CA2487131A1 - Thoracic stent graft introducer - Google Patents

Thoracic stent graft introducer Download PDF

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Publication number
CA2487131A1
CA2487131A1 CA002487131A CA2487131A CA2487131A1 CA 2487131 A1 CA2487131 A1 CA 2487131A1 CA 002487131 A CA002487131 A CA 002487131A CA 2487131 A CA2487131 A CA 2487131A CA 2487131 A1 CA2487131 A1 CA 2487131A1
Authority
CA
Canada
Prior art keywords
stent graft
proximal end
nose cone
delivery system
distal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002487131A
Other languages
French (fr)
Other versions
CA2487131C (en
Inventor
Roy K. Greenberg
David Ernest Hartley
Erik E. Rasmussen
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
William A Cook Australia Pty Ltd
William Cook Europe ApS
Cook Inc
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2487131A1 publication Critical patent/CA2487131A1/en
Application granted granted Critical
Publication of CA2487131C publication Critical patent/CA2487131C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/07—Stent-grafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/9517—Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/07—Stent-grafts
    • A61F2002/075—Stent-grafts the stent being loosely attached to the graft material, e.g. by stitching
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/848—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs
    • A61F2002/8483—Barbs

Abstract

A stent graft deployment apparatus (10) which has a deployment catheter (11) with a proximal end (5) to be introduced into a patient and a distal end (3) to remain outside a patient and at a proximal end thereof a region to contai n a stent graft (21). A sheath (25) extends over and covers the stent graft an d can be moved to expose the stent graft to enable deployment of the stent graft. A nose cone dilator (17) is positioned at the proximal end of the deployment catheter and can be curved. A capsule (40) provides a distal retention arrangement for the stent graft.

Claims (32)

1. A stent graft delivery system for a thoracic aorta stent graft comprising:
a tubular central carrier having a distal end and a proximal end;
a nose cone dilator positioned at the proximal end of the tubular carrier;
a capsule having a passageway extending therein with a distal closed end attached to the tubular carrier and an open proximal end facing the nose cone dilator;

the capsule being axially moveable along the tubular carrier with respect to the nose cone dilator; and the system having a curved proximal end.
2. The delivery system of claim 1 further including a longitudinal lumen through the tubular central carrier for a guide wire.
3. The delivery system of claim 2 further including a guide wire catheter extending through the longitudinal lumen, the nose cone dilator being attached to the guide wire catheter.
4. A delivery system as in claim 1 wherein the tubular central carrier and nose cone dilator together are curved to provide the curved proximal end.
5. The delivery system of claim 1 wherein the curved proximal end has a radius of curvature of from 70 to 150 millimetres.
6. A delivery system as in claim 1 wherein the capsule provides a first retention arrangement on the tubular carrier for the distal end of a stent graft.
7. A delivery system as in claim 6 wherein the first retention arrangement includes an aperture extending through the capsule and a distal trigger wire extending along the tubular carrier and extendable through the aperture.
8. A delivery system as in Claim 7 including a longitudinal lumen through the tubular central carrier for a guide wire and a guide wire catheter extending through the longitudinal lumen and the distal trigger wire extending through the longitudinal lumen.
9. A delivery system as in claim 1 further including a second retention arrangement on the tubular carrier for the proximal end of the stent graft.
10. A delivery system of claim 9 wherein the second retention arrangement is distal of the nose cone dilator.
11. The delivery system of claim 1 wherein the nose cone dilator has one or more apertures extending longitudinally therein and wherein said delivery system further comprises one or more proximal trigger wires extending longitudinally along said tubular carrier and independently extendable into said one or more apertures of said nose cone.
12. A stent graft delivery system for a thoracic aorta stent graft comprising:
a tubular central carrier having a distal end and a proximal end;
a nose cone dilator at the proximal end of the tubular carrier;
a first retention arrangement on the tubular carrier for the distal end of a stent graft; and the tubular carrier and the nose cone dilator having a curved proximal end.
13. A delivery system as in claim 12 wherein the curved proximal end has a radius of curvature of from 70 to 150 millimetres.
14. A delivery system as in claim 12 further including a second retention arrangement on the tubular carrier for the proximal end of the stent graft.
15. A delivery system as in claim 12 wherein the first retention arrangement includes a capsule having a passageway extending therein with a distal closed end attached to the tubular carrier and an open proximal end facing the nose cone dilator, the capsule being adapted to receive the distal end if the stent graft.
16. The delivery system of claim 12 further including a longitudinal lumen through the tubular central carrier for a guide wire.
17. The delivery system of claim 16 further including a guide wire catheter extending through the longitudinal lumen, the nose cone dilator being attached to the guide wire catheter.
18. The delivery system of claim 14 wherein the second retention arrangement is distal of the nose cone dilator.
19. A stent graft delivery system for a thoracic aorta stent graft comprising:
a tubular central carrier having a distal end and a proximal end;

a nose cone dilator positioned at the proximal end of the tubular carrier;
a capsule having a passageway extending therein with the distal closed end attached to the tubular carrier and an open proximal end facing the nose cone dilator;

the capsule being axially moveable along the tubular carrier with respect to the nose cone dilator;

a longitudinal lumen through the tubular central carrier;
a guide wire catheter extending through the longitudinal lumen, the nose cone dilator being attached to the guide wire catheter; and the tubular carrier and the nose cone dilator having a curved proximal end.
20. A stent graft delivery system for a thoracic aorta stent graft comprising:
a tubular central carrier having a distal end and a proximal end;
a longitudinal lumen through the tubular central carrier;
a guide wire catheter extending through the longitudinal lumen and extending proximally of the tubular central carrier the guide wire catheter having a proximal end and a distal end;
the guide wire catheter being movable longitudinally and rotationally with respect to the tubular central carrier;
a nose cone dilator being attached to proximal end of the guide wire catheter and extending proximally thereof;
a capsule having a passageway extending therein with the distal closed end attached to the proximal end of the tubular carrier and an open proximal end facing the nose cone dilator, the capsule providing a distal retention arrangement for the stent graft; and the nose cone dilator having a curved proximal end.
21. A stent graft delivery system for a thoracic aorta stent graft as in Claim 20 including a coaxial sheath over the tubular central carrier, the coaxial sheath being movable with respect to the tubular central carrier and extending to the nose cone dilator.
22. A stent graft delivery system for a thoracic aorta stent graft as in Claim 20 including a proximal retention arrangement on the guide wire catheter distal of the nose cone dilator for the proximal end of the stent graft.
23. A stent graft delivery system for a thoracic aorta stent graft as in Claim 22 wherein the proximal retention arrangement includes at least one proximal trigger wire.
24. A stent graft delivery system for a thoracic aorta stent graft as in Claim 20 wherein the distal retention arrangement includes an aperture extending through the capsule and a distal trigger wire extending along the longitudinal lumen and extendable through the aperture.
25. A stent graft deployment apparatus comprising:
a deployment catheter having a proximal end adapted to be introduced into a patient and a distal end adapted to remain outside a patient, the catheter having at a proximal end thereof a region adapted in use to contain a stent graft;
a sheath arrangement adapted in use to extend over and cover the region adapted to be moved with respect to the catheter to expose the region to thereby enable deployment of the stent graft;
a nose cone dilator positioned at the proximal end of the deployment catheter;
a distal retention arrangement for the stent graft at a distal end of the region and comprising a capsule having a passageway extending therein with a distal closed end and an open proximal end facing the nose cone dilator.
26. A stent graft deployment apparatus as in Claim 25 wherein the nose cone dilator is curved.
27. A stent graft deployment apparatus as in Claim 25 including a longitudinal lumen through the deployment catheter:
a guide wire catheter extending through the longitudinal lumen and extending proximally of the deployment catheter, the guide wire catheter having a proximal end and a distal end;
the guide wire catheter being movable longitudinally and rotationally with respect to the deployment catheter; and the nose cone dilator being attached to proximal end of the guide wire catheter and extending proximally thereof.
28. A stent graft deployment apparatus as in Claim 27 including a proximal retention arrangement on the guide wire catheter distal of the nose cone dilator for the proximal end of the stent graft.
29. A stent graft deployment apparatus as in Claim 28 wherein the proximal retention arrangement includes at least one proximal trigger wire.
30. A stent graft deployment apparatus as in Claim 29 wherein the trigger wire extends from the outside of the patient where it is retained by a trigger wire release mechanism on a handle at the distal end of the deployment catheter.
31. A stent graft deployment apparatus as in Claim 25 wherein the distal retention arrangement includes an aperture extending through the capsule and a distal trigger wire extending along the deployment catheter and extendable through the aperture.
32. A stent graft deployment apparatus as in Claim 31 wherein the trigger wire extends from the outside of the patient where it is retained by a trigger wire release mechanism on a handle at the distal end of the deployment catheter.
CA2487131A 2002-06-28 2003-06-30 Thoracic stent graft introducer Expired - Lifetime CA2487131C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US39259902P 2002-06-28 2002-06-28
US60/392,599 2002-06-28
PCT/US2003/020651 WO2004002371A2 (en) 2002-06-28 2003-06-30 Thoracic stent-graft introducer

Publications (2)

Publication Number Publication Date
CA2487131A1 true CA2487131A1 (en) 2004-01-08
CA2487131C CA2487131C (en) 2011-04-26

Family

ID=30000900

Family Applications (2)

Application Number Title Priority Date Filing Date
CA2489495A Expired - Lifetime CA2489495C (en) 2002-06-28 2003-06-30 Thoracic aortic aneurysm stent graft
CA2487131A Expired - Lifetime CA2487131C (en) 2002-06-28 2003-06-30 Thoracic stent graft introducer

Family Applications Before (1)

Application Number Title Priority Date Filing Date
CA2489495A Expired - Lifetime CA2489495C (en) 2002-06-28 2003-06-30 Thoracic aortic aneurysm stent graft

Country Status (9)

Country Link
US (2) US7611529B2 (en)
EP (2) EP1517652B1 (en)
JP (3) JP5108997B2 (en)
AT (2) ATE468828T1 (en)
AU (2) AU2003248771B2 (en)
CA (2) CA2489495C (en)
DE (1) DE60332733D1 (en)
DK (2) DK1517652T3 (en)
WO (2) WO2004002371A2 (en)

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US20040106978A1 (en) 2004-06-03
EP1517651A1 (en) 2005-03-30
US20040106974A1 (en) 2004-06-03
ATE468828T1 (en) 2010-06-15
AU2003248771B2 (en) 2008-02-07
WO2004002371A2 (en) 2004-01-08
WO2004002370A1 (en) 2004-01-08
US7611529B2 (en) 2009-11-03
DK1517652T3 (en) 2012-03-19
AU2003258976A1 (en) 2004-01-19
EP1517652B1 (en) 2011-12-07
EP1517651B1 (en) 2010-05-26
AU2003258976B2 (en) 2008-05-29
JP4743836B2 (en) 2011-08-10
CA2489495C (en) 2010-07-13
JP2010269161A (en) 2010-12-02
CA2489495A1 (en) 2004-01-08
JP5621093B2 (en) 2014-11-05
DK1517651T3 (en) 2010-08-02
CA2487131C (en) 2011-04-26
ATE536148T1 (en) 2011-12-15
AU2003248771A1 (en) 2004-01-19
JP5108997B2 (en) 2012-12-26
JP2005537824A (en) 2005-12-15
DE60332733D1 (en) 2010-07-08
EP1517652A2 (en) 2005-03-30
WO2004002371A3 (en) 2004-04-01
US7232459B2 (en) 2007-06-19
JP2006506107A (en) 2006-02-23

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