Variable diameter trigger wire
View Patent ↗A self-expanding medical device delivery system includes a plurality of trigger wires. The trigger wires retain a self-expanding medical device by forming a bend about structural members located on the proximal portion of the medical device. The proximal portions of the trigger wires have a greater diameter than the distal portions of the trigger wires to provide increased bending strength. An operator releases the self-expanding medical device by withdrawing the trigger wires in the distal direction. In some embodiments, a small portion at the proximal end of each trigger wire has a smaller diameter than the rest of the proximal portion. In other embodiments, the proximal and distal portions of each trigger wire each have a greater diameter than the center of the trigger wire.
1. A self-expanding medical device delivery system comprising:
a delivery sheath with a lumen and a proximal portion;
an inner member partially disposed within said lumen of said delivery sheath, said inner member having a lumen and a proximal portion and a distal end, said proximal portion of said inner member having a plurality of first openings and a plurality of second openings, where said plurality of second openings is disposed proximally of said plurality of first openings;
a self-expanding medical device disposed about said proximal end of said inner member, said self-expanding medical device having a proximal end, said self-expanding medical device having exposed structural members on said proximal end of said self-expanding medical device;
a plurality of trigger wires partially disposed within said lumen of said inner member, each of said trigger wires of said plurality of trigger wires having a proximal portion with a first diameter and distal portion with a second diameter, where said first diameter is greater than said second diameter, wherein the distal portion of each of said trigger wires of said plurality of trigger wires extends distally through the lumen of said inner member;
each of said trigger wires of said plurality of trigger wires exits said lumen of said inner member through one of the openings of said plurality of first openings and re-entering said lumen of said inner member through one of the openings of said plurality of second openings such that said proximal portion of each of said trigger wires of said plurality of trigger wires forms a bend, said bend engaging and retaining one of said exposed structural members such that said exposed structural members are compressed and retained by the bend, and said self-expanding medical device is retained by said proximal portion having a diameter greater than the diameter of the distal portion of each of said trigger wires of said plurality of trigger wires, wherein the diameter of the bend that retains said exposed structural member is said first diameter that is greater than said second diameter of the distal portion in order to provide adequate strength to retain said exposed structural member; and
said plurality of trigger wires configured to be withdrawn in the distal direction through said lumen of said inner member such that said plurality of trigger wires disengages said exposed structural members and said self-expanding medical device.
2. The delivery system of claim 1 wherein said first diameter of each of said trigger wires of said plurality of trigger wires is 2 to 5 times greater than said second diameter of said trigger wire.
3. The delivery system of claim 1 wherein said self-expanding medical device is a stent graft.
4. The delivery system of claim 1 wherein said self-expanding medical device is a self-expanding stent.
5. The delivery system of claim 1 further comprising a guide wire partially disposed within said delivery sheath with a proximal end, said proximal end of said guide wire extending beyond the most proximal portion of said inner member.
6. The delivery system of claim 1 having a delivery configuration, wherein said proximal portion of each of said trigger wires of said plurality of trigger wires lies proximal of said plurality of first openings in said delivery configuration.
7. The delivery system of claim 1 wherein each of said openings of said plurality of first openings is positioned a different distance from said distal end of said inner member and each of said openings of said plurality of second openings is positioned a different distance from said distal end of said inner member.
8. The delivery system of claim 1 wherein said proximal portion of said inner member has a proximal end, wherein said proximal portion of said inner member is flared outward.
9. The delivery system of claim 1 wherein said proximal portion of each of said trigger wire of said plurality of trigger wires has a proximal end, said proximal end having a third diameter, wherein said first diameter is greater than said third diameter.
10. A self-expanding medical device delivery system comprising:
a delivery sheath with a lumen and a proximal portion;
an inner member partially disposed within said lumen of said delivery sheath, said inner member having a lumen and a proximal portion and a distal end, said proximal portion of said inner member having a plurality of first openings and a plurality of second openings, where each of said openings of said plurality of second openings is disposed proximally of each of said openings of said plurality of first openings;
a self-expanding medical device disposed about said proximal end of said inner member, said self-expanding medical device having a proximal end, said self-expanding medical device having exposed structural members on said proximal end of said self-expanding medical device;
a plurality of trigger wires partially disposed within said lumen of said inner member, each of said trigger wires of said plurality of trigger wires having a proximal portion with a first diameter, a distal portion with a second diameter, and a center portion with a third diameter, where said first diameter is greater than said third diameter and said second diameter is greater than said third diameter, wherein said center portion extends distally through said lumen of said inner member;
each of said trigger wires of said plurality of trigger wires exits said lumen of said inner member through one of the openings of said plurality of first openings and re-entering said lumen of said inner member through one of the openings of said plurality of second openings such that said proximal portion of each of said trigger wires of the plurality of trigger wires forms a bend, said bend engaging and retaining one of said exposed structural members such that said exposed structural members are compressed and retained and said self-expanding medical device is retained by said proximal portions having a diameter greater than the diameter of the distal portion of each of said trigger wires of said plurality of trigger wires, wherein the diameter of the bend that retains said exposed structural member is said first diameter that is greater than said third diameter of the center portion in order to provide adequate strength to retain said exposed structural member; and
a handle, said distal portion of each of said trigger wires of said plurality of trigger wires connected to said handle, said handle configured to withdraw said plurality of trigger wires in the distal direction through said lumen of said inner member such that said plurality of trigger wires disengages said exposed structural members and releases said self-expanding medical device.
11. The delivery system of claim 10 wherein said first diameter of each of said trigger wires of said plurality of trigger wires is 2 to 5 times greater than said third diameter of said trigger wire.
12. The delivery system of claim 10 wherein said second diameter of each of said trigger wires of said plurality of trigger wires is 2 to 5 times greater than said third diameter of said trigger wire.
13. The delivery system of claim 10 wherein said self-expanding medical device is a stent graft.
14. The delivery system of claim 10 wherein said self-expanding medical device is a self-expanding stent.
15. The delivery system of claim 10 further comprising a guide wire partially disposed within said inner member with a proximal end, said proximal end of said guide wire extending beyond the most proximal portion of said inner member.
16. The delivery system of claim 10 having a delivery configuration, wherein said proximal portion of each of said trigger wires of said plurality of trigger wires lies proximal of said plurality of first openings in said delivery configuration.
17. The delivery system of claim 10 wherein each of said openings of said plurality of first openings is positioned a different distance from said distal end of said inner member and each of said openings of said plurality of second openings is positioned a different distance from said distal end of said inner member.
18. The delivery system of claim 10 wherein said proximal portion of said inner member has a proximal end, said proximal portion of said inner member flared outward such that said proximal end has the largest diameter.
19. The delivery system of claim 10 wherein said proximal portion of each of said triggers wires of said plurality of trigger wires has a proximal end, said proximal end having a fourth diameter, wherein said first diameter is greater than said fourth diameter.