Two-stage method of compressing a stent
View Patent ↗A two-stage method of compressing a stent entails providing an expandable stent ( 100,105 ) in a radially expanded state. An outward pressure is applied to an inner surface of the tubular framework to support the stent, and a diameter of the stent is reduced to a first compressed diameter (D 1 ) while applying the outward pressure. The outward pressure is halted after reaching the first compressed diameter. According to an embodiment in which the stent is balloon-expandable, a delivery balloon catheter ( 130 ) comprising an uninflated balloon in a delivery configuration is inserted into the lumen after halting the outward pressure. The diameter of the stent is reduced to a second compressed diameter (D 2 ) smaller than the first compressed diameter to crimp the stent onto the delivery balloon catheter.
1. A method of crimping a balloon-expandable stent in preparation for delivery into a body vessel, comprising:
providing a balloon-expandable stent comprising a thin-walled tubular framework of interconnected struts, the tubular framework defining a lumen;
inserting a mechanically expandable apparatus into the lumen, the mechanically expandable apparatus comprising a sheet wound upon itself to form a radially expandable and contractible cylindrical shape, the sheet unwinding within the lumen to provide an outward pressure against an inner surface of the tubular framework to support the stent;
reducing a diameter of the stent to a first compressed diameter while applying the outward pressure, the sheet further winding upon itself to a smaller diameter configuration as the diameter of the stent is reduced;
halting the outward pressure after reaching the first compressed diameter;
removing the mechanically expandable apparatus from the lumen;
inserting a delivery balloon catheter into the lumen after halting the outward pressure and removing the mechanically expandable apparatus, the delivery balloon catheter comprising an uninflated balloon in a delivery configuration; and
reducing the diameter of the stent to a second compressed diameter smaller than the first compressed diameter to crimp the stent onto the delivery balloon catheter.
2. The method of claim 1 , including providing the balloon-expandable stent in a radially expanded state.
3. The method of claim 1 , where the outward pressure is in the range of from about 7 atm to about 10 atm prior to reducing the diameter of the stent to the first compressed diameter.
4. The method of claim 1 , where the outward pressure is insufficient to radially expand the stent.
5. The method of claim 1 , where a radially directed inward force applied to an outer surface of the tubular framework counters the outward pressure.
6. The method of claim 1 , where the outward pressure is a variable outward pressure.
7. The method of claim 6 , further comprising decreasing the outward pressure as the diameter of the stent is reduced to the first compressed diameter.
8. The method of claim 1 , further comprising applying a radially directed inward force in the range of from about 4 lbf to about 120 lbf to an outer surface of the tubular framework to reduce the diameter of the stent to the first compressed diameter.
9. The method of claim 1 , further comprising inserting the stent into a first crimping apparatus to reduce the diameter of the stent to at least one of the first compressed diameter and the second compressed diameter.
10. The method of claim 9 , further comprising inserting the stent into a second crimping apparatus to reduce the diameter of the stent to the second compressed diameter.
11. The method of claim 1 , where the first compressed diameter is from about 10% to about 30% smaller than a starting diameter of the stent.
12. The method of claim 1 , where the first compressed diameter is from about 6 mm to about 8 mm.
13. The method of claim 1 , where the balloon-expandable stent is a covered stent comprising a polymeric coating.
14. The method of claim 1 , where the balloon-expandable stent is provided in a radially expanded state, the balloon-expandable stent being a covered stent comprising a polymeric coating, and
where the first compressed diameter is from about 10% to about 30% smaller than a starting diameter of the stent.
15. The method of claim 14 , further comprising inserting the stent into a crimping apparatus to reduce the diameter of the stent to at least one of the first compressed diameter and the second compressed diameter,
where reducing the diameter of the stent to the first compressed diameter comprises applying a radially directed inward force in the range of from about 4 lbf to about 120 lbf to an outer surface of the tubular framework.
16. A method of compressing a self-expanding stent in preparation for delivery into a body vessel, comprising:
providing a self-expanding stent comprising a thin-walled tubular framework of interconnected struts, the tubular framework defining a lumen;
inserting a mechanically expandable apparatus into the lumen, the mechanically expandable apparatus comprising a sheet wound upon itself to form a radially expandable and contractible cylindrical shape, the sheet unwinding within the lumen to provide an outward pressure against an inner surface of the tubular framework to support the stent;
reducing a diameter of the stent to a first compressed diameter while applying the outward pressure, the sheet further winding upon itself to a smaller diameter configuration as the diameter of the stent is reduced;
halting the outward pressure after reaching the first compressed diameter;
removing the mechanically expandable apparatus from the lumen;
reducing the diameter of the stent to a second compressed diameter smaller than the first compressed diameter; and
transferring the stent into a restraining member sized to receive the stent having the second compressed diameter.