Devices and methods for controlling expandable prostheses during deployment
First Claim
1. A prosthesis delivery catheter for delivering a prosthesis into a vessel, said catheter comprising:
- an outer shaft having a distal end, a first lumen, and a substantially inexpandable outer diameter, the outer shaft defining a lumen space;
a plurality of self-expanding tubular prostheses having a contracted configuration and a radially expanded configuration with an expanded diameter adapted to contact the vessel, the prostheses carried within the first lumen and being adapted to radially expand into the expanded configuration upon deployment from the first lumen, wherein adjacent self-expanding prostheses are unconnected and free of material deployable with the prostheses extending therebetween thereby allowing axial separation of one prosthesis from an adjacent prosthesis in the contracted configuration; and
a control member comprising a plurality of tines arranged in a cylindrical pattern and extending distally from the distal end of the outer shaft and defining an interior communicating with the first lumen for receiving one or more of the prostheses when the prostheses are advanced distally, the tines having an undeflected shape when not engaged by any of the prostheses and each of the tines comprising a straight portion and an arcuate distal tip that is biased radially inward in the undeflected shape so that the arcuate distal tip protrudes into the lumen space, wherein the tines deflect radially outwardly under expansion force imparted by a first prosthesis to at least the expanded diameter of the prostheses when engaged by the first prosthesis during the expansion thereof and resiliently return to the undeflected shape when the first prosthesis is removed from the interior;
wherein the control member further comprises a web extending between the tines and the web is a distensible elastomer.
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Accused Products
Abstract
Prosthesis delivery devices and methods are provided that enable precise control of prosthesis position during deployment. The prosthesis delivery devices may carry multiple prostheses and include deployment mechanisms for delivery of a selectable number of prostheses. Control mechanisms are provided in the prosthesis delivery devices that control either or both of the axial and rotational positions of the prostheses during deployment. This enables the deployment of multiple prostheses at a target site with precision and predictability, eliminating excessive spacing or overlap between prostheses. In particular embodiments, the prostheses of the invention are deployed in stenotic lesions in coronary or peripheral arteries, or in other vascular locations.
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Citations
20 Claims
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1. A prosthesis delivery catheter for delivering a prosthesis into a vessel, said catheter comprising:
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an outer shaft having a distal end, a first lumen, and a substantially inexpandable outer diameter, the outer shaft defining a lumen space; a plurality of self-expanding tubular prostheses having a contracted configuration and a radially expanded configuration with an expanded diameter adapted to contact the vessel, the prostheses carried within the first lumen and being adapted to radially expand into the expanded configuration upon deployment from the first lumen, wherein adjacent self-expanding prostheses are unconnected and free of material deployable with the prostheses extending therebetween thereby allowing axial separation of one prosthesis from an adjacent prosthesis in the contracted configuration; and a control member comprising a plurality of tines arranged in a cylindrical pattern and extending distally from the distal end of the outer shaft and defining an interior communicating with the first lumen for receiving one or more of the prostheses when the prostheses are advanced distally, the tines having an undeflected shape when not engaged by any of the prostheses and each of the tines comprising a straight portion and an arcuate distal tip that is biased radially inward in the undeflected shape so that the arcuate distal tip protrudes into the lumen space, wherein the tines deflect radially outwardly under expansion force imparted by a first prosthesis to at least the expanded diameter of the prostheses when engaged by the first prosthesis during the expansion thereof and resiliently return to the undeflected shape when the first prosthesis is removed from the interior; wherein the control member further comprises a web extending between the tines and the web is a distensible elastomer. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. A prosthesis delivery catheter for delivering a prosthesis into a vessel, said catheter comprising:
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an outer shaft having a distal end and a first lumen, the outer shaft defining a lumen space; a plurality of self-expanding tubular prostheses having a contracted configuration and a radially expanded configuration with an expanded diameter adapted to contact the vessel, the prostheses carried within the first lumen and being adapted to radially expand into the expanded configuration upon deployment from the first lumen, wherein a first prosthesis is axially separable from an adjacent prosthesis in the contracted configuration; and a control member comprising a plurality of tines arranged in a cylindrical pattern and extending distally from the distal end of the outer shaft and defining an interior communicating with the first lumen for receiving one or more of the prostheses when the prostheses are advanced distally, the control member having an undeflected shape when not engaged by any of the prostheses and each of the tines comprising a straight portion and an arcuate distal tip that is biased radially inward in the undeflected shape so that the arcuate distal tip protrudes into the lumen space, the tines being configured to deflect radially outwardly to at least the expanded diameter of the prostheses when engaged by a prosthesis during the expansion thereof, the control member being configured to resiliently return to the undeflected shape when the prosthesis is removed from the interior, and wherein the control member further comprises a web extending between the tines. - View Dependent Claims (11)
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12. A prosthesis delivery catheter for delivering a prosthesis into a vessel, said catheter comprising:
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an outer shaft having a distal end a first lumen, and a substantially inexpandable outer diameter, the outer shaft defining a lumen space; a plurality of self-expanding tubular prostheses having a contracted configuration and a radially expanded configuration with an expanded diameter adapted to contact the vessel, the prostheses carried within the first lumen and being adapted to radially expand into the expanded configuration upon deployment from the first lumen, wherein adjacent self-expanding prostheses are unconnected and free of material deployable with the prostheses extending therebetween thereby allowing axial separation of one prosthesis from an adjacent prosthesis in the contracted configuration; and a control member comprising a plurality of tines arranged in a cylindrical pattern and extending distally from the distal end of the outer shaft and defining an interior communicating with the first lumen for receiving one or more of the prostheses when the prostheses are advanced distally, and having an undeflected shape when not engaged by any of the prostheses, wherein each tine comprises a straight portion and an arcuate distal tip that is biased radially inward in the undeflected shape so that the arcuate distal tip protrudes into the lumen space, the tines being configured to deflect radially outwardly under expansion force imparted by a first prosthesis from the undeflected shape to at least the expanded diameter of the prostheses when engaged by the first prosthesis during the expansion thereof, the tines maintaining engagement with each prosthesis until it expands into contact with the vessel wall and being configured to resiliently return to the undeflected shape when the prosthesis is removed from the interior; wherein the control member further comprises a web extending between the tines and the web is a distensible elastomer. - View Dependent Claims (13, 14, 15, 16, 17, 18, 19, 20)
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Specification