Endoluminal prosthesis introducer

• US 9,220,620 B2
• Filed: 11/05/2012
• Issued: 12/29/2015
• Est. Priority Date: 11/22/2011
• Status: Active Grant

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated), William Cook Europe ApS (Cook Group Incorporated)
• Original Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Inventors: Hadley, Rick, Havel, William J., Melsheimer, Jeffry S., Huser, Matthew S., Dierking, William K., Hendriksen, Per, Vad, Siddharth, DeBruyne, Michael P.
• Primary Examiner(s): Shi, Katherine M
• Assistant Examiner(s): Gabr, Mohamed
• Application Number:
  US13/669,145
• Publication Number:
  US 20130131775A1
• Time in Patent Office: 1,149 Days
• Field of Search: 623/1.11
• US Class Current: 1/1
• CPC Class Codes: A61F 2/07 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 2002/8486 provided on at least one of the ends
• CPC Class Codes: A61F 2002/9534 for repositioning of stents
• CPC Class Codes: A61F 2002/9665 with additional retaining means

Abstract

An endoluminal prosthesis introducer may include a rotatable inner cannula including a proximal end. The introducer may include a proximal tip disposed at the proximal end of the inner cannula and including a distal end. The introducer may include a retaining member including an engaging member extending radially outward. The retaining member may be disposed about the proximal end of the inner cannula. In response to rotation of the inner cannula with respect to the retaining member, the proximal tip may be longitudinally movable relative to the engaging member between a retaining configuration and a releasing configuration. The proximal tip and the engaging member may be spaced from one another by a greater longitudinal distance in the releasing configuration than in the retaining configuration.

Claims

1. An endoluminal prosthesis introducer comprising:

a distal end, a proximal end and a proximal tip having a tip lumen;

a rotatable innermost cannula having comprising a lumen, a proximal end, a proximal end portion, and a distal end, the rotatable innermost cannula extending from at least just proximal the distal end of the introducer and at least partially through the proximal tip lumen;

the proximal tip disposed at the proximal end of the innermost cannula and comprising a distal end; and

a retaining member comprising an engaging member extending radially outward, the retaining member disposed directly over and about the proximal end portion of the innermost cannula, whereby, in response to rotation of the innermost cannula with respect to the retaining member, the proximal tip is longitudinally movable relative to the engaging member between a retaining configuration and a releasing configuration, wherein the proximal tip and the engaging member are spaced from one another by a greater longitudinal distance in the releasing configuration than in the retaining configuration.

2. The introducer of claim 1, wherein the retaining member comprises a sleeve disposed about the innermost cannula, and the engaging member comprises a plurality of engaging members disposed circumferentially about the sleeve and extending radially from the sleeve.

3. The introducer of claim 1, wherein the retaining member comprises a sleeve disposed about the innermost cannula, the engaging member extends radially from the sleeve, and the sleeve is engageable with the proximal tip.

4. The introducer of claim 3, wherein the sleeve of the retaining member comprises an attachment mechanism positioned proximal of the engaging member, the distal end of the proximal tip comprises a coupling member comprising an attachment mechanism, and the attachment mechanism of the sleeve is engageable with the attachment mechanism of the coupling member to couple the retaining member to the proximal tip.

5. The introducer of claim 3, wherein the sleeve of the retaining member comprises an attachment mechanism positioned proximal of the engaging member and comprising a threaded segment of the sleeve.

6. The introducer of claim 1, wherein the distal end of the proximal tip comprises a blunt, distal facing surface.

7. The introducer of claim 1, wherein the distal end of the proximal tip comprises a curved distal facing surface, and the engaging member comprises a curved proximal edge dimensioned to engage the curved distal facing surface of the proximal tip.

8. The introducer of claim 1, wherein the retaining member comprises a sleeve disposed about the innermost cannula, the engaging member comprises a fin extending longitudinally along and outward away from the sleeve and comprising a projection extending proximally from a proximal edge of the fin, and the retaining member comprises a notch positioned radially between the projection and the sleeve.

9. The introducer of claim 8, wherein the fin comprises a tapered distal edge.

10. The introducer of claim 1, wherein the retaining member comprises a sleeve disposed about the innermost cannula, the sleeve comprises an insert segment disposed proximal of the engaging member and comprising a tapered distal face, and, in response to longitudinal movement of the proximal tip relative to the engaging member, the insert segment is movable between a first configuration in which the tapered distal face is disposed within the proximal tip and a second configuration in which at least a portion of the tapered distal face is disposed outside of the proximal tip.

11. The introducer of claim 1, wherein the retaining member comprises a sleeve disposed about the innermost cannula and comprising a threaded segment engageable with the proximal tip, a proximal sleeve extension extending proximally beyond the threaded segment, and a crown member disposed at a proximal end of the proximal sleeve extension, the distal end of the proximal tip comprises a chamber and a tubular segment extending distally from the chamber and comprising a lumen extending longitudinally within the tubular segment, the proximal sleeve extension is disposed within the lumen of the tubular segment, and the crown member is disposed within the chamber and comprises a larger diameter than the lumen of the tubular segment.

12. The introducer of claim 11, wherein the proximal tip comprises a resilient member disposed within the chamber and proximal of the crown member of the retaining member.

13. A system comprising:

an introducer and an endoluminal prosthesis loaded on the introducer;

the prosthesis comprising a stent end engaged by the introducer and retained in a compressed configuration;

the introducer comprising;

a rotatable innermost cannula comprising a proximal end, a proximal end portion, and a distal end, the rotatable innermost cannula extending from at least just proximal the distal end of the introducer and at least partially through the proximal tip lumen;

the proximal tip disposed at the proximal end of the innermost cannula and comprising a distal end; and

a retaining member disposed directly over and about the proximal end portion of the innermost cannula and comprising a sleeve and an engaging member extending radially from the sleeve and engaged with the stent end in the compressed configuration, whereby the stent end is retained against the distal end of the proximal tip, and, in response to rotation of the innermost cannula with respect to the prosthesis and the retaining member, the proximal tip is longitudinally movable relative to the engaging member from a retaining configuration to a releasing configuration, and the stent end is releasable from engagement with the engaging member.

14. The system of claim 13, wherein the stent end comprises a plurality of apices, the engaging member comprises a plurality of engaging members disposed circumferentially about the sleeve of the retaining member, and each engaging.

15. The system of claim 14, wherein each of the plurality of apices is engaged by a corresponding engaging member to retain the stent end in the compressed configuration.

16. The system of claim 14, wherein at least one apex comprises an eyelet disposed at a proximal end of the apex, and the eyelet is engaged by a corresponding engaging member.

17. The system of claim 13, wherein the engaging member comprises a plurality of engaging members disposed circumferentially about the sleeve and extending radially from the sleeve, each of the engaging members comprises a tapered distal edge, a distal portion of the sleeve comprises a tapered outer surface, and the tapered distal edges of the engaging members and the tapered outer surface of the sleeve cooperatively form a frustoconical outer surface of the retaining member.

18. The system of claim 13, wherein the engaging member comprises a tubular member comprising a proximal ring portion, a tapered distal transition portion, and a lumen extending longitudinally within the engaging member, and the sleeve of the retaining member is disposed within the lumen of the engaging member.

19. The system of claim 13, wherein the stent end comprises at least one projection extending distally from the stent end, the projection is movable between a neutral position and an everted position, and the engaging member engages the projection in the everted position to retain the stent end in the compressed configuration.