Delivery systems for stents having protruding features
Delivery systems for expandable elements, such as stents or scaffolds having spikes, flails, or other protruding features for penetrating target tissue and/or delivering drugs within a human patient are described along with associated methods for using such systems. The delivery systems can be provided with a stent that is positioned over an inflatable balloon for expansion and delivery of the stent to a target delivery location. By positioning the stent over and about the inflatable balloon, the stent is ready to be expanded by the balloon immediately upon unsheathing with respect to the outer shaft. Additionally or alternatively, a stent can be positioned in an axially offset arrangement with respect to a balloon to reduce the need for space required by overlapping components.
1. A system comprising:
an outer shaft;
an inner shaft slideably disposed within the outer shaft and comprising a proximal portion, a distal portion, and an inflatable balloon on the distal portion of the inner shaft;
a guidewire slideably disposed within the inner shaft, wherein the balloon is inflatable through a lumen of the inner shaft that contains the guidewire; and
a stent slideably disposed within the outer shaft and on the proximal portion of the inner shaft that is proximal to the balloon, the stent being connected to a stabilizing wire that is slideably disposed within the outer shaft.
2. The system of claim 1 , further comprising:
a connector at a proximal end of the inner shaft, the guidewire extending through the connector, the connector comprising a port in fluid communication with the balloon; and
an outer shaft hub at a proximal end of the outer shaft, the inner shaft and the stabilizing wire extending through the outer shaft hub.
3. The system of claim 2 , further comprising incrementally spaced markers on the proximal portion of the inner shaft, wherein the outer shaft hub is slidable over the inner shaft along the proximal portion.
4. The system of claim 2 , further comprising a locking member configured to lock the outer shaft hub to the proximal portion of the inner shaft such that a position of the outer shaft relative to the inner shaft is maintained when the balloon is inflated.
5. The system of claim 1 , wherein the stent comprises:
a radially expandable cylindrical frame comprising struts; and
protruding features carried by one or more struts.
6. The system of claim 1 , wherein the stent is fixedly coupled to the stabilizing wire by an anchor portion that extends about at least a portion of the stabilizing wire.
7. The system of claim 6 , wherein the anchor portion is coupled to the inner shaft on a proximal side of the balloon.
8. The system of claim 1 , further comprising a stiffening wire positioned radially between the inner shaft and the outer shaft.
9. The delivery system of claim 1 , wherein the balloon comprises multiple segments at different axial positions along a length of the inner shaft, the multiple segments each being independently inflatable.
10. A system comprising:
an outer shaft;
an inner shaft slideably disposed within the outer shaft and comprising an inflatable balloon on a distal portion of the inner shaft;
a guidewire slideably disposed within the inner shaft; and
a stent slideably disposed within the outer shaft and on a portion of the inner shaft that is axially offset with respect to the balloon, the stent being connected to a stabilizing wire that is slideably disposed within the outer shaft, wherein the stent comprises:
a radially expandable cylindrical frame comprising struts; and
protruding features carried by one or more struts.
11. The system of claim 10 , further comprising:
a connector at a proximal end of the inner shaft, the guidewire extending through the connector, the connector comprising a port in fluid communication with the balloon; and
an outer shaft hub at a proximal end of the outer shaft, the inner shaft and the stabilizing wire extending through the outer shaft hub.
12. The system of claim 10 , wherein the balloon is inflatable through a lumen of the inner shaft that contains the guidewire.
13. A system comprising:
an outer shaft
an inner shaft slideably disposed within the outer shaft and comprising an inflatable balloon on a distal portion of the inner shaft;
a guidewire slideably disposed within the inner shaft and
a stent slideably disposed within the outer shaft and on a portion of the inner shaft that is axially offset with respect to the balloon, the stent being connected to a stabilizing wire that is slideably disposed within the outer shaft, wherein the stent is fixedly coupled to the stabilizing wire by an anchor portion that extends about at least a portion of the stabilizing wire.
14. A method comprising:
delivering over a guidewire an outer shaft ensheathing an inner shaft and a stent to a target treatment site within a body lumen of a patient, the guidewire being slideably disposed within the inner shaft, the stent being slideably disposed within the outer shaft and on a portion of the inner shaft that is proximal to a balloon of the inner shaft the stent being connected to a stabilizing wire that is slideably disposed within the outer shaft;
proximally retracting the outer shaft to at least partially unsheath the stent and the balloon;
moving the inner shaft proximally relative to the stent until the stent is axially aligned with the balloon;
radially expanding the stent to an expanded state by expanding the balloon; and
piercing through a portion of a wall of the body lumen with one or more protruding features of the stent.
15. The method of claim 14 , wherein during the delivering:
the guidewire is extending through a connector at a proximal end of the inner shaft, the connector comprising a port in fluid communication with the balloon; and
the inner shaft and the stabilizing wire are extending through an outer shaft hub at a proximal end of the outer shaft.
16. The method of claim 14 , wherein the balloon is expanded by inflating the balloon through a lumen of the inner shaft that contains the guidewire.
17. The method of claim 14 , wherein the stent comprises:
a radially expandable cylindrical frame comprising struts; and
the protruding features carried by one or more struts.
18. The method of claim 14 , wherein the stent is fixedly coupled to the stabilizing wire by an anchor portion that extends about at least a portion of the stabilizing wire.