Stent delivery system with pusher assembly
A pusher assembly for a stent delivery device includes a distal end of an elongate member and a stent-engaging member having proximal and distal ends. The proximal end of the stent-engaging member is mechanically coupled to the distal end of the inner member by a connector, or the proximal end of the stent-engaging member is at least partially inside the distal end of the elongate inner member. The stent-engaging member includes a portion that radially outwardly extends towards the distal end of the stent-engaging member, or the stent-engaging member includes a portion that radially outwardly extends towards the distal end of the stent-engaging member. The stent-engaging member is configured to move a stent when distally advanced and configured to not move a stent when proximally retracted. A stent delivery device includes an elongate outer member, an elongate inner member coaxially positioned within the outer member, and the pusher assembly.
1. A pusher assembly for a stent delivery device, the pusher assembly comprising:
an elongate inner member comprising a proximal end and a distal end, the elongate inner member comprising an inner layer defining a guidewire lumen;
an outer sheath, and
a stent-engaging member having a proximal end and a distal end, the proximal end of the stent-engaging member being at least partially inside the distal end of the elongate inner member, the stent-engaging member comprising a portion that extends radially outwardly towards the distal end of the stent-engaging member, the stent-engaging member extending distal to the distal end of the elongate inner member and configured to move a stent when distally advanced and configured to not move a stent when proximally retracted, wherein the proximal end of the stent-engaging member comprises a plurality of through-holes, and wherein the inner layer of the elongate inner member at least partially fills the plurality of through-holes;
a tube having a distal end, a proximal end, and a tube guidewire lumen extending therethrough, the tube being positioned within the stent-engaging member such that the tube extends from the proximal end of the stent-engaging member, through the stent-engaging member, and for a length beyond the stent-engaging member; and
an atraumatic tip attached to the tube distal end and having a tip guidewire lumen extending from a proximal opening to a distal opening of the atraumatic tip, the tip guidewire lumen being concentrically disposed with the elongate member guidewire lumen and the tube guidewire lumen, the atraumatic tip further comprising at least one aperture extending longitudinally through the atraumatic tip to allow fluid communication from outside of an outer sheath to inside of the outer sheath.
2. The pusher assembly of claim 1 , wherein the stent-engaging member has a first internal diameter, wherein the elongate inner member has a second internal diameter proximal to the proximal end of the stent-engaging member, and wherein the first internal diameter is substantially equal to the second internal diameter.
3. The pusher assembly claim 1 , wherein the portion has a shovel shape having a curved distal end.
4. The pusher assembly of claim 1 , wherein the portion has a shovel shape having a flat distal end.
5. The pusher assembly of claim 1 , wherein the portion has a shovel shape having a flared distal end.
6. The pusher assembly of claim 1 , wherein the stent-engaging member comprises a stem and a ratchet mechanically coupled to the stem, the ratchet comprising the portion.
7. The pusher assembly of claim 6 , wherein the proximal end of the stent-engaging member comprises the stem.
8. The pusher assembly of claim 6 , wherein the ratchet is mechanically coupled to the stem by a plurality of spot welds.