# US 12,599,468 B2 · Deployment of multiple biliary stents

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- Number: US 12,599,468 B2
- Document ID: US12599468B2
- Status: Granted
- Kind: B2
- Application number: 17/449,253
- Filed: 2021-09-28
- Published: 2022-01-13
- Granted: 2026-04-14
- Earliest claimed: 2015-12-22
- Assignees: Endo Gi Medical Ltd.
- Applicants: Endo Gi Medical Ltd.
- Inventors: Elad Einav; Ronny Barak
- Web page: https://patentgrep.com/patent/US12599468B2

## CPC

- A61F 2/04: Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts (A61F2/18, A61F2/20 take precedence; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95)
- A61F 2/82: Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents (stent-grafts for tubular structures of the body other than blood vessels A61F2/04; stent-grafts for blood vessels A61F2/07)
- A61F 2/95: Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F 2/97: the outer sleeve being splittable
- A61F 2002/041: {Bile ducts}
- A61F 2002/826: {more than one stent being applied sequentially}
- A61F 2002/9511: {the retaining means being filaments or wires}
- A61F 2230/001: Figure-8-shaped, e.g. hourglass-shaped
- A61M 25/0662: {Guide tubes}
- A61M 25/09041: {Mechanisms for insertion of guide wires}
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}

## Abstract

Apparatus (20) is provided for use with a guidewire (12). The apparatus includes a guide tube (22) having a guidewire-engaging portion (122) and a slit (28) extending proximally along a wall of the guide tube, from a distal end (32) of the tube, a proximal end (29) of the slit being located distally to a proximal end (30) of the tube. A first stent (52) surrounds the tube and is advanceable together with the tube into a lumen of a subject, the first stent being slidably advanceable off the distal end of the tube; and a second stent (54), proximal to the first stent, surrounding a proximal portion of the tube, and advanceable off the distal end of the tube into the lumen, and placed alongside the first stent subsequently to advancement of the first stent off the distal end of the tube. Other applications are also described.

## Claims

### Claim 1

A method comprising:
providing (i) a first stent and (ii) a second stent proximal to the first stent;
advancing the first stent against a guidewire into a lumen of a subject;
deploying the first stent in the lumen of the subject;
while maintaining the guidewire in the lumen of the subject subsequently to deployment of the first stent, advancing the second stent over the guidewire into the lumen of the subject; and
deploying the second stent in the lumen alongside the first stent, wherein an outer surface of the first stent is disposed against the guidewire and wherein the second stent surrounds the guidewire.
