Stent delivery system

• US 8,951,297 B2
• Filed: 06/28/2012
• Issued: 02/10/2015
• Est. Priority Date: 12/28/2009
• Status: Active Grant

• Current Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Original Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Inventors: Kawakita, Taisei
• Primary Examiner(s): SEVERSON, RYAN J
• Application Number:
  US13/536,220
• Publication Number:
  US 20120296409A1
• Time in Patent Office: 957 Days
• Field of Search: 606/108, 623/1.11, 623/1.12, 623/1.23
• US Class Current: 623/1.11
• CPC Class Codes: A61F 2/915 with bands having a meander structure, adjacent bands being connected to each other
• CPC Class Codes: A61F 2/9517 handle assemblies therefor
• 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 2002/91575 connected peak to trough
• CPC Class Codes: A61F 2220/005 using adhesives
• CPC Class Codes: A61F 2230/0054 V-shaped

Abstract

A stent delivery system is provided with a stent which, when inserted into an organism, is compressed in the center axis direction and which, when placed in the organism, can be expanded outward and restored to the shape which the stent has before being compressed; an inner tube body (inner tube); and a stent housing tube body (sheath) in which the stent is housed. The stent can be discharged by moving the stent housing tube body to the proximal side relative to the inner tube body. At least a portion of an inner surface of the stent housing tube body is a substantially polygonal prism-shaped inner surface which extends in the axial direction of the stent housing tube body.

Claims

1. A stent delivery system comprising:

a stent formed into a substantially cylindrical shape,

an inner tube body having a guidewire lumen, and

a stent housing tube body that houses the stent in a distal portion,

wherein the stent is configured to be compressed in a center axis direction when being inserted into a living body and expanded outward to be restored to a shape before compression when being indwelled in a living body,

wherein the stent is disposed so as to cover a distal portion of the inner tube body, the stent being discharged by moving the stent housing tube body toward a proximal side relative to the inner tube body,

wherein an inner surface of the stent housing tube body from at least a distal end of the stent housing tube body to a proximal part of a stent housing portion is a substantially polygonal prism inner surface extending along an axial direction of the stent housing tube body.

2. The stent delivery system as defined in claim 1, wherein the substantially polygonal prism inner surface has substantially no bent part.

3. The stent delivery system as defined in claim 1, wherein the substantially polygonal prism inner surface extends in parallel with the axial direction of the stent housing tube body.

4. The stent delivery system as defined in claim 1, wherein the substantially polygonal prism inner surface defines a gentle helical shape with respect to the axial direction of the stent housing tube body.

5. The stent delivery system as defined in claim 1,

wherein the inner tube body includes a distal-side tube including the guidewire lumen, a proximal-side tube, and a fixing tube to which a proximal portion of the distal-side tube and a distal portion of the proximal-side tube are fixed and that has an opening communicating with the guidewire lumen,

wherein the stent housing tube body encloses a distal side of the distal-side tube and is slidable in the proximal direction of the distal-side tube, and further comprising:

at least one pulling wire having one end fixed to the stent housing tube body and extending in the proximal-side tube, the pulling wire configured to move the stent housing tube body toward the proximal side by pulling the pulling wire toward a proximal side of the proximal-side tube.

6. The stent delivery system as defined in claim 5, wherein the distal-side tube has a stent proximal part locking portion located on the distal side of the distal-side tube, and the stent proximal part locking portion abuts on a proximal end of the stent housed in the stent housing tube body such that the stent proximal part locking portion restricts movement of the stent toward the proximal side.

7. The stent delivery system as defined in claim 5, further comprising a slide tube disposed close to a proximal end of the stent housing tube body, wherein the fixing tube is configured for housing the slide tube from the proximal side or for encasing the slide tube from the proximal side, wherein the slide tube is configured to move toward the proximal side together with the stent housing tube body upon pulling of the pulling wire and the slide tube is not fixed to the stent housing tube body.

8. The stent delivery system as defined in claim 5, further comprising an operation section provided at a proximal portion of the proximal-side tube, the operation section including a pulling wire winding-up mechanism for winding up the pulling wire to move the stent housing tube body toward the proximal side.

9. The stent delivery system as defined in claim 1, wherein the substantially polygonal prism inner surface includes a plurality of angled inner surfaces portions, adjacent angled inner surface portions intersecting at a corner.

10. The stent delivery system as defined in claim 1, wherein the stent includes a plurality of annular bodies connected by a plurality of connecting portions, at least some of the connecting portions defining circular connecting portions configured to retain a radiopaque marker.

11. A stent delivery system comprising:

a stent formed into a substantially cylindrical original shape,

a sheath that houses the stent in a distal portion,

wherein the stent is configured to be compressed in a center axis direction when being inserted into a living body and expanded outward to be restored to the substantially cylindrical original shape before compression when being indwelled in a living body,

wherein an inner surface of the sheath defines a substantially polygonal prism inner surface extending along an axial direction of the sheath.

12. The stent delivery system as defined in claim 11, wherein the substantially polygonal prism inner surface extends in parallel with the axial direction of the sheath.

13. The stent delivery system as defined in claim 11, wherein the substantially polygonal prism inner surface defines a gentle helical shape with respect to the axial direction of the sheath.

14. The stent delivery system as defined in claim 11, wherein the substantially polygonal prism inner surface includes a plurality of angled inner surfaces portions, adjacent angled inner surface portions intersecting at a corner.

15. The stent delivery system as defined in claim 11, further comprising an inner tube having a guidewire lumen, wherein the stent is disposed so as to cover a distal portion of the inner tube, the stent being discharged by moving the sheath toward a proximal side relative to the inner tube.

16. The stent delivery system as defined in claim 15,

wherein the inner tube includes a distal-side tube including the guidewire lumen, a proximal-side tube, and a fixing tube to which a proximal portion of the distal-side tube and a distal portion of the proximal-side tube are fixed and that has an opening communicating with the guidewire lumen,

wherein the sheath encloses a distal side of the distal-side tube and is slidable in the proximal direction of the distal-side tube, and further comprising:

at least one pulling wire having one end fixed to the sheath and extending in the proximal-side tube, the pulling wire configured to move the sheath toward the proximal side by pulling the pulling wire toward a proximal side of the proximal-side tube.

17. The stent delivery system as defined in claim 16, wherein the distal-side tube has a stent proximal part locking portion located on the distal side of the distal-side tube, and the stent proximal part locking portion abuts on a proximal end of the stent housed in the sheath such that the stent proximal part locking portion restricts movement of the stent toward the proximal side.

18. The stent delivery system as defined in claim 16, further comprising a slide tube disposed close to a proximal end of the sheath, wherein the fixing tube is configured for housing the slide tube from the proximal side, wherein the slide tube is configured to move toward the proximal side together with the sheath upon pulling of the pulling wire and the slide tube is not fixed to the sheath.

19. The stent delivery system as defined in claim 16, further comprising an operation section provided at a proximal portion of the proximal-side tube, the operation section including a pulling wire winding-up mechanism for winding up the pulling wire to move the sheath toward the proximal side.

20. A method for indwelling a stent in a target stenosis of a living body comprising:

providing a stent delivery system comprising a stent formed into a substantially cylindrical original shape, an inner tube body having a guidewire lumen, and a stent housing tube body that houses the stent in a distal portion, wherein the stent is configured to be compressed in a center axis direction when being inserted into the living body and expanded outward to be restored to the original shape when being indwelled in the living body, wherein the stent is disposed so as to cover a distal portion of the inner tube body, wherein at least a portion of an inner surface of the stent housing tube body is a substantially polygonal prism inner surface extending along an axial direction of the stent housing tube body, wherein the inner tube body includes a distal-side tube including the guidewire lumen, a proximal-side tube, and a fixing tube to which a proximal portion of the distal-side tube and a distal portion of the proximal-side tube are fixed and that has an opening communicating with the guidewire lumen, wherein the stent housing tube body encloses a distal side of the distal-side tube and is slidable in a proximal direction of the distal-side tube, and at least one pulling wire having one end fixed to the stent housing tube body and extending in the proximal-side tube, the pulling wire configured to move the stent housing tube body toward the proximal side by pulling the pulling wire toward a proximal side of the proximal-side tube,

inserting a proximal portion of a guidewire into a distal opening of the distal-side tube of the stent delivery system and leading the guidewire out through the opening in the fixing tube,

inserting the stent delivery system into a guiding catheter inserted in the living body,

pushing the stent delivery system forward along the guidewire to locate a stent housing portion of the stent housing tube body at the target stenosis,

pulling the pulling wire such that the stent housing tube body and a slide tube disposed close to a proximal end of the stent housing tube body move toward a proximal side,

abutting a proximal-end surface of the stent on a distal-end surface of a stent proximal part locking portion of the distal-side tube such that the stent is locked,

discharging the stent from a distal-end opening of the stent housing tube body,

self-expanding the stent at the target stenosis to thereby indwell the stent and expand the stenosis.