Rivet Shunt And Method Of Deployment
US-2024390656-A1 · Nov 28, 2024 · US
US9642729B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-9642729-B2 |
| Application number | US-201514700028-A |
| Country | US |
| Kind code | B2 |
| Filing date | Apr 29, 2015 |
| Priority date | Aug 23, 2010 |
| Publication date | May 9, 2017 |
| Grant date | May 9, 2017 |
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A medical device includes a polymer scaffold crimped to a catheter having an expansion balloon. The scaffold is crimped to the catheter by a multi-step process for increasing scaffold-catheter yield following a crimping sequence. Damage reduction during a crimping sequence includes modifying blades of a crimper, adopting a multi-step crimping sequence, and inflating a supporting balloon to support the scaffold during crimping.
Opening claim text (preview).
What is claimed is: 1. A method, comprising: providing a scaffold including struts; providing a crimping assembly for crimping the scaffold from a first diameter to a second diameter, the crimping assembly including a plurality of movable blades, each blade having a first side and a second side converging to form a tip, the tips being arranged to collectively form an iris, the iris defining a crimp aperture about which the movable blades are disposed; providing a polymer coating on the blade tips to soften leading edges of the tips; supporting the scaffold within the iris using an inflated balloon, wherein the balloon applies a stabilizing pressure to a strut displacing out of plane or twisting due to uneven crimping forces being applied to the strut or near the strut; and displacing the plurality of movable blades from the first diameter to the second diameter wherein the polymer coated blade tips press into surfaces of the scaffold struts to thereby reduce a diameter of the scaffold. 2. The method of claim 1 wherein the scaffold is brought to a crimping temperature by heat convection and radiation from metal blades, and wherein the polymer coating is applied such that heat convection and/or radiation from a metal blade to the scaffold is not substantially impaired by the coating on the blade. 3. The method of claim 2 wherein a polymer coating is applied only near the leading edge of a blade. 4. The method of claim 1 wherein the tip has a first thickness at the leading edge and a second thickness adjacent the leading edge, the first thickness being greater than the second thickness. 5. The method of claim 1 wherein the leading edge has a radius of curvature with the center of the circle being offset from a line bisecting the converging surfaces of a wedge shape describing a general shape of the blade. 6. The method of claim 1 , wherein a balloon pressure is adjusted as the scaffold diameter is reduced. 7. The method of claim 1 , wherein the scaffold is removed from the iris and rotated about its rotational axis after the blades have been reduced from the first diameter and before the blades have reached the second diameter. 8. The method of claim 1 , wherein the scaffold, prior to being supported within the iris, has a pattern of rings and links connecting adjacent pairs of rings, wherein the rings comprise the struts, and a cell having a W-shape is formed by a pair of adjacent rings and two links connecting the adjacent pair of rings. 9. The method of claim 1 , wherein the scaffold, prior to being supported within the iris, has a pattern of rings and links connecting adjacent pairs of rings, wherein the rings comprise the struts, and wherein the rings form diamond-like cells. 10. The method of claim 1 , wherein there is no sheath covering the scaffold while the scaffold is within the iris. 11. The method of claim 1 , wherein while the scaffold is supported within the iris, further including the step of maintaining the blades at the second diameter for a dwell period having a duration of between 30 seconds and 150 seconds. 12. A method, comprising: providing a scaffold comprising struts made from a polymer having a glass transition temperature (Tg); providing a crimping assembly for crimping the scaffold from a first diameter to a second diameter, the crimping assembly including a plurality of movable blades, wherein each blade has a first side and a second side converging to form a tip, each blade has a polymer disposed thereon, and the tips are being arranged to collectively form an iris, the iris defining a crimp aperture about which the movable blades are disposed; supporting the scaffold within the iris; and displacing the plurality of movable blades from the first diameter to the second diameter wherein polymer blade surfaces press into surfaces of the scaffold struts to thereby reduce a diameter of the scaffold, wherein the scaffold has a temperature of between Tg and 15 degrees below Tg while the blades are reduced from the first diameter to the second diameter; and removing the scaffold from the iris after the scaffold diameter is reduced, whereupon the scaffold is placed within a sheath to limit recoil of the scaffold. 13. The method of claim 12 , wherein the scaffold is removed from the iris and rotated about its rotational axis after the blades have been reduced from the first diameter and before the blades have reached the second diameter. 14. The method of claim 12 , wherein the scaffold, prior to being supported within the iris, has a pattern of rings and links connecting adjacent pairs of rings, wherein the rings comprise the struts, and a cell having a W-shape is formed by a pair of adjacent rings and two links connecting the adjacent pair of rings. 15. The method of claim 12 , wherein the scaffold, prior to being supported within the iris, has a pattern of rings and links connecting adjacent pairs of rings, wherein the rings comprise the struts, and wherein the rings form diamond-like cells. 16. The method of claim 12 , wherein there is no sheath covering the scaffold while the scaffold is within the iris. 17. The method of claim 12 , wherein while the scaffold is supported within the iris, further including the step of maintaining the blades at the second diameter for a dwell period having a duration of between 30 seconds and 150 seconds.
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