Implant and delivery system with multiple marker interlocks

• US 9,044,351 B2
• Filed: 05/14/2007
• Issued: 06/02/2015
• Est. Priority Date: 05/12/2006
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Wang, Lixiao, Ma, Jianlu, Tatalovich, Joe, Waltz, Peggy, Smythe, Keith, Kusleika, Rich
• Primary Examiner(s): Nguyen, Victor
• Assistant Examiner(s): EVERAGE, KEVIN D
• Application Number:
  US11/748,235
• Publication Number:
  US 20070293930A1
• Time in Patent Office: 2,941 Days
• Field of Search: 623/1.11, 623/1.12, 623/1.13, 623/1.15, 623/1.23
• US Class Current: 1/1
• CPC Class Codes: A61F 2/91 made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
• CPC Class Codes: A61F 2/915 with bands having a meander structure, adjacent bands being connected to each other
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/9522 Means for mounting a stent or stent-graft onto or into a placement instrument
• CPC Class Codes: A61F 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
• CPC Class Codes: A61F 2002/91541 Adjacent bands are arranged out of phase
• CPC Class Codes: A61F 2002/91558 connected peak to peak
• CPC Class Codes: A61F 2002/91591 Locking connectors, e.g. using male-female connections
• CPC Class Codes: A61F 2002/9665 with additional retaining means
• CPC Class Codes: A61F 2220/005 using adhesives
• CPC Class Codes: A61F 2220/0058 soldered or brazed or welded
• CPC Class Codes: A61F 2230/0054 V-shaped
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers

Abstract

An implant delivery system has one or more interlock assemblies which connect the implant delivery catheter to the implant, an improved inner tubular member and an outer tubular member. The interlock assemblies, improved inner tubular member and outer tubular member cooperate to place the implant in tension during deployment, thereby reducing implant deployment force.

Claims

1. A medical device comprising:

an implant having a proximal end, a distal end, and a self-expanding portion with a constrained diameter d and a constrained length l, each of the proximal and distal ends including a plurality of terminal retaining segments portion extending therefrom; and

an implant delivery system including a catheter defining proximal and distal ends, the catheter having an outer sheath slidably disposed about an inner member, the outer sheath at least partially covering the implant and being retractable relative to the inner member to expose the implant;

a mechanism for enabling increases in the constrained length l of the implant when the outer sheath is retracted relative to the inner member, the mechanism including;

a distal interlock structure attached to the inner member for preventing axial movement of the distal end of the implant relative to the inner member when the outer sheath is retracted relative to the inner member, the distal interlock structure including a first retainer defining a plurality of first cavities configured and dimensioned to receive, and interlock with, respective terminal retaining segments of the distal end of the implant; and

a proximal interlock structure attached to the inner member for accommodating increases in the length l of the implant when the outer sheath is retracted relative to the inner member, the proximal interlock structure including a second retainer defining a plurality of second cavities configured and dimensioned to retain respective terminal retaining segments of the proximal end of the implant.

2. The medical device of claim 1 wherein the retaining segments at the distal end of the implant each defines a first profile;

and wherein the first cavities of the first and retainer each defines a second profile substantially similar to the first profile for restricting axial movement of the implant relative to the inner member while allowing changes in the constrained diameter d of the implant when the outer sheath is retracted relative to the inner member.

3. The medical device of claim 1 wherein the mechanism for enabling increases in the constrained length l of the implant comprises:

at least a portion of the inner member formed of a material able to resist compression forces exerted thereon by the implant.

4. The medical device of claim 1 wherein the mechanism for enabling increases in the constrained length l of the implant comprises:

an inner surface of the outer sheath which frictionally engages at least a part of the implant when the outer sheath moves is retracted relative to the inner member.

5. The medical device of claim 1 wherein the retaining segments at the proximal end of the implant each defines a first profile;

and

wherein the second cavities of the second retainer each defines a second profile different from the first profile for accommodating increases in the constrained length l of the implant when the outer sheath is retracted relative to the inner member.

6. The medical device of claim 1 wherein the second cavities of the second retainer each defines a channel having a depth D measurable along a common axis of the inner member and the implant;

and

wherein the depth D is at least equal to any increases in the constrained length l of the implant when the outer sheath is retracted relative to the inner member.

7. A system for delivering a stent within a body lumen, the system comprising:

a catheter including an outer sheath and an inner member, the outer sheath slidably disposed about the inner member, the catheter defining a longitudinal axis and having proximal and distal ends;

a self-expanding stent disposed intermediate the inner member and the outer sheath, the stent having a proximal stent end and a distal stent end, and a plurality of enlarged terminal segments extending from each of the proximal stent end and the distal stent end; and

a distal interlock attached to the inner member, the distal interlock including a distal retainer defining a plurality of cavities dimensioned and configured to receive and couple with the terminal segments at the distal stent end of the stent to restrict proximal axial movement of the distal stent end relative to the inner member when the outer sheath is retracted relative to the inner member and towards the proximal end of the stent.

8. The system of claim 7 wherein the terminal segments at the distal stent end each define a first profile;

and wherein the cavities of the distal retainer each define a second profile, substantially similar to the first profile of the terminal segments, to effect coupling of the distal stent end with the distal interlock.

9. The system of claim 8 including a proximal interlock attached to the inner member, the proximal interlock structure including a proximal retainer defining a plurality of cavities for retaining the terminal segments at the proximal stent end of the stent.

10. The system of claim 9 wherein the cavities of the proximal retainer each define a third profile different from the first profile for accommodating increases in a constrained length l of the stent when the outer sheath is retracted relative to the inner member.

11. The system of claim 10 wherein the cavities of the proximal retainer each defines a channel having a depth D measurable along a common axis of the inner member and the stent;

and wherein the depth D is at least equal to any increases in the constrained length l of the stent when the outer sheath is retracted relative to the inner member.

12. A system for delivering a stent within a body lumen, the system comprising:

a catheter including an inner member and an outer sheath movable relative to the inner member;

a stent including a tubular, self-expanding section, the stent having a proximal end, a distal end and an intermediate segment therebetween, the stent comprising proximal and distal terminal end segments respectively extending from the proximal and distal ends of the stent;

a proximal interlock cooperatively couplable with the proximal end of the stent;

a distal interlock cooperatively couplable to the distal end of the stent, wherein the distal interlock includes a distal retainer defining a plurality of cavities for receiving and interlocking with the distal terminal end segment of the stent, and to prevent movement of the distal end of the stent when the outer sheath is retracted; and

an intermediate interlock attached to the inner member, the intermediate interlock dimensioned and configured to cooperatively couple with the intermediate segment of the stent, the intermediate interlock and the end interlock cooperating to prevent premature deployment of the stent when the outer sheath is retracted relative to the inner member.

13. The system of claim 12 wherein the proximal interlock includes a proximal retainer defining a plurality of cavities for retaining the proximal terminal end segments of the stent.

14. The system of claim 13 wherein the cavities of the proximal retainer are each dimensioned and configured to accommodate increases in a constrained length l of the stent when the outer sheath is retracted relative to the inner member.

15. The system of claim 14 wherein the cavities of the proximal retainer each have a depth D measurable along a common axis of the inner member and the stent;

and wherein the depth D is at least equal to any increases in the constrained length l of the stent when the outer sheath is retracted relative to the inner member.

16. The system of claim 12 wherein the intermediate interlock includes at least one protrusion extending from the inner member, the stent having at least one recess for accommodating the at least one protrusion in coupling relation therewith.

17. The system of claim 12 wherein the intermediate interlock includes an interlock band.