Expandable gear system and methods for use

• US 9,765,858 B2
• Filed: 08/28/2014
• Issued: 09/19/2017
• Est. Priority Date: 08/28/2013
• Status: Active Grant

• Current Assignee: Sanford Health-Meritcare (MeritCare Health System)
• Original Assignee: Sanford Health-Meritcare (MeritCare Health System)
• Inventors: Kelly, Patrick W.
• Primary Examiner(s): LIU, HENRY Y
• Application Number:
  US14/471,717
• Publication Number:
  US 20150065280A1
• Time in Patent Office: 1,118 Days
• Field of Search: 474 47, 474 54, 474 49
• CPC Class Codes: A61F 2/24 Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
• CPC Class Codes: A61F 2/82 Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents stent-grafts for tubular structures of the body other than blood vessels A61F2/04; stent-grafts for blood vessels A61F2/07; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95; for closing wounds, or holding wounds closed A61B17/04 - A61B17/115; dilators A61M29/00
• 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: F16H 55/54 of which the bearing parts are radially adjustable
• CPC Class Codes: F16H 9/10 engaging a pulley provided with radially-actuatable elements carrying the belt

Abstract

Example gear systems and methods for use are provided herein. An example gear system may include (a) an expandable gear that defines a plurality of circular sectors, (b) a hub disposed in the gear, where the hub includes an expandable portion, and (c) an expander, where the expandable gear has an expanded position when the expander is disposed within the hub and the expandable gear has an unexpanded position when the expander is disposed outside of the hub.

Claims

1. A gear system, comprising:

an expandable gear that defines a plurality of circular sectors having a wedge-shape, wherein the plurality of circular sectors are adjoined thereby forming a contiguous perimeter in the unexpanded position;

a hub disposed in the gear, wherein the hub comprises an expandable portion; and

an expander, wherein the expandable gear has an expanded position when the expander is disposed within the hub and the expandable gear has an unexpanded position when the expander is disposed outside of the hub.

2. The gear system of claim 1, further comprising an expandable band disposed about a circumference of the expandable gear.

3. The gear system of claim 2, wherein the band defines at least one groove on an outer surface.

4. The gear system of claim 1, wherein the plurality of circular sectors of the expandable gear is three circular sectors each having a central angle of about 120 degrees.

5. The gear system of claim 1, wherein the plurality of circular sectors of the expandable gear is four circular sectors each having a central angle of about 90 degrees.

6. The gear system of claim 1, wherein the plurality of circular sectors of the expandable gear are displaced by the expander in a direction away from a center of the expandable gear in the expanded position.

7. The gear system of claim 1, wherein the expandable portion of the hub comprises a plurality of limbs.

8. The gear system of claim 1, wherein the expandable portion of the hub has a cross-section defining a plurality of circular sectors in the unexpanded position.

9. The gear system of claim 1, wherein the hub comprises an axle having a first end and a second end, wherein the first end of the axle is coupled to the expandable gear, wherein the expandable portion of the hub is defined at the first end of the axle and extends along the axle towards the second end of the axle.

10. The gear system of claim 1, wherein the hub comprises a coupling having a first end and a second end, wherein the first end of the coupling is attached to a non-expandable portion of the hub, wherein the second end of the coupling is configured to attach to an axle.

11. The gear system of claim 1, wherein the hub defines an opening in the unexpanded position.

12. The gear system of claim 1, wherein the expander has a tapered outer surface.

13. The gear system of claim 1, wherein the expander has a cone shape or a frustum shape.

14. The gear system of claim 1, wherein the expander comprises a guide stem at least partially disposed in the opening of the hub.

15. The gear system of claim 14, wherein the guide stem is configured to extend into and advance along a channel defined in by expandable portion of the hub.

16. The gear system of claim 14, wherein the expandable portion of the hub is coupled to an axle having a hollow core and wherein the guide stem extends through the expandable portion of the hub and through the hollow core of the axle in both the expanded and unexpanded positions.

17. The gear system of claim 14, further comprising a first push-button coupled to the expander and arranged on a surface of the expander opposite to the guide stem.

18. The gear system of claim 14, further comprising a lever arm having a first end and a second end, wherein the first end of the lever arm is coupled to the guide stem and the second end of the lever arm is coupled to a push-button.

19. The gear system of claim 17, further comprising a housing, wherein a portion of the first push-button is disposed through a first opening in the housing.

20. The gear system of claim 18, wherein a portion of the push-button is disposed through an opening in a housing, and wherein the lever arm is pivotally coupled to the housing at a point between the first and the second end of the lever arm.

21. The gear system of claim 1, further comprising a belt in mechanical communication with the expandable gear.

22. The gear system of claim 21, further comprising a stabilizing gear in mechanical communication with the expandable gear via the belt.

23. The gear system of claim 22, wherein an axle is coupled to the stabilizing gear, wherein the axle of the stabilizing gear is moveably disposed in a channel defined in a gear support such that the axle of the stabilizing gear may be repositioned within the channel.

24. The gear system of claim 23, wherein a spring is in mechanical communication with the axle of the stabilizing gear.

25. The gear system of claim 2, wherein a groove is defined along the circumference of the expandable gear, and wherein the expandable band includes a rib sized and shaped to mate with the groove of the expandable gear.

26. The gear system of claim 1, wherein the expandable gear is coupled to one of a push reel or a pull reel.

27. The gear system of claim 19, further comprising a recoil material coupled between the housing and the expander such that the expander is biased toward the unexpanded position.

28. A method for resizing a gear system, the method comprising:

applying a force to a push-button of a gear system according to claim 1; and

advancing an expander into a hub of an expandable gear, thereby increasing a diameter of the gear.

29. The method of claim 28, further comprising:

repositioning an axle of a stabilizing gear in a channel of a housing in response to the gear expanding.

30. The method of claim 28, further comprising:

pivoting a lever arm coupled to a guide stem of an expander in response to the application of force to the push-button; and

pulling the expander into the hub via the lever arm.

31. The method of claim 28, further comprising:

packing a stent graft into a lumen such that the length of the deployed stent ranges from about 0% to about 20% shorter than the original unconstrained length.

32. The method of claim 28, wherein a distance of travel (“

T”

) of the push button from the unexpanded position to the expanded position is determined by;

T=r*(Δ

L)*Tan θ

<sup>−

1</sup>.