Delivery system with hooks for resheathability

• US 9,949,853 B2
• Filed: 06/22/2015
• Issued: 04/24/2018
• Est. Priority Date: 04/23/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Huynh, Andy
• Primary Examiner(s): DANG, ANH TIEU
• Application Number:
  US14/745,613
• Publication Number:
  US 20150359649A1
• Time in Patent Office: 1,037 Days
• CPC Class Codes: A61B 17/12118 for positioning in conjunction with a stent
• CPC Class Codes: A61B 2017/1205 Introduction devices
• CPC Class Codes: A61B 2017/12054 Details concerning the detachment of the occluding device from the introduction device
• CPC Class Codes: A61B 2017/12077 Joint changing shape upon application of heat, e.g. bi-metal or reversible thermal memory
• CPC Class Codes: A61F 2/844 folded prior to deployment
• CPC Class Codes: A61F 2/86 Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/91 made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/9522 Means for mounting a stent or stent-graft onto or into a placement instrument
• 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 2002/823 Stents, different from stent-grafts, adapted to cover an aneurysm
• CPC Class Codes: A61F 2002/9505 having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2002/9528 for retrieval of stents
• CPC Class Codes: A61F 2002/9534 for repositioning of stents
• CPC Class Codes: A61F 2002/9665 with additional retaining means

Abstract

Flexible implantable devices or stents can navigate tortuous vessels of the neurovasculature. The devices can also conform to the shape of tortuous vessels of the vasculature. In some embodiments, the devices can direct blood flow within a vessel away from an aneurysm or limit blood flow to the aneurysm. Methods and structures are provided for adjusting, along a length of the device, the porosity of the device while maintaining a cross-sectional dimension. In some embodiments, small hooks releasably engage the stent at a proximal end and are able to resheath the stent by retracting a proximal retaining member where the hooks are coupled to. The hooks straighten, unfurl, or otherwise disengage the stent when either unrestrained by a catheter or when coming into contact with an external stimulus found in the patient'"'"'s vasculature.

Claims

1. A stent delivery system comprising:

an elongate body having a distal portion, a proximal portion, and an inner surface extending from the distal portion to the proximal portion, the distal portion being configured to extend within a blood vessel of a patient;

a stent expandable from a compressed configuration to an expanded configuration, the stent having a proximal region and a distal region;

a stabilizing member extending into an interior of the proximal region of the stent; and

one or more hook members extending distally from the stabilizing member, each hook member having a proximal section and a distal section, each hook member having a more curved configuration wherein the distal section of each hook member releasably engages the proximal region of the stent with at least a portion of the proximal section being radially engaged between the proximal region of the stent and the elongate body and with at least a portion of the distal section extending through one or more interstices in the stent and curving proximally on a radially inward side of the stent, and each hook member having a less curved configuration wherein the distal section of each hook member is disengaged from the stent, each hook member being biased to the less curved configuration when unrestrained,

wherein, when the stent is in the compressed configuration, the proximal section of each hook member is engaged between the proximal region of the radially outward surface of the stent and the inner surface of the elongate body.

2. The system of claim 1, further comprising a proximal retaining member concentrically disposed within the elongate body and defining a central aperture, and wherein the stabilizing member extends within the central aperture.

3. The system of claim 2, further comprising a tubular member coupled to the proximal retaining member and extending proximally therefrom.

4. The system of claim 3, wherein the tubular member comprises a laser cut tube having a plurality of serrations along its axial length.

5. The system of claim 2, wherein the proximal section of at least one of the one or more hook members extends into the central aperture and is secured thereto via a frictional engagement between the central aperture and the stabilizing member.

6. The system of claim 1, wherein the one or more hook members comprises a shape memory material.

7. The system of claim 6, wherein the distal section of at least one of the one or more hook members is configured to unfurl and disengage the stent when unrestrained by the elongate body.

8. The system of claim 6, wherein the distal section of at least one of the one or more hook members is configured to unfurl and disengage the stent at a predetermined temperature.

9. The system of claim 1, wherein the proximal section of at least one of the one or more hook members is coupled to the stabilizing member.

10. The system of claim 1, wherein the distal section of at least one of the one or more hook members extends through the one or more interstices from an exterior surface of the stent to an interior surface of the stent.

11. A stent delivery system comprising:

an elongate body having a distal portion, a proximal portion, and an inner surface extending from the distal portion to the proximal portion, the distal portion being configured to extend within a blood vessel of a patient;

a stent having a proximal region and a distal region and being expandable from a compressed configuration to an expanded configuration;

a proximal retaining member concentrically disposed within the elongate body; and

a plurality of hook members extending distally from the proximal retaining member, each hook member having (i) a restrained configuration in which (a) a proximal section being radially engaged between the proximal region of the stent and the elongate body and (b) a distal section extending through one or more interstices in the stent and curving proximally on a radially inward side of the stent while the stent is in the compressed configuration and (ii) an unrestrained configuration, each hook member being biased to the unrestrained configuration,

wherein, when the stent is in the compressed configuration, each hook member is in the restrained configuration, a portion of the proximal section of each hook member is interposed between the proximal region of the radially exterior surface of the stent and the radially inward surface of the elongate body.

12. The system of claim 11, wherein the one or more hook members comprises a shape memory material.

13. The system of claim 11, wherein at least one of the plurality of hook members is biased to unfurl and disengage the stent when the distal section is advanced out of the elongate body.

14. The system of claim 11, where at least one of the plurality of hook members is preset to unfurl and disengage the stent upon reaching a predetermined temperature.

15. The system of claim 11, wherein at least one of the one or more hook members extends through the one or more interstices from an exterior surface of the stent to an interior surface of the stent.