Medical device delivery system with captive inner member
View Patent ↗Delivery systems for delivering and deploying expandable intraluminal medical devices at a desired point of treatment within a body vessel are provided. The delivery systems comprise a sheath member and an inner member slideably disposed within a cavity formed by the sheath member. An expandable intraluminal medical device is disposed about the inner member and is initially positioned within the delivery system. A means for preventing axial movement of the inner member holds the inner member in position so that, while the delivery system and medical device are positioned at a desired point of treatment, the sheath member can be retracted while an axial position of the inner member is substantially maintained.
1. A delivery system for placing a medical device within a body vessel, said delivery system comprising:
a sheath member having a sheath member proximal end, a sheath member distal end, a circumferential wall, an inner surface, and an outer surface, the sheath member defining a first passageway having a first passageway proximal end and a first passageway distal end, the first passageway extending between the sheath member proximal and sheath member distal ends and having a distal cavity located within the first passageway and axially spaced from the sheath member proximal end, the circumferential wall defining an opening providing access from the environment external to the sheath member to the first passageway;
an inner member having an inner member distal end comprising a distal tip, an inner member proximal end comprising a proximal flange, and a mounting region about which said medical device can be disposed, the inner member defining a second passageway extending between the distal tip and proximal flange and being slidably disposed within the distal cavity such that the inner member proximal end is disposed within the distal cavity, the inner member movable between a first position in which the inner member is disposed entirely within the first passageway and a second position in which the inner member is partially disposed within the first passageway and partially disposed outside the first passageway; and
a fluid disposed in the first passageway and in contact with the proximal flange;
wherein only the fluid is disposed within an axial portion of the first passageway extending between the first passageway proximal end and the opening in the circumferential wall;
wherein the inner surface of the sheath member defines a groove adapted to temporarily engage the proximal flange of the inner member.
2. A delivery system according to claim 1 , further comprising a reservoir defining a chamber in fluid communication with the first passageway, the chamber adapted to receive at least a portion of the fluid.
3. A delivery system according to claim 2 , wherein the reservoir comprises a stem comprising a stem proximal end, a stem distal end, and defining a third passageway extending between the stem proximal and stem distal ends, the stem distal end slidably disposed within the first passageway of the sheath member.
4. A delivery system according to claim 3 , wherein the reservoir is integrally formed with the stem.
5. A delivery system according to claim 3 , wherein the reservoir comprises a separate member attached to the stem.
6. A delivery system according to claim 2 , further comprising a plunger adapted to force a portion of the fluid from the chamber into the first passageway.
7. A delivery system according to claim 1 , wherein the groove comprises a continuous circumferential groove.
8. A delivery system according to claim 1 , wherein the first passageway has an inner diameter; and
wherein the proximal flange is slightly oversized with respect to the inner diameter.
9. A delivery system for placing a medical device within a body vessel, said delivery system comprising:
a sheath member having a sheath member proximal end, a sheath member distal end, a circumferential wall, an inner surface, and an outer surface, the sheath member defining a first passageway having a first passageway proximal end and a first passageway distal end, the first passageway extending between the sheath member proximal and sheath member distal ends and having a distal cavity located within the first passageway and axially spaced from the sheath member proximal end, the circumferential wall defining an opening providing access from the environment external to the sheath member to the first passageway;
an inner member having an inner member distal end comprising a distal tip, an inner member proximal end comprising a proximal flange, and a mounting region about which said medical device can be disposed, the inner member defining a second passageway extending between the distal tip and proximal flange and being slidably disposed within the distal cavity such that the inner member proximal end is disposed within the distal cavity, the inner member movable between a first position in which the inner member is disposed entirely within the first passageway and a second position in which the inner member is partially disposed within the first passageway and partially disposed outside the first passageway;
a reservoir disposed on the proximal end of the sheath member and defining a chamber in fluid communication with the first passageway;
a fluid disposed in the first passageway and in contact with the proximal flange; and
a plunger associated with the reservoir and adapted to force a portion of the fluid from the chamber and into the first passageway;
wherein only the fluid is disposed within an axial portion of the first passageway extending between the first passageway proximal end and the opening in the circumferential wall;
wherein the inner surface of the sheath member defines a groove adapted to temporarily engage the proximal flange of the inner member.
10. A delivery system according to claim 9 , wherein the reservoir comprises an exterior surface that defines structural adaptations that form a grip for grasping the reservoir by a user of said delivery system.
11. A delivery system according to claim 9 , wherein the reservoir comprises a stem, the stem defining a third passageway extending between the chamber and the first passageway of the sheath member and providing fluid communication between the chamber and the first passageway.
12. A delivery system according to claim 11 , wherein the reservoir is integrally formed with the stem.
13. A delivery system according to claim 11 , wherein the reservoir comprises a separate member attached to the stem.
14. A delivery system according to claim 11 , wherein the stem comprises a distal flange having a circumferential surface in continuous contact with the inner surface of the sheath member.
15. A delivery system according to claim 9 , further comprising a grip disposed on the proximal end of the sheath member.
16. A delivery system according to claim 15 , wherein the grip comprises at least one ring defining a hole capable of receiving a finger of a user of said delivery system therethrough.
17. A delivery system for placing a medical device within a body vessel, said delivery system comprising:
a sheath member having a sheath member proximal end, a sheath member distal end, a circumferential wall, an inner surface, and an outer surface, the sheath member defining a first passageway having a first passageway proximal end and a first passageway distal end, the first passageway extending between the sheath member proximal and sheath member distal ends and having a distal cavity, the circumferential wall defining an opening providing access from the environment external to the sheath member to the first passageway;
an inner member having a distal tip, a proximal flange, and a mounting region about which said medical device can be disposed, the inner member defining a second passageway extending between the distal tip and proximal flange and being slidably disposed within the distal cavity, the inner member movable between a first position in which the inner member is disposed entirely within the first passageway and a second position in which the inner member is partially disposed within the first passageway and partially disposed outside the first passageway;
a reservoir disposed on the proximal end of the sheath member and defining a chamber in fluid communication with the first passageway, the reservoir including a stem defining a third passageway extending between the chamber and the first passageway of the sheath member and providing fluid communication between the chamber and the first passageway;
a fluid disposed in the first passageway and in contact with the proximal flange; a plunger associated with the reservoir and adapted to force a portion of the fluid from the chamber and into the first passageway; and
a grip disposed on the proximal end of the sheath member; wherein the inner surface of the sheath member defines a groove adapted to temporarily engage the proximal flange of the inner member; and
wherein only the fluid and the stem are disposed within an axial portion of the first passageway extending between the first passageway proximal end and the opening in the circumferential wall.
18. A delivery system according to claim 17 , wherein the grip comprises at least one ring defining a hole capable of receiving a finger of a user of said delivery system therethrough.