Delivery system for implantable medical device

Patent metadata

Field	Value
Publication number	US-10463519-B2
Application number	US-201514681271-A
Country	US
Kind code	B2
Filing date	Apr 8, 2015
Priority date	Apr 9, 2014
Publication date	Nov 5, 2019
Grant date	Nov 5, 2019

Abstract

A delivery system includes an inflatable delivery balloon formed with a plurality of constraining elements which create constrained regions in a body portion of the balloon, interposed between unconstrained regions. The constrained regions create recesses for receiving a medical device or part of a medical device. The constraining elements are preferably formed by woven or braided material, advantageously embedded within the wall of the inflatable balloon. The constraining elements provide a structure that will not flatten upon inflation of the balloon and also a structure which can readily be folded or wrapped for endoluminal delivery purposes, and which retains flexibility of the delivery device.

First claim

The invention claimed is:

1. An endoluminal delivery device including:
a catheter unit;
a delivery balloon mounted on the catheter unit, the balloon including a body portion and first and second end portions coupled to the catheter unit, the body portion providing a circumferential surface; the delivery balloon being inflatable so as to cause the body portion to expand; and
a sleeve formed on or disposed over the circumferential surface of the body portion of the delivery balloon and extending along an entire length thereof, such that the sleeve covers the entire circumferential surface of the body portion of delivery balloon, the sleeve having a structure that includes unconstrained zones and at least one constraining zone, the sleeve acting to radially constrain inflation of the body portion to an inflated, first diameter in the unconstrained zones and to a second diameter in the at least one constraining zone, wherein the second diameter is less than the inflated, first diameter, thereby causing the body portion of the delivery balloon to expand differentially to form at least one annular recess in the circumferential surface of the delivery balloon in the at least one circumferential zone, the at least one annular recess configured to hold at least one ring of a stent comprising one ring or a plurality of rings, wherein the at least one ring of the stent is disposed entirely radially within the at least one constraining zone.

2. The endoluminal delivery device according to claim 1 , wherein the at least one constraining zone in the sleeve is in the form of an annular band disposed circumferentially around the body portion.

3. The endoluminal delivery device according to claim 2 , wherein the at least one constraining zone is made of a first material chosen from the group of a woven, a knitted, and a braided material.

4. The endoluminal delivery device according to claim 1 , comprising a plurality of constraining zones, disposed along the body portion of the delivery balloon.

5. The endoluminal delivery device according to claim 4 , wherein the constraining zones are spaced from one another along the body portion of the balloon.

6. The endoluminal delivery device according to claim 1 , wherein the sleeve includes at least one sleeve portion having a first sleeve diameter, the at least one constraining zone being in the form of an annular section of the sleeve having a second sleeve diameter, the second sleeve diameter being smaller than the first sleeve diameter.

7. The endoluminal delivery device according to claim 6 , wherein the sleeve is in the form of an integral tubular element incorporating the at least one sleeve portion and the at least one constraining zone.

8. The endoluminal delivery device according to claim 7 , wherein the sleeve includes a plurality of constraining zones separated from one another by a said sleeve portion of the first sleeve diameter.

9. The endoluminal delivery device according to claim 6 , wherein the sleeve is made of a woven or braided material, the at least one sleeve portion being woven, knitted or braided to the first sleeve diameter.

10. The endoluminal delivery device according to claim 6 , wherein the sleeve is differentially expandable to provide unconstrained zones expanded to the first sleeve diameter and constraining zones expanded to the second sleeve diameter smaller than the first sleeve diameter.

11. The endoluminal delivery device according to claim 6 , wherein the sleeve portion or sleeve portions of first sleeve diameter and the at least one constraining zone are made from a common material.

12. The endoluminal delivery device according to claim 6 , wherein the sleeve portion or sleeve portions of first sleeve diameter and the at least one constraining zone are made from different materials.

13. The endoluminal delivery device according to claim 1 , wherein the balloon body portion is made from a second material chosen from the group of a non-conformable material, a conformable material, and an elastic material.

14. The endoluminal delivery device according to claim 1 , wherein the balloon body portion is substantially cylindrical.

15. The endoluminal delivery device according to claim 1 , wherein the catheter unit includes a single catheter provided with at least one lumen therein, the catheter including an inflation deflation port disposed between the first and second end portions of the balloon.

16. The endoluminal delivery device according to claim 15 , wherein the single catheter includes a guide wire lumen.

17. An assembly including:
an endoluminal delivery device including:
a catheter unit;
a delivery balloon mounted on the catheter unit, the balloon including a body portion and first and second end portions coupled to the catheter unit, the body portion providing a circumferential surface; the delivery balloon being inflatable so as to cause the body portion to expand;
a sleeve formed on or disposed over the circumferential surface of the body portion, such that the sleeve covers the entire circumferential surface of the body portion of delivery balloon, the sleeve having a structure that includes unconstrained zones and at least one constraining zone, the sleeve acting to radially constrain inflation of the body portion to an inflated, first diameter in the unconstrained zones and to a second diameter in the at least one constraining zone, wherein the second diameter less than the inflated, first diameter, thereby causing the delivery balloon to expand differentially to form at least one annular recess in the surface of the delivery balloon in the at least one circumferential section; and
a medical device comprising at least one stent ring, the medical device disposed on the delivery balloon at the at least one annular recess and entirely radially within the at least one constraining zone,
wherein the difference between the first diameter and the second diameter is about a thickness of the at least one stent ring.

18. The assembly according to claim 17 , wherein the medical device includes a stent structure having at least one stent ring.

19. The assembly according to claim 18 , wherein the medical device includes a plurality of axially spaced stent rings.

20. The assembly according to claim 19 , wherein the axially spaced stent rings are separate from one another.

21. The assembly according to claim 17 , wherein the sleeve coupled to the body portion of the delivery balloon includes a plurality of constraining zones, wherein the sleeve extends along an entire length of the balloon.

22. An endoluminal delivery device including:
a catheter unit;
a delivery balloon mounted on the catheter unit, the balloon including a body portion and first and second end portions coupled to the catheter unit, the body portion providing a circumferential surface; the delivery balloon being inflatable so as to cause the body portion to expand to an inflated, first diameter; and
a sleeve formed on or disposed over the circumferential surface of the body portion and extending along an entire length thereof, such that the sleeve covers the entire circumferential surface of the body portion of delivery balloon, the sleeve having a structure that includes unconstrained zones and a plurality of constraining zones, the sleeve acting to radially constrain inflation of the constraining zones of the body portion to a second diameter less than the inflated, first diameter,
a ring of a stent comprising one ring or a plurality of rings, wherein t

Assignees

• Cook Medical Technologies Llc

Inventors

• Aggerholm Steen
• Lysgaard Thomas

Classifications

• A61F2002/9583

  Means for holding the stent on the balloon, e.g. using protrusions, adhesives or an outer sleeve · CPC title

• A61F2250/0048

  differing in mechanical expandability, e.g. in mechanical, self- or balloon expandability · CPC title

• A61F2/958 Primary

  Inflatable balloons for placing stents or stent-grafts · CPC title

• A61F2230/0069

  cylindrical · CPC title

• A61M25/10 Primary

  Balloon catheters ({A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02;} inflatable balloons for placing stents or stent-grafts A61F2/958 {; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00}) · CPC title