Stent delivery system with threaded engagement method

• US 9,089,448 B2
• Filed: 02/18/2014
• Issued: 07/28/2015
• Est. Priority Date: 04/28/2006
• Status: Active Grant

• Current Assignee: DePuy Synthes Products LLC (Johnson & Johnson)
• Original Assignee: DePuy Synthes Products LLC (Johnson & Johnson)
• Inventors: Tenne, Dirk
• Primary Examiner(s): ORKIN, ALEXANDER J
• Application Number:
  US14/182,830
• Publication Number:
  US 20140163665A1
• Time in Patent Office: 525 Days
• Field of Search: 623/1.11, 623/1.12, 623/1.13, 623/1.15, 623/1.23, 623/2.11, 606/200
• US Class Current: 1/1
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• 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 2002/9505 having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
• CPC Class Codes: A61F 2002/9665 with additional retaining means

Abstract

An expandable stent and delivery system are provided for treating body vessel defects, such as partially occluded blood vessels and aneurysms. The delivery system includes a core member having a threaded core member portion configured to interlock with a threaded strut member portion of the expandable stent. The expandable stent is mounted thusly onto the core member for movement within a delivery catheter and deployment to a body vessel defect. The deployment catheter is used to compress the interlocked threaded strut member portion into engagement with the threaded core member portion.

Claims

1. A method of deploying an expandable stent within a body vessel, the method comprising:

providing self-expandable stent and delivery system, wherein said self-expandable stent is mounted about a distal portion of an elongated core member of said delivery system, and wherein the core member has a longitudinal core member axis and a distal portion along the longitudinal core member axis;

said providing of the self-expandable stent further includes providing the self-expandable stent having a compressed state and an expanded state, the self-expandable stent having a longitudinal stent axis substantially coaxial with the longitudinal core member axis, a stent body having a proximal section and a distal section and a first strut member defining a threaded strut member portion and extending away from the self-expandable stent in a direction generally parallel to the stent axis and offset radially outwardly from the stent axis and that extends longitudinally and away from and beyond either the proximal section or the distal section of the stent body;

providing the distal portion of the elongated core member with a diameter such that the distal portion is radially spaced away from a stent body portion when the self-expandable stent is in its compressed state;

threadedly engaging at least a portion of said threaded strut member portion with at least a portion of a threaded core member portion disposed at the distal portion of said elongated core member,

said providing of the delivery system further includes disposing a deployment catheter about said self-expandable stent to compress said at least a portion of said threaded strut member portion into engagement with said at least a portion of said threaded core member portion, the deployment catheter having a lumen;

coaxially placing the deployment catheter about the elongated core member such that the deployment catheter compresses the self-expandable stent to its compressed state, causing the first threaded strut member portion but not the stent body portion of the self-expandable stent to interlock onto the first threaded core member portion, while the core member distal portion remains spaced away from and does not interlock with the stent body portion;

inserting said self-expandable stent and at least a portion of said delivery system into a body vessel;

positioning said self-expandable stent adjacent to a defect of the body vessel;

moving said deployment catheter proximally with respect to said elongated core member, allowing said self-expandable stent to begin expanding within the body vessel; and

further moving said deployment catheter proximally with respect to said elongated core member, allowing said self-expandable stent to fully deploy.

2. The method of claim 1, further including

integrally forming a first threaded core member portion at the distal portion of the elongated core member, and the first threaded core member portion has a plurality of threads having respective ridges projecting radially outwardly, the first threaded strut member portion has a row of teeth;

threadably engaging the ridges of the first threaded core member portion with the teeth of the first threaded strut member portion; and

mating between the first threaded core member ridges and the first threaded strut member portion teeth while the core member distal portion remains spaced away from the strut body portion.

3. The method of claim 1, wherein said providing includes providing a marker coil of radiopaque material applied to said strut member, and wherein said marker coil is adapted to threadably engage at least a portion of said threaded core member portion.

4. The method of claim 1, wherein said providing includes providing said threaded core member portion with a root diameter larger than an outer diameter of said distal portion of said elongated core member.

5. The method of claim 1, wherein said providing includes providing an adhesive between said at least a portion of said threaded strut member portion and said at least a portion of said threaded core member portion, and said further moving includes breaking said adhesive when the threaded strut member portion is moved out of the deployment catheter.

6. A method of resheathing an expandable stent within a body vessel, the method comprising:

providing self-expandable stent and delivery system, wherein said self-expandable stent is mounted about a distal portion of an elongated core member of said delivery system, and wherein the core member has a longitudinal core member axis and a distal portion along the longitudinal core member axis;

said providing of the self-expandable stent further includes providing the self-expandable stent having a compressed state and an expanded state, the self-expandable stent having a longitudinal stent axis substantially coaxial with the longitudinal core member axis, a stent body having a proximal section and a distal section and a first strut member defining a threaded strut member portion and extending away from the self-expandable stent in a direction generally parallel to the stent axis and offset radially outwardly from the stent axis and that extends longitudinally and away from and beyond either the proximal section or the distal section of the stent body;

providing the distal portion of the elongated core member with a diameter such that the distal portion is radially spaced away from a stent body portion when the self-expandable stent is in its compressed state;

threadedly engaging at least a portion of said threaded strut member portion with at least a portion of a threaded core member portion disposed at the distal portion of said elongated core member,

said providing of the delivery system further includes disposing a deployment catheter about said self-expandable stent to compress said at least a portion of said threaded strut member portion into engagement with said at least a portion of said threaded core member portion, the deployment catheter having a lumen;

coaxially placing the deployment catheter about the elongated core member such that the deployment catheter compresses the self-expandable stent to its compressed state, causing the first threaded strut member portion but not the stent body portion of the self-expandable stent to interlock onto the first threaded core member portion, while the core member distal portion remains spaced away from and does not interlock with the stent body portion;

inserting said self-expandable stent and at least a portion of said delivery system into a body vessel;

positioning said self-expandable stent adjacent to a defect of the body vessel;

moving said deployment catheter proximally with respect to said elongated core member, allowing said self-expandable stent to begin expanding within the body vessel;

moving said deployment catheter distally with respect to said elongated core member, forcing said self-expandable stent back into said deployment catheter; and

relocating said self-expandable stent and said delivery system.

7. The method of claim 6, further including:

integrally forming a first threaded core member portion at the distal portion of the elongated core member, and the first threaded core member portion has a plurality of threads having respective ridges projecting radially outwardly, the first threaded strut member portion has a row of teeth;

threadably engaging the ridges of the first threaded core member portion with the teeth of the first threaded strut member portion; and

mating between the first threaded core member ridges and the first threaded strut member portion teeth while the core member distal portion remains spaced away from the strut body portion.

8. The method of claim 6, wherein said providing includes providing a marker coil of radiopaque material applied to said strut member, and wherein said marker coil is adapted to threadably engage at least a portion of said threaded core member portion.

9. The method of claim 6, wherein said providing includes providing said threaded core member portion with a root diameter larger than an outer diameter of said distal portion of said elongated core member.

10. The method of claim 6, wherein said providing includes providing an adhesive between said at least a portion of said threaded strut member portion and said at least a portion of said threaded core member portion.