Stent delivery system

• US 20060030923A1
• Filed: 08/06/2004
• Published: 02/09/2006
• Est. Priority Date: 08/06/2004
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Gunderson, Richard C.
• Granted Patent: US 7,955,370 B2
• Time in Patent Office: Days
• US Class Current: 623/1.110
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod

Abstract

A medical device comprises a catheter having a catheter shaft, a sheath and a rolling membrane. The sheath is being disposed about the catheter shaft and is longitudinally moveable relative thereto. A distal portion of the sheath defines a stent retaining region. The sheath is moveable between an extended position and a retracted position, wherein in the extended position the retaining region is disposed about a stent receiving region of the catheter shaft, and in the retracted position the sheath is removed from the stent receiving region. End regions of the rolling membrane are respectively engaged to a distal end of the sheath and a portion of the shaft proximal to the stent receiving region respectively.

Claims

1. A medical device comprising:

a catheter, the catheter having a catheter shaft, a portion of the catheter shaft defining a stent receiving region;

a sheath, the sheath being disposed about the catheter shaft and being longitudinally moveable relative thereto, a distal portion of the sheath defining a stent retaining region, the sheath being moveable between an extended position and a retracted position, in the extended position the retaining region being disposed about the stent receiving region, in the retracted position the sheath being removed from the stent receiving region; and

a membrane, a distal region of the membrane being engaged to a distal portion of the sheath, a proximal region of the membrane being engaged to a portion of the catheter shaft proximal of the stent receiving region, in the extended position the membrane being positioned between the catheter shaft and the sheath and a portion of the membrane being disposed about at least a portion of the stent receiving region, in the retracted position the membrane being removed from about the at least a portion of the stent receiving region.

2. The medical device of claim 1 further comprising a fluid chamber, the fluid chamber having a proximal region and a distal region, the proximal region being defined by the catheter shaft and the sheath, the distal portion being defined by the membrane and the sheath.

3. The medical device of claim 2 wherein the fluid chamber is in fluid communication with a fluid port, the fluid port constructed and arranged to receive a fluid into the fluid chamber.

4. The medical device of claim 1 further comprising a stent, the stent being expandable from a reduced state to an expanded state, in the reduced state the stent having a diameter less than the diameter in the expanded state, when the sheath is in the extended position the stent is in the reduced state disposed about the stent receiving region.

5. The medical device of claim 4 wherein in the extended position the portion of the membrane is disposed about the stent.

6. The medical device of claim 5 wherein in the extended state the distal end portion of the membrane is folded to define an inside fold, an outside fold and a continuous bend region therebetween, the outside fold being engaged to the distal portion of the sheath, the inside fold being positioned between the outside fold and the stent.

7. The medical device of claim 6 wherein when the sheath is retracted from the extended state to the retracted state the outside fold is drawn in a proximal longitudinal direction over the inside fold along the continuous bend region until the entire membrane is rollingly retracted from about the stent.

8. The medical device of claim 5 further comprising a fluid the fluid positioned between the inside fold and the outside fold.

9. The medical device of claim 1 further comprising at least one stent securing member, the at least one stent securing member being engaged to the catheter shaft and being positioned adjacent the stent receiving region.

10. The medical device of claim 4 further comprising at least one stent securing member, the at least one stent securing member being engaged to the catheter shaft and being positioned adjacent the stent receiving region, wherein in the reduced state the stent is engaged to the stent securing member.

11. The medical device of claim 9 wherein the at least one stent securing member comprises a proximal stent securing member and a distal stent securing member, the proximal stent securing member being positioned adjacent a proximal end of the stent receiving region and the distal stent securing member being positioned adjacent a distal end of the stent receiving region.

12. The medical device of claim 9 wherein the at least one stent securing member is at least partially radiopaque.

13. The medical device of claim 16 wherein the at least one stent securing member is configured to be detectable by at least one of the following detection modalities:

X-Ray, MRI, ultrasound, and any combination thereof.

14. The medical device of claim 1 wherein the sheath is at least partially constructed of at least one polymer of the group consisting of:

Pebax, Hytrel, Arnitel, Nylon, PTFE, and any combinations thereof.

15. The medical device of claim 1 wherein the membrane is at least partially constructed of at least one material of the group consisting of:

Pebax, PET, Nylon, POC, Polyurethane, and any combinations thereof.

16. The medical device of claim 4 wherein the stent is at least partially radiopaque.

17. The medical device of claim 4 wherein the stent is configured to be detectable by at least one of the following detection modalities:

X-Ray, MRI, ultrasound, and any combination thereof.

18. The medical device of claim 5 wherein at least a portion of the stent comprises at least one therapeutic agent.

19. The medical device of claim 18 wherein the at least one therapeutic agent is a coating selected from at least one member of the group consisting of:

non-genetic therapeutic agents, genetic therapeutic agents, cellular material, and any combination thereof.

20. The medical device of claim 19 wherein the at least one therapeutic agent comprises at least one polymer agent.

21. The medical device of claim 1 wherein the catheter shaft further defines a lumen and at least one port in fluid communication between the lumen and the stent receiving region.

22. The medical device of claim 21 further comprising a flushing fluid, the flushing fluid being transported from a proximal region of the catheter to the stent receiving region through the lumen and the at least one port.

23. A medical device comprising:

a catheter, the catheter having an inner shaft and an intermediate shaft, the intermediate shaft disposed about a proximal portion of the inner shaft, a distal portion of the inner shaft defining a stent receiving region;

a sheath, the sheath being disposed about the intermediate shaft and the inner shaft and being longitudinally moveable relative thereto, a distal portion of the sheath defining a stent retaining region, the sheath being moveable between an extended position and a retracted position, in the extended position the retaining region being disposed about the stent receiving region, in the retracted position the sheath being removed from the stent receiving region; and

a membrane, a distal region of the membrane being engaged to a distal portion of the sheath, a proximal region of the membrane being engaged to a distal portion of the intermediate shaft, in the extended position the membrane being positioned between the stent receiving region of the inner shaft and the stent retaining region of the sheath, in the retracted position the membrane being removed from about the at least a portion of the stent receiving region.

24. The medical device of claim 23 further comprising a fluid chamber, the fluid chamber having a proximal region and a distal region, the proximal region being defined by the intermediate shaft and the sheath, the distal portion being defined by the membrane and the sheath.

25. The medical device of claim 24 further comprising a fluid lumen, the fluid lumen having a proximal region and a distal region, the proximal region being defined by the inner shaft and the intermediate shaft, the distal region being defined by the membrane and the stent receiving region of the inner shaft.