Delivery system with hooks for resheathability

• US 9,078,659 B2
• Filed: 04/23/2012
• Issued: 07/14/2015
• Est. Priority Date: 04/23/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Huynh, Andy
• Primary Examiner(s): Woo, Julian W
• Assistant Examiner(s): PAEZ, LUCAS M
• Application Number:
  US13/453,047
• Publication Number:
  US 20130282099A1
• Time in Patent Office: 1,177 Days
• Field of Search: 606/108, 606/191, 606/194, 606/200, 623/1.11, 623/1.12, 623/1.16, 623/1.18
• US Class Current: 1/1
• CPC Class Codes: A61B 17/12118 for positioning in conjunction with a stent
• CPC Class Codes: A61B 2017/1205 Introduction devices
• CPC Class Codes: A61B 2017/12054 Details concerning the detachment of the occluding device from the introduction device
• CPC Class Codes: A61B 2017/12077 Joint changing shape upon application of heat, e.g. bi-metal or reversible thermal memory
• CPC Class Codes: A61F 2/844 folded prior to deployment
• CPC Class Codes: A61F 2/86 Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• 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 2/95 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 2002/823 Stents, different from stent-grafts, adapted to cover an aneurysm
• CPC Class Codes: A61F 2002/9505 having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2002/9528 for retrieval of stents
• CPC Class Codes: A61F 2002/9534 for repositioning of stents
• CPC Class Codes: A61F 2002/9665 with additional retaining means

Abstract

Described herein are flexible implantable devices or stents that can, for example, navigate the tortuous vessels of the neurovasculature. The devices can also conform to the shape of tortuous vessels of the vasculature. In some embodiments, the devices can direct blood flow within a vessel away from an aneurysm or limit blood flow to the aneurysm. Methods and structures are provided for adjusting, along a length of the device, the porosity of the device while maintaining a cross-sectional dimension. In some embodiments, small hooks releasably engage the stent at a proximal end and are able to resheath the stent by retracting a proximal retaining member where the hooks are coupled to. The hooks straighten, unfurl, or otherwise disengage the stent when either unrestrained by a catheter or when coming into contact with an external stimulus found in the patient'"'"'s vasculature.

Claims

1. A stent delivery system comprising:

an elongate body having a distal portion, a proximal portion, and an inner surface extending from the distal portion to the proximal portion, the distal portion being configured to extend within a blood vessel of a patient;

a stent expandable from a compressed configuration to an expanded configuration, the stent having a proximal region and a distal region;

a stabilizing member extending into an interior of the proximal region of the stent; and

one or more hook members extending distally from the stabilizing member, each hook member having a proximal section and a distal section, each hook member having a more curved configuration wherein the distal section of each hook member releasably engages the proximal region of the stent radially between the proximal section and the distal section by (i) extending through one or more interstices in the stent and (ii) curving proximally toward a free end of the hook member, and each hook member having a less curved configuration wherein the distal section of each hook member extends distally beyond the corresponding proximal section, each hook member being biased to the less curved configuration when unrestrained, wherein the distal section of each hook member, while in the more curved configuration, engages the inner surface of the elongate body and is held radially between the stent and the inner surface of the elongate body.

2. The system of claim 1, further comprising a proximal retaining member concentrically disposed within the elongate body and defining a central aperture, and wherein the stabilizing member extends within the central aperture.

3. The system of claim 2, further comprising a tubular member coupled to the proximal retaining member and extending proximally therefrom.

4. The system of claim 3, wherein the tubular member comprises a laser cut tube having a plurality of serrations along its axial length.

5. The system of claim 2, wherein the proximal section of at least one of the one or more hook members extends into the central aperture and is secured thereto via a frictional engagement between the central aperture and the stabilizing member.

6. The system of claim 1, wherein the stabilizing member comprises a hypotube.

7. The system of claim 1, wherein the one or more hook members comprises a shape memory material.

8. The system of claim 7, wherein the distal section of at least one of the one or more hook members is configured to unfurl and disengage the stent when unrestrained by the elongate member.

9. The system of claim 7, wherein the distal section of at least one of the one or more hook members is configured to unfurl and disengage the stent at a predetermined temperature.

10. The system of claim 1, wherein the proximal section of at least one of the one or more hook members is coupled to the stabilizing member.

11. The system of claim 1, wherein the distal section of at least one of the one or more hook members extends through the one or more interstices from an interior surface of the stent to an exterior surface of the stent.

12. The system of claim 1, wherein the distal section of at least one of the one or more hook members extends through the one or more interstices from an exterior surface of the stent to an interior surface of the stent.

13. A method of deploying a stent in a vessel of a patient, comprising:

extending an elongate body within the vessel, the elongate body having a distal portion, a proximal portion, and an inner surface extending from the distal portion to the proximal portion;

advancing, relative to and within the elongate body, a stent in a compressed configuration, the stent being engaged at a proximal region by one or more hook members extending distally from a proximal retaining member, each hook member having a proximal section and a distal section, wherein the distal section of each hook member releasably engages the stent by (a) extending through one or more interstices defined by the stent and (b) curving proximally toward a free end of the hook member, wherein the distal section of each hook member engages the inner surface of the elongate body and is held radially between the stent and the inner surface of the elongate body;

expanding a distal region of the stent to an expanded configuration by advancing the distal region out of the distal portion of the elongate body; and

releasing engagement of the stent by the one or more hook members by advancing the proximal region and the distal section of each hook member out of the distal portion of the elongate body, thereby permitting the one or more hook members to unfurl and disengage the stent.

14. The method of claim 13, wherein releasing the stent comprises unrestraining the one or more hook members from being interposed between the stent and the inner surface of the elongate body.

15. The method of claim 13, wherein releasing the stent further comprises increasing a temperature of the one or more hook members to a predetermined temperature.

16. The method of claim 13, wherein the distal section of at least one of the one or more hook members extends through the one or more interstices from an interior surface of the stent to an exterior surface of the stent.

17. The method of claim 13, wherein the distal section of at least one of the one or more hook members extends through the one or more interstices from an exterior surface of the stent to an interior surface of the stent.

18. The method of claim 13, further comprising withdrawing the stent back into the elongate member while one or more hook members remain releasably engaged with the proximal region of the stent.

19. The method of claim 18, further comprising positioning the stent in the blood vessel such that it extends at least partially across the neck of an aneurysm formed in the blood vessel.

20. A stent delivery system comprising:

an elongate body having a distal portion, a proximal portion, and an inner surface extending from the distal portion to the proximal portion, the distal portion being configured to extend within a blood vessel of a patient;

a stent having a proximal region and a distal region and being expandable from a compressed configuration to an expanded configuration;

a proximal retaining member concentrically disposed within the elongate body; and

a plurality of hook members extending distally from the proximal retaining member, each hook member having (i) a restrained configuration in which (a) a proximal section releasably engages the stent proximal region by extending through one or more interstices defined by the stent and (b) a distal section extends proximally from the proximal region and is held by the inner surface of the elongate body in a position interposed between the inner surface of the elongate body and an exterior surface of the stent while the stent is in the compressed configuration and (ii) an unrestrained configuration, wherein the distal section of each hook member, while in the restrained configuration, engages the inner surface of the elongate body and is held radially between the stent and the inner surface of the elongate body.

21. The system of claim 20, wherein the one or more hook members comprises a shape memory material.

22. The system of claim 20, wherein at least one of the plurality of hook members is biased to unfurl and disengage the stent when the distal section is advanced out of the elongate member.

23. The system of claim 20, where at least one of the plurality of hook members is preset to unfurl and disengage the stent upon reaching a predetermined temperature.

24. The system of claim 20, wherein at least one of the plurality of hook members extends through the one or more interstices from an interior surface of the stent to an exterior surface of the stent.

25. The system of claim 20, wherein at least one of the one or more hook members extends through the one or more interstices from an exterior surface of the stent to an interior surface of the stent.