Low profile stepped delivery system

• US 9,539,130 B2
• Filed: 10/28/2013
• Issued: 01/10/2017
• Est. Priority Date: 10/29/2012
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Farag, Jacqueline, Eells, Robert M.
• Primary Examiner(s): MILES, JONATHAN WADE
• Application Number:
  US14/064,651
• Publication Number:
  US 20140121755A1
• Time in Patent Office: 1,170 Days
• 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 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2/9522 Means for mounting a stent or stent-graft onto or into a placement instrument
• 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 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2002/9665 with additional retaining means

Abstract

A low profile stepped delivery system for retracting trigger wires from a prosthesis to release the prosthesis from a delivery device. A rod is disposed within an axial bore of a handle. The rod has a first longitudinal surface and a second longitudinal surface. A first engagement mechanism is disposed on the first longitudinal surface and a second engagement mechanism disposed on the second longitudinal surface. A wire coiling assembly is disposed at an end of the of the handle and comprises a first rotary gear that is adapted to be rotated by the first engagement mechanism, a second rotary gear that is adapted to be rotated by the second engagement mechanism, a first wire spool that is coupled to a rotation of the first rotary gear, and a second wire spool that is coupled to the rotation of second rotary gear. The first wire spool is configured to secure a first trigger wire and the second wire spool is configured to secure a second trigger wire.

Claims

1. A system for actuating a trigger wire in a prosthesis delivery device, the system comprising:

a handle having a handle proximal end, a handle distal end, and a longitudinal lumen between the proximal and distal ends;

a rod disposed within the longitudinal lumen, the rod having a rod proximal end, a rod distal end, a first longitudinal surface with a first engagement mechanism disposed at a first angular orientation between the rod proximal end and the rod distal end, and a second longitudinal surface having a second engagement mechanism disposed at a second angular orientation between the rod proximal end and the rod distal end, wherein the rod is movable from a first axial position to a second axial position;

a wire coiling assembly disposed within the handle, the wire coiling assembly;

comprising a first rotary gear having a rotation linked to an axial movement of the first engagement mechanism,

a second rotary gear linked to an axial movement of the second engagement mechanism,

a first wire spool coupled to the rotation of the first rotary gear, the first wire spool windingly attached to a first trigger wire, and

a second wire spool coupled to the rotation of second rotary gear, the second wire spool attached to a second trigger wire.

2. The system of claim 1, wherein the first engagement mechanism and second engagement mechanism are axially spaced from each other on the rod.

3. The system of claim 1 wherein the first engagement mechanism is disposed on a proximal portion of the rod and the second engagement mechanism is disposed on a distal portion of the rod.

4. The system of claim 3 wherein the first longitudinal surface is disposed on the rod opposite the second longitudinal surface.

5. The system of claim 3 wherein the first engagement mechanism and the second engagement mechanism do not overlap longitudinally.

6. The system of claim 1 wherein the first engagement mechanism is a first geared track and the second engagement mechanism is a second geared track.

7. The system of claim 6 wherein the first rotary gear has first gear teeth and the first wire spool has second gear teeth and wherein the first gear teeth drive the second gear teeth.

8. The system of claim 7 wherein the first rotary gear has a first axis of rotation and the first wire spool has a second axis of rotation wherein the first axis of rotation is parallel to the second axis of rotation.

9. The system of claim 7 wherein the first rotary gear has a first axis of rotation and the first wire spool has a second axis of rotation wherein the first axis of rotation is at an angle to the second axis of rotation.

10. The system of claim 9 wherein the first rotary gear has a first axis of rotation and the first wire spool has a second axis of rotation wherein the first axis of rotation is perpendicular to the second axis of rotation.

11. The system of claim 1 wherein the first rotary gear and the first wire spool share a first common axis of rotation, and the second rotary gear and the second wire spool share a second common axis of rotation.

12. The system of claim 1, further comprising a prosthesis having a first end and a second end, wherein the first trigger wire has a distal end coupled to the first wire spool and a proximal end releasably attached to the prosthesis first end, and wherein the second trigger wire has a distal end coupled to the second wire spool and a proximal end releasably attached to the prosthesis second end.

13. A system for delivering an endoluminal prosthesis, the system comprising:

a handle having a handle proximal end, a handle distal end, and a longitudinal bore;

an elongated tubular member having a tubular member proximal end, a tubular member distal end, and at least one lumen between the tubular member proximal end and the tubular member distal end, the elongated tubular member being secured to the handle proximal end at the tubular member distal end;

a sheath disposed at the tubular member proximal end, the sheath slidably mounted about the elongated tubular member in a longitudinal direction;

an endoluminal prosthesis disposed at the tubular member proximal end, the endoluminal prosthesis being radially constrained by the sheath;

a first trigger wire extending from the handle through the at least one lumen to the proximal end of the elongated tubular member, the first trigger wire coupled to a movement of the sheath;

a second trigger wired extending from the handle through the at least one lumen to the proximal end of the elongated tubular member, the second trigger wire retaining the endoluminal prosthesis; and

a wire coiling assembly disposed in the distal end of the handle, the wire coiling assembly comprising a rod having a first longitudinal surface with a first plurality of teeth, a second longitudinal surface having a second plurality of teeth, and a coiling mechanism comprising a first gear linked to the first plurality of teeth, a second gear linked to the second plurality of teeth, a first spool securing the first trigger wire and coupled to the rotation of the first gear, and a second spool securing the second trigger wire and coupled to the rotation of the second gear.

14. The system of claim 13 wherein the first plurality of teeth are disposed proximate a proximal end of the rod, the second plurality of teeth are disposed proximate a distal end of the rod, and wherein the first plurality of teeth and the second plurality of teeth do not overlap longitudinally.

15. The system of claim 13 wherein the first gear and the first coil have parallel axes of rotation and wherein the second gear and the second coil have parallel axes of rotation.

16. The system of claim 13 wherein the first gear and the first coil have non-parallel axes of rotation and wherein the second gear and the second coil have non-parallel axes of rotation.

17. The system of claim 13 wherein the first gear, the second gear, the first coil, and the second coil each have beveled edges with teeth.