Apparatus and method for deploying an implantable device within the body
The present invention provides systems and methods for deploying implantable devices within the body. The delivery and deployment systems include at least one catheter or an assembly of catheters for selectively positioning the lumens of the implant to within target vessels. Various deployment and attachment mechanisms are provided for selectively deploying the implants.
1. A method of implanting a device at a target site within a main vessel and a branch vessel, the device comprising a main lumen and a side lumen extending laterally therefrom, the method comprising:
advancing the device using a catheter system, wherein each of a proximal end and a distal end of the main lumen and a distal end of the side lumen is releasably attached to the catheter system;
deploying the side lumen into the branch vessel when the main lumen is proximal and distal the branch vessel, a proximal terminal end of the main lumen is in the main vessel, and a distal terminal end of the main lumen is in the main vessel;
changing a size of the main lumen independently of a size of the side lumen when the side lumen is in the branch vessel to allow repositioning of the device; and
detaching at least one of the main lumen and the side lumen from the catheter system.
2. The method of claim 1 , wherein at least one luminal end of the device is releasably attached to the catheter system by a spring-loaded mechanism.
3. The method of claim 1 , wherein at least one distal end of the device is releasably attached to the catheter system by at least one string.
4. The method of claim 1 , wherein the distal end of the side lumen is urged or pulled into the branch vessel.
5. The method of claim 1 , wherein the device comprises a wire stent structure, and wherein the side lumen is adjustable relative to the main lumen until the device expands against the main vessel and the branch vessel.
6. The method of claim 1 , wherein the device comprises a wire stent structure, and wherein an angular orientation of the side lumen is adjustable on the device until the device expands against the main vessel and the branch vessel.
7. The method of claim 1 , wherein changing a size of the main lumen comprises elongating the main lumen when the main lumen is in the main vessel.
8. The method of claim 1 , further comprising changing the size of the side lumen independently of the size of the main lumen when the side lumen is in the branch vessel to allow repositioning of the device, and wherein changing the size of the side lumen comprises elongating the side lumen when the side lumen is in the branch vessel.
9. The method of claim 1 , further comprising positioning the main lumen in the main vessel while in a stretched condition and subsequently positioning the side lumen in the branch vessel while in a stretched or tensioned state.
10. A method of implanting a device at a target site within a main vessel and a branch vessel, the device comprising a main lumen and a side lumen extending laterally therefrom, the method comprising:
advancing the device using a catheter system, wherein each of a proximal end and a distal end of the main lumen and a distal end of the side lumen is releasably attached to the catheter system;
deploying the side lumen into the branch vessel when the main lumen is partially deployed from the catheter system;
deploying the distal end of the side lumen from the catheter system before deploying a proximal end of the side lumen from the catheter system;
changing a size of the main lumen independently of a size of the side lumen after at least a portion of the side lumen is advanced from a distal end of the catheter system; and
detaching at least one of the main lumen and the side lumen from the catheter system.
11. The method of claim 10 , wherein the device comprises a wire stent structure, and wherein the side lumen is adjustable relative to the main lumen until the device expands against the main vessel and the branch vessel.
12. The method of claim 10 , wherein the device comprises a wire stent structure, and wherein an angular orientation of the side lumen is adjustable on the device until the device expands against the main vessel and the branch vessel.
13. The method of claim 10 , wherein changing a size of the main lumen comprises elongating the main lumen when the main lumen is in the main vessel.
14. The method of claim 10 , further comprising changing the size of the side lumen independently of the size of the main lumen when the side lumen is in the branch vessel to allow repositioning of the device, and wherein changing the size of the side lumen comprises elongating the side lumen when the side lumen is in the branch vessel.
15. The method of claim 10 , further comprising positioning the main lumen in the main vessel while in a stretched condition and subsequently positioning the side lumen in the branch vessel while in a stretched or tensioned state.
16. A method of implanting a device at a target site within a main vessel and a branch vessel, the device comprising a main lumen and a side lumen extending laterally therefrom, the method comprising:
advancing the device using a catheter system, wherein each of a proximal end and a distal end of the main lumen and a distal end of the side lumen is releasably attached to the catheter system;
selectively expanding the main lumen, independently of the side lumen when the side lumen is in the branch vessel, to a partially expanded state prior to releasing the distal end of the main lumen from the catheter system to allow repositioning of the device; and
detaching at least one of the main lumen and the side lumen from the catheter system.
17. The method of claim 16 , wherein the device comprises a wire stent structure, and wherein an angular orientation of the side lumen is adjustable on the device until the device expands against the main vessel and the branch vessel.
18. The method of claim 16 , further comprising elongating the main lumen when the main lumen is in the main vessel.
19. The method of claim 18 , further comprising elongating the side lumen when the side lumen is in the branch vessel.
20. The method of claim 16 , further comprising positioning the main lumen in the main vessel while in a stretched condition and subsequently positioning the side lumen in the branch vessel while in a stretched or tensioned state.
21. The method of claim 10 , wherein when the side lumen fully deployed in the branch vessel, the distal end of the side lumen is farther from the main lumen than the proximal end of the side lumen.
22. The method of claim 16 , further comprising reducing a size of the main lumen when the side lumen is in the branch vessel.
23. The method of claim 22 , further comprising reducing a size of the side lumen when the side lumen is in the branch vessel.