Systems and methods of deployment of endoluminal devices

• US 9,486,349 B2
• Filed: 08/05/2013
• Issued: 11/08/2016
• Est. Priority Date: 08/10/2012
• Status: Active Grant

• Current Assignee: W. L. Gore & Associates (W.L. Gore & Associates)
• Original Assignee: W. L. Gore & Associates (W.L. Gore & Associates)
• Inventors: Norris, Patrick M.
• Primary Examiner(s): Manahan, Todd E
• Assistant Examiner(s): Jamialahmadi, Majid
• Application Number:
  US13/959,540
• Publication Number:
  US 20140142681A1
• Time in Patent Office: 1,191 Days
• Field of Search: 623/1.11, 623/1.12, 606/108, 606/200
• US Class Current: 1/1
• CPC Class Codes: A61F 2/07 Stent-grafts
• 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

Abstract

A removable sleeve extends around an expandable stent graft to constrain the expandable stent graft toward a collapsed configuration. The sleeve is held together by a coupling member to constrain the expandable device toward the collapsed configuration for endoluminal delivery to a vascular treatment site. The sleeve is openable by displacing the coupling member away from the sleeve to allow outward expansion of the expandable device toward an expanded configuration. The sleeve is separate from the expandable device so as to be removable from the treatment site after deployment of the expandable device.

Claims

1. A catheter assembly comprising:

a catheter having a leading end, a trailing end and a lumen extending between the leading end and the trailing end;

an expandable device positioned toward the leading end of the catheter, the expandable device having a collapsed configuration suitable for endoluminal delivery of the expandable device to a vascular treatment site and an expanded configuration having an outer peripheral dimension larger than the outer peripheral dimension of the collapsed configuration;

a primary sleeve extending around the expandable device, wherein the primary sleeve comprises a sheet of material having first and second major surfaces and a plurality of openings extending between the first major surface and the second major surface, the primary sleeve comprising a thin-wall tube; and

a primary coupling member engaged with the openings in the primary sleeve for releasably coupling portions of the sheet to one another to constrain the expandable device toward the collapsed configuration,

wherein the primary sleeve includes a distal portion that extends over the expandable device and is openable by disengaging the primary coupling member from the primary sleeve to allow outward expansion of the expandable device toward the expanded configuration, the primary sleeve being separate from the expandable device and having a proximal portion slidably attached to a portion of the catheter, the proximal portion of the primary sleeve being configured to axially move from a first position to a second position resulting in displacement of the primary sleeve with a portion of the primary coupling member engaged with the proximal portion of the primary sleeve, the portion of the catheter being accessible by a user to facilitate removal of the primary sleeve from the treatment site after expansion of the expandable device toward the expanded configuration.

2. The catheter assembly as set forth in claim 1, wherein the primary coupling member extends through the lumen of the catheter toward a proximal end of the catheter to allow access to the proximal portion of the primary sleeve by a user.

3. The catheter assembly as set forth in claim 2, wherein the primary coupling member extends through a side opening formed in the catheter and into the lumen.

7. The catheter assembly as set forth in claim 1, wherein the expandable device is a self-expanding stent graft.

8. The catheter assembly as set forth in claim 1, wherein the primary sleeve is formed from ePTFE.

9. The catheter assembly of claim 1, wherein the portion of the catheter includes a shaft portion of the catheter adjacent the trailing end of the catheter.

10. A method of, said method comprising:

providing the catheter assembly of claim 1;

endoluminally delivering the leading end of the catheter toward the treatment site;

allowing expansion of the expandable device by opening the primary sleeve by displacing the primary coupling member from the openings in the primary sleeve; and

removing the primary sleeve from the treatment site.

11. The method as set forth in claim 10 including displacing the primary coupling member through the lumen of the catheter.

12. The method as set forth in claim 11 including displacing the primary coupling member through a side opening in the catheter.

13. The method as set forth in claim 10 including providing a knob attached to the primary sleeve and slidably coupled to the catheter for movement between a first position, wherein at least a portion of the sleeve overlaps the expandable device, and a second position, wherein the sleeve is spaced apart from the expandable device.

14. The method as set forth in claim 13 including displacing the sleeve away from the expandable device by displacing the knob from the first position toward the second position.

4. The catheter assembly as set forth in 3, further comprising a knob coupled to the proximal portion of the primary sleeve, the knob being slidably attached to the portion of the catheter such that the proximal portion of the primary sleeve is slidably attached to the portion of the catheter via the knob.

5. The catheter assembly as set forth in 4, wherein the knob is releasably coupled to the catheter.

6. The catheter assembly as set forth in 4, wherein the knob is slidably coupled to the catheter for movement between a first position, wherein at least a portion of the sleeve overlaps the expandable device, and a second position, wherein the sleeve is spaced apart from the expandable device.