Stent delivery system

• US 9,877,854 B2
• Filed: 05/08/2015
• Issued: 01/30/2018
• Est. Priority Date: 05/21/2014
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Rao, Doreen, Ciulla, Ronald, Sahadevan, Joshin, Sarangi, Debasish, Mishra, Rahul
• Primary Examiner(s): Stransky, Katrina
• Application Number:
  US14/707,221
• Publication Number:
  US 20150335452A1
• Time in Patent Office: 998 Days
• CPC Class Codes: A61F 2/2427 Devices for manipulating or deploying heart valves during implantation
• 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 2/95 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 2002/048 Ureters

Abstract

A stent delivery device having a locking mechanism. The device includes a handle assembly, an elongate inner member, and an elongate outer tubular member surrounding the elongate inner member. The handle assembly includes a handle attached to one of the inner member and the outer tubular member, and an actuator attached to the other of the inner member and the outer tubular member. Actuation of the actuator relative to the handle between a first position and a second position causes axial movement of the outer tubular member relative to the inner member. The locking mechanism has a locked position in which the actuator is prevented from moving from the first position to the second position and an unlocked position in which the actuator is permitted to move from the first position to the second position.

Claims

1. A stent delivery device, comprising:

a handle assembly;

an elongate inner member extending distally from the handle assembly along a longitudinal axis, the inner member having a proximal end and a distal end;

an elongate outer tubular member extending distally from the handle assembly along the longitudinal axis about the elongate inner member, the outer tubular member having a proximal end and a distal end;

the handle assembly including;

a handle attached to one of the inner member and the outer tubular member;

an actuator attached to the other of the inner member and the outer tubular member, wherein actuation of the actuator relative to the handle between a first position and a second position causes axial movement of the outer tubular member relative to the inner member; and

a locking mechanism for restricting actuation of the actuator from the first position to the second position, the locking mechanism having a locked position and an unlocked position;

wherein in the locked position the actuator is prevented from moving from the first position to the second position and in the unlocked position the actuator is permitted to move from the first position to the second position;

wherein the locking mechanism includes a protrusion on one of the handle and the actuator, the protrusion positioned in a channel formed in the other of the handle and the actuator;

wherein the channel includes a circumferential portion and a longitudinal portion, wherein the protrusion travels circumferentially in the circumferential portion of the channel when the locking mechanism is moved from the locked position to the unlocked position, and the protrusion travels longitudinally in the longitudinal portion of the channel when the actuator is moved to the second position.

2. The stent delivery device of claim 1, wherein the actuator includes a knob positioned distal of a distal end of the handle, wherein the knob moves distally relative to the distal end of the handle when the actuator is moved from the first position to the second position.

3. The stent delivery device of claim 2, wherein the actuator includes an extension extending proximally from the knob into the handle, wherein the protrusion extends radially outward from the extension.

4. The stent delivery device of claim 3, wherein the actuator is fixedly secured to the outer tubular member and the handle is fixedly secured to the inner member.

5. The stent delivery device of claim 1, wherein the locking mechanism is rotatable about the longitudinal axis from the locked position to the unlocked position.

6. The stent delivery device of claim 1, wherein the locking mechanism is movable independent of the actuator.

7. The stent delivery device of claim 6, wherein in the locked position the locking mechanism obstructs a channel in the handle through which the actuator travels, and in the unlocked position the channel is unobstructed by the locking mechanism.

8. The stent delivery device of claim 1, wherein the locking mechanism includes a threaded region of the actuator threadably engaged with a mating threaded region of the handle.

9. The stent delivery device of claim 8, wherein the actuator is rotated relative to the handle about the longitudinal axis from the locked position to the unlocked position to disengage the threaded region of the actuator from the threaded region of the handle, wherein in the unlocked position the actuator is longitudinally movable relative to the handle to the second position.

10. The stent delivery device of claim 1, further comprising a stent surrounding a distal end region of the inner member in the first position.

11. The stent delivery device of claim 10, wherein the distal end of the outer tubular member is positioned proximal of the stent in the first position, and the distal end of the outer tubular member is positioned distal of the distal end of the inner member in the second position to deploy the stent from the inner member.

12. A stent delivery assembly, comprising:

a handle assembly;

an elongate outer tubular member extending distally from the handle assembly along a longitudinal axis, the outer tubular member having a proximal end, a distal end, and a lumen extending therethrough;

an elongate inner member extending distally from the handle assembly through the lumen of the outer tubular member, the inner member having a proximal end and a distal end, the inner member including a distal portion extending distal of the distal end of the outer tubular member;

a tubular stent disposed about the distal portion of the inner member;

the handle assembly including;

a handle attached to one of the inner member and the outer tubular member;

an actuator attached to the other of the inner member and the outer tubular member, wherein actuation of the actuator relative to the handle from a first position to a second position causes axial movement of the outer tubular member relative to the inner member to deploy the stent from the distal portion of the inner member; and

a locking mechanism for restricting actuation of the actuator from the first position to the second position to prevent premature deployment of the stent, the locking mechanism having a locked position and an unlocked position;

wherein in the locked position the actuator is prevented from moving from the first position to the second position and in the unlocked position the actuator is permitted to move from the first position to the second position to deploy the stent;

wherein the locking mechanism includes a protrusion on one of the handle and the actuator, the protrusion positioned in a channel formed in the other of the handle and the actuator;

wherein the channel includes a circumferential portion and a longitudinal portion, wherein the protrusion travels circumferentially in the circumferential portion of the channel when the locking mechanism is moved from the locked position to the unlocked position, and the protrusion travels longitudinally in the longitudinal portion of the channel when the actuator is moved to the second position.

13. The stent delivery assembly of claim 12, wherein the actuator includes a knob positioned distal of a distal end of the handle and an extension extending proximally from the knob into the handle, wherein the knob moves distally relative to the distal end of the handle when the actuator is moved from the first position to the second position.

14. The stent delivery assembly of claim 13, wherein the extends radially outward from the extension.

15. A method of manipulating a stent delivery device, comprising:

grasping a handle of a handle assembly of the stent delivery device with a hand, the stent delivery device including;

an elongate inner member extending distally from the handle assembly along a longitudinal axis;

an elongate outer tubular member extending distally from the handle assembly along the longitudinal axis about the elongate inner member;

the handle attached to one of the inner member and the outer tubular member;

an actuator attached to the other of the inner member and outer tubular member and movable relative to the handle for providing longitudinal movement of the outer tubular member relative to the inner tubular member; and

a stent surrounding a distal end portion of the inner member;

moving a locking mechanism from a locked position to an unlocked position, wherein the locking mechanism includes a protrusion on one of the handle and the actuator, the protrusion positioned in a channel formed in the other of the handle and the actuator, wherein the channel includes a circumferential portion and a longitudinal portion, wherein in the locked position the locking mechanism prevents longitudinal movement of the protrusion within the channel and in the unlocked position the locking mechanism permits longitudinal movement of the protrusion within the channel; and

actuating the actuator from a first position to a second position to deploy the stent from the stent delivery device;

wherein in the locked position the protrusion is within the circumferential portion to prevent the actuator from moving from the first position to the second position and in the unlocked position the protrusion is not within the circumferential portion to permit the actuator to move from the first position to the second position.

16. The method of claim 15, wherein the locking mechanism is rotated about the longitudinal axis from the locked position to the unlocked position.

17. The method of claim 15, wherein the steps of:

moving the locking mechanism from the locked position to the unlocked position and actuating the actuator from the first position to the second position to deploy the stent are performed with a single hand of an operator.

18. The method of claim 15, wherein the locking mechanism is movable from the locked position to the unlocked position independent of moving the actuator.