Removable sheath assembly for a polymer scaffold

• US 9,788,983 B2
• Filed: 06/21/2013
• Issued: 10/17/2017
• Est. Priority Date: 06/21/2013
• Status: Active Grant

• Current Assignee: Abbott Cardiovascular Systems Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Abbott Cardiovascular Systems Incorporated (Abbott Laboratories Incorporated)
• Inventors: Johnson, Mark C., Liu, Annie P., Anderson-Bolden, Erika Danielle
• Primary Examiner(s): Lynch, Robert
• Application Number:
  US13/924,431
• Publication Number:
  US 20140379065A1
• Time in Patent Office: 1,579 Days
• Field of Search: 623 111, 623 112, 604160, 604161, 60410305
• CPC Class Codes: A61F 2/0095 Packages or dispensers for prostheses or other implants for intraocular lenses A61F2/1691; for dental surgery A61C19/02
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2/962 having an outer sleeve
• 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 2/97 the outer sleeve being splittable
• CPC Class Codes: A61F 2002/9583 Means for holding the stent on the balloon, e.g. using protrusions, adhesives or an outer sleeve
• CPC Class Codes: A61F 2002/9665 with additional retaining means
• CPC Class Codes: A61F 2210/0004 bioabsorbable
• CPC Class Codes: A61F 2250/0039 differing in diameter
• CPC Class Codes: A61M 2025/1081 having sheaths or the like for covering the balloon but not forming a permanent part of the balloon, e.g. retractable, dissolvable or tearable sheaths
• CPC Class Codes: A61M 2025/1084 having features for increasing the shape stability, the reproducibility or for limiting expansion, e.g. containments, wrapped around fibres, yarns or strands
• CPC Class Codes: A61M 25/0009 Making of catheters or other medical or surgical tubes

Abstract

A medical device includes a polymer scaffold crimped to a catheter having an expansion balloon. A sheath is placed over the crimped scaffold after crimping to reduce recoil of the crimped polymer scaffold and maintain scaffold-balloon engagement relied on to hold the scaffold to the balloon when the scaffold is being delivered to a target in a body. The sheath is removed by a health professional either by removing the sheath directly or using a tube containing the catheter.

Claims

1. An apparatus, comprising:

a catheter having a distal end;

a scaffold crimped to a balloon of the catheter, the scaffold having a length; and

a sheath disposed over the scaffold, the sheath comprising a constraining portion and a protecting portion, the constraining portion comprising a first cylinder, a second cylinder, and a frustum between the first and second cylinders, and the constraining portion is configured to slide over the protecting portion;

wherein the apparatus is configured for being passed through a mammalian body only after the sheath is removed; and

wherein the apparatus is sterilized and contained within a sealed container.

2. The apparatus of claim 1, wherein a distal end of the protecting portion abuts an inner surface of the constraining portion when the constraining portion is slid over the protecting portion and displaced towards the catheter distal end, whereupon the protecting portion and the constraining portion are removed at the same time.

3. The apparatus of claim 1, wherein the scaffold is made from a polymer tube, and wherein the scaffold is crimped from a before crimp diameter to a crimped diameter that is at least 2-3 times smaller than the before crimp diameter.

4. The apparatus of claim 3, wherein the polymer tube is made from a polymer composition comprising PLLA.

5. The device of claim 3, wherein polymer chains of the crimped scaffold are aligned substantially in a radial direction, as a result of a radial expansion of between about 400% and 450% and an axial expansion of between 150% and 200%, or 10% and 50% of the polymer tube.

6. The apparatus of claim 5, wherein the constraining portion of the sheath applies a radial compressive force on the scaffold to limit recoil of the scaffold prior to use.

7. The apparatus of claim 1, wherein the first cylinder has a first inner diameter and the second cylinder has a second inner diameter, and the first inner diameter is greater than the second inner diameter.

8. The apparatus of claim 1, wherein both the constraining portion and the protecting portion extend beyond the catheter distal end by at least about the scaffold length.

9. The apparatus of claim 1, wherein the constraining portion first cylinder, second cylinder and frustum are formed from a unitary piece of polymer material.

10. An apparatus, comprising:

a catheter having a distal end;

a balloon-expanded scaffold crimped to a balloon of the catheter; and

a sheath disposed over the scaffold and including a constraining sheath and a protecting sheath, wherein both the constraining sheath and the protecting sheath are disposed over an entire length of the scaffold and extend beyond the catheter distal end;

wherein the constraining sheath includes a first inner diameter and a second inner diameter, greater than the first inner diameter, and a cylindrical portion forms the second inner diameter;

wherein the apparatus is configured for being passed through a mammalian body only after the constraining and protecting sheaths are removed; and

wherein the apparatus is sterilized and contained within a sealed container.

11. The apparatus of claim 10, wherein the constraining sheath further includes a first cylindrical portion forming the first inner diameter.

12. The apparatus of claim 10, wherein the constraining sheath and the protecting sheath are about equal in length.

13. The apparatus of claim 10, wherein the protecting sheath includes a portion having split halves held together when the constraining sheath is disposed over the protecting sheath.

14. The apparatus of claim 10, wherein the cylindrical portion has a length about equal to a length of the scaffold.

15. An apparatus, comprising:

a catheter;

a scaffold crimped to a balloon of the catheter;

a protecting sheath disposed over the scaffold; and

a constraining sheath disposed over the protecting sheath, the constraining sheath including a first cylindrical portion configured to apply a radial constraining force on the scaffold, a second cylindrical portion configured to not apply a radial compressive force on the scaffold, and a frustum disposed between the first and second cylindrical portions;

wherein both a length of the first cylinder portion and a length of the second cylindrical portion are greater than or about equal to a length of the scaffold;

wherein the apparatus is configured for being passed through a mammalian body only after the constraining sheath and the protecting sheath are removed; and

wherein the apparatus is sterilized and contained within a sealed container.

16. The apparatus of claim 15, wherein the first cylindrical portion has an inner diameter less than an inner diameter of the second cylindrical portion.

17. The apparatus of claim 15, wherein the protecting sheath includes a slit extending over a third portion of the protecting sheath, and wherein a length of the third portion is about the same as a length of the first cylindrical portion.

18. The apparatus of claim 15, wherein the protecting sheath has a third portion including a slit and a fourth portion devoid of the slit, and wherein the first cylindrical portion is about the length of the third portion and the second cylindrical portion is about the length of, or less or greater than the length of the fourth portion.