 02/29/2012
• Issued: 08/19/2014
• Est. Priority Date: 03/01/2011
• Status: Active Grant

• Current Assignee: Endologix
• Original Assignee: Endologix
• Inventors: Schreck, Stefan, Tzeng, Elbert, Abraham, Todd, Phan, Jonathan, Benjamin, Joshua, Macias, Jacqueline, Chu, Kevin, Gould, William L.
• Primary Examiner(s): MILES, JONATHAN WADE
• Application Number:
  US13/408,952
• Publication Number:
  US 20120226341A1
• Time in Patent Office: 902 Days
• Field of Search: 606/108, 606/191, 606/192, 606/194, 606/195, 606/198, 606/200, 623/1.11, 623/1.12, 623/1.23, 604 9501- 9504, 604/164.07, 604/165.01, 604/166.01, 604/171, 604/528
• US Class Current: 623/1.12
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• 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
• CPC Class Codes: A61M 2025/09125 Device for locking a guide wire in a fixed position with respect to the catheter or the human body
• CPC Class Codes: A61M 25/0097 characterised by the hub connectors A61M39/10
• CPC Class Codes: A61M 25/0662 Guide tubes

Abstract

A modular catheter system including a sheath projecting distally from a delivery catheter having a main body module An inner core module carrying a stent thereon, the inner core being axially movable through the main body of the delivery catheter and the delivery catheter sheath, a handle member supported by the main body of the delivery catheter, the handle member being selectively axially engageable with the inner core such that the handle member and the inner core move together in an axial direction when the handle member is engaged with the inner core; and an adjustment member supported by the main body, the adjustment member being configured such that rotation of the adjustment member causes the adjustment member to move axially along the main body by either axially sliding the handle member relative to the main body or by rotating the adjustment member.

Claims

1. A catheter system comprising:

a delivery catheter comprising;

a main body having a proximal end portion and a distal end portion;

a delivery catheter sheath projecting distally from a distal end portion of the main body;

an inner core configured to a support a stent thereon, the inner core being axially advanceable through the main body of the delivery catheter and the delivery catheter sheath;

a handle member supported by the main body of the delivery catheter, the delivery catheter being configured such that the handle member and the inner core move together in an axial direction when the handle member is connected to the inner core; and

an adjustment member supported by the main body, the adjustment member being configured such that rotation of the adjustment member causes the adjustment member to move axially along the main body;

wherein the handle member is axially moveable along the main body of the delivery catheter between the distal end portion of the main body and the adjustment member by either axially sliding the handle member relative to the main body or by rotating the adjustment member relative to the main body when the adjustment member is rotated to provide an axial contact force with the handle member.

2. The catheter system of claim 1, wherein the inner core is non-selectably coupled to the handle member.

3. The catheter system of claim 1, wherein the inner core is selectively engageable by the handle member, and the catheter system is configured such that the handle member and the inner core move together in an axial direction when the handle member is engaged with the inner core.

4. The catheter system of claim 1, wherein the inner core comprises a core wire supporting a plurality of tabs spaced axially along at least a portion of the inner core, the tabs being positioned on the core wire such that the stent overlaps one or more of the tabs in a stent loaded state.

5. The catheter system of claim 4, wherein the inner core comprises a core wire and the plurality of tabs are spaced axially along at least a portion of the core wire.

6. The catheter system of claim 4, wherein the plurality of tabs are configured to engage the endoskeleton of the stent in a stent loaded state.

7. The catheter system of claim 1, further comprising an introducer catheter comprising a main body and a tubular introducer sheath projecting from a distal end portion of the main body, the introducer catheter being configured to selectively engageably receive the delivery catheter.

8. The catheter system of claim 7, wherein the introducer sheath is configured to axially receive at least the inner core therethrough.

9. The catheter system of claim 7, wherein the stent diameter can be reduced by between 5% and 50% when the stent is advanced into the introducer sheath by passing the stent through a tapered passageway within the introducer catheter.

10. The catheter system of claim 7, wherein at least a portion of an inside surface of the introducer sheath is covered with a low-friction coating comprising at least one of polytetrafluoroethylene, silicone, hydrophobic silicone, and another lubricating substance.

11. The catheter system of claim 7, wherein the introducer catheter is selectively engageable with the delivery catheter so that, when the delivery catheter is engaged with the introducer catheter, the axial movement of either of the introducer catheter and the delivery catheter will cause the simultaneous and equal axial movement of the other of the introducer catheter and the delivery catheter.

12. The catheter system of claim 7, wherein the catheter system is configured such that, when the introducer catheter and the delivery catheter are engaged, the delivery catheter can rotate relative to the introducer catheter.

13. The catheter system of claim 7, wherein the catheter system is configured such that, when the delivery catheter is engaged with the introducer catheter, the delivery catheter sheath and the introducer sheath do not overlap.

14. The catheter system of claim 7, wherein the catheter system is configured such that, when the delivery catheter is engaged with the introducer catheter, at least a distal portion of the delivery catheter sheath overlaps at least a proximal portion of the introducer sheath or a proximal portion of the introducer sheath overlaps at least a distal portion of the delivery catheter sheath.

15. The catheter system of claim 7, wherein the catheter system is configured such that, when the delivery catheter is engaged with the introducer catheter, a tapered distal portion of the delivery catheter sheath advances into a proximal portion of the introducer sheath.

16. The catheter system of claim 7, wherein an inner diameter of the delivery catheter sheath is larger than an inner diameter of the introducer sheath.

17. The catheter system of claim 1, wherein the inner core comprises a core wire supporting a plurality of tabs spaced axially along at least a portion of the inner core, the tabs being positioned on the core wire such that the stent overlaps one or more of the tabs in a stent loaded state.

18. The catheter system of claim 1, wherein the stent comprises a graft that is attached to the stent in at least the distal end portions of the graft, but not the mid-section of the graft.

19. A delivery catheter system comprising:

a main body having a proximal end portion and a distal end portion;

an outer sheath projecting from the distal end portion of the main body;

an inner core configured to a support a stent thereon, the inner core being axially advanceable through the main body of the delivery catheter and the outer sheath;

a handle member supported by the main body of the delivery catheter, the handle member being axially coupled with the inner core such that the handle member and the inner core move together in an axial direction; and

an adjustment member supported by the main body of the delivery catheter, the adjustment member being configured such that rotation of the adjustment member provides a mechanical advantage that causes the adjustment member to move axially along the main body;

wherein the handle member can be moved axially relative to the main body of the delivery catheter between the distal end portion of the main body and the adjustment member by either axially sliding the handle member relative to the main body or by rotating the adjustment member relative to the main body when the adjustment member is in contact with the handle member, thereby axially moving the inner core relative to the outer sheath.

20. The catheter system of claim 19, wherein the inner core is non-reversably coupled to the handle member.

21. The catheter system of claim 19, wherein the inner core comprises a core wire supporting a plurality of tabs spaced axially along at least a portion of the inner core, the tabs being positioned on the core wire such that the stent overlaps one or more of the tabs in a stent loaded state.

22. The catheter system of claim 21, wherein the inner core comprises a core wire and the plurality of tabs are spaced axially along at least a portion of the core wire.

23. The catheter system of claim 21, wherein the plurality of tabs are configured to engage the endoskeleton of the stent in a stent loaded state.