Systems and methods for deploying a portion of a stent using at least one coiled member

• US 9,173,756 B2
• Filed: 03/12/2013
• Issued: 11/03/2015
• Est. Priority Date: 06/13/2012
• Status: Active Grant

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Original Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Inventors: Hopkins, Tony C., Vad, Siddharth, DeBruyne, Michael P., Wagner, Zachary, Roeder, Blayne A., Havel, William J., Kratzberg, Jarin, Hadley, Rick
• Primary Examiner(s): SHI, KATHERINE MENGLIN
• Application Number:
  US13/796,395
• Publication Number:
  US 20130338787A1
• Time in Patent Office: 966 Days
• Field of Search: 623/1.11, 623/1.12, 623/1.23
• US Class Current: 1/1
• CPC Class Codes: A61F 2/92 Stents in the form of a rolled-up sheet expanding after insertion into the vessel , e.g. with a spiral shape in cross-section
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires

Abstract

The present embodiments provide systems and methods for deploying at least a portion of a stent. In one embodiment, the system comprises a cannula having an outer surface, and at least one coiled member having proximal and distal ends and a plurality of turns disposed therebetween. One of the proximal and distal ends of the coiled member is secured to the outer surface of the cannula, and the other of the proximal and distal ends of the coiled member is unsecured relative to the outer surface of the cannula. A portion of a stent is looped around the unsecured end of the coiled member and disposed within spacing between adjacent turns of the coiled member. Rotation of the cannula subsequently causes the portion of the stent to disengage from the coiled member.

Claims

1. A system for deploying at least a portion of a stent, the system comprising:

a cannula having an outer surface;

at least one coiled member having proximal and distal ends; and

a stent disposed over the cannula, and

where one of the proximal and distal ends of the coiled member is secured to the outer surface of the cannula in a fixed relationship, and the other of the proximal and distal ends of the coiled member is unsecured relative to the outer surface of the cannula,

where a portion of the stent is looped around the unsecured end of the coiled member.

2. The system of claim 1, wherein the coiled member has a plurality of turns and the portion of the stent that is looped around the unsecured end of the coiled member is disposed within a spacing between adjacent turns of the coiled member.

3. The system of claim 2, wherein the proximal end of the coiled member is secured to the outer surface of the cannula and the distal end of the coiled member is unsecured relative to the outer surface of the cannula, such that the portion of the stent is looped around the distal end of the coiled member and further is disposed within a spacing between adjacent distal turns of the coiled member in the delivery state.

4. The system of claim 3, wherein a distal series of turns of the coiled member are spaced apart further from one another relative to spacing between a proximal series of turns.

5. The system of claim 4, wherein the proximal series of turns abut one another.

6. The system of claim 3, wherein the proximal end of the coiled member comprises a first diameter that permits attachment to the outer surface of the cannula, where the distal end of the coiled member comprises a second diameter that is greater than the first diameter, and where there is a gap disposed between the distal end of the coiled member and the outer surface of the cannula.

7. The system of claim 2, wherein the distal end of the coiled member is secured to the outer surface of the cannula and the proximal end of the coiled member is unsecured relative to the outer surface of the cannula, such that the portion of the stent is looped around the proximal end of the coiled member and further is disposed within a spacing between adjacent proximal turns of the coiled member in the delivery state.

8. The system of claim 2 further comprising a suture loop coupled to a portion of the stent, wherein the suture loop is dimensioned to be accommodated within the spacing between the adjacent turns of the coiled member in the delivery state.

9. The system of claim 2 further comprising a ring portion extending from the stent, where the ring portion is dimensioned to be accommodated within the spacing between the adjacent turns of the coiled member in the delivery state.

10. The system of claim 9, wherein the ring portion is set into a bent position to facilitate engagement with the coiled member.

11. The system of claim 9, where the ring portion is twisted to facilitate coupling of the stent to the coiled member.

12. The system of claim 11, wherein the ring portion comprise a wall thickness that is less than a wall thickness of other regions of the stent to facilitate twisting of the ring portion in a circumferential direction and coupling of the stent to the coiled member.

13. The system of claim 1, wherein the at least one coiled member comprises first and second coiled members that are longitudinally spaced apart from one another along a length of the cannula.

14. The system of claim 13, wherein the first coiled member has a plurality of turns and engages a first stent portion in the delivery state and the second coiled member has a plurality of turns and engages a second stent portion in the delivery state.

15. The system of claim 14, wherein the first coiled member comprises a greater number of turns that are unsecured relative to the cannula than the second coiled member, thereby enabling the second stent portion to disengage from the second coiled member before the first stent portion disengages from the first coiled member when the cannula is rotated in a uniform direction.

16. The system of claim 1, wherein the end of the coiled member that is secured relative to the cannula is secured to an outer surface of the cannula using a solder, weld, mechanical attachment, friction fit, crimp or combination thereof.

17. A system for deploying at least a portion of a stent, the system comprising:

a rotatable cannula having an outer surface;

at least one coiled member having proximal and distal ends, where the distal end of the coiled member is secured to the outer surface of the cannula, and the proximal end of the coiled member is unsecured relative to the outer surface of the cannula;

a stent disposed on the cannula;

at least one suture loop comprising a proximal region that is coupled to the cannula, and a distal region that is retained over a turn of the coiled member,

where the suture loop is further coupled around a portion of a stent, and

where rotation of the cannula causes longitudinal movement of the distal region of the suture loop relative to the proximal region of the suture loop, thereby varying the slack in the suture loop and varying expansion of the portion of the stent that is coupled to the suture loop; and

a swivel that is coupled to the cannula, where the proximal region of the suture loop is coupled to the swivel.

18. The system of claim 17, wherein the coiled member has a plurality of turns and the distal region of the suture loop is retained within one of the plurality of turns of the coiled member.

19. A system for deploying at least a portion of a stent, the system comprising:

a cannula having an outer surface;

at least one coiled member having proximal and distal ends; and

a stent disposed on the cannula, and

where one of the proximal and distal ends of the coiled member is secured to the outer surface of the cannula, and the other of the proximal and distal ends of the coiled member is unsecured relative to the outer surface of the cannula,

where a portion of the stent is looped around the unsecured end of the coiled member,

wherein the coiled member has a plurality of turns and the portion of the stent that is looped around the unsecured end of the coiled member is disposed within a spacing between adjacent turns of the coiled member,

wherein the proximal end of the coiled member is secured to the outer surface of the cannula and the distal end of the coiled member is unsecured relative to the outer surface of the cannula, such that the portion of the stent is looped around the distal end of the coiled member and further is disposed within a spacing between adjacent distal turns of the coiled member in the delivery state, and

wherein a distal series of turns of the coiled member are spaced apart further from one another relative to spacing between a proximal series of turns.

20. A system for deploying at least a portion of a stent, the system comprising:

a cannula having an outer surface;

at least one coiled member having proximal and distal ends; and

a stent disposed on the cannula, and

where one of the proximal and distal ends of the coiled member is secured to the outer surface of the cannula, and the other of the proximal and distal ends of the coiled member is unsecured relative to the outer surface of the cannula,

where a portion of the stent is looped around the unsecured end of the coiled member,

wherein the coiled member has a plurality of turns and the portion of the stent that is looped around the unsecured end of the coiled member is disposed within a spacing between adjacent turns of the coiled member,

wherein the distal end of the coiled member is secured to the outer surface of the cannula and the proximal end of the coiled member is unsecured relative to the outer surface of the cannula, such that the portion of the stent is looped around the proximal end of the coiled member and further is disposed within a spacing between adjacent proximal turns of the coiled member in the delivery state, and

wherein a proximal series of turns of the coiled member are spaced apart further from one another relative to spacing between a distal series of turns.

21. A system for deploying at least a portion of a stent, the system comprising:

a cannula having an outer surface;

at least one coiled member having proximal and distal ends; and

a stent disposed on the cannula, and

where one of the proximal and distal ends of the coiled member is secured to the outer surface of the cannula, and the other of the proximal and distal ends of the coiled member is unsecured relative to the outer surface of the cannula,

where a portion of the stent is looped around the unsecured end of the coiled member,

wherein the coiled member has a plurality of turns and the portion of the stent that is looped around the unsecured end of the coiled member is disposed within a spacing between adjacent turns of the coiled member,

wherein the proximal end of the coiled member is secured to the outer surface of the cannula and the distal end of the coiled member is unsecured relative to the outer surface of the cannula, such that the portion of the stent is looped around the distal end of the coiled member and further is disposed within a spacing between adjacent distal turns of the coiled member in the delivery state, and

wherein the proximal end of the coiled member comprises a first diameter that permits attachment to the outer surface of the cannula, where the distal end of the coiled member comprises a second diameter that is greater than the first diameter, and where there is a gap disposed between the distal end of the coiled member and the outer surface of the cannula.

22. A system for deploying at least a portion of a stent, the system comprising:

a cannula having an outer surface;

at least one coiled member having proximal and distal ends; and

a stent disposed on the cannula, and

where one of the proximal and distal ends of the coiled member is secured to the outer surface of the cannula, and the other of the proximal and distal ends of the coiled member is unsecured relative to the outer surface of the cannula,

where a portion of the stent is looped around the unsecured end of the coiled member,

wherein the coiled member has a plurality of turns and the portion of the stent that is looped around the unsecured end of the coiled member is disposed within a spacing between adjacent turns of the coiled member,

wherein the distal end of the coiled member is secured to the outer surface of the cannula and the proximal end of the coiled member is unsecured relative to the outer surface of the cannula, such that the portion of the stent is looped around the proximal end of the coiled member and further is disposed within a spacing between adjacent proximal turns of the coiled member in the delivery state, and

wherein the distal end of the coiled member comprises a first diameter that permits attachment to the outer surface of the cannula, where the proximal end of the coiled member comprises a second diameter that is greater than the first diameter, and where there is a gap disposed between the proximal end of the coiled member and the outer surface of the cannula.

23. A system for deploying at least a portion of a stent, the system comprising:

a cannula having an outer surface;

at least one coiled member having proximal and distal ends; and

a stent disposed on the cannula, and

where one of the proximal and distal ends of the coiled member is secured to the outer surface of the cannula, and the other of the proximal and distal ends of the coiled member is unsecured relative to the outer surface of the cannula,

where a portion of the stent is looped around the unsecured end of the coiled member,

wherein the at least one coiled member comprises first and second coiled members that are longitudinally spaced apart from one another along a length of the cannula,

wherein the first coiled member has a plurality of turns and engages a first stent portion in the delivery state and the second coiled member has a plurality of turns and engages a second stent portion in the delivery state,

wherein the first coiled member comprises a greater number of turns that are unsecured relative to the cannula than the second coiled member, thereby enabling the second stent portion to disengage from the second coiled member before the first stent portion disengages from the first coiled member when the cannula is rotated in a uniform direction.

24. A system for deploying at least a portion of a stent, the system comprising:

a cannula having an outer surface;

at least one coiled member having proximal and distal ends;

a stent disposed on the cannula,

where one of the proximal and distal ends of the coiled member is secured to the outer surface of the cannula, and the other of the proximal and distal ends of the coiled member is unsecured relative to the outer surface of the cannula,

where a portion of the stent is looped around the unsecured end of the coiled member,

wherein the coiled member has a plurality of turns and the portion of the stent that is looped around the unsecured end of the coiled member is disposed within a spacing between adjacent turns of the coiled member;

a ring portion extending from the stent, where the ring portion is dimensioned to be accommodated within the spacing between the adjacent turns of the coiled member in the delivery state,

where the ring portion is twisted to facilitate coupling of the stent to the coiled member, and

wherein the ring portion comprise a wall thickness that is less than a wall thickness of other regions of the stent to facilitate twisting of the ring portion in a circumferential direction and coupling of the stent to the coiled member.