Apparatus for loading and delivering a stent

• US 8,858,614 B2
• Filed: 09/16/2013
• Issued: 10/14/2014
• Est. Priority Date: 05/19/2006
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Headley, F. Anthony Jr., Damarati, John, Leanna, Gary J., Wood, Mark D.
• Primary Examiner(s): EASTWOOD, DAVID C
• Application Number:
  US14/027,777
• Publication Number:
  US 20140018901A1
• Time in Patent Office: 393 Days
• Field of Search: None
• 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 tube having a distal end, a longitudinal length, and defining a lumen;

an intermediate tube positioned in the lumen of the outer tube, the intermediate tube having a distal end, a longitudinal length, and defining a lumen;

an inner tube positioned in the lumen of the intermediate tube, the inner tube defining a lumen and having a distal end and a longitudinal length greater than the longitudinal length of the intermediate tube and the longitudinal length of the outer tube;

the outer tube, the intermediate tube, and the inner tube being independently movable in a longitudinal direction;

the stent loading and deployment device having a fully loaded configuration, a delivery configuration, and a stent deployment configuration, the stent loading and deployment device being in the stent deployment configuration after being in the fully loaded and delivery configurations;

wherein;

in both the fully loaded and the delivery configurations the distal ends of the outer and inner tubes are axially aligned to define a stent deployment region for a loaded stent, the stent deployment region entirely covered by the outer tube, and the distal end of the intermediate tube is proximal to the axially aligned distal ends of the outer and inner tubes and to a distal end of the stent deployment region; and

in the stent deployment configuration, at least a portion of the stent deployment region is uncovered by the outer tube;

the outer tube having an outer tube handle at a proximal end, the intermediate tube having an intermediate tube handle at a proximal end, and the inner tube having an inner tube handle at a proximal end, wherein;

the intermediate tube handle has a distal opening larger than a proximal opening; and

the inner tube has;

a distal portion with a first diameter, the distal portion slidable through only a portion of the intermediate tube handle so that relative axial movement of the intermediate tube and the inner tube is limited;

a proximal portion with a second diameter less than the first diameter, the proximal portion is slidably disposed within the intermediate tube handle.

2. The stent loading and deployment device of claim 1, the stent deployment device being in the fully loaded configuration, further including a self-expanding stent positioned on the stent deployment region, the stent being partially covered by the intermediate tube and entirely covered by the outer tube.

3. The stent loading and deployment device of claim 2, wherein a radially distensible stent engaging member of the intermediate tube partially covers the stent.

4. The stent loading and deployment device of claim 2, further wherein:

the inner tube handle forms a proximal end of the stent deployment device and the intermediate tube handle is positioned between the outer tube and the inner tube handles and is longitudinally separated from both the outer tube handle and the inner tube handle.

5. The stent loading and deployment device of claim 1, the stent deployment device being in the stent delivery configuration, further including a self-expanding stent positioned on the stent deployment region, the stent being covered only by the outer tube.

6. The stent loading and deployment device of claim 5, wherein:

the intermediate tube handle is positioned between the outer tube and the inner tube handles where the inner tube handle forms a proximal end of the stent deployment device wherein the intermediate tube handle touches a distal end of the inner tube handle and is longitudinally separated from the outer tube handle.

7. The stent loading and deployment device of claim 1, the stent deployment device further having a stent loading configuration wherein the distal ends of the inner tube, the intermediate tube, and the outer tube have different positions with the distal end of the outer tube positioned proximal to the distal end of the intermediate tube, the distal end of the intermediate tube positioned proximal to the distal end of the inner tube, and a stent deployment region of the inner tube is uncovered, the stent deployment device being in the stent loading configuration.

8. A stent deployment device wherein:

a stent is positioned between a tubular outer member and a tubular inner member, wherein distal ends of the tubular outer member and tubular inner member are axially aligned;

a tubular stent loading member is positioned between the tubular outer member and the tubular inner member, with a distal end of the tubular stent loading member positioned proximal to a proximal end of the stent;

wherein the tubular stent loading member includes a stent engagement member, the stent engagement member forming the distal end of the tubular stent loading member, the stent engagement member being radially distensible and contractible for loading the stent onto the stent deployment device; and

wherein the tubular outer member, the tubular stent loading member, and the tubular inner member are independently movable in a longitudinal direction.

9. The stent deployment device of claim 8, further comprising a stent holder for releasably securing the stent between the tubular outer member and the tubular inner member, the stent holder positioned between the stent and the tubular inner member.

10. The stent deployment device of claim 8, wherein the distal end of the tubular outer member has an inwardly beveled edge.

11. The stent deployment device of claim 8, wherein a handle is positioned at a proximal end of each of the tubular outer member, the tubular stent loading member, and the tubular inner member, wherein the handle of the tubular stent loading member is positioned between the handles of the tubular outer member and the tubular inner member with the handle of the tubular inner member positioned at a proximal end of the stent deployment device, further wherein the handle of the tubular prosthesis loading member is longitudinally separated from the handles of the tubular outer member and the tubular inner member.

12. A deployment device comprising a stent, a tubular outer member, a tubular inner member, and a tubular stent loading member, wherein:

a distal region of the stent is concentrically arranged between the tubular outer member and the tubular inner member, the tubular outer member being independently movable from the tubular inner member;

a proximal region of the stent is concentrically arranged between the tubular inner member and a distal region of the tubular stent loading member, a distal end of the tubular stent loading member being proximal to a distal end of the stent, the tubular stent loading member being independently movable from the tubular inner member;

a proximal region of the tubular stent loading member is concentrically arranged between the tubular outer member and the tubular inner member, the tubular stent loading member being independently movable from the tubular outer member; and

wherein the distal region of the tubular stent loading member is a radially distensible stent engaging member.

13. The deployment device of claim 12, wherein:

the tubular stent loading member has a stent loading member handle at a proximal end, a distal opening of the stent loading member handle being larger than a proximal opening;

the inner tubular member has a distal portion with a diameter greater than the proximal opening of the stent loading member handle to limit longitudinal movement of the tubular stent loading member.

14. The deployment device of claim 12, further comprising a stent holder for releasably securing the stent between the tubular outer member and the tubular inner member, the stent holder positioned between the stent and the tubular inner member.

15. The deployment device of claim 12, wherein a handle is positioned at a proximal end of each of the tubular outer member, the tubular stent loading member, and the tubular inner member, wherein the handle of the tubular stent loading member is positioned between the handles of the tubular outer member and the tubular inner member with the handle of the tubular inner member positioned at a proximal end of the stent deployment device, further wherein the handle of the tubular stent loading member is longitudinally separated from the handle of the tubular outer member and is touching a distal end of the tubular inner member.