Apparatus and methods for improved stent deployment

• US 9,750,626 B2
• Filed: 10/24/2013
• Issued: 09/05/2017
• Est. Priority Date: 10/31/2012
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Hadley, Rick
• Primary Examiner(s): Holwerda, Kathleen
• Application Number:
  US14/062,142
• Publication Number:
  US 20140121754A1
• Time in Patent Office: 1,412 Days
• Field of Search: 623 111, 623 112
• 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 2/9661 the proximal portion of the stent or stent-graft is released first
• CPC Class Codes: A61F 2002/8483 Barbs
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2002/9665 with additional retaining means

Abstract

The present embodiments provide systems and methods for facilitating deployment of a stent. In one embodiment, the system comprises an inner cannula, and at least one trigger wire extends at least partially within a lumen of the inner cannula and has an exposed portion extending radially outside of the lumen of the inner cannula. The exposed portion of the at least one trigger wire engages an associated portion of a stent in a delivery state. An outer cannula is sized for longitudinal movement over a portion of the inner cannula. Selective distal retraction of the outer cannula permits partial deployment of the stent to an extent of slack provided by the at least one trigger wire, and selective proximal advancement of the outer cannula incrementally urges the exposed portion of the at least one trigger wire radially inward to constrain the associated portion of the stent.

Claims

1. A system for deploying a stent, the system comprising:

an inner cannula having proximal and distal ends and a lumen disposed therebetween;

first and second apertures formed in the inner cannula, where the second aperture is disposed distal to the first aperture;

at least one trigger wire,

wherein the at least one trigger wire extends at least partially within the lumen of the inner cannula, and further has an exposed portion extending radially outside of the lumen of the inner cannula from the second aperture, where the exposed portion of the at least one trigger wire engages an associated portion of a stent in a delivery state, and a proximal end of the at least one trigger wire extends through the first aperture into the lumen of the inner cannula when in the delivery state; and

wherein the stent has a proximal end and a distal end and the second aperture is disposed between the distal end and the proximal end of the stent when the stent is in the delivery state and the first aperture is disposed proximal to the proximal end of the stent when the stent is in the delivery state,

the at least one trigger wire having a first end that terminates proximal to the stent when in the delivery state, and

an outer cannula sized for longitudinal movement over a portion of the inner cannula,

the outer cannula being disposed internal to the stent in the delivery state,

where selective distal retraction of the outer cannula distally beyond the exposed portion of the at least one trigger wire permits partial deployment of the stent to an extent of slack provided by the at least one trigger wire, and

where selective proximal advancement of the outer cannula over the exposed portion of the at least one trigger wire incrementally urges the exposed portion of the at least one trigger wire in a radially inward direction to radially constrain the associated portion of the stent.

2. The system of claim 1 where an outer diameter of the associated portion of the stent is less than an inner diameter of a body lumen in a partial deployment state.

3. The system of claim 1 wherein the exposed portion of the at least one trigger wire is positioned between the first and second apertures.

4. The system of claim 3 wherein the second aperture is positioned adjacent to the proximal end of the inner cannula.

5. The system of claim 1 where the at least one trigger wire is sized to be advanced through a bore of the stent.

6. The system of claim 1 further comprising a plurality of trigger wires, where the plurality of trigger wires are coupled to alternating apices of the stent.

7. The system of claim 1 where the lumen of the inner cannula permits advancement of the inner cannula over a wire guide.

8. The system of claim 1 further comprising an atraumatic tip disposed on the proximal end of the inner cannula.

9. A method for deploying a stent, the method comprising:

providing a system comprising an inner cannula having proximal and distal ends and a lumen disposed therebetween;

at least one trigger wire extending at least partially within the lumen of the inner cannula, and further having an exposed portion extending radially outside of the lumen of the inner cannula, where the exposed portion of the at least one trigger wire engages an associated portion of a stent in a delivery state; and

an outer cannula sized for longitudinal movement over a portion of the inner cannula;

selectively distally retracting the outer cannula distally beyond the exposed portion of the at least one trigger wire to permit partial deployment of a proximal end of the stent to an extent of slack provided by the at least one trigger wire,

selectively proximally advancing the outer cannula over the exposed portion of the at least one trigger wire prior to full radial deployment of the stent to directly engage and incrementally urge the exposed portion of the at least one trigger wire in a radially inward direction to radially constrain the associated portion of the stent; and

when proper positioning of the stent is confirmed, distally retracting the outer cannula.

10. The method of claim 9 where an outer diameter of the associated portion of the stent is less than an inner diameter of a body lumen in a partial deployment state.

11. The method of claim 9 further comprising providing at least first and second apertures formed in the inner cannula, where the second aperture is disposed distal to the first aperture, and where the exposed portion of the at least one trigger wire is positioned between the first and second apertures.

12. The method of claim 11 where the second aperture is positioned adjacent to the proximal end of the inner cannula.

13. The method of claim 9 where the at least one trigger wire is sized to be advanced through a bore of the stent.

14. The method of claim 9 further comprising providing a plurality of trigger wires, where the plurality of trigger wires are coupled to alternating apices of the stent.

15. The method of claim 9 further comprising advancing the inner cannula over a wire guide.

16. The method of claim 9 further comprising providing an atraumatic tip disposed on the proximal end of the inner cannula.

17. A system for deploying a stent, the system comprising:

an inner cannula having proximal and distal ends and a lumen disposed therebetween, and further having at least a first and a second aperture formed therein;

at least one trigger wire,

wherein the at least one trigger wire extends at least partially within the lumen of the inner cannula from the second aperture, and further has an exposed portion extending radially outside of the lumen of the inner cannula, where the exposed portion of the at least one trigger wire engages an associated portion of a stent in a delivery state,

where the second aperture is disposed distal to the first aperture, and where the exposed portion of the at least one trigger wire is positioned between the first and second apertures and a proximal end of the at least one trigger wire extends through the first aperture into the lumen of the inner cannula when in the delivery state and wherein the stent has a proximal end and a distal end and the second aperture is disposed between the distal end and the proximal end of the stent when the stent is in the delivery state and the first aperture is disposed proximal to the proximal end of the stent when the stent is in the delivery state,

the at least one trigger wire having a first end that terminates proximal to the stent when in the delivery state; and

an outer cannula sized for longitudinal movement over a portion of the inner cannula, the outer cannula being disposed internal to the stent in the delivery state,

where selective distal retraction of the outer cannula distally beyond the exposed portion of the at least one trigger wire permits partial deployment of the stent to an extent of slack provided by the at least one trigger wire,

where an outer diameter of the associated portion of the stent is less than an inner diameter of a body lumen in a partially deployed state, and

where selective proximal advancement of the outer cannula over the exposed portion of the at least one trigger wire incrementally urges the exposed portion of the at least one trigger wire in a radially inward direction to radially constrain the associated portion of the stent.

18. The system of claim 17 where the at least one trigger wire is sized to be advanced through a bore of the stent.

19. The system of claim 17 further comprising a plurality of trigger wires, where the plurality of trigger wires are coupled to alternating apices of the stent.

20. The system of claim 17 where the lumen of the inner cannula is configured to permit advancement of the inner cannula over a wire guide.