Endovascular delivery device having an improved top-cap assembly
An endovascular delivery device is disclosed. The device comprises a handle assembly at a distal end thereof and a top-cap assembly at a proximal end thereof. The top-cap assembly has an open configuration and a closed configuration and comprises: a capsule comprising an inner portion and an outer tubular portion and defining a cavity within the outer tubular portion, the cavity receiving the proximal portion of the endograft in the open configuration; and a retriever assembly having a body portion arranged and constructed to fit within the cavity of the capsule in the closed configuration. The device further comprises: a guide wire catheter extending through the handle assembly, the guide wire catheter being affixed at a proximal end thereof to the top-cap assembly; and an endograft receiving portion extending distally with respect to the top-cap assembly. In the closed configuration, the cavity is closed by the body portion of the retriever assembly.
1. An endovascular delivery device, for delivering an endograft having an exposed stent, the delivery device comprising:
a handle assembly at a distal end thereof;
a top-cap assembly at a proximal end thereof, the top-cap assembly having an open configuration and a closed configuration, the top-cap assembly comprising:
a capsule comprising an inner portion and an outer tubular portion and defining a cavity within the outer tubular portion, the cavity receiving a proximal portion of the endograft in the open configuration; and
a retriever assembly having a body portion, the body portion arranged and constructed to fit within the cavity of the capsule in the closed configuration;
a guide wire catheter extending through the handle assembly, the guide wire catheter being affixed at a proximal end thereof to the top-cap assembly; and
an endograft receiving portion extending distally with respect to the top-cap assembly,
whereby in the closed configuration, the cavity is closed by the body portion of the retriever assembly,
whereby the outer tubular portion extends distally beyond the body portion when in the open configuration to hold compressed a length of the exposed stent of the endograft,
whereby movement of the capsule from the open configuration towards the closed configuration yields expansion of the stent, and
wherein the inner portion and the outer tubular portion are joined by a radially extending joiner portion, the joiner portion extending through at least one elongate longitudinally extending slot within the body portion of the retriever assembly, thereby allowing the top-cap assembly to slide from the open configuration to the closed configuration.
2. The device as claimed in claim 1 , wherein an extent to which the outer tubular portion extends distally beyond the body portion for a length L such that L/D is at least 2, when in the open configuration, where D is an internal diameter of the cavity.
3. The device as claimed in claim 2 such that L/D is at least 3, when in the open configuration.
4. The device as claimed in claim 1 , wherein the body portion of the retriever assembly comprises a tapered distal end portion, the tapered distal end portion tapering in a distal direction.
5. The device as claimed in claim 1 comprising a connector extending from the top-cap assembly to the handle assembly, the connector arranged to transfer motion from the handle assembly to the top-cap assembly so as to slide the top-cap assembly from its open configuration to its closed configuration.
6. The device as claimed in claim 5 , wherein the connector comprises an elongate tube co-axially mounted over the guide wire catheter.
7. The device as claimed in claim 1 , wherein the proximal portion of the endograft comprises a plurality of barbs.
8. The device as claimed in claim 1 , wherein barbs of the endograft are covered by the outer tubular portion when in the open configuration.
9. The device as claimed in claim 1 , wherein the top-cap assembly comprises a tip, the tip tapering in a proximal direction.
10. The device as claimed in claim 1 , wherein the guide wire catheter is attached to a proximal end of a tip of the top-cap assembly.
11. The device as claimed in claim 1 mounted within a sheath assembly, the sheath assembly comprising a seal housing assembly and a sheath extending proximally from the seal housing assembly.
12. The device as claimed in claim 1 mounted within a sheath assembly, wherein the sheath comprises a proximal end that is positionable over the capsule.
13. The device as claimed in claim 1 , wherein the cavity is annular in shape.
14. An endovascular delivery device, for delivering an endograft, the endograft having barbs at a proximal portion thereof, the delivery device comprising:
a handle assembly at a distal end thereof;
a top-cap assembly at a proximal end thereof, the top-cap assembly having an open configuration and a closed configuration, the top-cap assembly comprising:
a capsule comprising an inner portion and an outer tubular portion and defining a cavity within the outer tubular portion, the cavity having an annular shape and receiving a proximal portion of the endograft in the open configuration, thereby covering the barbs; and
a retriever assembly having a body portion, the body portion arranged and constructed to fit within the cavity of the capsule in the closed configuration;
a guide wire catheter extending through the handle assembly, the guide wire catheter being affixed at a proximal end thereof to the top-cap assembly;
an endograft receiving portion extending distally with respect to the top-cap assembly,
whereby in the closed configuration, the cavity is closed by the body portion of the retriever assembly; and
a connector extending from the top-cap assembly to the handle assembly, the connector arranged to transfer motion from the handle assembly to the top-cap assembly so as to slide the top-cap assembly from its open configuration to its closed configuration,
whereby the outer tubular portion extends distally beyond the body portion when in the open configuration, and
wherein the inner portion and the outer tubular portion are joined by a radially extending joiner portion, the joiner portion extending through at least one elongate longitudinally extending slot within the body portion of the retriever assembly, thereby allowing the top-cap assembly to slide from the open configuration to the closed configuration.
15. An endovascular delivery device, for delivering an endograft having an exposed stent, the delivery device comprising:
a handle assembly at a distal end thereof;
a top-cap assembly at a proximal end thereof, the top-cap assembly having an open configuration and a closed configuration, the top-cap assembly comprising:
a capsule comprising an inner portion and an outer tubular portion and defining a cavity within the outer tubular portion, the cavity receiving a proximal portion of the endograft in the open configuration; and
a retriever assembly having a body portion, the body portion arranged and constructed to fit within the cavity of the capsule in the closed configuration;
a guide wire catheter extending through the handle assembly, the guide wire catheter being affixed at a proximal end thereof to the top-cap assembly; and
an endograft receiving portion extending distally with respect to the top-cap assembly,
whereby in the closed configuration, the cavity is closed by the body portion of the retriever assembly,
whereby the outer tubular portion extends distally beyond the body portion when in the open configuration to hold compressed a length of the exposed stent of the endograft, and
wherein the body portion of the retriever assembly comprises a tapered distal end portion, the tapered distal end portion tapering in a distal direction.
16. The device as claimed in claim 15 , wherein an extent to which the outer tubular portion extends distally beyond the body portion for a length L such that L/D is at least 2, when in the open configuration, where D is an internal diameter of the cavity.
17. The device as claimed in claim 15 , wherein the top-cap assembly comprises a tip, the tip tapering in a proximal direction.
18. The device as claimed in claim 15 mounted within a sheath assembly, wherein the sheath comprises a proximal end that is positionable over the capsule.
19. The device as claimed in claim 15 , wherein the cavity is annular in shape.
20. An endovascular delivery device, for delivering an endograft having an exposed stent, the delivery device comprising:
a handle assembly at a distal end thereof;
a top-cap assembly at a proximal end thereof, the top-cap assembly having an open configuration and a closed configuration, the top-cap assembly comprising:
a capsule comprising an inner portion and an outer tubular portion and defining a cavity within the outer tubular portion, the cavity receiving a proximal portion of the endograft in the open configuration; and
a retriever assembly having a body portion, the body portion arranged and constructed to fit within the cavity of the capsule in the closed configuration;
a guide wire catheter extending through the handle assembly, the guide wire catheter being affixed at a proximal end thereof to the top-cap assembly;
an endograft receiving portion extending distally with respect to the top-cap assembly,
whereby in the closed configuration, the cavity is closed by the body portion of the retriever assembly,
whereby the outer tubular portion extends distally beyond the body portion when in the open configuration to hold compressed a length of the exposed stent of the endograft, and
whereby movement of the capsule from the open configuration towards the closed configuration yields expansion of the stent; and
a connector extending from the top-cap assembly to the handle assembly, the connector arranged to transfer motion from the handle assembly to the top-cap assembly so as to slide the top-cap assembly from its open configuration to its closed configuration,
wherein the connector comprises an elongate tube co-axially mounted over the guide wire catheter.