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EP1095634A2 Expired / Lapsed EP ⏱️ 0.0 years remaining

Rapid exchange self-expanding stent delivery catheter system

Assignee: Cordis Corp
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Filing: 2000-10-26
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Granted: —
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Expires: 2020-10-26
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Abstract

Abstract A self-expanding stent delivery system for medical treatment of a patient has a rapid exchange configuration. The system includes a stent, a proximal and distal shaft section, a cartridge for holding the stent compressed until deployment, a stabilizer for holding the stent in position as an outer sheath is retracted, and a flexible tapered introducer tip. The stent is mounted about the distal shaft section and compressed to an initial diameter within the cartridge. The introducer tip is affixed to the distal end of the catheter system. A guidewire may be back-loaded into a distal port at the catheter system distal end. The guidewire extends through a guidewire tube through the location of the stent, and escapes through a proximal guidewire port, which is located at a point intermediate the catheter system proximal and distal ends.

Inventors

  • 👤 Stephen R. Healy
  • 👤 Mark N. Inderbitzen

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-10-23 10:22
CPC Classifications
A; A61; A61F; A61F2/00; A61F2/95; A61F2/962; A61F2/966

Claims Analysis

Total Claims: 10
Claim 1
Independent Claim 446 words
A self expanding stent deployment system having a rapid exchange configuration, comprising: a catheter system having proximal and distal ends, with an elongated flexible shaft having proximal and distal shaft sections, and a self-expanding tubular stent mounted about the shaft near the shaft distal end; the distal shaft section having a tubular inner body defining a guidewire lumen, a tubular outer body surrounding a portion of the inner body, a tubular stent cartridge affixed to a distal end of the outer body, and a flexible tapered tip affixed to a distal end of the inner body; wherein the stent cartridge surrounds and compresses the self-expanding stent during a first initial configuration, in which a distal end of the stent cartridge touches the tapered tip; wherein the guidewire lumen extends from a distal guidewire port defined by the tapered tip to an inner proximal guidewire port defined at the proximal end of the inner body; the proximal shaft section having a proximal shaft tube with a proximal end affixed to a first proximal hub, and a stabilizing wire extending through the proximal shaft tube and having a proximal end affixed to a second proximal hub; wherein the first and second hubs are separated by a predetermined distance during the initial configuration; a transition joining the proximal and distal shaft sections, having a proximal end affixed to a distal end of the proximal shaft tube, and having a distal end affixed to a proximal end of the distal outer body; an outer proximal guidewire port defined by an interface between the proximal end of the transition tube and a distal end of the proximal shaft tube; wherein a distal end of the stabilizing wire is affixed to a proximal end of the inner body; the catheter system having a second deployed configuration, in which the first hub is selectively pulled back in the proximal direction toward the second hub; such that the proximal shaft tube, the transition tube, the outer body, and the stent cartridge are all successively pulled back in the proximal direction, to fully uncover and release the self-expanding stent; wherein during the initial configuration, some portion of the lengths of the proximal shaft tube and the distal inner body overlap; wherein during both the initial and deployed configurations, the outer proximal guidewire port is proximal from the proximal end of the inner body; such that guidewire lumen defines a distal size, and the guidewire lumen size is constant or expanding when measured in the proximal direction throughout its length to the outer proximal guidewire port; thereby facilitating back-loading of the guidewire into the distal guidewire port and out through the inner and outer guidewire ports.
Claim 2
Dependent Claim 55 words
The stent delivery system of Claim 1, further comprising a flush port defined by the first proximal hub, communicating with a flush lumen defined by the proximal shaft tube, the transition tube, the outer body and the stent cartridge, so that a liquid can be injected into the flush port and through the flush lumen.
Claim 3
Dependent Claim 46 words
The stent delivery system of Claim 1 or Claim 2, further comprising a locking device coupled with the first hub and having a locked configuration and a released configuration, selectively resisting motion of the first hub with respect to the second hub during the locked configuration.
Claim 4
Dependent Claim 87 words
The stent delivery system of any one of Claims 1 to 3, wherein the stabilizing wire is formed of solid metal wire, a distal portion of the stabilizing wire having a crescent shape; a concave portion of the crescent shape matching and cooperating with a cylindrical outer wall of the distal inner body at a joint location where the stabilizing wire is connected to the inner body; such that a maximum lateral dimension of the stabilizing wire and distal inner body is reduced at the joint location.
Claim 5
Dependent Claim 48 words
The stent delivery system of Claim 4, wherein the distal end of the stabilizing wire and a portion of the inner body near its proximal end are held together at the joint location by a joinder sleeve surrounding a portion of both the stabilizing wire and inner body.
Claim 6
Dependent Claim 70 words
The stent delivery system of any one of Claims 1 to 5, further comprising a radiopaque proximal marker affixed to the inner body at a position proximal from and adjacent to a proximal end of the stent, the marker defining a shoulder for contacting the proximal end of the stent, thereby resisting proximal motion of the stent during withdrawal and retraction of the stent cartridge for deployment of the stent.
Claim 7
Dependent Claim 27 words
The stent delivery system of any one of Claims 1 to 6, further comprising a radiopaque cartridge marker affixed to a distal end of the stent cartridge.
Claim 8
Dependent Claim 116 words
The stent delivery system of any one of Claims 1 to 7, wherein the tip has a leading surface that is tapered from a relatively narrow distal end to a broader tip body portion having outer dimensions similar to the outer dimensions of the stent cartridge; wherein the tip further comprises a cylindrical surface sized to match an inner dimension of the distal end of the stent cartridge, wherein the tip further has an auxiliary tapering surface facing proximally and tapering from the tip body portion to the smaller cylindrical surface; such that the tip provides a gentle tapering surface that tends to minimize any possible trauma to the anatomy during withdrawal of the catheter system.
Claim 9
Dependent Claim 22 words
The stent deployment system of any one of Claims 1 to 8, wherein the stabilizing wire comprises a length of metal hypotube.
Claim 10
Dependent Claim 212 words
A self expanding stent deployment system comprising: a catheter system having proximal and distal ends, with an elongated flexible shaft and a self-expanding tubular stent mounted about the shaft near the shaft distal end; the shaft having an inner member, a tubular sheath surrounding a portion of the inner member, and a flexible tapered tip affixed to a distal end of the inner member; wherein a portion of the sheath surrounds and compresses the self-expanding stent during a first initial configuration, in which a distal end of the sheath touches the tapered tip; the tip having a distal tapered surface tapering from a narrow distal dimension to a wider base dimension comparable to a distal dimension of the sheath; the tip further having a collar smaller than the base dimension and a reverse taper narrowing from the base dimension to the collar in a proximal direction; the catheter system having second deployed configuration, in which the sheath is selectively pulled back in the proximal direction, to fully uncover and release the self-expanding stent; wherein during both the initial deployed configuration, the distal end of the sheath fits over the collar on the tip, and wherein the reverse taper minimizes effects on the anatomy as the catheter system is removed from the patient.

References Cited (Backward Citations)

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