WO2006118863B1 - System for controlled delivery of stents and grafts - Google Patents

System for controlled delivery of stents and grafts

Info

Publication number
WO2006118863B1
WO2006118863B1 PCT/US2006/015561 US2006015561W WO2006118863B1 WO 2006118863 B1 WO2006118863 B1 WO 2006118863B1 US 2006015561 W US2006015561 W US 2006015561W WO 2006118863 B1 WO2006118863 B1 WO 2006118863B1
Authority
WO
WIPO (PCT)
Prior art keywords
catheter
distal end
lumen
tubular
elongate
Prior art date
Application number
PCT/US2006/015561
Other languages
French (fr)
Other versions
WO2006118863A3 (en
WO2006118863A2 (en
Inventor
Kurt Amplatz
Original Assignee
Aga Medical Corp
Kurt Amplatz
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 Aga Medical Corp, Kurt Amplatz filed Critical Aga Medical Corp
Priority to MX2007013413A priority Critical patent/MX2007013413A/en
Priority to EA200702321A priority patent/EA200702321A1/en
Priority to EP06751323A priority patent/EP1877005A2/en
Priority to CA002606623A priority patent/CA2606623A1/en
Priority to BRPI0611054-1A priority patent/BRPI0611054A2/en
Priority to AU2006242619A priority patent/AU2006242619A1/en
Publication of WO2006118863A2 publication Critical patent/WO2006118863A2/en
Publication of WO2006118863A3 publication Critical patent/WO2006118863A3/en
Publication of WO2006118863B1 publication Critical patent/WO2006118863B1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts

Abstract

The present invention provides a delivery mechanism for percutaneously routing a stent or graft through the vascular system and procedures for addressing an aneurysm or an otherwise damaged vessel. The delivery system includes an outer tubular guide catheter (20), an inner tubular delivery (pusher) catheter (14) coaxially disposed and slidable relative to the outer guide catheter and an elongated flexible wire or cable (26) that is coaxially insertable through the lumen of the inner tubular catheter and that has a frusto-conical bead affixed at the distal end thereof which is sized to at least partially fit within the lumen of the inner pusher catheter when a proximally directed tension force is applied between the elongated flexible wire or cable (26) with respect to the pusher catheter (14). By inserting a compressed coil spring between a proximal end portion of the pusher catheter (14) and the proximal end portion of the cable (26), the requisite clamping force is maintained to secure the stent or graft to the distal end of the pusher catheter until the compression spring force is removed. With the stent or graft clamped to the distal end of the inner pusher catheter, it can be drawn within the lumen of the outer guide catheter for delivery therewith to the target site.

Claims

AMENDED CLAIMSreceived by the International Bureau on 11 September 2007(11.09.07)
1. Apparatus for percutaneously delivering self-expending prosthesis to a target site within a patient's vascular system where the prosthesis comprises a plurality of metal wire strands braided to form a tubular metal fabric having open proximal and distal ends, said apparatus comprising:
(a) an outer tubular guide catheter having a proximal end, a distal end and a lumen extending therebetween;
(b) an inner tubular pusher catheter having a proximal end, a distal end and lumen extending therebetween, the inner pusher catheter having an outer diameter sized to slidingly fit within the lumen of the guide catheter;
(c) an elongate, flexible member coaxially insertable through the lumen of the inner pusher catheter, said elongate, flexible member having a proximal end and a distal end, said distal end having a first bead member affixed thereto sized to at least partially fit within the lumen of the inner pusher catheter at said distal end of the inner pusher catheter and adapted to pinch the metal wire strands at the proximal end of the tubular metal fabric between the first bead and a wall of the lumen at the distal end of the inner tubular pusher catheter when a proximally directed tension force is applied to the elongate flexible member with respect to the inner pusher catheter; and
(d) a compression spring operatively coupled between the proximal end of the inner pusher catheter and a clamp member releasably affixed to the elongate member.
2. The apparatus as in claim 1 wherein, the elongate member further includes a second bead member affixed thereto at a location a predetermined distance proximal of the first bead member, the second bead member sized to slidingly fit within the lumen of the inner tubular pusher catheter.
3. The apparatus as in claim 1 wherein the first bead member is frusto- conically shaped.
4. The apparatus in claim 1 wherein the first bead member is spherical.
5. The apparatus as in claim 2 wherein the second bead member comprises an annulus.
6. The apparatus as in claim 1 wherein the elongate, flexible member comprises a wire.
7. The apparatus as in claim 1 wherein the elongate, flexible member comprises a cable. "
8. The apparatus as in claim 1 wherein the outer tubular guide catheter includes a first Luer fitting on the proximal end thereof and the inner pusher catheter includes a second Luer fitting on the proximal end thereof for mating with the first Luer fitting.
9. The apparatus as in claim 6 wherein the compression spring is disposed in surrounding relation with respect to the elongate member between the second Luer fitting and the clamp member.
10. The apparatus as in claim 3 wherein the self-expanding prosthesis is released from the distal end of the inner catheter when the compression spring is no longer under compression.
11. The apparatus as in claim 10 wherein the metal wire strands comprise shape memory alloy wires,
12. The apparatus as in claim 11 wherein the shape memory alloy is Nitinol.
13. A method for controllably delivering a braided self-expanding tubular prosthesis to a selected site in the vascular system comprising the steps of:
(a) providing the combination of:
(ϊ) a flexible tubular inner catheter having a proximal end, a distal end and a lumen extending therebetween, the inner catheter having an outer diameter adapted to slidingly fit within the lumen of a guide catheter,
(ii) an elongate, flexible member coaxially insertable through the lumen of the inner tubular catheter, said elongate flexible member having a proximal end and a distal end, said distal end having a first bead member affixed
15 thereto sized to at least partially fit within the lumen of the inner tubular catheter at said distal end of the inner tubular catheter when a proximally directed tension force is applied to the elongate flexible member with respect to the inner tubular catheter,
(iii) a compression spring operatively coupled between the proximal end of the inner tubular catheter and a clamp member releasably affixed to the elongate member; and
(iv) a self-expanding tubular prosthesis of braided metal strands with the proximal ends of individual strands comprising the prosthesis captured between the first bead member and a wall of the lumen at the distal end of the inner tubular catheter;
(b) feeding the inner tubular catheter with the tubular prosthesis attached through a lumen of the guide catheter and out a distal end thereof;
(c) releasing the clamp member; and
(d) advancing the elongate flexible member in a distal direction to release the tubular prosthesis from the distal end of the inner tubular catheter.
16
PCT/US2006/015561 2005-05-04 2006-04-25 System for controlled delivery of stents and grafts WO2006118863A2 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
MX2007013413A MX2007013413A (en) 2005-05-04 2006-04-25 System for controlled delivery of stents and grafts.
EA200702321A EA200702321A1 (en) 2005-05-04 2006-04-25 METHOD AND DEVICE FOR THE CONTROLLED DELIVERY OF STENTS AND IMPLANTS
EP06751323A EP1877005A2 (en) 2005-05-04 2006-04-25 System for controlled delivery of stents and grafts
CA002606623A CA2606623A1 (en) 2005-05-04 2006-04-25 System for controlled delivery of stents and grafts
BRPI0611054-1A BRPI0611054A2 (en) 2005-05-04 2006-04-25 system for controlled release of stents and grafts
AU2006242619A AU2006242619A1 (en) 2005-05-04 2006-04-25 System for controlled delivery of stents and grafts

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/121,386 2005-05-04
US11/121,386 US20060253184A1 (en) 2005-05-04 2005-05-04 System for the controlled delivery of stents and grafts

Publications (3)

Publication Number Publication Date
WO2006118863A2 WO2006118863A2 (en) 2006-11-09
WO2006118863A3 WO2006118863A3 (en) 2007-10-04
WO2006118863B1 true WO2006118863B1 (en) 2007-12-06

Family

ID=37308475

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2006/015561 WO2006118863A2 (en) 2005-05-04 2006-04-25 System for controlled delivery of stents and grafts

Country Status (10)

Country Link
US (1) US20060253184A1 (en)
EP (1) EP1877005A2 (en)
KR (1) KR20070118181A (en)
CN (1) CN101212938A (en)
AU (1) AU2006242619A1 (en)
BR (1) BRPI0611054A2 (en)
CA (1) CA2606623A1 (en)
EA (1) EA200702321A1 (en)
MX (1) MX2007013413A (en)
WO (1) WO2006118863A2 (en)

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Also Published As

Publication number Publication date
BRPI0611054A2 (en) 2010-08-10
MX2007013413A (en) 2008-01-18
US20060253184A1 (en) 2006-11-09
KR20070118181A (en) 2007-12-13
WO2006118863A3 (en) 2007-10-04
CA2606623A1 (en) 2006-11-09
CN101212938A (en) 2008-07-02
EA200702321A1 (en) 2008-04-28
AU2006242619A1 (en) 2006-11-09
WO2006118863A2 (en) 2006-11-09
EP1877005A2 (en) 2008-01-16

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