Endograft introducer and a capsule assembly for an endograft introducer

• US 9,510,963 B2
• Filed: 11/07/2014
• Issued: 12/06/2016
• Est. Priority Date: 11/08/2013
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Coverdale, Kelly, Ducke, Werner D., Scott, Graham W., Yang, Mena
• Primary Examiner(s): OU, JING RUI
• Application Number:
  US14/536,018
• Publication Number:
  US 20150142097A1
• Time in Patent Office: 760 Days
• US Class Current: 1/1
• CPC Class Codes: A61F 2/07 Stent-grafts
• 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 2002/8486 provided on at least one of the ends
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2002/9665 with additional retaining means

Abstract

A capsule assembly for an endograft introducer is disclosed. The assembly comprises: a capsule and a capsule plug. The capsule has a cavity for receiving an end of a stent graft and a capsule wall terminating in a distal end. The capsule plug comprises: a tip portion having a lead-in surface and an abutment surface; and a tail portion having an external surface engageable with an inside surface of the capsule wall. The capsule is slideably movable with respect to the capsule plug from a first position in which the distal end of the capsule wall surrounds an opening into the cavity to a second position in which the distal end of the capsule wall is positioned proximally with respect to the abutment surface, whereby movement of the tip portion into the capsule is resisted by abutment between the distal end of the capsule wall and the abutment surface.

Claims

1. A capsule assembly for an endograft introducer, the assembly comprising:

a capsule having a cavity and a capsule wall, the capsule wall having an external surface and terminating in a distal end; and

a capsule plug, the capsule plug comprising;

a tip portion having a lead-in surface and an abutment surface; and

a tail portion having an external surface engageable with an inside surface of the capsule wall, and

a landing zone located proximally of the abutment surface, the distal end of the capsule wall receivable in the landing zone, the landing zone having a landing zone diameter,

wherein the capsule is slidably movable with respect to the capsule plug from a first position in which the distal end of the capsule wall surrounds an opening into the cavity to a second position in which the distal end of the capsule wall is positioned proximally with respect to the abutment surface, whereby movement of the tip portion into the capsule is resisted by abutment between the distal end of the capsule wall and the abutment surface,

wherein the tip portion diverges in a direction toward the tail portion reaching a maximum tip portion diameter at a location adjacent to or distal of the abutment surface,

wherein the distal end of the capsule wall has a terminal internal diameter that is resiliently expandable to allow the tip portion to move distally from the first position to the second position, and

wherein the tail portion has a stabilizing surface that engages the inside surface of the capsule wall, the stabilizing surface having a tail end, wherein the tail end is spaced apart from the abutment surface by a distance exceeding 50% of the landing zone diameter.

2. The capsule assembly as claimed in claim 1, wherein the tip portion comprises a first divergent portion and a second divergent portion, the first divergent portion diverging towards the second divergent portion and the first divergent portion diverging more steeply than the second divergent portion.

3. The capsule assembly as claimed in claim 1, wherein the tip portion divergence decreases in a direction toward the intermediate portion.

4. The capsule assembly as claimed in claim 1, wherein the landing zone has a landing zone diameter, the landing zone diameter smaller than the maximum tip portion diameter.

5. The capsule assembly as claimed in claim 4, wherein the distal end of the capsule wall, the tip portion, the abutment surface and the landing zone are mutually shaped so as to provide a smooth transition from the lead-in surface to the distal end of the capsule wall in the second position so as to facilitate retraction of the capsule assembly through an endograft.

6. An endograft introducer comprising a nose cone dilator and a capsule assembly at a proximal end, a guide wire catheter extending distally from the nose cone dilator through the capsule assembly, a sheath and a handle, to a distal end, the capsule assembly as defined by claim 1.

7. A capsule assembly for an endograft introducer, the assembly comprising:

a capsule having a cavity and a capsule wall, the capsule wall having an external surface and terminating in a distal end; and

a capsule plug, the capsule plug comprising;

a tip portion having a lead-in surface and an abutment surface;

a tail portion having an external surface engageable with an inside surface of the capsule wall; and

an intermediate portion joining the tip portion to the tail portion, the intermediate portion having a landing zone, the landing zone having a landing zone diameter, the distal end of the capsule wall receivable in the landing zone,

wherein the capsule is slidably movable with respect to the capsule plug from a first position in which the distal end of the capsule wall surrounds an opening into the cavity to a second position in which the distal end of the capsule wall is received in the landing zone providing a transition from the lead-in surface to the external surface of the capsule wall so as to facilitate retraction of the capsule assembly through an endograft, and

wherein the tail portion has a stabilizing surface that engages the inside surface of the capsule wall, the stabilizing surface having a tail end, wherein the tail end is spaced apart from the abutment surface by a distance exceeding 50% of the landing zone diameter.

8. The capsule assembly as claimed in claim 7, wherein the tip portion diverges in a direction toward the intermediate portion reaching a maximum tip portion diameter.

9. The capsule assembly as claimed in claim 8, wherein the terminal internal diameter that is resiliently expandable to allow the tip portion to move distally from the first position to the second position.

10. The capsule assembly as claimed in claim 9, wherein the landing zone diameter smaller than the maximum tip portion diameter.

11. The capsule assembly as claimed in claim 10, wherein the distal end of the capsule wall, the tip portion, the abutment surface and the landing zone are mutually shaped so as to provide a smooth transition from the lead-in surface to the distal end of the capsule wall in the second position so as to facilitate retraction of the capsule assembly through an endograft.

12. An endograft introducer comprising a nose cone dilator and a capsule assembly at a proximal end, a guide wire catheter extending distally from the nose cone dilator through the capsule assembly, a sheath and a handle, to a distal end, the capsule assembly as defined by claim 7.

13. A capsule assembly for an endograft introducer, the assembly including:

a capsule having a cavity and a capsule wall, the capsule wall having an external surface and terminating in a distal end, the capsule wall having a main portion and an internally tapered portion, the internally tapered portion distal to the main portion, the internally tapered portion having a wall thickness greater than a thickness of the main portion adjacent to the internally tapered portion; and

a capsule plug, the capsule plug including;

a tip portion having a lead-in surface and an abutment surface;

a tail portion having an external surface engageable with an inside surface of the capsule wall; and

a landing zone between the tip portion and the tail portion for receiving the distal end of the capsule wall;

wherein the landing zone has a landing zone diameter;

wherein the capsule is slidably movable with respect to the capsule plug from a first position in which the distal end of the capsule wall surrounds an opening into the cavity to a second position in which the distal end of the capsule wall is positioned proximally with respect to the abutment surface, whereby movement of the tip portion into the capsule is resisted by abutment between the end of the capsule wall and the abutment surface, and

wherein the tail portion has a stabilizing surface that engages the inside surface of the capsule wall, the stabilizing surface having a tail end, wherein the tail end is spaced apart from the abutment surface by a distance exceeding 50% of the landing zone diameter.