Endovascular deployment device
View Patent ↗An endovascular delivery device ( 1 ) has a portion, such as the nose cone dilator ( 8 ), being formed from a radiopaque material and that portion has a selected transverse profile such as a notch ( 26 ) so that in a selected rotational orientation of the endovascular delivery device the nose cone dilator can be observed by radiographic means during an endovascular procedure to be in that selected rotational orientation. The selected transverse profile can be a notch, protrusion or aperture. The notch or aperture can be filled with a radio-transparent material to provide a sooth outer surface.
1. An endovascular delivery system comprising a longitudinally extending delivery catheter, the delivery catheter comprising a proximal end intended to be introduced into a patient and a distal end intended to remain outside a patient,
a guide wire catheter extending longitudinally through and extending proximally of the delivery catheter, the guide wire catheter comprising a proximal end,
a nose cone dilator at the proximal end of the guide wire catheter,
a stent graft mounted on the delivery catheter, the stent graft having a proximal edge comprising a scallop, and a distal end,
a handle at the distal end of the delivery catheter,
at least the nose cone dilator being formed from a radiopaque material and the nose cone dilator comprising an outer substantially cylindrical side surface,
a first transverse notch in the outer substantially cylindrical side surface of the nose cone dilator, the first transverse notch being transversely offset from the longitudinal center of the dilator and aligned with the scallop, wherein the first transverse notch does not extend entirely through the side surface of the nose cone dilator,
wherein the scallop on the stent graft is at a known rotational position with respect to the transverse notch,
a pusher catheter having a proximal end adjacent to the distal end of the stent graft, the pusher catheter including a second transverse notch in a side surface of the pusher catheter,
whereby when in use and in a selected rotational orientation of the endovascular delivery device the, nose cone dilator and the first transverse notch can be observed by radiographic means during an endovascular procedure to be in that selected rotational orientation, and an axial and the rotational position of the scallop may be observed by radiographic means, and a separate orientation of the pusher catheter also may be observed;
wherein the nose cone dilator comprises a longitudinal groove on the outer substantially cylindrical side surface thereof to receive an indwelling catheter therein and the first transverse notch is at a proximal end of the longitudinal groove.
2. The endovascular delivery system as in claim 1 wherein the transverse notch comprises a shape selected from a V-shaped notch or a U-shaped notch.
3. The endovascular delivery system in claim 1 wherein the nose cone dilator is formed from a material selected from the group comprising vinyl radiopaque thick wall dilator tubing or urethane radiopaque tubing.
4. The endovascular delivery system in claim 1 wherein the first transverse notch is filled with a radio-translucent material so that the nose cone dilator provides a smooth outer surface for passing through the vasculature but at the same time allowing for radiographic observation of the notch.