Methods and devices for locking a stent frame to a delivery device

Patent metadata

Field	Value
Publication number	US-10813755-B2
Application number	US-201815964455-A
Country	US
Kind code	B2
Filing date	Apr 27, 2018
Priority date	Apr 27, 2017
Publication date	Oct 27, 2020
Grant date	Oct 27, 2020

Abstract

The disclosure relates to transcatheter stented prosthesis delivery devices including transition elements that route, constrain, support and reduce damage to tension member wear as tension in the tension members is varied to adjust the compression of a stented prosthesis loaded onto the delivery device. Various disclosed tension elements include inserts, edge treatments and guides proximate a distal portion of the delivery device upon which the stented prosthesis is loaded. In some embodiments, the transition feature is positioned proximate a location where at least one tension member transitions from a first orientation that is not parallel to the distal portion to a second orientation that is generally parallel to the distal portion. Further embodiments disclose configurations and methods of selectively locking and unlocking a longitudinal and/or rotational position of the stent frame with respect to the distal portion of the delivery device.

First claim

What is claimed is:

1. A combination of a stented prosthesis loaded to a delivery device; the combination comprising:
a stented prosthesis including a stent frame having a compressed arrangement and an expanded arrangement; wherein the stent frame includes a distal end and a proximal end and an aperture provided at the distal end;
a delivery device including a distal portion on which the stented prosthesis is loaded; the delivery device includes a release member extending along the distal portion; and
a lock member threaded through the aperture and engaged with the release member; wherein the lock member restricts longitudinal and rotational movement of the stent frame with respect to the distal portion when the stent frame is in both of the compressed arrangement and the expanded arrangement until release of the lock member from the release member; wherein the distal portion includes a boss through which the release member is slidably positioned; wherein the lock member is threaded through the boss.

2. The combination of claim 1 , wherein the lock member is wrapped around the release member.

3. The combination of claim 1 , wherein the release member is selected from the group consisting of an elongate release pin and an elongate flexible member.

4. The combination of claim 1 , wherein the boss is arranged orthogonal to the distal portion.

5. The combination of claim 1 , wherein the lock member is threaded around the release member.

6. The combination of claim 1 , wherein the lock member is a flexible loop of material.

7. The combination of claim 1 , wherein the lock member is threaded through the distal portion.

8. The combination of claim 1 , further comprising a plurality of elongate tension members wrapped around a circumference of the stent frame to secure the stented prosthesis to the distal portion.

9. The combination of claim 8 , wherein one transition element having a rounded surface is provided proximate each of the tension members at a location where each of the plurality of tension members changes direction.

10. A method comprising:
providing a combination including:
a stented prosthesis including a stent frame having a compressed arrangement and an expanded arrangement; wherein the stent frame includes a distal end and a proximal end and an aperture provided at the distal end;
providing a delivery device including a distal portion; the delivery device further including a release member extending along the distal portion; and a lock member threaded through the aperture;

locking the longitudinal and rotational position of the stent frame with respect to the distal portion with the lock member while the stent frame is in an expanded arrangement;
compressing the stent frame into the compressed arrangement; delivering the stented prosthesis to a target site; and
disengaging the release member from the lock member to unlock the lock member so that the stent frame can move longitudinally and rotationally with respect to the distal portion in the compressed arrangement; wherein the distal portion includes a boss through which the release member is slidably positioned; wherein the lock member is threaded through the boss.

11. The method of claim 10 , transitioning the stent frame from the compressed arrangement to the expanded arrangement.

12. The method of claim 11 , wherein a plurality of tension members compress the stented prosthesis during the step of delivering the stented prosthesis and the step of expanding the stented prosthesis includes releasing tension in the plurality of tension members.

13. The method of claim 12 , wherein one transition element having a rounded surface is provided proximate each of the tension members at a location where each of the plurality of tension members changes direction.

14. The method of claim 13 , wherein the transition element forms a lumen exterior to the distal portion.

15. The method of claim 10 , wherein the boss is arranged orthogonal to the distal portion.

16. The method of claim 10 , wherein the lock member is wrapped around the release member during the step of delivering the stented prosthesis to the target site.

17. A method comprising:
providing a combination including:
a stented prosthesis including a stent frame having a compressed arrangement and an expanded arrangement; wherein the stent frame includes a distal end and a proximal end and an aperture provided at the distal end;
providing a delivery device including a distal portion; the delivery device further including a release member extending along the distal portion; and a lock member threaded through the aperture;

locking the longitudinal and rotational position of the stent frame with respect to the distal portion with the lock member while the stent frame is in an expanded arrangement;
compressing the stent frame into the compressed arrangement; delivering the stented prosthesis to a target site; and
disengaging the release member from the lock member to unlock the lock member so that the stent frame can move longitudinally and rotationally with respect to the distal portion in the compressed arrangement; wherein the lock member is a flexible loop of material.

18. A method comprising:
providing a combination including:
a stented prosthesis including a stent frame having a compressed arrangement and an expanded arrangement; wherein the stent frame includes a distal end and a proximal end and an aperture provided at the distal end;
providing a delivery device including a distal portion; the delivery device further including a release member extending along the distal portion; and a lock member threaded through the aperture;

locking the longitudinal and rotational position of the stent frame with respect to the distal portion with the lock member while the stent frame is in an expanded arrangement;
compressing the stent frame into the compressed arrangement; delivering the stented prosthesis to a target site; and
disengaging the release member from the lock member to unlock the lock member so that the stent frame can move longitudinally and rotationally with respect to the distal portion in the compressed arrangement; wherein the lock member is threaded through the distal portion.

Assignees

• Medtronic Inc

Inventors

• Gloss Michael
• Griffin Patrick
• Rothstein Paul
• Sandstrom Jeffrey
• Vaughan Brendan
• Montgomery Stephen
• Mcguinn Alan

Classifications

• A61F2/2439 Primary

  Expansion controlled by filaments · CPC title

• A61F2/2418

  Scaffolds therefor, e.g. support stents · CPC title

• A61F2002/9511

  the retaining means being filaments or wires · CPC title

• A61F2/95

  Instruments specially adapted for placement or removal of stents or stent-grafts · CPC title

• A61F2/2436 Primary

  Deployment by retracting a sheath · CPC title