Circumferential trigger wire for deploying an endoluminal prosthesis

• US 9,278,018 B2
• Filed: 12/13/2012
• Issued: 03/08/2016
• Est. Priority Date: 12/14/2011
• Status: Active Grant

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Original Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Inventors: Roeder, Blayne A.
• Primary Examiner(s): Eastwood, David C
• Application Number:
  US13/713,517
• Publication Number:
  US 20130158646A1
• Time in Patent Office: 1,181 Days
• US Class Current: 1/1
• CPC Class Codes: A61F 2/844 folded prior to deployment
• CPC Class Codes: A61F 2/848 having means for fixation to the vessel wall, e.g. barbs
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• 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 2002/8483 Barbs
• CPC Class Codes: A61F 2002/9665 with additional retaining means

Abstract

A deployment device for deploying an expandable endoluminal prosthesis within a body vessel may include an elongate member extending longitudinally along at least a portion of a length of the deployment device. The deployment device may include at least one engagement member coupled to the elongate member and extending outwardly from the elongate member. The deployment device may include a circumferential trigger wire extending at least partially circumferentially around the elongate member and removably received between the engagement member and the elongate member. The circumferential trigger wire may be manipulatable from a distal end of the deployment device, whereby the circumferential trigger wire is removable from between the engagement member and the elongate member.

Claims

1. An expandable endoluminal prosthesis and deployment device for deploying the expandable endoluminal prosthesis within a body vessel, the deployment device comprising:

an elongate member extending longitudinally along at least a portion of a length of the deployment device;

an expandable endoluminal prosthesis disposed about the elongate member and having an exterior circumference;

at least one axial trigger wire coupled to the elongate member and extending outwardly from the elongate member; and

a circumferential trigger wire extending out of a first circumferential trigger wire aperture of the elongate member, forming a single loop circumferentially around substantially the entire exterior circumference of the expandable endoluminal prosthesis and re-entering an axially spaced second circumferential trigger wire aperture in the elongate member, the single loop removably received under the axial trigger wire between the axial trigger wire and the elongate member;

wherein the circumferential trigger wire is manipulatable from a distal end of the deployment device, whereby the circumferential trigger wire is removable from between the axial trigger wire and the elongate member.

2. The deployment device of claim 1, wherein the at least one axial trigger wire extends longitudinally along at least a portion of the length of the deployment device.

3. The deployment device of claim 2, wherein the elongate member comprises a tubular member;

the axial trigger wire is received within the tubular member, exits the tubular member at a first longitudinal position, and reenters the tubular member at a second longitudinal position proximal of the first longitudinal position.

4. The deployment device of claim 3, wherein the at least one axial trigger wire comprises a plurality of axial trigger wires, the tubular member further comprises a plurality of axial trigger wire apertures, each of the plurality of axial trigger wires extends through a corresponding one of the plurality of axial trigger wire apertures.

5. The deployment device of claim 4, wherein the plurality of axial trigger wire apertures are aligned with one another with respect to a longitudinal axis of the tubular member and spaced from one another circumferentially around the tubular member.

6. The deployment device of claim 5, wherein each of the plurality of axial trigger wire apertures comprises a first aperture and a second aperture, the first and second apertures are aligned with one another with respect to a circumference of the tubular member, and the second aperture is positioned proximal of the first aperture with respect to the longitudinal axis of the tubular member.

7. The deployment device of claim 4, wherein the circumferential trigger wire extends longitudinally along at least a portion of the length of the deployment device and is removably received between each of the plurality of engagement members and an outer surface of the tubular member.

8. The deployment device of claim 1, wherein the elongate member comprises a tubular member comprising the first and second circumferential trigger wire apertures, the circumferential trigger wires are received within the tubular member, and the circumferential trigger wire extends through the first circumferential trigger wire aperture and exits the tubular member.

9. The deployment device of claim 8, wherein the first and second circumferential trigger wire apertures are aligned with one another with respect to a circumference of the tubular member, and the second aperture is positioned proximal of the first aperture with respect to a longitudinal axis of the tubular member.

10. A system comprising:

a deployment device comprising a tubular trigger wire guide, at least one axial trigger wire aperture in the trigger wire guide, and first and second axially spaced circumferential trigger wire apertures in the trigger wire guide;

an expandable endoluminal prosthesis positioned on the deployment device and having an exterior circumference;

at least one axial trigger wire received within the trigger wire guide, the axial trigger wire extending through the axial trigger wire aperture and exiting the trigger wire guide; and

a circumferential trigger wire received within the trigger wire guide, the circumferential trigger wire extending through the first circumferential trigger wire aperture and exiting the trigger wire guide and encircling the prosthesis substantially about the entire exterior circumference of the prosthesis forming a single loop and re-entering the trigger wire guide at the second circumferential trigger wire aperture, the single loop of the circumferential trigger wire passing beneath the axial trigger wire such that the circumferential trigger wire is engaged by the axial trigger wire and restrains at least a portion of the prosthesis in a compressed configuration.

11. The system of claim 10, wherein the axial trigger wire exits the trigger wire guide at a first longitudinal position and reenters the trigger wire guide at a second longitudinal position proximal of the first longitudinal position, a portion of the axial trigger wire disposed external of the trigger wire guide comprises a curve, and a portion of the circumferential trigger wire disposed external of the trigger wire guide extends circumferentially around the prosthesis and is received between the curve of the axial trigger wire and the prosthesis.

12. The system of claim 11, wherein the axial trigger wire aperture comprises a plurality of axial trigger wire apertures, the axial trigger wire comprises a plurality of axial trigger wires, each axial trigger wire extends through a corresponding one of the plurality of axial trigger wire apertures and comprises the curve, and the circumferential trigger wire is received between the curve of each of the plurality of axial trigger wires and an outer surface of the prosthesis.

13. The system of claim 10, wherein the axial trigger wire aperture comprises a plurality of axial trigger wire apertures, the prosthesis further comprises a stent comprising a plurality of end regions each including an aperture, and each aperture of the stent is aligned with a corresponding one of the plurality of axial trigger wire apertures.

14. The system of claim 13, wherein the axial trigger wire comprises a plurality of axial trigger wires, each axial trigger wire exits the trigger wire guide at a first longitudinal position and reenters the trigger wire guide at a second longitudinal position proximal of the first longitudinal position, a portion of the axial trigger wire disposed external of the trigger wire guide comprises a curve, and the curve is received within the corresponding one of the plurality of apertures of the stent.

15. The system of claim 14, wherein the plurality of end regions is a plurality of first end regions, and the prosthesis further comprises a plurality of second end regions each including a barb.

16. The system of claim 15, wherein each of the plurality of axial trigger wires is received within a corresponding one of the plurality of apertures of the stent, and the circumferential trigger wire at least partially encircles the prosthesis and engages each of the first end regions and each of the second end regions.

17. The system of claim 10, wherein the deployment device further comprises a circumferential trigger wire release mechanism, and a distal end of the circumferential trigger wire is coupled to the circumferential trigger wire release mechanism.

18. A method of deploying an expandable endoluminal prosthesis, the method comprising:

providing a deployment device comprising a tubular trigger wire guide, at least one axial trigger wire aperture in the trigger wire guide, an axial trigger wire received within the trigger wire guide and extending through the axial trigger wire aperture such that a curve of the axial trigger wire is disposed external of the trigger wire guide, a prosthesis disposed about the trigger wire guide having an exterior circumference, and a circumferential trigger wire exiting a first circumferential trigger wire aperture in the trigger wire guide, forming a single loop about substantially the entire exterior surface of the prosthesis and re-entering the trigger wire guide at an axially spaced second circumferential trigger wire aperture, the single loop passing beneath the axial trigger wire and

manipulating the circumferential trigger wire from a distal end of the deployment device, and sliding the circumferential trigger wire out of engagement between the curve of the axial trigger wire and an outer surface of the trigger wire guide.