# US 2019/0167456 A1 · Endograft delivery device assembly

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- Number: US 2019/0167456 A1
- Document ID: US20190167456A1
- Status: Published application
- Kind: A1
- Application number: 16/186,174
- Filed: 2018-11-09
- Published: 2019-06-06
- Earliest claimed: 2017-12-05
- Assignees: Cook Medical Technologies LLC
- Applicants: Cook Medical Technologies LLC
- Inventors: James Collins; Logan Smith
- Web page: https://patentgrep.com/patent/US20190167456A1

## CPC

- A61F 2/95: Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F 2/07: Stent-grafts
- A61F 2/848: having means for fixation to the vessel wall, e.g. barbs
- A61F 2/966: with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
- A61F 2/9517: {handle assemblies therefor}
- A61F 2002/061: {provided with means for allowing access to secondary lumens}
- A61F 2002/9528: {for retrieval of stents}
- A61F 2002/9534: {for repositioning of stents}
- A61F 2002/9665: {with additional retaining means}
- 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)

## Abstract

An endovascular delivery device comprises an outer handle with a track; an inner handle moveable relative to the outer handle; a tip assembly slider mounted on the track; the tip assembly having a top cap and a retriever, the top cap comprising a mouth receiving a proximal portion of the endograft and closable by the retriever; a connector extending from the tip to the inner handle and including a distal portion slidably engaging the inner handle; a pusher catheter extending from the outer handle assembly; a guidewire catheter; a distal trigger wire operable to release the distal end of the endograft; a proximal trigger wire release slider mounted on the track and movable from an initial to a triggered position, wherein the tip assembly slider engages the trigger wire release slider to prevent distal movement until the trigger wire release slider is moved distally.

## Claims

### Claim 1

An endovascular delivery device, for delivering an endograft, the device having a proximal end and a distal end, and comprising:
an outer handle portion mounted to the distal end of the delivery device and including a body portion and a track extending distally from the body portion;
an inner handle portion slidably moveable within and with respect to the outer handle portion from a distal position to a proximal position;
a tip assembly slider mounted on the track for sliding movement with respect to the track;
a tip assembly at the proximal end of the delivery device;
a pusher catheter extending proximally from the outer handle assembly;
a guide wire catheter extending through the inner handle portion and through the pusher catheter, the guide wire catheter being affixed at a distal end is thereof to the inner handle portion and at a proximal end thereof to the tip assembly; and
an endograft receiving portion for holding an endograft between the tip assembly and the pusher catheter;
wherein the tip assembly slider is operably connected to the inner handle portion such that distal sliding movement of the tip assembly slider slides the tip assembly towards the pusher catheter.

### Claim 2 (depends on 1)

A device according to claim 1, comprising a distal trigger wire for releasably retaining a distal end of the endograft, whereby distal movement of the tip assembly slider pulls the distal trigger wire thereby releasing the distal end of the endograft.

### Claim 3 (depends on 1)

A device according to claim 1, comprising a proximal trigger wire release slider mounted on the track distally of the tip assembly slider, for sliding movement with respect to the track from an initial position to a triggered position; and a proximal trigger wire for releasably retaining a proximal end of the endograft loadable on the endograft receiving portion, whereby distal movement of the proximal trigger wire release slider pulls the proximal trigger wire thereby releasing the proximal end of the endograft.

### Claim 4 (depends on 3)

A device according to claim 3, wherein the tip assembly slider engages the proximal trigger wire release slider such that it cannot be moved distally until after the proximal trigger wire release slider has been moved distally.

### Claim 5 (depends on 2)

A device according to claim 2, wherein the tip assembly comprises a top cap and a retriever, the tip assembly having an open configuration and a closed configuration.

### Claim 6 (depends on 5)

A device according to claim 5, wherein the top cap comprises a distally facing mouth, whereby in the open configuration, the mouth is open for receiving a proximal portion of the endograft, and in the closed configuration, the mouth is closed by the retriever.

### Claim 7 (depends on 6)

A device according to claim 6, comprising a connector extending from the tip assembly to the inner handle portion, the connector including a distal portion slidably engageable with the inner handle portion.

### Claim 8 (depends on 7)

A device according to claim 7, wherein the inner handle portion comprises a connector receiver portion for receiving the connector distal portion.

### Claim 9 (depends on 8)

A device according to claim 8, whereby the connector receiver portion locks to the connector distal portion when the inner handle portion moves to the proximal position.

### Claim 10 (depends on 9)

A device according to claim 9, wherein the connector receiver portion comprises a ramped portion and a shoulder portion, the shoulder portion abutting a surface of the connector distal portion when the inner handle portion is in the proximal position.

### Claim 11 (depends on 6)

A device according to claim 6, wherein the connector comprises a tube co-axially mounted over the guide wire catheter, the tube joining the tip retriever to the connector distal end.

### Claim 12 (depends on 11)

A device according to claim 11, comprising a tip assembly actuator operably connected to the inner handle portion; and an actuator receiving portion on the inner handle portion, the actuator receiving portion slidably drivable by the tip assembly actuator in a proximal direction.

### Claim 13 (depends on 12)

A device according to claim 12, wherein the actuator receiving portion comprises a rack.

### Claim 14 (depends on 13)

A device according to claim 13, wherein the tip assembly actuator is actuatable to move the inner handle portion proximally with respect to, the outer handle portion, thereby actuating the tip assembly from the first configuration to the second configuration.

### Claim 15

An endovascular delivery device, for delivering an endograft, the device having a proximal end and a distal end, the delivery device comprising:
an outer handle portion mounted to the distal end of the delivery device, the outer handle portion having a body portion and a track extending distally from the body portion;
an inner handle portion, the inner handle portion slidably moveable within, and with respect to, the outer handle portion from a distal position to a proximal position;
a tip assembly slider, mounted on the track for sliding movement with respect to the track;
a tip assembly at the proximal end of the delivery device, the tip assembly comprising a top cap and a retriever, the tip assembly having an open configuration and a closed configuration, the top cap comprising a distally facing mouth, whereby in the open configuration, the mouth is open for receiving a proximal portion of the endograft, and in the closed configuration, the mouth is closed by the retriever;
a connector extending from the tip assembly to the inner handle portion, the connector including a distal portion slidably engageable with the inner handle portion;
a pusher catheter extending proximally from the outer handle assembly;
a guide wire catheter extending through the inner handle portion and through the pusher catheter, the guide wire catheter being affixed at a distal end thereof to the inner handle portion and being affixed at a proximal end thereof to the tip assembly;
an endograft receiving portion for receiving the endograft between the tip assembly and the pusher catheter;
a distal trigger wire for releasably retaining a distal end of the endograft, whereby distal movement of the tip assembly slider pulls the distal trigger wire thereby releasing the distal end of the endograft; and
a proximal trigger wire release slider mounted on the track distally of the tip assembly slider, for sliding movement with respect to the track from an initial position to a triggered position, wherein the tip assembly slider engages the proximal trigger wire release slider such that it cannot be moved distally until after the proximal trigger wire release slider has been moved distally;
wherein the tip assembly slider is operably connected to the inner handle portion such that distal sliding movement of the tip assembly slider slides the tip assembly towards the pusher catheter.

### Claim 16 (depends on 2)

A device according to claim 2, comprising a proximal trigger wire release slider mounted on the track distally of the tip assembly slider, for sliding movement with respect to the track from an initial position to a triggered position; and a proximal trigger wire for releasably retaining a proximal end of the endograft loadable on the endograft receiving portion, whereby distal movement of the proximal trigger wire release slider pulls the proximal trigger wire thereby releasing the proximal end of the endograft.
