Coupling units for medical device delivery systems

Patent metadata

Field	Value
Publication number	US-10945867-B2
Application number	US-201916459118-A
Country	US
Kind code	B2
Filing date	Jul 1, 2019
Priority date	Jan 19, 2017
Publication date	Mar 16, 2021
Grant date	Mar 16, 2021

Abstract

A stent coupler for use with a medical device delivery system is disclosed. A stent delivery system includes a core member having a distal segment and a coupler positioned about the core member distal segment. the coupler is rotatably coupled to the core member and includes a rigid plate having a first end surface, a second end surface, and a side surface extending between the first and second end surfaces, the side surface comprising one or more projections separated by recesses. The delivery system further includes a stent extending along the core member distal segment such that an inner surface of the stent is engaged by the one or more projections of the engagement member.

First claim

We claim:

1. A stent delivery system, comprising:
a core member having a distal segment;
a coupling unit positioned about the core member distal segment, the coupling unit comprising:
a proximal restraint coupled to the core member distal segment;
a distal restraint coupled to the core member distal segment at a position distal to the proximal restraint;
two or more plates slidably coupled to the core member distal segment between the proximal restraint and the distal restraint; and
one or more spacers coupled to the core member distal segment between the proximal restraint and the distal restraint,
wherein the proximal restraint and the distal restraint are spaced apart along the core member by a longitudinal distance that is greater than the combined length of the two or more plates and the one or more spacers coupled to the core member distal segment between the proximal restraint and the distal restraint; and

a stent extending along the core member distal segment such that an inner surface of the stent is engaged by at least one of the plates.

2. The stent delivery system of claim 1 , wherein the longitudinal distance is such that plates can slide longitudinally along the core member distal segment with respect to the proximal and distal restraints.

3. The stent delivery system of claim 1 , wherein the one or more spacers comprises a spacer disposed between two plates.

4. The stent delivery system of claim 1 , wherein:
the two or more plates comprise first, second, and third plates,
the one or more spacers comprise first and second spacers, and
the first spacer is disposed between the first and second plates and the second spacer is disposed between the second and third plates.

5. The stent delivery system of claim 4 , wherein the proximal restraint and the distal restraint are spaced apart along the core member by a longitudinal distance that is greater than the combined length of the first, second, and third plates and the first and second spacers.

6. The stent delivery system of claim 1 , wherein at least one projection of the two or more plates is interlocked with the stent such that the projection is at least partially received within a pore of the stent.

7. The stent delivery system of claim 1 , wherein the two or more plates are spaced apart from one another by a distance corresponding to a distance between centers of longitudinally adjacent pores of the stent.

8. A stent delivery system, comprising:
a catheter having a lumen and an inner surface extending along the lumen;
a core member, extending within the catheter lumen;
first and second couplers slidably mounted to the core member, each of the first and second couplers comprising:
a first end surface, a second end surface, and a side surface extending between the first end surface and the second end surface; and
an aperture extending through the first and second end surfaces, the core member and extending through the aperture, the aperture defining a radial gap between an outer surface of the core member and an inner surface of the coupler;

one or more spacers mounted on the core member;
a proximal restraint mounted on the core member at a position proximal to the first coupler, the second coupler, and the one or more spacers;
a distal restraint mounted on the core member at a position distal to the first coupler, the second coupler, and the one or more spacers, the distal restraint spaced apart from the proximal restraint by a longitudinal distance greater than the combined length of the first and second couplers and the one or more spacers; and
a stent extending along the core member and disposed radially between the catheter inner surface and the first and second couplers.

9. The stent delivery system of claim 8 , wherein the stent comprises a mesh forming a plurality of pores, and wherein the first and second couplers are spaced apart from one another by a distance corresponding to a distance between centers of longitudinally adjacent pores of the stent.

10. The stent delivery system of claim 8 , wherein a radially outermost dimension of the spacer is smaller than a radially outermost dimension of the first coupler and the second coupler.

11. The stent delivery system of claim 8 , wherein the one or more spacers are fixed with respect to the core member.

12. The stent delivery system of claim 8 , wherein the one or more spacers comprises a spacer disposed between the first coupler and the second coupler.

13. The stent delivery system of claim 8 , further comprising a third coupler slidably mounted to the core member, wherein:
the one or more spacers comprise first and second spacers, and
the first spacer is disposed between the first and second couplers and the second spacer is disposed between the second and third couplers.

14. The stent delivery system of claim 8 , wherein a side surface of the first coupler and a side surface of the second coupler each comprise one or more projections separated by recesses.

15. An assembly configured to engage a stent, comprising:
a core member;
a proximal restraint mounted on the core member;
a distal restraint mounted on the core member at a position distal the proximal restraint;
a first coupler slidably coupled to the core member between the proximal restraint and the distal restraint;
a second coupler slidably coupled to the core member at a position between the proximal restraint and the distal restraint; and
one or more spacers coupled to the core member at a position between the proximal restraint and the distal restraint,
wherein the proximal and distal restraints are spaced apart along the core member by a longitudinal distance that is greater than a combined length of the first and second couplers and the one or more spacers.

16. The assembly of claim 15 , wherein a radially outermost dimension of the spacer is smaller than a radially outermost dimension of the first coupler and the second coupler.

17. The assembly of claim 15 , wherein the one or more spacers comprises a spacer disposed between the first couplers and the second coupler.

18. The assembly of claim 15 , wherein the first coupler and the second coupler each comprise:
a first end surface, a second end surface, and a side surface comprising one or more projections extending between the first end surface and the second end surface; and
an aperture extending through the first and second end surfaces, the core member extending through the aperture, the aperture defining a radial gap between an outer surface of the core member and an inner surface of the coupler.

19. The assembly of claim 18 , wherein the projections comprise rounded edges.

20. The assembly of claim 15 , wherein the one or more spacers comprises a spacer disposed between first and second couplers.

21. The assembly of claim 15 , further comprising a third coupler slidably mounted to the core member, wherein:
the one or more spacers comprise first and second spacers, and
the first spacer is disposed between the first and second couplers and the second spacer is disposed between the second and third couplers.

22. The assembly of claim 21 , wherein the proximal restraint and the distal restraint are spaced apart along the core member by a longitudinal distance that is greater than the combined length of the first, second, and third couplers and the first and second spacers.

Assignees

• Covidien Lp

Inventors

• Nageswaran Ashok
• Dang Cong
• Barrett Aaron
• Phan James

Classifications

• A61F2230/0069

  cylindrical · CPC title

• A61F2002/9665

  with additional retaining means · CPC title

• A61F2002/9505

  having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument · CPC title

• A61F2002/823

  Stents, different from stent-grafts, adapted to cover an aneurysm · CPC title

• A61F2/9662 Primary

  the middle portion of the stent or stent-graft is released first · CPC title