Stent delivery system

• US 9,883,962 B2
• Filed: 07/10/2014
• Issued: 02/06/2018
• Est. Priority Date: 02/23/2012
• Status: Active Grant

• Current Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Original Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Inventors: Yamashita, Masao
• Primary Examiner(s): Eastwood, David C
• Assistant Examiner(s): Wei, Charles
• Application Number:
  US14/327,762
• Publication Number:
  US 20140324151A1
• Time in Patent Office: 1,307 Days
• Field of Search: 623 111, 623 123
• 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: A61M 2025/0175 having telescopic features, interengaging nestable members movable in relations to one another
• CPC Class Codes: A61M 25/0097 characterised by the hub connectors A61M39/10
• CPC Class Codes: A61M 25/01 Introducing, guiding, advancing, emplacing or holding catheters A61M25/10 takes precedence

Abstract

An operating unit constituting a stent delivery system is provided with a first rotary roller having a first gear and a second rotary roller having a second gear. The first gear is meshed with a first tooth portion of a rack member and the second gear is meshed with a second tooth portion of the rack member. The first gear is formed to have a large diameter relative to the second gear and at the time of releasing a stent, after positioning a distal end of an outer tube body close to the stent through the rack member with the rotation of the first rotary roller of the operating unit, it is possible to move the outer tube body toward a proximal side at a lower speed than that in the previous state with the rotation of the second rotary roller.

Claims

1. A stent delivery system comprising:

an inner tube;

a stent which is compressed toward a center axis and disposed on a distal side of the inner tube during insertion into a lumen of a living body, and which can be restored to a pre-compression shape by expanding outward when put indwelling in the lumen of the living body;

an outer tube which is disposed on an outer surface side of the inner tube, the outer tube containing the stent, and movable relative to the inner tube and the stent to release the stent by moving proximally relative to the inner tube; and

an operating unit operable by an operator to move the outer tube in an axial direction relative to the inner tube,

wherein the operating unit includes

a plurality of rotary bodies configured to be rotated by an operation performed by the operator,

a displacement body connected to the outer tube and movable in the axial direction, and

a speed change mechanism which is provided between the rotary bodies and the displacement body and changes a speed of the rotation of the rotary bodies, thereby changing a moving speed of the displacement body by transmitting the rotation to the displacement body, and

wherein the speed change mechanism includes

a plurality of speed change portions which have different respective outer diameters and each of which is rotated together with a respective one of the rotary bodies, said plurality of speed change portions configured to rotate at different respective speeds, and

a unitary transmission portion which is provided on the displacement body and which is meshed with or is in sliding contact with all of the speed change portions.

2. The stent delivery system according to claim 1, wherein each speed change portion is composed of a gear, the transmission portion including a plurality of tooth portions extending along an axial direction of the displacement body, a number of the gears corresponding to a number of the tooth portions, each of the plurality of gears meshing with a respective one of the plurality of tooth portions.

3. The stent delivery system according to claim 1, wherein the transmission portion is parallel to the movement direction of the displacement body and is on the surface formed in a stepped shape by facing the speed change portion.