Stent delivery system with threaded engagement and method
View Patent ↗An expandable stent and delivery system are provided for treating body vessel defects, such as partially occluded blood vessels and aneurysms. The delivery system includes a core member having a threaded core member portion configured to interlock with a threaded strut member portion of the expandable stent. The expandable stent is mounted thusly onto the core member for movement within a delivery catheter and deployment to a body vessel defect. The deployment catheter is used to compress the interlocked threaded strut member portion into engagement with the threaded core member portion.
1. An expandable stent and stent delivery system comprising:
a delivery system including an elongated core member having a longitudinal core member axis and a distal portion along the longitudinal core member axis, the distal portion of said elongated core member has integrally formed thereat a first threaded core member portion, and the first threaded core member portion has a plurality of threads having respective ridges projecting radially outwardly;
an expandable stent having a compressed state and an expanded state that is a self-expanded state, said stent comprising a tubular member having a thin wall and a longitudinal stent axis substantially coaxial with the core member axis, the stent having a body portion including a proximal section and a distal section, a first strut member extending away from said thin wall in a direction generally parallel to the stent axis and offset radially outwardly from the stent axis, wherein said first strut member defines a first threaded strut member portion that does not lie along the body portion of the stent and that extends longitudinally away from and beyond either the proximal section or the distal section of the stent body portion, the first threaded strut member portion has a row of teeth, and wherein said ridges of the first threaded core member portion are threadably engageable with the teeth of said first threaded strut member portion;
said distal portion of the elongated core member has a diameter such that the distal portion is radially spaced away from the stent body portion when the stent is in its compressed state; and
a deployment catheter having a lumen extending therethrough and adapted for coaxial placement about said elongated core member such that said deployment catheter compresses the expandable stent from its self-expanded state to its compressed state and causes said first threaded strut member portion but not the body portion of the stent to be interlocked onto said first threaded core member portion by mating engagement between said first threaded core member ridges and said first threaded strut member portion teeth, while the core member distal portion remains spaced away from and does not interlock with the stent body portion.
2. The expandable stent and stent delivery system of claim 1 , wherein a root diameter of said first threaded core member portion is larger than an outer diameter of said distal portion of said elongated core member.
3. The expandable stent and stent delivery system of claim 1 , wherein said first strut member extends away from the proximal section of the expandable stent.
4. The expandable stent and stent delivery system of claim 3 , further comprising a second strut member extending away from said proximal section of the expandable stent, wherein said second strut member defines a second threaded strut member portion that does not lie along the body portion of the stent and that extends longitudinally away from and beyond the proximal section of the stent body portion, and wherein said first threaded core member portion is threadably engageable with said second threaded strut member portion.
5. The expandable stent and stent delivery system of claim 1 , further comprising a marker coil of radiopaque material applied to said first strut member and adapted to threadably engage at least a portion of said first threaded core member portion.
6. The expandable stent and stent delivery system of claim 1 , further comprising a second threaded core member portion disposed about the distal portion of said elongated core member and a further strut member extending away from the expandable stent in a direction generally parallel to the stent axis and offset radially outwardly from the stent axis, wherein said further strut member defines a further threaded strut member portion that does not lie along the body portion of the stent and that extends longitudinally away from and beyond the distal section of the strut body portion, and wherein said second threaded core member portion is threadably engageable with said further threaded strut member portion as well as said first threaded strut member portion.
7. The expandable stent and stent delivery system of claim 1 , further comprising a first cylindrical member disposed generally adjacent to said first threaded core member portion.
8. The expandable stent and stent delivery system of claim 7 , wherein said deployment catheter compresses at least a portion of the expandable stent about said first cylindrical member.
9. The expandable stent and stent delivery system of claim 7 , further comprising a second cylindrical member disposed about the distal portion of said elongated core member, wherein said first cylindrical member is spaced from said second cylindrical member to define a gap, and wherein said gap receives said first threaded core member portion.
10. The expandable stent and stent delivery system of claim 1 , further comprising an adhesive between said at least a portion of said first threaded strut member portion and said at least a portion of said first threaded core member portion.
11. The expandable stent and stent delivery system of claim 10 , wherein said adhesive is adapted to break when said first threaded strut member portion is moved out of said deployment catheter.