Prosthesis deployment system retention device
View Patent ↗An introducer for an expandable endovascular prosthesis having a self a self-expanding stent includes a proximal prosthesis positioning mechanism that has a retention device to retain the self-expanding stent and a control member to selectively release the retention device from the prosthesis. The retention device includes an opening forming a tapered cavity. The control member includes a plurality of loops coupled to the prosthesis and a trigger wire. The trigger wire passes through a first aperture of the retention device, through the plurality of loops, and through and a second aperture of the retention device to retain the loops.
1. An introducer for an expandable endovascular prosthesis, the introducer comprising:
an expandable prosthesis having a proximal portion, a distal portion, and self-expanding stent extending from the proximal portion;
a distal prosthesis positioning mechanism including a distal retention section and a first control member to selectively release the distal retention section from the prosthesis; and
a proximal prosthesis positioning mechanism including a retention device to retain the self-expanding stent therein and a second control member to selectively release the retention device from the prosthesis;
wherein the retention device comprises a cylindrical body having a cavity, the cavity including an opening at a distal end of the retention device and a surface extending longitudinally therefrom to form the surface of the cavity, the cavity having a first width at the opening and a second width at a longitudinal distance along the surface from the opening, the first width being greater than the second width, where spacing between struts of the self-expanding stent is decreased longitudinally along the surface of the cavity from the opening.
2. The introducer of claim 1 , wherein the cavity surface has a linear cross section.
3. The introducer of claim 1 , wherein the cavity surface has a parabolic cross section.
4. The introducer of claim 1 , wherein the cavity surface has a circular cross section.
5. The introducer of claim 1 , wherein the first width of the cavity is at least five percent greater than the second width.
6. The introducer of claim 1 , wherein the first width of the cavity is at least ten percent greater than the second width.
7. The introducer of claim 1 , further comprising a control arrangement for controlling the length of the prosthesis.
8. The introducer of claim 1 , further comprising a rotational control arrangement by which the relative angular orientation of the proximal and distal portions of the prosthesis can be adjusted, wherein said introducer further comprises a tapered flexible extension extending longitudinally from a proximal end of the retention device.
9. The introducer of claim 1 , wherein the retention device comprises a first side aperture and a second side aperture, and the second control member includes a plurality of loops coupled to the prosthesis and a trigger wire that passes through the first side aperture of the retention device, through the plurality of loops, and through the second side aperture of the retention device to retain the loops between the trigger wire and the retention device.
10. An introducer for an expandable endovascular prosthesis having a proximal portion, a distal portion, and self-expanding stent, the introducer comprising:
a control section to be maintained external to the patient;
a proximal prosthesis positioning mechanism including a retention device to retain the self-expanding stent until the prosthesis is positioned at a desired site in a lumen, the retention device having a first side aperture and a second side aperture; and
a rotation control member comprising a plurality of loops separated by an angle in a range of at least 30 to 180 degrees and coupled to the prosthesis and a trigger wire coupled to the rotation control section that passes through the first side aperture of the retention device, through the plurality of loops, and through the second side aperture of the retention device to retain the loops between the trigger wire and the retention device to inhibit rotation of the self-expanding stent within the retention device until the prosthesis is suitably positioned.
11. The introducer of claim 10 , wherein the loops comprise suture material.
12. The introducer of claim 10 , wherein a cross-section of the prosthesis is circular, and the loops are separated by an angle of at least about 30 degrees.
13. The introducer of claim 10 , wherein a cross-section of the prosthesis is circular, and the loops are separated by an angle of at least about 60 degrees.
14. The introducer of claim 10 , wherein a cross-section of the prosthesis is circular, and the loops are separated by an angle of at least about 90 degrees.
15. The introducer of claim 10 , wherein a cross-section of the prosthesis is circular, and the loops are separated by an angle of at least about 120 degrees.
16. The introducer of claim 10 , further comprising a control arrangement for controlling a deployed length of the prosthesis.
17. The introducer of claim 10 , further comprising a rotational control arrangement by which the relative angular orientation of the proximal and distal portions of the prosthesis can be adjusted.
18. The introducer of claim 10 , further comprising a distal prosthesis positioning mechanism coupled between the control section and the proximal prosthesis positioning mechanism.
19. The introducer of claim 10 , wherein the distal prosthesis positioning mechanism includes a distal attachment section, the control section comprises a tube, and the distal attachment section is coupled to the tube.
20. An introducer for an expandable endovascular prosthesis, the introducer comprising:
an expandable prosthesis having a proximal portion, a distal portion, and self-expanding stent extending from the proximal portion;
a distal prosthesis positioning mechanism including a distal retention section and a first control member to selectively release the distal retention section from the prosthesis; and
a proximal prosthesis positioning mechanism including a retention device to retain the self-expanding stent therein and a second control member to selectively release the retention device from the prosthesis, the retention device having a first side aperture and a second side aperture;
wherein the retention device comprises a cylindrical body having a cavity, the cavity including an opening at a distal end of the retention device and a surface extending longitudinally therefrom to form the surface of the cavity, the cavity having a first width at the opening and a second width at a longitudinal distance along the surface from the opening, the first width being greater than the second width, where spacing between struts of the self-expanding stent is decreased longitudinally along the surface of the cavity from the opening.