US20040133261A1 - Sheath for self-expanding stents - Google Patents

Sheath for self-expanding stents Download PDF

Info

Publication number
US20040133261A1
US20040133261A1 US10/627,791 US62779103A US2004133261A1 US 20040133261 A1 US20040133261 A1 US 20040133261A1 US 62779103 A US62779103 A US 62779103A US 2004133261 A1 US2004133261 A1 US 2004133261A1
Authority
US
United States
Prior art keywords
stent
endoprosthesis
biocompatible material
sheath
catheter assembly
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.)
Abandoned
Application number
US10/627,791
Inventor
Steve Bigus
Orlando Padilla
Brent Belding
Original Assignee
Steve Bigus
Padilla Orlando M
Brent Belding
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
Priority to US63274100A priority Critical
Priority to US09/897,743 priority patent/US6629992B2/en
Application filed by Steve Bigus, Padilla Orlando M, Brent Belding filed Critical Steve Bigus
Priority to US10/627,791 priority patent/US20040133261A1/en
Publication of US20040133261A1 publication Critical patent/US20040133261A1/en
Application status is Abandoned legal-status Critical

Links

Images

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
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • A61F2/07Stent-grafts
    • 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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • A61F2/91Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
    • A61F2/915Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
    • 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
    • A61F2/958Inflatable balloons for placing stents or stent-grafts
    • 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • A61F2/07Stent-grafts
    • A61F2002/072Encapsulated stents, e.g. wire or whole stent embedded in lining
    • 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • A61F2/07Stent-grafts
    • A61F2002/075Stent-grafts the stent being loosely attached to the graft material, e.g. by stitching
    • 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
    • A61F2002/9505Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
    • 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
    • A61F2002/9505Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
    • A61F2002/9511Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument the retaining means being filaments or wires
    • 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
    • A61F2/958Inflatable balloons for placing stents or stent-grafts
    • A61F2002/9583Means for holding the stent on the balloon, e.g. using protrusions, adhesives or an outer sleeve
    • 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0014Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0039Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in diameter
    • 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0067Means for introducing or releasing pharmaceutical products into the body
    • 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0071Additional features; Implant or prostheses properties not otherwise provided for breakable or frangible
    • 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0098Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers

Abstract

A catheter assembly for delivering an endoprosthesis within a body lumen. A delivery catheter assembly is provided which includes a stent with biocompatible material thereon for preventing the stent from expanding or otherwise dislodging from the catheter. The stent with biocompatible material is secured to an expandable member of a delivery catheter, whereby inflation of the expandable member causes the biocompatible material to fail, thereby permitting the stent to expand and deploy in a body lumen.

Description

    CROSS-REFERENCE TO RELATED APPLICATIONS
  • The present application is a continuation in part of U.S. Ser. No. 09/632,741, filed Aug. 4, 2000, and entitled DETACHABLE SHEATH TO PROVIDE PRE-DEPLOYMENT STENT SECURITY AND ENHANCED DELIVERY PRECISION.[0001]
  • BACKGROUND OF THE INVENTION
  • This invention relates to apparatus and methods for the treatment of body lumens, and particularly to delivery systems for endoprostheses. More particularly, the invention relates to biocompatible and/or bioabsorbable sheaths for self-expanding stents. The present invention also is directed to a delivery system for self-expanding stents which facilitates minimal stent movement during deployment to achieve more accurate stent placement within the patient's vasculature. [0002]
  • Several interventional treatment modalities are presently used for heart disease including balloon and laser angioplasty, atherectomy and by-pass surgery. In a typical cardiovascular intervention, a guiding catheter having a preformed distal tip is percutaneously introduced over a first wire, such as a 0.035″ wire, that has been placed in the vasculature through a guiding sheath into an artery and advanced within the cardiovascular system until the distal tip of the guiding catheter is seated in the ostium of a coronary artery. The first wire is removed and a guidewire, such as a 0.014″ guidewire, is advanced distal to the treatment area. Then a dilatation catheter is back-loaded onto the guidewire and tracked to the treatment area through the guiding catheter. Once in position across the lesion, the balloon is inflated to a predetermined size with radiopaque liquid at relatively high pressure (e.g., greater than four atmospheres) to compress the plaque of the lesion and to otherwise expand the inner lumen of the artery. [0003]
  • Further details of dilatation catheters, guidewires, and devices associated therewith for angioplasty procedures have been known for a number of years, and by way of example, several forms of such devices can be found in U.S. Pat. No. 4,323,071 (Simpson-Robert); U.S. Pat. No. 4,439,185 (Lindquist); U.S. Pat. No. 4,516,972 (Samson); U.S. Pat. No. 4,538,622 (Samson, et al.); U.S. Pat. No. 4,554,929 (Samson, et al.); U.S. Pat. No. 4,616,652 (Simpson); U.S. Pat. No. 4,638,805 (Powell); U.S. Pat. No. 4,748,982 (Horzewski, et al.); U.S. Pat. No. 5,507,768 (Lau, et al.); U.S. Pat. No. 5,514,154 (Lau, et al.); U.S. Pat. No. 5,451,233 (Yock); and U.S. Pat. No. 5,458,615 (Klemm, et al.); and U.S. Pat. No. 5,700,286 (Tartaglia, et al.). [0004]
  • A focus of recent development work in the treatment of heart disease has been directed to endoprosthetic devices called stents. Stents are generally cylindrically shaped intravascular devices which are placed within an artery to hold it open. The device can be used to reduce the likelihood of restenosis and to maintain the patency of a blood vessel immediately after intravascular treatments. In some circumstances, they can also be used as the primary treatment device where they are expanded to dilate a stenosis and then left in place. [0005]
  • Prior art stents typically fall into two general categories of construction. The first type of stent is expandable upon application of a controlled force, often through the inflation of the balloon portion of a dilatation catheter which, upon inflation of the balloon or other expansion means, expands the compressed stent to a larger diameter to be left in place within the artery at the target site. The second type of stent is a self-expanding stent, which may be formed from shape-memory metals such as super-elastic nickel titanium (NiTi) alloys which will automatically expand from a compressed state when the stent is advanced out of the distal end of the delivery catheter into the body lumen. Such self-expanding stents can typically be expanded without the need for application of a controlled force on the stent, such as is applied through the inflation of the balloon portion of a dilatation catheter. Such self-expanding stents may be manufactured from expandable heat-sensitive materials that allow for phase transformation of the materials to occur at set temperatures, resulting in the expansion and/or contraction of the stents. [0006]
  • One method and system developed for delivering stents to desired locations within the patient's body lumen involves advancing the stent delivery system through the patient's vascular system until the stent is positioned within the treatment area, and then inflating the expandable member on the catheter to expand the stent within the blood vessel. The expandable member is then deflated and the catheter withdrawn, leaving the expanded stent within the blood vessel, holding open the passageway thereof. This approach is common with stents of the first type, i.e., stents that are not self-expanding. [0007]
  • Implanting self-expanding stents within the patient's vasculature often require different methods than the one set forth above for non-self-expanding stents. Some prior art stent delivery systems for self-expanding stents include a catheter with an inner lumen upon which the compressed or collapsed stent is mounted, and an outer restraining sheath which is eventually placed over the compressed stent prior to deployment. When the stent is to be deployed in the body vessel, the outer sheath is moved in relation to the inner lumen to “uncover” the compressed stent, allowing the stent to move to its expanded condition. Some delivery systems utilize a “push-pull” technique in which the outer sheath is retractable while the inner sheath is pushed forward or held in place. Still other systems use an actuating wire which is attached to the outer sheath. When the actuating wire is pulled to retract the outer sheath over the collapsed stent, the inner lumen must remain stationary, preventing the stent from moving axially within the body vessel. [0008]
  • Because proper positioning of the stent is critical to the performance of the stent, it is imperative that the physician knows exactly where the stent will be placed upon deployment. [0009]
  • What has been needed and heretofore unavailable is an improved device and method for accurately providing for release and deployment of stents, including self-expanding stents. The present invention satisfies these and other needs. [0010]
  • SUMMARY OF THE INVENTION
  • Briefly, and in general terms, the present invention is directed to a bio-compatible or bio-absorbable addition to a stent and/or stent delivery system. More particularly, the invention relates to a bio-compatible or bio-absorbable sheath, lining, or filament positioned on or in a stent. The bio-compatible or bio-absorbable material is designed to be implanted in the body along with the stent. After implantation, the material may be absorbed into the body, such as where the material is a bio-absorbable material that dissolves over a period of time. [0011]
  • In one embodiment of the invention, a bio-absorbable or bio-compatible filament is wound through or around an expandable stent. The filament may have sufficient strength to help in constraining the stent in an unexpanded configuration. Such a filament may still have sufficient weakness to permit the stent to be expanded via the application of a force, such as via the application of force provided by the expansion of a balloon catheter where the stent is positioned on the balloon. Expansion of the stent may be achieved by applying sufficient force to cause the filament to break or otherwise fail or relax. Expansion of the stent may be achieved by changing the configuration of the filament, such as by pulling or pushing, proximally or distally, on the filament until it no longer provides sufficient restraint to prevent the stent from expanding. The filament may be formed from various materials, including polymers. The filament may comprise one or more therapeutic agents, such as a drug useful in treating arterial walls. [0012]
  • Such a filament may be bonded to the delivery catheter and/or the stent, such as where a polymer filament is heat-bonded in a tightly-coiled position around the stent. During stent deployment, which may be achieved through inflation of a balloon catheter, the bonding of the filament to the stent and/or delivery catheter may fail, in whole or in part, loosening the tightness of the filament around the stent and permitting the stent to expand. [0013]
  • The filament maybe used to constrain self-expanding stents to prevent their expanding prior to the desired time and position for stent deployment. The filament may also be used with non-self-expanding stents, such as balloon-expandable stents, to help to retain the stent on a delivery system, such as a delivery catheter. The filament may also comprise and/or be used to deliver therapeutic agents, such as drugs or radiation therapy materials, or other materials that improve stent delivery, deployment, and/or performance, including materials that improve stent visibility under fluoroscopy or that facilitate radiation therapy. [0014]
  • In a further embodiment of the invention, the bio-compatible and/or bio-absorbable material forms a sheath and/or coating that surrounds the stent, in whole or in part. Like the filament, the sheath and/or coating may have sufficient strength to help in constraining the stent in an unexpanded configuration, and may still have sufficient weakness to permit the stent to be expanded by applying sufficient force to cause the sheath to break or otherwise fail and/or relax. The sheath and/or coating may be formed from various materials, including polymers, and may comprise one or more therapeutic agents. In the case of a coating that is bonded to the stent, the coating may be applied to the inner or outer surface of the stent. [0015]
  • In a further embodiment of the invention, the bio-compatible and/or bio-absorbable material is positioned in openings in the stent itself. For example, the material may be positioned to fill one or more of the openings in an expandable stent pattern. In stents that require such openings to change shape during stent expansion, the material may serve to prevent stent expansion by preventing the openings from changing shape. For example, the material may serve as an adhesive that holds the sides of the opening in close proximity to one another, thereby preventing the stent from expanding. The material may be configured to fail or otherwise relax when sufficient force is applied to expand the stent, such as the force applied by inflation of a catheter balloon. [0016]
  • Other features and advantages of the invention will become apparent from the following detailed description, taken in conjunction with the accompanying drawings, which illustrate, by way of example, the features of the invention.[0017]
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • FIG. 1 depicts, in cross-section, a partial side view of an embodiment of a catheter assembly, including stent and bio-compatible sheath of the present invention. [0018]
  • FIG. 2 depicts, in cross-section, an end view of the embodiment of FIG. 1 of a catheter assembly of the present invention. [0019]
  • FIG. 3 depicts a partial side view of the embodiment of FIG. 1 of a catheter assembly of the present invention. [0020]
  • FIG. 4 depicts a partial side view of the catheter assembly of FIG. 3, wherein the balloon is expanded, thereby causing the bio-compatible sheath to fail and permit the stent to expand. [0021]
  • FIG. 5 depicts a perspective view of a biocompatible sheath according to an embodiment of the invention. [0022]
  • FIG. 6 depicts, in partial cross-section, a perspective view of a biocompatible sheath according to an embodiment of the invention. [0023]
  • FIG. 7 depicts, in cross-section, a side view of a biocompatible sheath according to an embodiment of the invention. [0024]
  • FIGS. 8[0025] a-b depict perspective views of a biocompatible sheath according to an embodiment of the invention.
  • FIG. 9 depicts a partial side view of an embodiment of a catheter assembly, including stent and bio-compatible filament of the present invention. [0026]
  • FIG. 10 depicts a partial side view of the catheter assembly of FIG. 8, wherein the filament is relaxed and the stent is expanded. [0027]
  • FIG. 11 depicts a view of a stent pattern, with bio-compatible material filling spaces within the stent pattern, in accordance with the stent in the unexpanded condition. [0028]
  • FIG. 12[0029] a depicts a perspective view of a stent portion with bio-compatible material within its spaces in accordance with an embodiment of the invention.
  • FIG. 12[0030] b depicts a perspective view of the stent portion of FIG. 12a, with bio-compatible material within its spaces, wherein the stent is in an expanded condition.
  • FIG. 13[0031] a depicts a perspective view of stent having a coating of bio-compatible material in accordance with an embodiment of the invention.
  • FIG. 13[0032] b depicts a perspective view of stent having a coating of bio-compatible material in accordance with an embodiment of the invention.
  • FIG. 14 depicts a partial side view of a stent delivery catheter assembly, including a stent and bio-compatible sheath of the present invention. [0033]
  • FIG. 15 depicts a-partial side view of the stent delivery catheter assembly of FIG. 14, including a stent and bio-compatible material of the present invention, partially inserted within a patient's vessel (shown in cross-section). [0034]
  • FIG. 16 depicts a partial side view of the stent delivery catheter assembly of FIG. 14, including a stent and bio-compatible material of the present invention, which has been positioned proximate to a dissected lining within a cross-section of a patient's vessel. [0035]
  • FIG. 17 depicts a partial side view of the stent delivery catheter assembly of FIG. 14, including a stent and bio-compatible material of the present invention, which has been positioned proximate a dissected lining within a cross-section of a patient's vessel, wherein the balloon and stent are fully expanded and the bio-compatible sheath has failed and/or relaxed. [0036]
  • FIG. 18 depicts a partial side view of the stent delivery catheter assembly of FIG. 14, including a stent and bio-compatible material of the present invention, wherein a stent and bio-compatible sheath have been deployed within a cross-section of a patient's vessel.[0037]
  • DESCRIPTION OF THE PREFERRED EMBODIMENTS
  • The present invention is depicted in FIGS. [0038] 1-18 for use in various body lumens and procedures, including use in dilated arteries during balloon angioplasties. The stent may be used to ensure the patency of the body lumen in which it is implanted. For example, the stent may be implanted in the coronary to reinforce the artery against recoil or to tack up a dissection in the arterial wall. The stent is useful for implanting in other blood vessels, such as the carotid arteries, illiacs, cerebral vasculature, and other peripheral veins and arteries. However, the present invention is not limited to use in blood vessels or angioplasties; but can be used in other body lumens and procedures, including treatment of urinary, digestive, or bile ducts.
  • FIG. 1 depicts a catheter assembly [0039] 10, including a delivery catheter 12, an endoprosthesis (depicted as a stent 14), and a bio-compatible sheath 16. The catheter assembly of the particular embodiment depicted includes an inner elongate tubular member 18 configured to encompass a guidewire 20 positioned to slide within an inner lumen of the inner elongate tubular member 18. An outer catheter tube 22 is disposed on and secured to the inner elongate tubular member 18. The catheter assembly 10 includes an expandable member, which in the embodiment depicted is a balloon 24, formed on or secured to catheter tube 22 at the distal portion 26 of the catheter assembly 10 The catheter tube further has a proximal portion 28, which may include a sidearm 30 with an inflation port 32 in fluid communication with the catheter tube 22, and may include a guidewire port 34 in communication with a proximal end 36 of the inner elongate tubular member 18. In addition, the catheter tube 22 has a distal end 38 which is glued, bonded, heat shrunk, or otherwise secured to the inner elongate tubular member 18 near its distal end 38.
  • The expandable balloon [0040] 24 is formed just proximal of the distal end 38 of the catheter tube 22. In the embodiment of FIG. 1, the expandable balloon 24 forms a part of the catheter tube 22. Alternatively, the balloon 24 can be a separate element of the catheter assembly 10, which may be secured to and in fluid communication with a lumen in the proximal portion of the catheter tube 22. In such a configuration, the inner elongate tubular member 18 may not be a necessary element of the catheter assembly, and the guidewire may be disposed within a separate lumen of the catheter tube.
  • With the stent [0041] 14 positioned on the expandable balloon 24, the stent 14 is crimped or otherwise disposed on the catheter tube 22. As shown in FIG. 2, the non-solid, lattice nature of many of the present day stent configurations may result in a non-uniform application of the stent elements on the balloon. Furthermore, to reduce the overall profile of the catheter assembly, the expandable balloon may be folded such that the cross-section of the folded expandable balloon is not circular in nature. In many stent delivery catheters, the expandable member is a dilatation balloon having been arranged in a multiple-fold or no-fold configuration prior to positioning the stent on the balloon.
  • The catheter assembly [0042] 10 includes a biocompatible sheath 16, which is disposed over the endoprosthesis (stent) 14. In the embodiment of FIG. 1, the sheath 16 is longitudinally shorter than the stent 14. The sheath 16 is positioned with its distal end 42 and its proximal end 44 lying between the distal end 46 and proximal end 48 of the stent 14. The sheath 16 also overlies the catheter balloon 24, with the stent 14 positioned there between. The biocompatible sheath 16 at least partially surrounds the stent 14, preventing the stent 14 from expanding, becoming dislodged from the catheter, or contacting the patient's vasculature during stent delivery. The biocompatible sheath 16 may resist outward pressure from the stent 14, particularly where the stent is a self-expanding stent, to prevent the stent 14 from expanding or otherwise dislodging from the balloon 24. Depending on the particular application, the biocompatible sheath 16 may exert continuous inward pressure on the stent 14.
  • The length of the biocompatible sheath [0043] 16 can vary depending on the particular application and catheter assembly construction. For example, a longer biocompatible sheath may be used with longer stents, and a shorter sheath can be used with shorter stents. The biocompatible sheath maybe the same length of the stent, so that the proximal and distal ends of the sheath can align with proximal and distal ends of the stent, respectively, thereby covering the entire length of the stent when mounted on the catheter assembly. The sheath may be longer than the stent, so that it overlaps the distal and/or proximal ends of the stent when mounted on the catheter assembly.
  • The biocompatible sheath maybe formed from various materials, including various formulations of polyurethane, silicon, siliconized polyurethane, PTFE, and siliconized PTFE. The biocompatible sheath may be formed partially or entirely of bioabsorbable materials, such as sucrose or polyethylene glycol. The biocompatible material may also comprise and/or be used to deliver therapeutic agents, such as drugs or radiation therapy materials, or other materials that improve stent delivery, deployment, and/or performance, including materials that improve stent visibility under fluoroscopy or that facilitate radiation therapy. [0044]
  • Referring to FIGS. [0045] 3-4, the biocompatible sheath 16 is configured to fail, such as by stretching or tearing, upon expansion of the expandable balloon 24 of the catheter tube 22. Depending on the application, it may be preferable for the biocompatible sheath 16 to fail at a pressure lower than that of a nominal inflation pressure of the balloon 24, where the nominal inflation pressure is the pressure at which the balloon would, without restraint such as that provided by a biocompatible sheath, reach a specified diameter. For example, with a balloon having a nominal inflation pressure of 8 atmospheres, the sheath may be configured to fail at an inflation pressure of two atmospheres. Accordingly, the sheath 16 will fail well before the balloon 24 reaches its nominal pressure.
  • As shown in FIG. 4, introduction of inflation fluid (air, saline, etc.) into the catheter tube [0046] 22 causes the expandable member 24 to expand radially outwardly. The expansion of the expandable member 24 expands the stent 14, causing the biocompatible sheath 16 to fail. In the embodiment of FIG. 4, the biocompatible sheath 16 fails by plastically deforming. Once the balloon 24 is fully expanded, the stent 14 also becomes fully expanded, with the biocompatible sheath 16 remaining on the stent 14.
  • In the embodiment depicted in FIGS. [0047] 3-4, the sheath 16 has a generally solid, consistent surface and cross-section. In additional embodiments, the sheath may have areas that are weaker than other portions, so that the sheath will fail at the weaker portions. The weakened portions can be created by softening the desired area of the sheath with heat, or otherwise deforming the structure of the sheath material at the desired location. For example, the sheath 16 may have scoring 50 and/or one or more perforations 52, as depicted in FIG. 5, so that the sheath will fail at the scored and/or perforated sections when it is expanded.
  • The sheath may have thinned portions [0048] 54 that have thinner material than other portions of the sheath 16, as depicted in FIG. 6, so that the sheath 16 when expanded will fail at the thinner portions 54.
  • The weakened areas (e.g., scoring [0049] 50, perforations 52, and/or thinner portions 54) may be selectively positioned about the sheath so that the sheath fails in a selected and controlled manner. Depending on the particular application and sheath configuration, the positioning of the weakened portions can assist in controlling stent deployment. For example, the biocompatible sheath 16 may have areas of varying strength across its length, so that certain portions of the sheath will fail sooner than others. In the embodiment depicted in FIG. 7, the biocompatible sheath 16 has varying strength along its length, which in the particular embodiment are achieved by having varying thicknesses 56 a-e along its length. The areas with the greatest thickness 56 a, 56 e are at the distal and proximal ends 42, 44 of the sheath 16, respectively. The sheath 16 is progressively thinner toward its center, with the area with the least thickness 56 c along the longitudinal center of the sheath 16. The thickened and stronger proximal and distal portions of the sheath will resist stent expansion (and hence resist balloon expansion) with the greatest force. Such selective positioning of thicker portions can help to control uneven balloon and stent expansion, such as “dog-boning” where the distal and proximal portions of the balloon and stent are expanded prior to the central portions of the balloon and stent.
  • In a further embodiment depicted in FIGS. 8[0050] a-b, the sheath 16 may be formed by rolling a planar portion 58 into a tubular member 60. In the embodiment depicted, the planar portion 58 is held in the tubular shape by mechanical connections, which are scored and/or shaped arm elements 62 on a first end 64 of the planar portion 58 that interlock with openings 66 on an opposing second end 68 of the planar portion. Depending on the particular application, the opposing ends 64, 68 of the planar portion 58 may be held by other methods and devices, including other mechanical connections, heat bonding, and/or adhesives.
  • FIG. 9 depicts another embodiment of the invention, with a catheter assembly [0051] 10 that includes a delivery catheter 12, an endoprosthesis (depicted as a stent 14), and a bio-compatible filament 70. The biocompatible filament 70 is wrapped around the stent, preventing the stent 14 from expanding or becoming dislodged from the catheter during stent delivery. The biocompatible sheath 16 may exert continuous inward pressure on the stent 14, particularly where the stent is a self-expanding stent. The filament may be wrapped around the stent and, depending on the particular application and stent configuration, the filament may be woven through openings in the stent structure.
  • The filament may be configured to fail or otherwise loosen its grip on the stent through various methods. For example, the filament [0052] 70 may be configured to fail as pressure is applied, as where the balloon 24 is expanded to force the stent 14 to expand against the restraint of the filament 70. As with the sheaths 16 described previously with respect to FIGS. 1-8, the filament 70 of FIG. 9 may have areas that have been weakened, such as perforations, thinned areas, or other methods of weakening the filament structure. The filament 70 may be threaded or knotted about and/or through the stent so that, when sufficient pressure is applied (such as the pressure from an expanding balloon 24), the knotting and/or threading permits the filament to loosen its inward pressure on the stent, so that the stent is expanded as the filament loosens. The filament may also be secured, such as through heat bonding, to the stent, the balloon, the catheter, and/or to the filament itself, so that the securing device and/or method (e.g., the heat bond) will fail as the balloon is pressurized, thereby expanding the stent. For example, a polymeric filament may wrapped around a stent on a catheter, and then the filament may be heat bonded to the stent. The wrapping of the filament, in combination with the heat bond, can firmly hold the stent onto the balloon during stent delivery. When the balloon is pressurized during stent deployment, the heat bonding will fail, causing the filament to loosen its hold on the stent and permitting the stent to expand.
  • The filament [0053] 70 may be configured to fail through methods other than the application of expansion pressure such as that provided by the balloon and/or stent. For example, the filament may be configured to loosen when a portion of the filament is pulled. FIG. 10 shows the catheter assembly 10 of FIG. 9, wherein the filament 70 has failed or otherwise loosened its hold, and the stent 14 is expanded.
  • Referring now to FIGS. [0054] 11-12, a further embodiment of the invention involves a stent 14 with an open-lattice configuration, with bio-compatible material 72 filling one or more of the open areas 74 within the stent pattern. FIG. 11 depicts the stent pattern two-dimensionally as if the tubular stent 14 were cut longitudinally and “unrolled” to form a flat sheet, while FIGS. 12a-b depict a portion of the stent 14 in a perspective view. The pattern depicted includes a series of stent structures (depicted in the form of Us, Ws, and Ys), with vacated or open areas 74 between the stent structures. FIGS. 11 and 12a depict the open-lattice stent 14 in the unexpanded condition, with open areas 74 in which biocompatible material 72 has been loaded.
  • As depicted in FIG. 12[0055] b, when an open-lattice stent 14 such as the one depicted is expanded, the open areas 74 deform in shape. The biocompatible material 72 loaded in the open areas 74 resists such deformation of the open areas 74, thereby preventing the stent 14 from expanding. For example, the bio-compatible material 72 may serve as an adhesive that holds together the stent structure surrounding the open areas 74, thereby preventing the stent 14 from expanding. The biocompatible material 72 may be configured to fail or otherwise relax when sufficient force is applied to expand the stent 14, such as the force applied by inflation of a catheter balloon upon which the stent is mounted. FIG. 12b shows fractures 75 in the biocompatible material 72 in the open spaces 74, created when the biocompatible material 72 in the open spaces 74 failed as pressure was applied to expand the stent 14.
  • FIG. 13[0056] a shows a further embodiment of the invention, with the stent 14 having a coating 76 of bio-compatible material on the stent outer surface 78. The coating 76 forms a shell on the outer surface of the stent 14, which acts to prevent the stent 14 from expanding, becoming dislodged, and/or contacting the contacting the patient's vasculature during stent delivery. The coating 76 may be adhered to the outer surface of the stent 14. Depending on the particular application, portions of the coating 76 may extend into open areas of the stent 14, such as with a stent having an open-lattice configuration. As discussed above with respect to FIGS. 11-12, the biocompatible material that extends into the open areas of the stent 14 may provide further opposition to expansion of the stent.
  • In FIG. 13[0057] b the stent 14 has the coating 76 of bio-compatible material on the stent inner surface 80. The coating 76 forms a shell on the inner surface 80 of the stent 14, which can act to prevent the stent 14 from expanding, becoming dislodged, and/or contacting the contacting the patient's vasculature during stent delivery. The bio-compatible material coating 76 on the inner surface 80 of the stent 14 may further improve stent retention during stent delivery where the bio-compatible material 76 has adhesive and/or non-slip properties that prevent the stent 14 from sliding along the balloon. The bio-compatible material coating 76 may serve to improve stent deployment by providing a smooth transition between the stent and a stent-deploying balloon as the balloon is expanded, which may involve unfolding of the balloon. The biocompatible material coating may help to smooth the inner surface of the stent after stent deployment, thereby providing a smoother lumen through which blood or other fluids can flow through the stent. As was the case with the outer coating of FIG. 13a, the inner coating of FIG. 13b may include portions of the coating 76 that extend into open areas of the stent 14, providing further opposition to expansion of the stent. The outer and inner coatings of FIGS. 13a and 13 b, respectively, may be used in combination.
  • FIGS. 14 through 18 illustrate, by way of example, a method of delivering and implanting a stent [0058] 14 mounted on a balloon 24 of a catheter tube 22, including an embodiment of the biocompatible sheath 16. While the drawing figures illustrate a rapid exchange (Rx) intravascular catheter, embodiments of the retaining device may also be used with other delivery devices, including an over-the-wire (OTW) intravascular catheter. FIGS. 14-18 illustrate a situation in which the stent delivery system 10 having a biocompatible sheath 16 is used to deploy a stent 14 to support a dissected arterial lining to prevent the dissection 82 from collapsing into the arterial lumen 84 and impeding sufficient blood flow through the artery 86. Furthermore, the procedures and devices described herein may be adapted by one of ordinary skill in the art to any procedure where an endoprosthesis is to be placed into a body lumen.
  • As shown in FIG. 14, a stent delivery assembly [0059] 10 is provided with biocompatible sheath 16 covering a stent 14 removably secured on an expandable member 24 formed on or secured to a catheter tube 22. Note that while a biocompatible sheath is depicted in FIGS. 14-18, other biocompatible configurations, such as the filaments, coatings, and inter-space materials of FIGS. 9-13, may also be used in a procedure such as the one depicted in FIGS. 14-18. Referring to FIG. 15, the stent delivery assembly 10 is inserted into the lumen 84 of an artery 86 along a guidewire 20 having a distal end 88, with the guidewire distal end 88 having been previously positioned past the dissection 82 requiring support. The expandable member 24, upon which the stent 14 and biocompatible sheath 16 are positioned, is then positioned proximate the dissection 82, as depicted in FIG. 16.
  • As illustrated in FIG. 17, once the expandable member [0060] 24 and stent 14 are positioned at the dissection 82, the expandable member (balloon) 24 of the catheter tube 22 is inflated. This may be accomplished, for example, by injecting inflation fluid under substantial pressure into a lumen of the catheter tube. Once a first pressure is realized, which is less than the nominal inflation pressure of the balloon, the biocompatible sheath 40 fails. As the biocompatible sheath fails, the stent expands. As the balloon 24 continues to expand to its nominal (second) pressure, the stent 14 expands until it is fully expanded and implanted in the artery 86. The biocompatible sheath 16 is now positioned between the stent 14 and the arterial wall 90.
  • After the stent [0061] 14 is fully expanded, the expandable member 24 is contracted, such as may be achieved by deflating a catheter balloon. The delivery catheter 12 (including the catheter tube 22 and expandable member 24 balloon) and guidewire 24 are withdrawn from the vasculature, as depicted in FIG. 18, with the stent 14 and biocompatible material (in the form of the sheath 16) remaining behind.
  • As discussed above, the delivery catheter [0062] 12, as described herein, can have an over-the-wire (OTW) or rapid exchange (Rx) configuration as more fully disclosed in, but not limited to, U.S. Pat. No. 4,323,071 (Simpson et al.) (OTW); U.S. Pat. No. 4,573,470 (Samson et al.) (OTW); U.S. Pat. No. 5,501,227 (Yock) (Rx); U.S. Pat. No. 5,061,273 (Yock) (Rx); and U.S. Pat. No. 5,496,346 (Horzewski et al.) (Rx). Likewise, the stent 14, as described herein, can have various configurations, and suitable stents include, but are not limited to, the ACS MULTI-LINK STENT sold by Advanced Cardiovascular Systems, Inc., Santa Clara, Calif.; the NIR STENT sold by Boston Scientific, Natick, Mass.; and the MICRO STENT II and GFX sold by Arterial Vascular Engineering, Santa Rosa, Calif. Examples of suitable stents are disclosed in, but not limited to, U.S. Pat. No. 5,514,154 (Lau et al.).
  • The dimensions of the intravascular catheter will generally follow the dimensions of intravascular catheters used in angioplasty procedures in the same arterial location. Typically, the length of a catheter assembly for use in the coronary arteries is about one hundred thirty-five to one hundred fifty centimeters, the outer diameter of the catheter expandable member is about one millimeter, the length of the balloon is typically about two centimeters, and the inflated diameter of the balloon is about one to about five millimeters, depending upon the application. Catheter dimensions for peripheral use will vary, as is known in the art. The materials of construction of the catheter assembly, catheter tube, and expandable member may be selected, for example, from those used in conventional balloon angioplasty catheters. Furthermore, the specific dimensions and materials of construction of the detachable sheath are provided as examples, and substitutes are readily contemplated which do not depart from the invention. [0063]
  • While the present invention has been described herein in terms of delivering an expandable stent to a desired location within a patient's blood vessel, the delivery catheter can also be employed to deliver stents and other endoprosthesis to locations within other body lumens. In addition, the biocompatible sheath may be used to cover and/or secure self-expanding and non-self-expanding stents on delivery catheters prior to deployment. [0064]
  • Although preferred and alternative embodiments of the invention have been described and illustrated, the invention is susceptible to modifications and adaptations within the ability of those skilled in the art and without the exercise of inventive faculty. Thus, it should be understood that various changes in form, detail, and usage of the present invention may be made without departing from the spirit and scope of the invention. Accordingly, it is not intended that the invention be limited, except as by the appended claims. [0065]

Claims (19)

What is claimed is:
1. A catheter assembly for delivering an endoprosthesis within a body lumen, comprising:
a catheter;
an expandable member;
an endoprosthesis disposed on the expandable member; and
a biocompatible material positioned on the endoprosthesis, wherein the biocompatible material is configured to prevent expansion of the endoprosthesis.
2. The catheter assembly of claim 1, wherein the endoprosthesis is a self-expanding stent, and the biocompatible material provides inward pressure on the self-expanding stent to prevent expansion of the self-expanding stent.
3. The catheter assembly of claim 1, wherein the biocompatible material comprises a sheath that surrounds at least a portion of the endoprosthesis.
4. The catheter assembly of claim 3, wherein the sheath has a length less than a length of the stent, the stent has a distal end and a proximal end, and the sheath is positioned on the stent so that the sheath does not overlie the distal end or proximal end of the stent.
5. The catheter assembly of claim 1, wherein the biocompatible material comprises a filament that is wrapped around at least a portion of the endoprosthesis.
6. The catheter assembly of claim 5, wherein the stent has an open-lattice configuration with open areas, and the filament is threaded through one or more of the open areas of the stent.
7. The catheter assembly of claim 5, wherein the filament is heat bonded to the stent.
8. The catheter assembly of claim 1, wherein the biocompatible material comprises a coating on the stent.
9. The catheter assembly of claim 8, wherein the stent has an outer surface, and the biocompatible coating is positioned on the outer surface of the stent.
10. The catheter assembly of claim 8, wherein the stent has an inner surface, and the biocompatible coating is positioned on the inner surface of the stent.
11. The catheter assembly of claim 1, wherein the stent has open areas, and the biocompatible material is positioned within one or more of said open areas of the stent.
12. An endoprosthesis for deployment in a body lumen, comprising:
a stent; and
a biocompatible material positioned on the endoprosthesis, wherein the biocompatible material is configured to prevent expansion of the endoprosthesis.
13. The endoprosthesis of claim 12, wherein the stent is a self-expanding stent.
14. The endoprosthesis of claim 13, wherein the stent comprises one or more open areas, and the biocompatible material is positioned within one or more of the open areas.
15. The endoprosthesis of claim 12, wherein the biocompatible material comprises a sheath positioned to surround at least a portion of the stent.
16. The endoprosthesis of claim 12, wherein the biocompatible material comprises a filament wrapped around the stent.
17. The endoprosthesis of claim 16, wherein the filament is heat-bonded to the stent.
18. The endoprosthesis of claim 12, wherein the stent has one or more open areas, and the biocompatible material comprises a filament threaded through one or more of the open areas of the stent.
19. A method of delivering an endoprosthesis into a desired location within a body lumen, the method comprising:
providing a catheter assembly including a catheter, an expandable member, an endoprosthesis disposed on the expandable member, and a biocompatible material positioned on the endoprosthesis, wherein the biocompatible material is configured to prevent expansion of the endoprosthesis but also to fail under sufficient pressure;
advancing the catheter, the expandable member, and the endoprosthesis through the body lumen;
positioning the expandable member and endoprosthesis at a desired location;
deploying the endoprosthesis and biocompatible material at the desired location, including the step of expanding the expandable member so as to cause the biocompatible material to fail and the endoprosthesis to expand;
contracting the expandable member;
withdrawing the catheter, the expandable member, and the sheath from the body lumen; and
leaving the endoprosthesis and biocompatible material at the desired location within the body lumen.
US10/627,791 2000-08-04 2003-07-25 Sheath for self-expanding stents Abandoned US20040133261A1 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
US63274100A true 2000-08-04 2000-08-04
US09/897,743 US6629992B2 (en) 2000-08-04 2001-06-29 Sheath for self-expanding stent
US10/627,791 US20040133261A1 (en) 2000-08-04 2003-07-25 Sheath for self-expanding stents

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US10/627,791 US20040133261A1 (en) 2000-08-04 2003-07-25 Sheath for self-expanding stents

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US09/897,743 Division US6629992B2 (en) 2000-08-04 2001-06-29 Sheath for self-expanding stent

Publications (1)

Publication Number Publication Date
US20040133261A1 true US20040133261A1 (en) 2004-07-08

Family

ID=24536751

Family Applications (2)

Application Number Title Priority Date Filing Date
US09/897,743 Active US6629992B2 (en) 2000-08-04 2001-06-29 Sheath for self-expanding stent
US10/627,791 Abandoned US20040133261A1 (en) 2000-08-04 2003-07-25 Sheath for self-expanding stents

Family Applications Before (1)

Application Number Title Priority Date Filing Date
US09/897,743 Active US6629992B2 (en) 2000-08-04 2001-06-29 Sheath for self-expanding stent

Country Status (1)

Country Link
US (2) US6629992B2 (en)

Cited By (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060116748A1 (en) * 2003-04-14 2006-06-01 Aaron Kaplan Stepped balloon catheter for treating vascular bifurcations
US20070276460A1 (en) * 2003-04-14 2007-11-29 Davis H R Helical ostium support for treating vascular bifurcations
US20080015678A1 (en) * 2004-10-13 2008-01-17 Tryton Medical, Inc. Prosthesis for placement at a luminal os
US20090018635A1 (en) * 2007-07-10 2009-01-15 Boston Scientific Scimed, Inc. Stent protector
US7731747B2 (en) 2003-04-14 2010-06-08 Tryton Medical, Inc. Vascular bifurcation prosthesis with multiple thin fronds
US20100204770A1 (en) * 2009-02-10 2010-08-12 Medtronic Vascular, Inc. Stent Delivery System Permitting in Vivo Stent Repositioning
US20100234934A1 (en) * 2009-03-10 2010-09-16 Medtronic Vascular, Inc. Balloon Deployable Coronary Stent
US7972372B2 (en) 2003-04-14 2011-07-05 Tryton Medical, Inc. Kit for treating vascular bifurcations
US8083791B2 (en) 2003-04-14 2011-12-27 Tryton Medical, Inc. Method of treating a lumenal bifurcation
WO2012078769A1 (en) * 2010-12-07 2012-06-14 Northeastern University Microvascular anastomotic coupler and methods of using the same
US8366763B2 (en) 2009-07-02 2013-02-05 Tryton Medical, Inc. Ostium support for treating vascular bifurcations
WO2017004209A1 (en) * 2015-06-29 2017-01-05 480 Biomedical, Inc. Scaffold loading and delivery systems
US9707108B2 (en) 2010-11-24 2017-07-18 Tryton Medical, Inc. Support for treating vascular bifurcations
US9956103B2 (en) 2013-03-11 2018-05-01 DePuy Synthes Products, Inc. Stent delivery system and method
US10111767B2 (en) 2010-10-29 2018-10-30 Abbott Cardiovascular Systems Inc. Sheaths used in polymer scaffold delivery systems
US10172734B2 (en) 2013-03-13 2019-01-08 DePuy Synthes Products, Inc. Capture tube mechanism for delivering and releasing a stent
US10232147B2 (en) 2011-05-27 2019-03-19 Abbott Cardiovascular Systems Inc. Method for assembling a scaffold-balloon catheter

Families Citing this family (143)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1117341B1 (en) 1998-09-30 2004-12-29 Bard Peripheral Vascular, Inc. Delivery mechanism for implantable stent
US8088060B2 (en) 2000-03-15 2012-01-03 Orbusneich Medical, Inc. Progenitor endothelial cell capturing with a drug eluting implantable medical device
US9522217B2 (en) 2000-03-15 2016-12-20 Orbusneich Medical, Inc. Medical device with coating for capturing genetically-altered cells and methods for using same
US6638239B1 (en) 2000-04-14 2003-10-28 Glaukos Corporation Apparatus and method for treating glaucoma
US20020095203A1 (en) * 2001-01-18 2002-07-18 Intra Therapeutics, Inc. Catheter system with spacer member
US6623491B2 (en) * 2001-01-18 2003-09-23 Ev3 Peripheral, Inc. Stent delivery system with spacer member
US6899727B2 (en) 2001-01-22 2005-05-31 Gore Enterprise Holdings, Inc. Deployment system for intraluminal devices
EP1977724A1 (en) 2001-04-07 2008-10-08 Glaukos Corporation System for treating ocular disorders
AU2002345328A1 (en) 2001-06-27 2003-03-03 Remon Medical Technologies Ltd. Method and device for electrochemical formation of therapeutic species in vivo
JP4512362B2 (en) 2001-07-06 2010-07-28 アンギオメット ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コムパニー メディツィンテヒニク コマンデイトゲゼルシャフト Delivery system with a rapid pusher assembly and stent exchanged forms of self-expanding stents
US7331984B2 (en) 2001-08-28 2008-02-19 Glaukos Corporation Glaucoma stent for treating glaucoma and methods of use
GB0121980D0 (en) * 2001-09-11 2001-10-31 Cathnet Science Holding As Expandable stent
GB0123633D0 (en) 2001-10-02 2001-11-21 Angiomed Ag Stent delivery system
US20030135266A1 (en) 2001-12-03 2003-07-17 Xtent, Inc. Apparatus and methods for delivery of multiple distributed stents
US7182779B2 (en) 2001-12-03 2007-02-27 Xtent, Inc. Apparatus and methods for positioning prostheses for deployment from a catheter
US7147656B2 (en) 2001-12-03 2006-12-12 Xtent, Inc. Apparatus and methods for delivery of braided prostheses
US7309350B2 (en) 2001-12-03 2007-12-18 Xtent, Inc. Apparatus and methods for deployment of vascular prostheses
US7351255B2 (en) 2001-12-03 2008-04-01 Xtent, Inc. Stent delivery apparatus and method
US7892273B2 (en) 2001-12-03 2011-02-22 Xtent, Inc. Custom length stent apparatus
US7137993B2 (en) 2001-12-03 2006-11-21 Xtent, Inc. Apparatus and methods for delivery of multiple distributed stents
US6790224B2 (en) * 2002-02-04 2004-09-14 Scimed Life Systems, Inc. Medical devices
US20030204248A1 (en) * 2002-03-25 2003-10-30 Murphy Kieran P. Device viewable under an imaging beam
US20050049672A1 (en) * 2003-03-24 2005-03-03 Murphy Kieran P. Stent delivery system and method using a balloon for a self-expandable stent
US7927368B2 (en) 2002-03-25 2011-04-19 Kieran Murphy Llc Device viewable under an imaging beam
US20030181810A1 (en) * 2002-03-25 2003-09-25 Murphy Kieran P. Kit for image guided surgical procedures
US9375203B2 (en) 2002-03-25 2016-06-28 Kieran Murphy Llc Biopsy needle
US20040230288A1 (en) * 2002-04-17 2004-11-18 Rosenthal Arthur L. Medical devices adapted for controlled in vivo structural change after implantation
IL149829A (en) * 2002-05-23 2012-10-31 Ronnie Levi Medical device having an unravelable portion
US7329268B2 (en) * 2002-07-02 2008-02-12 Warsaw Orthopedic, Inc. Expandable percutaneous sheath
US20040044404A1 (en) * 2002-08-30 2004-03-04 Stucke Sean M. Retention coatings for delivery systems
US7435255B1 (en) 2002-11-13 2008-10-14 Advnaced Cardiovascular Systems, Inc. Drug-eluting stent and methods of making
US7144422B1 (en) 2002-11-13 2006-12-05 Advanced Cardiovascular Systems, Inc. Drug-eluting stent and methods of making the same
US7105018B1 (en) * 2002-12-30 2006-09-12 Advanced Cardiovascular Systems, Inc. Drug-eluting stent cover and method of use
US8568467B2 (en) 2003-01-15 2013-10-29 Angiomed Gmbh & Co. Medizintechnik Kg Trans-luminal surgical device
US20040186551A1 (en) 2003-01-17 2004-09-23 Xtent, Inc. Multiple independent nested stent structures and methods for their preparation and deployment
US7314480B2 (en) * 2003-02-27 2008-01-01 Boston Scientific Scimed, Inc. Rotating balloon expandable sheath bifurcation delivery
US7198637B2 (en) * 2003-04-21 2007-04-03 Medtronic Vascular, Inc. Method and system for stent retention using an adhesive
US7241308B2 (en) 2003-06-09 2007-07-10 Xtent, Inc. Stent deployment systems and methods
US7488343B2 (en) * 2003-09-16 2009-02-10 Boston Scientific Scimed, Inc. Medical devices
EP1696806B1 (en) 2003-11-21 2012-08-29 Silk Road Medical, Inc. Apparatus for treating a carotid artery
US20050131515A1 (en) * 2003-12-16 2005-06-16 Cully Edward H. Removable stent-graft
US7326236B2 (en) 2003-12-23 2008-02-05 Xtent, Inc. Devices and methods for controlling and indicating the length of an interventional element
US7686841B2 (en) 2003-12-29 2010-03-30 Boston Scientific Scimed, Inc. Rotating balloon expandable sheath bifurcation delivery system
US7922753B2 (en) * 2004-01-13 2011-04-12 Boston Scientific Scimed, Inc. Bifurcated stent delivery system
US8012192B2 (en) 2004-02-18 2011-09-06 Boston Scientific Scimed, Inc. Multi-stent delivery system
US8137397B2 (en) * 2004-02-26 2012-03-20 Boston Scientific Scimed, Inc. Medical devices
US20050209670A1 (en) * 2004-03-02 2005-09-22 Cardiomind, Inc. Stent delivery system with diameter adaptive restraint
JP4712029B2 (en) * 2004-03-02 2011-06-29 ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. Medical device and a manufacturing method including a metallic film
US7323006B2 (en) 2004-03-30 2008-01-29 Xtent, Inc. Rapid exchange interventional devices and methods
CA2502018A1 (en) * 2004-04-16 2005-10-16 Conor Medsystems, Inc. Bioresorbable stent delivery system
US20050273149A1 (en) * 2004-06-08 2005-12-08 Tran Thomas T Bifurcated stent delivery system
US8512388B1 (en) 2004-06-24 2013-08-20 Advanced Cardiovascular Systems, Inc. Stent delivery catheter with improved stent retention and method of making same
US20050288766A1 (en) 2004-06-28 2005-12-29 Xtent, Inc. Devices and methods for controlling expandable prostheses during deployment
US8317859B2 (en) 2004-06-28 2012-11-27 J.W. Medical Systems Ltd. Devices and methods for controlling expandable prostheses during deployment
US8308789B2 (en) * 2004-07-16 2012-11-13 W. L. Gore & Associates, Inc. Deployment system for intraluminal devices
US7765670B2 (en) * 2004-08-13 2010-08-03 Boston Scientific Scimed, Inc. Method to simultaneously load and cover self expanding stents
CA2580952C (en) * 2004-09-22 2014-06-10 William A. Cook Australia Pty. Ltd Stent graft with integral side arm
US20060069424A1 (en) * 2004-09-27 2006-03-30 Xtent, Inc. Self-constrained segmented stents and methods for their deployment
US7691137B2 (en) * 2004-09-28 2010-04-06 Boston Scientific Scimed, Inc. Rotatable sheath, assembly and method of manufacture of same
JP4917089B2 (en) 2005-05-09 2012-04-18 アンギオメット ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コムパニー メディツィンテヒニク コマンデイトゲゼルシャフト Implant delivery device
US9480589B2 (en) * 2005-05-13 2016-11-01 Boston Scientific Scimed, Inc. Endoprosthesis delivery system
US7670365B2 (en) * 2005-09-23 2010-03-02 BostonScientific Scimed, Inc. Secured stent delivery system
US8840660B2 (en) 2006-01-05 2014-09-23 Boston Scientific Scimed, Inc. Bioerodible endoprostheses and methods of making the same
US9375215B2 (en) * 2006-01-20 2016-06-28 W. L. Gore & Associates, Inc. Device for rapid repair of body conduits
US8089029B2 (en) 2006-02-01 2012-01-03 Boston Scientific Scimed, Inc. Bioabsorbable metal medical device and method of manufacture
EP1998716A4 (en) 2006-03-20 2010-01-20 Xtent Inc Apparatus and methods for deployment of linked prosthetic segments
DE602007004891D1 (en) * 2006-03-24 2010-04-08 Cordis Corp Split lock release system for self-expanding stents
US8652192B2 (en) * 2006-03-31 2014-02-18 St. Jude Medical, Cardiology Division, Inc. Stent and system and method for deploying a stent
US8048150B2 (en) 2006-04-12 2011-11-01 Boston Scientific Scimed, Inc. Endoprosthesis having a fiber meshwork disposed thereon
US20080009799A1 (en) * 2006-06-30 2008-01-10 Lap Reinder N Resilient protection sleeve for balloon catheter
CA2659761A1 (en) 2006-08-02 2008-02-07 Boston Scientific Scimed, Inc. Endoprosthesis with three-dimensional disintegration control
US8062465B1 (en) * 2006-08-02 2011-11-22 Abbott Cardiovascular Systems Inc. Methods for improved stent retention
US20080039920A1 (en) * 2006-08-08 2008-02-14 Medlogics Device Corporation Tethered Self-Expanding Stent Delivery System
WO2008018869A1 (en) * 2006-08-08 2008-02-14 Medlogics Device Corporation Stent delivery devices, systems & methods
US8808726B2 (en) 2006-09-15 2014-08-19 Boston Scientific Scimed. Inc. Bioerodible endoprostheses and methods of making the same
ES2368125T3 (en) 2006-09-15 2011-11-14 Boston Scientific Scimed, Inc. bioerodible endoprostheses biostable inorganic layers.
AT517590T (en) 2006-09-15 2011-08-15 Boston Scient Ltd Bioerodible endoprostheses
US7955382B2 (en) 2006-09-15 2011-06-07 Boston Scientific Scimed, Inc. Endoprosthesis with adjustable surface features
EP2959925B1 (en) 2006-09-15 2018-08-29 Boston Scientific Limited Medical devices and methods of making the same
CA2663762A1 (en) 2006-09-18 2008-03-27 Boston Scientific Limited Endoprostheses
US8506515B2 (en) 2006-11-10 2013-08-13 Glaukos Corporation Uveoscleral shunt and methods for implanting same
US9622888B2 (en) 2006-11-16 2017-04-18 W. L. Gore & Associates, Inc. Stent having flexibly connected adjacent stent elements
DE602007010669D1 (en) 2006-12-28 2010-12-30 Boston Scient Ltd hear it
US20080199510A1 (en) 2007-02-20 2008-08-21 Xtent, Inc. Thermo-mechanically controlled implants and methods of use
US8486132B2 (en) 2007-03-22 2013-07-16 J.W. Medical Systems Ltd. Devices and methods for controlling expandable prostheses during deployment
US7776080B2 (en) * 2007-04-25 2010-08-17 Abbott Cardiovascualr Systems Inc. Stent delivery catheter system and method of implanting a self-expanding stent with embolic protection
EP2173425B1 (en) 2007-07-18 2012-11-21 Silk Road Medical, Inc. Systems for establishing retrograde carotid arterial blood flow
US8858490B2 (en) 2007-07-18 2014-10-14 Silk Road Medical, Inc. Systems and methods for treating a carotid artery
US8070798B2 (en) 2007-07-20 2011-12-06 Josiah Wilcox Drug eluting medical device and method
US8252035B2 (en) * 2007-08-01 2012-08-28 Cappella, Inc. Device delivery system with two stage withdrawal
US8052745B2 (en) 2007-09-13 2011-11-08 Boston Scientific Scimed, Inc. Endoprosthesis
US7981151B2 (en) * 2007-10-15 2011-07-19 Edwards Lifesciences Corporation Transcatheter heart valve with micro-anchors
US8926688B2 (en) 2008-01-11 2015-01-06 W. L. Gore & Assoc. Inc. Stent having adjacent elements connected by flexible webs
JP2011510796A (en) * 2008-02-05 2011-04-07 シルク・ロード・メディカル・インコーポレイテッドSilk Road Medical, Inc. Interventional catheter system and method
US8915951B2 (en) * 2008-02-11 2014-12-23 Boston Scientific Scimed, Inc. Self-expandable stent with a constrictive coating and method of use
US9101503B2 (en) 2008-03-06 2015-08-11 J.W. Medical Systems Ltd. Apparatus having variable strut length and methods of use
US8414638B2 (en) * 2008-03-12 2013-04-09 Abbott Cardiovascular Systems Inc. Method for fabricating a polymer stent with break-away links for enhanced stent retenton
US7998192B2 (en) 2008-05-09 2011-08-16 Boston Scientific Scimed, Inc. Endoprostheses
US9687370B2 (en) * 2008-05-09 2017-06-27 C.R. Bard, Inc. Method of loading a stent into a sheath
US8236046B2 (en) 2008-06-10 2012-08-07 Boston Scientific Scimed, Inc. Bioerodible endoprosthesis
US9750625B2 (en) * 2008-06-11 2017-09-05 C.R. Bard, Inc. Catheter delivery device
US7985252B2 (en) 2008-07-30 2011-07-26 Boston Scientific Scimed, Inc. Bioerodible endoprosthesis
GB0815339D0 (en) * 2008-08-21 2008-10-01 Angiomed Ag Method of loading a stent into a sheath
US8133199B2 (en) 2008-08-27 2012-03-13 Boston Scientific Scimed, Inc. Electroactive polymer activation system for a medical device
KR20110056539A (en) * 2008-09-10 2011-05-30 이브이쓰리 인크. Stents and catheters having improved stent deployment
US8382824B2 (en) 2008-10-03 2013-02-26 Boston Scientific Scimed, Inc. Medical implant having NANO-crystal grains with barrier layers of metal nitrides or fluorides
US8267992B2 (en) 2009-03-02 2012-09-18 Boston Scientific Scimed, Inc. Self-buffering medical implants
US10206813B2 (en) 2009-05-18 2019-02-19 Dose Medical Corporation Implants with controlled drug delivery features and methods of using same
CA2762536C (en) * 2009-05-18 2019-05-21 Dose Medical Corporation Drug eluting ocular implant
WO2010141752A1 (en) * 2009-06-03 2010-12-09 Silk Road Medical, Inc. System and methods for controlling retrograde carotid arterial blood flow
US20110046709A1 (en) * 2009-08-18 2011-02-24 Abbott Cardiovascular Systems, Inc. Methods for implanting a stent using a guide catheter
US20110218613A1 (en) * 2009-09-10 2011-09-08 Novostent Corporation Vascular Prosthesis Assembly with Retention Mechanism and Method
GB0921236D0 (en) 2009-12-03 2010-01-20 Angiomed Ag Stent device delivery system and method of making such
GB0921238D0 (en) 2009-12-03 2010-01-20 Angiomed Ag Stent device delivery system and method of making such
GB0921237D0 (en) 2009-12-03 2010-01-20 Angiomed Ag Stent device delivery system and method of making such
GB0921240D0 (en) 2009-12-03 2010-01-20 Angiomed Ag Stent device delivery system and method of making such
US8668732B2 (en) 2010-03-23 2014-03-11 Boston Scientific Scimed, Inc. Surface treated bioerodible metal endoprostheses
US20130297002A1 (en) * 2010-07-20 2013-11-07 Kyoto Medical Planning Co., Ltd. Stent apparatus
US8965482B2 (en) 2010-09-30 2015-02-24 Nevro Corporation Systems and methods for positioning implanted devices in a patient
US8805519B2 (en) 2010-09-30 2014-08-12 Nevro Corporation Systems and methods for detecting intrathecal penetration
WO2012071476A2 (en) 2010-11-24 2012-05-31 David Haffner Drug eluting ocular implant
FR2970864B1 (en) * 2011-02-01 2015-01-02 Stentys issuance of a stent system
US10245178B1 (en) 2011-06-07 2019-04-02 Glaukos Corporation Anterior chamber drug-eluting ocular implant
US8852257B2 (en) 2011-06-21 2014-10-07 Abbott Cardiovascular Systems Inc. Sheaths used with polymer scaffold
US10016579B2 (en) * 2011-06-23 2018-07-10 W.L. Gore & Associates, Inc. Controllable inflation profile balloon cover apparatus
US20130116754A1 (en) * 2011-11-08 2013-05-09 Vivek Sharma Medical device contact assemblies for use with implantable leads, and associated systems and methods
US10028854B2 (en) 2012-02-02 2018-07-24 Covidien Lp Stent retaining systems
EP2830553B1 (en) 2012-03-26 2017-12-27 Glaukos Corporation Apparatus for delivering multiple ocular implants
US9072590B2 (en) 2012-12-07 2015-07-07 Abbott Cardiovascular Systems Inc. Sheaths reducing recoil and loss of retention for polymer scaffolds crimped to balloons
US9308022B2 (en) 2012-12-10 2016-04-12 Nevro Corporation Lead insertion devices and associated systems and methods
US9592151B2 (en) 2013-03-15 2017-03-14 Glaukos Corporation Systems and methods for delivering an ocular implant to the suprachoroidal space within an eye
EP2799036A1 (en) * 2013-04-02 2014-11-05 Biotronik AG Intraluminal endoprosthesis and method for production thereof
US9788983B2 (en) 2013-06-21 2017-10-17 Abbott Cardiovascular Systems Inc. Removable sheath assembly for a polymer scaffold
US9675483B2 (en) 2013-06-21 2017-06-13 Abbott Cardiovascular Systems Inc. Protective sheath assembly for a polymer scaffold
US9265935B2 (en) 2013-06-28 2016-02-23 Nevro Corporation Neurological stimulation lead anchors and associated systems and methods
CN108814768A (en) * 2013-07-22 2018-11-16 阿特利姆医疗公司 Graft with expandable region and methods of making and using the same
US10098771B2 (en) 2013-09-25 2018-10-16 Abbott Cardiovascular Systems Inc. Clip sheath for a polymer scaffold
US9913958B2 (en) 2014-02-28 2018-03-13 Abbott Cardiovascular Systems Inc. Protective sheaths for medical devices
US9364361B2 (en) 2014-03-13 2016-06-14 Abbott Cardiovascular Systems Inc. Striped sheaths for medical devices
US20160045302A1 (en) * 2014-05-16 2016-02-18 Terumo Kabushiki Kaisha Method and apparatus for treating urethral stricture
US10299948B2 (en) 2014-11-26 2019-05-28 W. L. Gore & Associates, Inc. Balloon expandable endoprosthesis
US9789321B2 (en) 2015-04-03 2017-10-17 Nevro Corp. Couplings for implanted leads and external stimulators, and associated systems and methods
USD846738S1 (en) 2017-10-27 2019-04-23 Glaukos Corporation Implant delivery apparatus

Citations (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5234457A (en) * 1991-10-09 1993-08-10 Boston Scientific Corporation Impregnated stent
US5405378A (en) * 1992-05-20 1995-04-11 Strecker; Ernst P. Device with a prosthesis implantable in the body of a patient
US5534007A (en) * 1995-05-18 1996-07-09 Scimed Life Systems, Inc. Stent deployment catheter with collapsible sheath
US5549635A (en) * 1994-01-24 1996-08-27 Solar, Rita & Gaterud, Ltd. Non-deformable self-expanding parallel flow endovascular stent and deployment apparatus therefore
US5735859A (en) * 1997-02-14 1998-04-07 Cathco, Inc. Distally attachable and releasable sheath for a stent delivery system
US5772669A (en) * 1996-09-27 1998-06-30 Scimed Life Systems, Inc. Stent deployment catheter with retractable sheath
US5830217A (en) * 1996-08-09 1998-11-03 Thomas J. Fogarty Soluble fixation device and method for stent delivery catheters
US5843158A (en) * 1996-01-05 1998-12-01 Medtronic, Inc. Limited expansion endoluminal prostheses and methods for their use
US5899935A (en) * 1997-08-04 1999-05-04 Schneider (Usa) Inc. Balloon expandable braided stent with restraint
US5928258A (en) * 1997-09-26 1999-07-27 Corvita Corporation Method and apparatus for loading a stent or stent-graft into a delivery sheath
US6036702A (en) * 1997-04-23 2000-03-14 Vascular Science Inc. Medical grafting connectors and fasteners
US6086610A (en) * 1996-10-22 2000-07-11 Nitinol Devices & Components Composite self expanding stent device having a restraining element
US6126685A (en) * 1994-06-08 2000-10-03 Medtronic, Inc. Apparatus and methods for placement and repositioning of intraluminal prostheses
US6143016A (en) * 1997-04-21 2000-11-07 Advanced Cardiovascular Systems, Inc. Sheath and method of use for a stent delivery system
US6290722B1 (en) * 2000-03-13 2001-09-18 Endovascular Technologies, Inc. Tacky attachment method of covered materials on stents
US6336937B1 (en) * 1998-12-09 2002-01-08 Gore Enterprise Holdings, Inc. Multi-stage expandable stent-graft
US6350277B1 (en) * 1999-01-15 2002-02-26 Scimed Life Systems, Inc. Stents with temporary retaining bands
US20020138129A1 (en) * 1999-01-22 2002-09-26 Armstrong Joseph R. Method of producing low profile stent and graft combination
US20020143381A1 (en) * 2001-03-27 2002-10-03 Scimed Life Systems, Inc. Stent with controlled expansion
US6663664B1 (en) * 2000-10-26 2003-12-16 Advanced Cardiovascular Systems, Inc. Self-expanding stent with time variable radial force
US6878161B2 (en) * 1996-01-05 2005-04-12 Medtronic Vascular, Inc. Stent graft loading and deployment device and method
US6899727B2 (en) * 2001-01-22 2005-05-31 Gore Enterprise Holdings, Inc. Deployment system for intraluminal devices

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5957974A (en) * 1997-01-23 1999-09-28 Schneider (Usa) Inc Stent graft with braided polymeric sleeve
DE69935716T2 (en) * 1998-05-05 2007-08-16 Boston Scientific Ltd., St. Michael Stent with smooth end

Patent Citations (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5234457A (en) * 1991-10-09 1993-08-10 Boston Scientific Corporation Impregnated stent
US5405378A (en) * 1992-05-20 1995-04-11 Strecker; Ernst P. Device with a prosthesis implantable in the body of a patient
US5549635A (en) * 1994-01-24 1996-08-27 Solar, Rita & Gaterud, Ltd. Non-deformable self-expanding parallel flow endovascular stent and deployment apparatus therefore
US6126685A (en) * 1994-06-08 2000-10-03 Medtronic, Inc. Apparatus and methods for placement and repositioning of intraluminal prostheses
US5534007A (en) * 1995-05-18 1996-07-09 Scimed Life Systems, Inc. Stent deployment catheter with collapsible sheath
US6878161B2 (en) * 1996-01-05 2005-04-12 Medtronic Vascular, Inc. Stent graft loading and deployment device and method
US5843158A (en) * 1996-01-05 1998-12-01 Medtronic, Inc. Limited expansion endoluminal prostheses and methods for their use
US5830217A (en) * 1996-08-09 1998-11-03 Thomas J. Fogarty Soluble fixation device and method for stent delivery catheters
US5772669A (en) * 1996-09-27 1998-06-30 Scimed Life Systems, Inc. Stent deployment catheter with retractable sheath
US6086610A (en) * 1996-10-22 2000-07-11 Nitinol Devices & Components Composite self expanding stent device having a restraining element
US5735859A (en) * 1997-02-14 1998-04-07 Cathco, Inc. Distally attachable and releasable sheath for a stent delivery system
US6143016A (en) * 1997-04-21 2000-11-07 Advanced Cardiovascular Systems, Inc. Sheath and method of use for a stent delivery system
US6036702A (en) * 1997-04-23 2000-03-14 Vascular Science Inc. Medical grafting connectors and fasteners
US5899935A (en) * 1997-08-04 1999-05-04 Schneider (Usa) Inc. Balloon expandable braided stent with restraint
US5928258A (en) * 1997-09-26 1999-07-27 Corvita Corporation Method and apparatus for loading a stent or stent-graft into a delivery sheath
US6336937B1 (en) * 1998-12-09 2002-01-08 Gore Enterprise Holdings, Inc. Multi-stage expandable stent-graft
US6350277B1 (en) * 1999-01-15 2002-02-26 Scimed Life Systems, Inc. Stents with temporary retaining bands
US20020138129A1 (en) * 1999-01-22 2002-09-26 Armstrong Joseph R. Method of producing low profile stent and graft combination
US6290722B1 (en) * 2000-03-13 2001-09-18 Endovascular Technologies, Inc. Tacky attachment method of covered materials on stents
US6663664B1 (en) * 2000-10-26 2003-12-16 Advanced Cardiovascular Systems, Inc. Self-expanding stent with time variable radial force
US6899727B2 (en) * 2001-01-22 2005-05-31 Gore Enterprise Holdings, Inc. Deployment system for intraluminal devices
US20020143381A1 (en) * 2001-03-27 2002-10-03 Scimed Life Systems, Inc. Stent with controlled expansion
US6878160B2 (en) * 2001-03-27 2005-04-12 Scimed Life Systems, Inc. Stent with controlled expansion

Cited By (33)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8257432B2 (en) 2003-04-14 2012-09-04 Tryton Medical, Inc. Vascular bifurcation prosthesis with at least one frond
US20070203571A1 (en) * 2003-04-14 2007-08-30 Tryton Medical, Inc. Prosthesis for treating vascular bifurcations
US20070276460A1 (en) * 2003-04-14 2007-11-29 Davis H R Helical ostium support for treating vascular bifurcations
US9775728B2 (en) 2003-04-14 2017-10-03 Tryton Medical, Inc. Vascular bifurcation prosthesis
US8876884B2 (en) 2003-04-14 2014-11-04 Tryton Medical, Inc. Prosthesis and deployment catheter for treating vascular bifurcations
US7731747B2 (en) 2003-04-14 2010-06-08 Tryton Medical, Inc. Vascular bifurcation prosthesis with multiple thin fronds
US7758630B2 (en) 2003-04-14 2010-07-20 Tryton Medical, Inc. Helical ostium support for treating vascular bifurcations
US8672994B2 (en) 2003-04-14 2014-03-18 Tryton Medical, Inc. Prosthesis for treating vascular bifurcations
US8641751B2 (en) 2003-04-14 2014-02-04 Tryton Medical, Inc. Vascular bifurcation prosthesis with multiple linked thin fronds
US7972372B2 (en) 2003-04-14 2011-07-05 Tryton Medical, Inc. Kit for treating vascular bifurcations
US8641755B2 (en) 2003-04-14 2014-02-04 Tryton Medical, Inc. Prosthesis for treating vascular bifurcations
US8083791B2 (en) 2003-04-14 2011-12-27 Tryton Medical, Inc. Method of treating a lumenal bifurcation
US8109987B2 (en) 2003-04-14 2012-02-07 Tryton Medical, Inc. Method of treating a lumenal bifurcation
US8187314B2 (en) 2003-04-14 2012-05-29 Tryton Medical, Inc. Prothesis and deployment catheter for treating vascular bifurcations
US8529618B2 (en) 2003-04-14 2013-09-10 Tryton Medical, Inc. Ostium support for treating vascular bifurcations
US20060116748A1 (en) * 2003-04-14 2006-06-01 Aaron Kaplan Stepped balloon catheter for treating vascular bifurcations
US7972369B2 (en) 2004-10-13 2011-07-05 Tryton Medical, Inc. Method for delivering a luminal prosthesis
US20080015678A1 (en) * 2004-10-13 2008-01-17 Tryton Medical, Inc. Prosthesis for placement at a luminal os
US8926685B2 (en) 2004-10-13 2015-01-06 Tryton Medical, Inc. Prosthesis for placement at a luminal OS
US8252038B2 (en) * 2004-10-13 2012-08-28 Tryton Medical, Inc. System for delivering a prosthesis to a luminal OS
US20090018635A1 (en) * 2007-07-10 2009-01-15 Boston Scientific Scimed, Inc. Stent protector
US20100204770A1 (en) * 2009-02-10 2010-08-12 Medtronic Vascular, Inc. Stent Delivery System Permitting in Vivo Stent Repositioning
US20100234934A1 (en) * 2009-03-10 2010-09-16 Medtronic Vascular, Inc. Balloon Deployable Coronary Stent
US8382818B2 (en) 2009-07-02 2013-02-26 Tryton Medical, Inc. Ostium support for treating vascular bifurcations
US9149373B2 (en) 2009-07-02 2015-10-06 Tryton Medical, Inc. Method of treating vascular bifurcations
US8366763B2 (en) 2009-07-02 2013-02-05 Tryton Medical, Inc. Ostium support for treating vascular bifurcations
US10111767B2 (en) 2010-10-29 2018-10-30 Abbott Cardiovascular Systems Inc. Sheaths used in polymer scaffold delivery systems
US9707108B2 (en) 2010-11-24 2017-07-18 Tryton Medical, Inc. Support for treating vascular bifurcations
WO2012078769A1 (en) * 2010-12-07 2012-06-14 Northeastern University Microvascular anastomotic coupler and methods of using the same
US10232147B2 (en) 2011-05-27 2019-03-19 Abbott Cardiovascular Systems Inc. Method for assembling a scaffold-balloon catheter
US9956103B2 (en) 2013-03-11 2018-05-01 DePuy Synthes Products, Inc. Stent delivery system and method
US10172734B2 (en) 2013-03-13 2019-01-08 DePuy Synthes Products, Inc. Capture tube mechanism for delivering and releasing a stent
WO2017004209A1 (en) * 2015-06-29 2017-01-05 480 Biomedical, Inc. Scaffold loading and delivery systems

Also Published As

Publication number Publication date
US20020052640A1 (en) 2002-05-02
US6629992B2 (en) 2003-10-07

Similar Documents

Publication Publication Date Title
EP1357969B2 (en) Stent implantation device with fluid delivery
US6241758B1 (en) Self-expanding stent delivery system and method of use
US6494875B1 (en) Bifurcated catheter assembly
US7037327B2 (en) Stent with self-expanding end sections
CA2198530C (en) Self-expanding stent delivery system
US7582111B2 (en) Steep-taper flared stents and apparatus and methods for delivering them
US6383171B1 (en) Methods and devices for protecting a passageway in a body when advancing devices through the passageway
US6375676B1 (en) Self-expanding stent with enhanced delivery precision and stent delivery system
EP1017335B1 (en) Non-thrombogenic stent jacket
US9539092B2 (en) Heart valve delivery system with valve catheter
US7241308B2 (en) Stent deployment systems and methods
EP0935447B1 (en) Disposable delivery device for endoluminal prostheses
CA2265123C (en) A delivery apparatus for a self-expanding stent
JP4330805B2 (en) System and methods of use thereof for removably attaching the stent to the catheter assembly
US8632579B2 (en) Bifurcated stent and delivery system
US5456667A (en) Temporary stenting catheter with one-piece expandable segment
EP0965311B1 (en) Apparatus for treating stenoses at bifurcated regions
US6945989B1 (en) Apparatus for delivering endoluminal prostheses and methods of making and using them
US6330884B1 (en) Deformable scaffolding multicellular stent
US6676693B1 (en) Apparatus and method for delivering a self-expanding stent
US7799064B2 (en) Bifurcated stent and delivery system
US6068634A (en) Stent delivery system
US6802849B2 (en) Stent delivery system
US8142487B2 (en) Balloon catheter for multiple adjustable stent deployment
EP0221570B2 (en) Expandable intraluminal graft, and apparatus for implanting an expandable intraluminal graft

Legal Events

Date Code Title Description
STCB Information on status: application discontinuation

Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION