Stent delivery system and stent delivery method
A stent delivery system includes a tubular stent which is retained in a body cavity of a living body; a pusher tube, whose distal end contacts with a proximal end of the stent, which pushes and moves the stent to a distal end side; a filament which connects the stent with the pusher tube by the proximal end side of the filament being engaged with the pusher tube and by the distal end side of the filament stretching to the stent side so as to penetrate the peripheral wall of the stent; an engaging member which is engaged with a distal end portion of the filament penetrating the peripheral wall of the stent, and which keeps the connecting condition between the stent and the pusher tube by the filament; and a pulling member which pulls a distal end side of the filament into a proximal end side of the pusher tube when the engagement between the engaging member and the filament is released and the connection between the stent and the pusher tube is released.
1. A stent delivery system comprising:
a tubular stent which is retainable in a body cavity of a living body;
a guide catheter which is insertable in the tubular stent and which is insertable in the body cavity of the living body together with the tubular stent;
a pusher tube, having a distal end edge face which contacts a proximal end edge face of the stent so that the proximal end edge face of the stent faces the distal end edge face of the pusher tube, the pusher tube pushes and moves the stent distally;
a filament which connects the stent with the pusher tube by a proximal end of the filament being engaged with the pusher tube and by a distal end of the filament stretching toward the stent so as to penetrate a peripheral wall of the stent;
an engaging member which is engaged with the distal end of the filament penetrating the peripheral wall of the stent, and which keeps the connection between the stent and the pusher tube by the filament; and
a pulling member which pulls a distal end of the filament into a distal end of the pusher tube when the engagement between the engaging member and the filament is released and the connection between the stent and the pusher tube is released, wherein
the engaging member and the pulling member comprise a single member,
a distal end of the common member is a bent wire-like member forming a bent, overlapped portion, and the common member comprises a freely extendable and retractable stilet which is passed through a hollow portion of the pusher tube,
a distal end of the bent overlapped portion of the stilet is inserted into a loop formed at the distal end of the filament so that the filament is wrapped around an outer circumference of the distal end of the bent overlapped portion, and
a part of the filament is sandwiched in the bent overlapped portion of the stilet at the position of a more proximal side than the distal end of the bent overlapped portion around which a filament is wrapped.
2. The stent delivery system according to claim 1 , wherein the guide catheter is freely extendable and retractable through the hollow portions of the stent and the pusher tube respectively, and guides the stent and the pusher tube along the axial direction, wherein the guide catheter is operable independently from the engaging member and the pulling member.
3. The stent delivery system according to claim 2 , wherein a narrow portion which narrows an opening of the distal end of the pusher tube is formed, and a distal end portion of the stilet can be bumped against a wall portion of the narrow portion.
4. The stent delivery system according to claim 3 , wherein a gap between an inner end of the narrow portion of the pusher tube and an outer surface of the guide catheter is set in a value which is larger than the outer diameter of the filament and is smaller than the outer diameter of the stilet.
5. The stent delivery system according to claim 2 , wherein
a first stopper is provided at a proximal end of the guide catheter;
a second stopper which interferes with the first stopper is provided at a proximal end of the stilet; and
the first stopper is arranged proximally relative to the second stopper.
6. The stent delivery system according to claim 2 , wherein
a first stopper is provided at a proximal end of the guide catheter;
a second stopper which interferes with the first stopper is provided at a proximal end of the stilet; and
the first stopper is arranged more distally relative to the second stopper.
7. The stent delivery system according to claim 1 , wherein at least two through-holes are formed at a distal end portion of the peripheral wall of the pusher tube in order to pass the filament through the holes.
8. The stent delivery system according to claim 1 , wherein at least three through-holes are formed at a distal end portion of the peripheral wall of the pusher tube in order to pass the filament through the holes.
9. The stent delivery system according to claim 1 , wherein at least one through-hole is formed at a distal end portion of a peripheral wall of the pusher tube in order to pass the filament through the through-hole, and the filament is wrapped around so as to form a circle between the proximal end of the stent and the at least one through-hole formed in the peripheral wall.