Stent delivery system and method of use

• US 9,655,753 B2
• Filed: 09/30/2003
• Issued: 05/23/2017
• Est. Priority Date: 09/30/2002
• Status: Active Grant

• Current Assignee: Board of Regents of the University of Texas System (University of Texas System)
• Original Assignee: Board of Regents of the University of Texas System (University of Texas System)
• Inventors: Angel, Luis F.
• Primary Examiner(s): YABUT, DIANE D
• Application Number:
  US10/529,798
• Publication Number:
  US 20060184224A1
• Time in Patent Office: 4,984 Days
• Field of Search: 623 111, 623 123, 623 9, 606194, 606108
• CPC Class Codes: A61B 1/2676 Bronchoscopes
• CPC Class Codes: A61F 2/04 Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts A61F2/18, A61F2/20 take precedence; devices, other than stent-grafts, providing patency to, or preventing collapsing of, tubular structures of the body other than stent-grafts, e.g. stents A61F2/82; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95
• 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 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
• CPC Class Codes: A61F 2002/043 Bronchi

Abstract

A stent delivery system may be used to position a stent in a body lumen. An endoscope may be positionable in the stent delivery system facilitating direct visual observation during placement of the stent. The stent delivery system may include a first conduit, wherein the endoscope is positionable. A second conduit, wherein the first conduit is positionable, may function to releasably position the stent in the body lumen during use. The stent delivery system may include a lock that functions to inhibit movement of the first conduit relative to the second conduit during use. Retraction of the distal end of the second conduit, relative to the first conduit and the stent, may deploy the stent in a body lumen. Indicia, visibly positioned on the proximal end of the stent delivery system, may function to facilitate determination of an extent of deployment of the stent during use.

Claims

1. A pulmonary stent delivery system comprising:

a first conduit, wherein at least a portion of a bronchoscope is positionable in the first conduit during use of the stent delivery system, and wherein the first conduit has a diameter of between 3 mm and 20 mm and is sized to allow a bronchoscope to move distally and proximally through the first conduit;

a second conduit, wherein at least a portion of the first conduit is positionable in the second conduit, wherein the second conduit is configured to contain at least a portion of a pulmonary stent, wherein the stent comprises a distal portion terminating at a distal end and a proximal portion terminating at a proximal end, wherein the second conduit is movably positionable with respect to the first conduit, and wherein a distal end of the second conduit is movable in a direction toward a proximal end of the first conduit to expose at least a portion of the distal end of the stent during use;

a stop coupled to, and protruding outwardly from, the outer surface of the first conduit and positioned approximate to the proximal end of the stent when the stent is positioned between the first and second conduits, wherein the stop is configured to abut against the proximal end of the stent to inhibit movement of the stent in a proximal direction relative to the first conduit;

a bronchoscope that is positioned within the first conduit such that a distal end of the bronchoscope is extendable adjacent to a distal end of the first conduit, the second conduit or the stent;

a first grip coupled to the first conduit, the first grip including a user-engagement portion extending radially away from a longitudinal axis of the first conduit; and

a second grip coupled to the second conduit, the second grip including a user engagement portion that comprises a first finger grip that is configured to receive a user'"'"'s index finger and a second finger grip that is configured to receive a user'"'"'s middle finger, wherein the first finger grip extends radially away from a longitudinal axis of the second conduit in a first direction and the second finger grip extends away from the longitudinal axis of the second conduit in a second direction that is opposite of the first direction, wherein the first and second grips are configured to facilitate one-handed retraction of the second conduit to deploy the stent as the user retracts the second grip proximally toward the first grip;

wherein the first conduit and the second conduit are sized to permit positioning of the stent between an outer surface of the first conduit and an inner surface of the second conduit, thereby allowing extension of the bronchoscope through the first conduit and the stent.

2. The stent delivery system of claim 1, further comprising:

a first lock configurable to inhibit movement of the first conduit relative to the second conduit during use; and

a second lock configurable to inhibit movement of the bronchoscope relative to the first conduit during use.

3. The stent delivery system of claim 1, further comprising a lock configurable to inhibit movement of the first conduit relative to the second conduit during use, wherein the lock comprises:

the first grip; and

the second grip;

wherein at least a portion of the first grip is configurable to inhibit movement of the second grip in a direction toward a proximal end of the stent delivery system beyond the portion of the first grip.

4. The stent delivery system of claim 1, further comprising a lock configurable to inhibit movement of the first conduit relative to the second conduit during use, wherein the lock comprises:

the first grip;

the second grip; and

one or more pins coupled to the first conduit, wherein at least one of the pins is configurable to inhibit portions of the first and second conduits from moving transversely to each other;

wherein at least a portion of the first grip is configurable to inhibit movement of the second grip in a direction toward a proximal end of the stent delivery system beyond the portion of the first grip.

5. The stent delivery system of claim 1, further comprising a lock configurable to inhibit movement of the first conduit relative to the second conduit during use, wherein the lock comprises a clamp.

6. The stent delivery system of claim 1, wherein at least a portion of the first conduit is partially flexible.

7. The stent delivery system of claim 1, wherein at least a portion of the second conduit is partially flexible.

8. The stent delivery system of claim 1, wherein at least a portion of the second conduit is configured to inhibit collapse of the second conduit.

9. The stent delivery system of claim 1, wherein the first conduit comprises a polymer.

10. The stent delivery system of claim 1, wherein the second conduit comprises a polymer.

11. The pulmonary stent delivery system of claim 1, further comprising:

a stent disposed between an outer surface of the first conduit and an inner surface of the second conduit, wherein the stent comprises a distal portion terminating at a distal end and a proximal portion terminating at a proximal end,

wherein the second conduit is configured to contain substantially all of the stent between the outer surface of the first conduit and the inner surface of the second conduit.

12. The stent delivery system of claim 1, wherein the second conduit is configured to retract in a proximal direction relative to the first conduit such that the distal end of the stent travels out of a distal opening in the distal end of the second conduit.

13. The stent delivery system of claim 1, wherein the distal end of the second conduit is movable in a direction toward the proximal end of the first conduit to expose a given portion of the stent after all more distal portions of the stent have been exposed.

14. The stent delivery system of claim 1, wherein the second conduit is configured to contain the entirety of the stent between an outer surface of the first conduit and an inner surface of the second conduit.

15. The stent delivery system of claim 1, wherein the stop comprises a radius edge.

16. The stent delivery system of claim 1, wherein the first conduit is positionable, with respect to the stent, such that the distal end of the first conduit is positionable flush with the distal end of the stent.

17. The stent delivery system of claim 1, wherein the first conduit comprises spiral reinforcing in the first conduit which inhibits collapse of the first conduit under the stent when the stent is positioned on the first conduit.

18. The stent delivery system of claim 1, wherein the first conduit has a diameter of between about 10 mm and about 17 mm.

19. The stent delivery system of claim 1, wherein

the user-engagement portion of the first grip is shaped to receive a user'"'"'s hand between a thumb and index finger.

20. A pulmonary stent delivery system comprising:

a first conduit, wherein at least a portion of a bronchoscope is positionable in the first conduit during use of the stent delivery system, and wherein the first conduit has a diameter of between 3 mm and 20 mm and is sized to allow a bronchoscope to move distally and proximally through the first conduit;

a second conduit, wherein at least a portion of the first conduit is positionable in the second conduit, wherein the second conduit is configured to contain at least a portion of a pulmonary stent, wherein the stent comprises a distal portion terminating at a distal end and a proximal portion terminating at a proximal end, and wherein the second conduit is movably positionable with respect to the first conduit, and wherein the distal end of the stent is exposed prior to exposure of other portions of the stent upon movement of the second conduit in a proximal direction relative to the first conduit;

a stop coupled to, and protruding outwardly from, the outer surface of the first conduit and positioned approximate to the proximal end of the stent between the first and second conduits, wherein the stop is configured to abut against the proximal end of the stent to inhibit movement of the stent in a proximal direction relative to the first conduit; and

a bronchoscope that is positioned within the first conduit such that a distal end of the bronchoscope is extendable adjacent to a distal end of the first conduit, the second conduit or the stent;

wherein the first conduit and the second conduit are sized to permit positioning of the stent between an outer surface of the first conduit and an inner surface of the second conduit, thereby allowing extension of the bronchoscope through the first conduit and the stent.

21. The stent delivery system of claim 20, wherein the distal end of the second conduit is movable in a direction toward a proximal end of the first conduit to expose a portion of the stent after all more distal portions of the stent have been exposed.

22. The stent delivery system of claim 20, wherein the second conduit is configured to contain the entirety of the stent between an outer surface of the first conduit and an inner surface of the second conduit.

23. The stent delivery system of claim 20, wherein the second conduit comprises an inner layer coupled to an outer layer, the inner layer and outer layer being formed of different materials.

24. A method for positioning a pulmonary stent, comprising:

obtaining a pulmonary stent delivery system, comprising;

a first conduit, wherein at least a portion of a bronchoscope is positionable in the first conduit during use of the stent delivery system, and wherein the first conduit has a diameter of between 3 mm and 20 mm and is sized to allow a bronchoscope to move distally and proximally through the first conduit;

a second conduit, wherein at least a portion of the first conduit is positionable in the second conduit, wherein the second conduit is configured to contain at least a portion of a pulmonary stent, wherein the stent comprises a distal portion terminating at a distal end and a proximal portion terminating at a proximal end, wherein the second conduit is movably positionable with respect to the first conduit, and wherein a distal end of the second conduit is movable in a direction toward a proximal end of the first conduit to expose at least a portion of the distal end of the stent during use;

a stop coupled to, and protruding outwardly from, the outer surface of the first conduit and positioned approximate to the proximal end of the stent when the stent is positioned between the first and second conduits, wherein the stop is configured to abut against the proximal end of the stent to inhibit movement of the stent in a proximal direction relative to the first conduit;

a bronchoscope that is positioned within the first conduit such that a distal end of the bronchoscope is extendable adjacent to a distal end of the first conduit, the second conduit or the stent;

wherein the first conduit and the second conduit are sized to permit positioning of the stent between an outer surface of the first conduit and an inner surface of the second conduit, thereby allowing extension of the bronchoscope through the first conduit and the stent;

a first grip coupled to the first conduit, the first grip including a user-engagement portion extending radially away from a longitudinal axis of the first conduit; and

a second grip coupled to the second conduit, the second grip including a user engagement portion that comprises a first finger grip that is configured to receive a user'"'"'s index finger and a second finger grip that is configured to receive a user'"'"'s middle finger, wherein the first finger grip extends radially away from a longitudinal axis of the second conduit in a first direction and the second finger grip extends away from the longitudinal axis of the second conduit in a second direction that is opposite of the first direction, wherein the first and second grips are configured to facilitate one-handed retraction of the second conduit to deploy the stent as the user retracts the second grip proximally toward the first grip;

positioning the pulmonary stent delivery system in a patient;

positioning the bronchoscope in the first conduit of the pulmonary stent delivery system; and

deploying the stent.

25. The method of claim 24, wherein positioning the pulmonary stent delivery system comprises positioning a distal end of the pulmonary stent delivery system in an air passageway of a patient.

26. The method of claim 24, wherein positioning the bronchoscope comprises positioning the bronchoscope through the first conduit such that a distal end of the bronchoscope is adjacent to a distal end of the pulmonary stent delivery system so that a stent deployment site is visually observable through the bronchoscope.

27. The method of claim 24, wherein deploying the stent comprises retracting the second conduit relative to the first conduit to deploy the stent.

28. The method of claim 24, further comprising:

receiving the user-engagement portion of the first grip between a thumb and index finger of the user;

receiving the user-engagement portion of the second grip with a user'"'"'s index and middle fingers;

retracting the second grip proximally toward the first grip with one hand such that the second grip comes into abutment with the first grip, such that retracting the second grip retracts the second conduit to deploy the stent.