US20120172964A1 - Stent Loading and Delivery Device Having a Loading Basket Lock Mechanism - Google Patents

Abstract

A stent loading and delivery system, the delivery system comprising an inner elongate tubular member having a proximal end and a distal end, an intermediate elongate tubular member having a proximal end and a distal end in sliding relationship to said inner elongate tubular member and an external elongate tubular member having a proximal end and a distal end in sliding relationship to said intermediate elongate tubular member, said intermediate elongate tubular member comprising a stop mechanism at its proximal end, wherein the stop mechanism prevents the external elongate tubular member from being slid past the stop mechanism when the external elongate tubular member is slid in a proximal direction.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS
• This application claims priority to U.S. Patent Provisional Application No. 61/428,261 filed Dec. 30, 2010, the entire contents of which are hereby incorporated herein by reference.
BACKGROUND OF THE INVENTION
• The present invention relates to an assembly for loading and delivering a stent.
• An intraluminary prosthesis is a medical device used in the repair and/or treatment of diseases in various body vessels, for example, a stent. Stents are generally cylindrical shaped devices that are radially expandable to hold open a segment of a blood vessel or other anatomical lumen after implantation into the body lumen. For example, stents may be used in the coronary or peripheral vasculature, esophagus, trachea, bronchi colon, biliary tract, urinary tract, prostate, brain, as well as in a variety of other applications in the body. These devices are implanted within the vessel to open and/or reinforce collapsing or partially occluded sections of the lumen.
• Stents may be formed of metallic materials as well as polymeric and biodegradable materials, either in total or in part. In many procedures, polymeric or bioabsorbable prostheses are preferred over metallic devices, for example, due to the relative ease of removing a device intended for temporary implantation, or the capacity to be absorbed into the body.
• When maintained in the reduced-radius state under a constant load for any appreciable length of time, a prosthesis formed of polymeric or bioabsorbable material may, however, undergo permanent or plastic deformation. When released from the catheter or other delivery device, such prosthesis may radially self expand to a diameter considerably less than its relaxed-state diameter prior to preloading. This phenomenon is commonly referred to as stress relaxation or “creep”. This phenomenon is aggravated when a polymeric or bioabsorbable prosthesis is exposed to elevated temperatures in its reduced-radius state, for example during a sterilization procedure, which may be performed prior the outset of the prosthesis deployment procedure.
• To counteract this phenomenon of stress relaxation or creep, the polymeric or bioabsorbable prosthesis may be sterilized and/or stored in its relaxed state, i.e., not significantly reduced radial state, until just before it is to be used. When the physician is about to begin a procedure, he or she may load the polymeric prosthesis into the delivery system. Consequently, the prosthesis remains compressed in the reduced-radius state only for a short time, perhaps only several minutes. While such a procedure counteracts the problem of creep, the procedure is, however, more difficult and time consuming. Although it is common practice to load a stent into a sheath during assembly of a stent delivery system, such loading often involves numerous steps and often requires the use of multiple components (e.g., tools and fixtures) that are not part of the stent delivery system. For example, currently available stent delivery systems often require that a stent be loaded onto a delivery system by means of a funnel, basket or other similar device which are not part of the delivery system.
• There remains a need in the art for an improved stent loading device that is permanently attached to a stent delivery system to allow loading of a stent into stent delivery systems at the time of use, while minimizing the risk of damaging the stent in the process.
SUMMARY OF THE INVENTION
• The present invention is directed to a method and system for delivering a self-expanding stent into a body lumen. In particular, the present invention relates to an assembly and a method for loading and delivering a stent in combination with a stent delivery catheter device, as well as to overall stent delivery systems.
• In one embodiment, the present invention relates to a stent loading and delivery system, the delivery system including an inner elongate tubular member having a proximal end and a distal end, an intermediate elongate tubular member having a proximal end and a distal end in sliding relationship to said inner elongate tubular member and an external elongate tubular member having a proximal end and a distal end in sliding relationship to said intermediate elongate tubular member, said intermediate elongate tubular member comprising a stop mechanism at its proximal end, wherein the stop mechanism prevents the external elongate tubular member from being slid past the stop mechanism when the external elongate tubular member is slid in a proximal direction.
• In one embodiment, the present invention relates to a stent loading and delivery system including an inner elongate tubular member having a proximal end and a distal end, the inner elongate tubular member having a proximal handle at the proximal end, an intermediate elongate tubular member in sliding relationship to the inner elongate tubular member, the intermediate elongate intermediate member having a proximal end and a distal end, the intermediate elongate tubular member having an intermediate handle, the intermediate handle having a first position and a second position, in the second position the intermediate handle is adjacent the proximal handle, an external elongate tubular member having a proximal end and a distal end, the external elongate tubular member overlying at least a portion of the intermediate elongate tubular member, the external elongate tubular member having a distal handle at the proximal end of the external elongate tubular member, the distal handle having a proximal position and a distal position and a stop mechanism secured to the proximal end of the elongate intermediate member at a point corresponding to the proximal position of the distal handle of the elongate external tubular member, the stop mechanism having a first unexpanded state and a second expanded state wherein when the distal handle of the external elongate tubular member is in the proximal position, the proximal end of the external elongate tubular member overlies the stop mechanism and the stop mechanism is in its unexpanded state and when the distal handle of the external elongate tubular member is in the second distal position the stop mechanism is exposed and is in its expanded state, the stop mechanism preventing the distal handle from moving to a point beyond the stop mechanism.
• The device may further include a stent loading basket having opposed proximal and distal ends. In some embodiments, the proximal end may be securely disposed to the distal end of the intermediate elongate tubular member. The stent basket may have a truncated-conical shape, outwardly diverging in a distal direction from its proximal end. The stent basket may be a thin film which can collapse such that the stent basket may be slidably contained within the external member, or may be a radially distensible member which can collapse such that the stent basket may be slidably contained within the external member. In some embodiments, the stent basket may be composed of a polymeric material. The stent basket may include, in part or substantially, braided polymeric filaments. The braided filaments may be contained within a thin polymeric film. The intermediate member may be an elongate tubular device. The stent basket may comprise metals, polymers, or combinations of both.
• In another embodiment, the present invention relates to A stent loading and delivery device including at least one inner tube having a proximal end and a distal end and a stop mechanism located at the proximal end and at least one outer tube having a proximal end and a distal end, the outer tube in sliding relationship with said at least one inner tube, the stop prevents the outer tube from advancing proximally when the proximal end of the outer tube is adjacent the stop.
• The method of utilizing the system for stent loading and delivery is also contemplated herein.
• These and other aspects, embodiments and advantages of the present disclosure will become immediately apparent to those of ordinary skill in the art upon review of the Detailed Description and Claims to follow.
BRIEF DESCRIPTION OF THE DRAWINGS
• FIG. 1 is a side view of an embodiment of a stent loading and delivery device according to the invention prior to stent loading.
• FIG. 2 is a side view of an embodiment of a stent loading and delivery device similar to that shown inFIG. 1 wherein the stent and stent loading basket have been loaded into the distal end of the external elongate tubular member.
• FIG. 3 is a side view of an embodiment of a stent loading and delivery device similar to that shown inFIGS. 1 and 2 wherein the stent has been deployed and the stent loading basket remains in the distal end of the external elongate tubular member.
• FIG. 4 is an embodiment of a stop mechanism according to the invention.
• FIG. 5A is an alternative embodiment of a stop mechanism according to the invention prior to expansion.
• FIG. 5B is an embodiment of a stop mechanism similar to that shown inFIG. 5A in an expanded state.
• FIG. 6A is an alterative embodiment of a stop mechanism according to the invention in an unexpanded state.
• FIG. 6B is an embodiment of a stop mechanism similar to that shown inFIG. 6A in an expanded state.
• FIG. 6C is an embodiment of a stop mechanism similar to that shown inFIGS. 6A and 6B in an expanded state with the distal handle of the external elongate tubular member adjacent thereto.
• FIG. 7 is a partial view of an intermediate member showing an alternative embodiment of a stop mechanism in the form of a compressible bump.
• FIG. 8A is partial view of an intermediate member showing an alternative embodiment of a stop mechanism in an unexpanded state wherein stop mechanism is disposed on the intermediate member and in the handle portion.
• FIG. 8B is a partial view of an intermediate member showing a stop mechanism similar to that shown inFIG. 8A in an expanded state.
DETAILED DESCRIPTION OF THE INVENTION
• While embodiments of the present disclosure may take many forms, there are described in detail herein specific embodiments of the present disclosure. This description is an exemplification of the principles of the present disclosure and is not intended to limit the disclosure to the particular embodiments illustrated.
• As shown in the drawings and described throughout the following description, as is traditional when referring to relative positioning on an object, the term “proximal” refers to the end of the apparatus that is closer to the user and the term “distal” refers to the end of the apparatus that is further from the user. The distal end in the operative position is located within the patient's body and the proximal end in the operative position is located outside the patient's body.
• The present application is directed to stent loading and delivery device including an inner elongate tubular member, an intermediate elongate tubular member having a stop mechanism located on its proximal end and an external elongate tubular member. The system may further include a stent loading basket wherein the proximal end of a stent is disposed and held therein in an expanded or non-contracted state. The stent loading basket and stent can be loaded into the external elongate tubular member between the external member and the inner elongate tubular member and is held adjacent to the loading basket but no longer disposed therein. When the stent is deployed using the external elongate tubular member, a stop mechanism incorporated with the intermediate elongate tubular member prevents the loading basket from being deployed from within the external elongate tubular member. The device will be described in detail with respect to the drawings below.
• The method of utilizing the stent loading and delivery device is also contemplated by the present invention. In some embodiments, the utilization may include a method for loading, delivery and deployment of a stent utilizing the system in percutaneous, transluminal or other insertion techniques. The device allows the practitioner to easily load a stent into the delivery system with minimal effort and without damaging the stent.
• Turning now to the figures,FIG. 1 is a cross-sectional view of a stent loading anddelivery system100 according to the present invention. Thesystem100, as depicted, may be particularly well suited for loading, transluminal delivery and intraluminal deployment of a radially self-expanding prosthesis, such as a stent and/or a stent-graft. Thesystem100 may include a catheter-type device with three elongated cylindrical members concentric about an axis and having opposed proximal and distal ends. The three members can be structured as follows: A flexible inner elongatetubular member120, an intermediate elongatetubular member140 slidably containing theinner member120 therein, and an external elongatetubular member160 slidably containing theintermediate member140 therein.
• Stent loading basket200 is secured to the distal end of the intermediate member and lies adjacent the distal end of the external member and holdsstent300 in an unconstrained state therein.
• Eachmember120,140,160 of thesystem100 may be controlled at the proximal end by a respective handle as follows. Aproximal handle130 may be fixedly disposed at the proximal end117 of theinner member120, handle150 may be disposed at theproximal end137 of theintermediate member140 and handle170 may be disposed at theproximal end157 of theexternal member160. Handle170 is shown disposed furthest away from the practitioner in relation to other handles or away from the proximal end117 of theinner member120 in this embodiment. Theintermediate handle150 may be disposed between thedistal handle170 and theproximal handle130, which may be disposed closest to the practitioner.
• Handles130,150, and170 are displaceable along the longitudinal axis98 relative to each other thereby enabling selective deployment and retraction of thestent300. Manipulation or axial movement of thehandles130,150 and170 permits independent axial movement of thetubular members120,140, and160, respectively. For example, handle150 may slide between adistal position151 shown inFIG. 1 and aproximal position153 shown inFIG. 2 so as to axially move theintermediate member140. Such movement may be done while keeping theother handles130,170 fixed or relatively fixed to allow independent or substantially independent movement of theintermediate member140. While theintermediate member140 is moved, theinner member120 and theexternal member160 may remain fixed or relatively fixed.
• Handle170 is fixedly attached to thedistal end157 ofexternal member160 and moves proximally and distally between first and second positions171 (proximal),173 (distal).
• When handle170 is moved fromproximal position171 todistal position173stent loading basket200 which engages and secures a proximal end ofstent300 is compressingly loaded along withstent300 into thedistal end161 of the externaltubular member160 and holds the stent in a collapsed and constrained position over the innertubular member120 as shown inFIG. 2.
• Theintermediate handle150 is moved from a distal position shown at151 inFIG. 1 to aproximal position153adjacent handle130 as shown inFIG. 2. This seats thestent300 immediately adjacentstent loading basket200 with the proximal end of thestent300 no longer withinloading basket200 as shown inFIG. 2.
• During the loading of thestent300, thehandles170 and150 may be kept fixed in relatively constant axial displacement from one and another. As such, theinner member120 and theintermediate member140 may also be kept in relative constant axial positions with theintermediate member140 being substantially disposed within theexternal member160. However, theintermediate member140 need not be completely contained within theexternal member160. Rather, a portion of the distal end of theintermediate member140 may be axially outside or distally disposed from the distal end of theexternal member160.
• An added feature may be a stent holder (not shown) which can be provided on a distal portion referred to as thestent engagement region110 of the inner elongatetubular member120 to temporarily hold the stent in place without any substantial external force acting on it. The stent holder may be further defined by a tubular band (not shown). The stent holder may releasably holdstent300 withinsystem100 even after thestent basket200 may be axially displaced away from thestent300. Such feature may allow, if desired, for a large portion of thestent300 to be deployed and then be recaptured or re-engaged bystent basket200 prior to complete deployment of thestent300. The recapturing may be achieved by axially sliding theexternal member160 over thestent300. Moreover, thestent basket200 may be repositioned between theinner member120 and theexternal member160, for example, by axially advancing thestent basket200 to reposition thestent300 therein between. Furthermore, thewhole system100 may be moved proximally or distally to reposition thestent300 therein. These features may provide, among other things, reloading ability (reconstrainability) of thestent300 within thesystem100 of the present invention. These features are described more fully in US Patent Publication No. 2009/0192518.
• Thus, during delivery through a patient's body lumen, thestent300 is releasably secured in thestent deployment region110 between the inner and outertubular members120,160.
• Thestent delivery system100 can now be positioned in the patient for deployment ofstent300. Insertion of the distal end of thesystem100 into a patient's body is performed with a lead-in such as thedistal end tip240. Once the practitioner navigates thedistal end tip240 to a desired location, and is satisfied with the location and orientation of the partially deployedstent300, the practitioner can actuate thehandle170 to itsproximal position171 to release fully deploy thestent300 from thedeployment region110 of the delivery system. as depicted inFIG. 3. The practitioner can then pull back thedistal handle170 toward theintermediate handle150, thereby pulling back theexternal member160. This step uncovers theconstrained stent300 can be unloaded at the desired deployment site. Thedelivery system100 can then be removed from the body.
• It should be noted that the stent loading and delivery device can be configured and arranged to allow a practitioner to re-load the stent in the event that it is positioned at the wrong location within a patient. For example, theintermediate handle150 may have a release mechanism such that theintermediate handle150 can be repositioned back to the original position if thestent300 needs to be removed from the body and re-loaded. Optionally, the system can be positioned by axially moving or sliding thestent engaging basket200 to a location past thestent deployment region110 for disengagement of thestent300 from theintermediate member140.
• A device of this type can be found in US Patent Publication No. 2009/0192518, the entire content of which is incorporated by reference herein.
• Astop mechanism180 is located at and secured to the proximal end of theintermediate member140 which corresponds to position171 ofhandle170. When handle is atposition170 theexternal member160 constrains the stop mechanism in a first collapsed position. As shown inFIGS. 2 and 3, when thehandle170 is moved distally to position173 the stop mechanism expands to form a conical flare at one end. When thehandle170 is moved back toposition171 after stent deployment, the stop mechanism prevents theexternal member160 from being retracted any further and deployingstent loading basket200 from thedistal end161 of the external elongate tubular member. This prevents the catheter assembly from being reused for future procedures.
• One embodiment of astop mechanism180 is shown inFIG. 4. In this embodiment, the distal end of the stop mechanism comprises flanges210 which expand outwardly once thehandle170 is moved in a distal direction to position173.
• Analternative stop mechanism180 is shown inFIG. 5A (unexpanded state) andFIG. 5B (expanded state). Thestop mechanism180 is shown in the shape of a frustoconical cone having tabs orpleats190 formed therein.
• Yet another alternative design can be found inFIG. 6A (unexpanded state),FIG. 6B (expanded state), andFIG. 6C (shown secured to the intermediate elongatetubular member140 and adjacent to thedistal handle170 of the elongate externaltubular member160 when thedistal handle170 is in its proximal position again after stent deployment). This stops the external elongatetubular member160 from being moved any further proximally and prevents theloading basket200 from being deployed from within thedistal end161 of the elongate external tubular member160 (also shown inFIG. 3). Thestop mechanism180 depicted inFIGS. 6A-6C is in the form of a tubular braid, much like a braided stent.
• In any of the above embodiments, thetubular members120,140, and160 may be formed of a biocompatible material such as a biocompatible polymer.
• Examples of biocompatible polymers include, but are not limited to, polyolefins such as polyethylene (PE), high density polyethylene (HDPE) and polypropylene (PP), polyolefin copolymers and terpolymers, polyethylene terephthalate (PET), polyesters, polyamides, polyurethanes, polyurethaneureas, polypropylene and, polycarbonates, polyvinyl acetate, thermoplastic elastomers including polyether-polyester block copolymers and polyamide/polyether/polyesters elastomers, polyvinyl chloride, polystyrene, polyacrylate, polymethacrylate, polyacrylonitrile, polyacrylamide, silicone resins, combinations and copolymers thereof, and the like. Materials for thetubular members120,140,160 may be same or different.
• It should be noted that thestop mechanism180, while shown as having a conical flare when expanded, can be anything that is covered by theexternal handle160 upon loading, but is exposed when thehandle160 is moved distally. The form of thestop mechanism180 may include, but is not limited to, a compressible bump, a raised portion on theintermediate member140, a leaf spring, etc.
• FIG. 7 is a partial view ofintermediate member140 illustrating an alternative embodiment wherein thestop mechanism180 is in the form of a compressible bump or sleeve on theintermediate member140.
• FIGS. 8A and 8B illustrate yet another alternative embodiment wherein stop180 is both disposed on theintermediate member140 and inhandle portion170.FIG. 8A illustratesstop mechanism180 in an unexpanded state andFIG. 8B illustratesstop mechanism180 in an expanded state both withinhandle170 and onintermediate member140.
• Alternatively, the stop may be included on thehandle portion170 that prevents proximal movement beyond the point shown inFIG. 3.
• Thetubular members120,140, and160 may also have a surface treatment and/or coating on their inner surface, outer surface or portions thereof. A coating need not be applied to all of thetubular members120,140,160, and individual members may be coated, uncoated, partially coated, and the like. Useful coating materials may include any suitable biocompatible coating. Non-limiting examples of suitable coatings include, but are not limited to, polytetrafluoroethylene, silicone, hydrophilic materials, hydrogels, and the like. Useful hydrophilic coating materials include, but are not limited to, alkylene glycols, alkoxy polyalkylene glycols such as methoxypolyethylene oxide, polyoxyalkylene glycols such as polyethylene oxide, polyethylene oxide/polypropylene oxide copolymers, polyalkylene oxide-modified polydimethylsiloxanes, polyphosphazenes, poly(2-ethyl-2-oxazoline), homopolymers and copolymers of (meth)acrylic acid, poly(acrylic acid), copolymers of maleic anhydride including copolymers of methylvinyl ether and maleic acid, pyrrolidones including poly(vinylpyrrolidone)homopolymers and copolymers of vinyl pyrrolidone, poly(vinylsulfonic acid), acryl amides including poly(N-alkylacrylamide), poly(vinyl alcohol), poly(ethyleneimine), polyamides, poly(carboxylic acids), methyl cellulose, carboxymethylcellulose, hydroxypropyl cellulose, polyvinylsulfonic acid, water soluble nylons, heparin, dextran, modified dextran, hydroxylated chitin, chondroitin sulphate, lecithin, hyaluranon, combinations and copolymers thereof, and the like. Non-limiting examples of suitable hydrogel coatings include polyethylene oxide and its copolymers, polyvinylpyrrolidone and its derivatives; hydroxyethylacrylates or hydroxyethyl(meth)acrylates; polyacrylic acids; polyacrylamides; polyethylene maleic anhydride, combinations and copolymers thereof, and the like. Additional details of suitable coating materials and methods of coating medical devices with the same among other features may be found in U.S. Pat. Nos. 6,447,835 and 6,890,348, the contents of which are incorporated herein by reference. Such coatings and/or surface treatment can be desirably disposed on the inside or a portion thereof of theexternal member160 to aid, if desired, in loading and/or deploying of the stent.
• Thestent basket200 may have a truncated-conical shape, being smaller at its proximal end, i.e., outwardly diverging in a distal direction from its proximal engaging end. Thestent basket200 may be a thin film which can collapse such that thestent basket200 may be slidably contained within the distal end of theexternal member160. Alternatively, thestent basket200 may include a radially distensible member which can be collapsible such that thestent basket200 can be slidably contained within theexternal member160. For instance, the stent basket may be a porous tube, a flexible tube, or any other configurable tube. In some embodiments, thestent basket200 may be apolymeric member200. Thestent basket200 may include, in part or substantially, braided filaments206. The braided filaments206 may include polymeric filaments, metallic filaments and any other suitable filaments. Alternatively, the braided filaments may be contained within a thin polymeric film.
• The stop mechanism can be formed from any of a variety of flexible materials including polymer materials, flexible metals and shape memory metals, and may be the same as or different than the intermediate elongate tubular member to which it is attached.
• The stop mechanism is suitably integrated with the intermediate elongate tubular member using any suitable means known in the art such as by overmolding or applying heat to the interface once the stop mechanism is disposed on the intermediate elongate tubular member such as by welding or applying a laser.
• Examples of flexible metals for forming the stop mechanism include, but are not limited to, stainless steel, aluminum and copper, for example.
• Examples of polymer materials suitable for forming the stop mechanism include, but are not limited to, polyurethanes, polycarbonate and polyesters, for example. Elastomeric polymer materials being preferred.
• Examples of shape memory metals suitable for forming the stop mechanism include, but are not limited to, copper-zinc-aluminum-nickel, copper-aluminum-nickel, and nickel-titanium (NiTi) alloys, and can be formed from alloying zinc, copper, gold and iron. Nickel-titanium is a preferred shape memory metal.
• Monofilaments available in a variety of polymeric materials including nylon, polyethylene (UHMW), liquid crystal polymers, aramids such as para-aramid, etc. can also be employed herein such as for making a braided stop. Flexible metals and shape memory metals can also be employed in making a web or braid.
• The device according to the invention is particularly suited for the loading and delivery of stents and stent/grafts.
• These stents and stent/grafts find utility for vascular and non-vascular application. Non-limiting examples include, but are not limited to, the vasculature, gastrointestinal tract, abdomen, peritoneum, airways, esophagus, trachea, colon, rectum, biliary tract, urinary tract, prostate, brain, spine, lung, liver, heart, skeletal muscle, kidney, bladder, intestines, stomach, pancreas, ovary, uterus, cartilage, eye, bone, joints, and the like.
• A particular example of a non-vascular application is for maintaining esophageal luminal patency in esophageal structures and occlusions of the concurrent esophageal fistulas.
• Examples of esophageal stents which can be employed herein include, but are not limited to, the Polyflex® Esophageal Stent, a polyester silicone-covered stent, the WallFlex® stent. WallStent®, and the Ultraflex® stent which is a polyurethane covered Nitinol stent, all commercially available from Boston Scientific/Microvasive, in Natick, Mass.
• Stents sold under these tradenames and available from Boston Scientific are also available for use in the tracheobronchial system, the biliary tract the duodenum and the colon, for example, and can also be used with these loading and delivery systems.
• Most particularly, the stents employed herein are self-expanding stents in all forms including, but not limited to, woven, knitted, braided, twisted, knotted, laser cut, welded, etc.
• The description provided herein is not to be limited in scope by the specific embodiments described which are intended as single illustrations of individual aspects of certain embodiments. The methods, compositions and devices described herein can comprise any feature described herein either alone or in combination with any other feature(s) described herein. Indeed, various modifications, in addition to those shown and described herein, will become apparent to those skilled in the art from the foregoing description and accompanying drawings using no more than routine experimentation. Such modifications and equivalents are intended to fall within the scope of the appended claims.
• All publications, patents and patent applications mentioned in this specification are herein incorporated by reference in their entirety into the specification to the same extent as if each individual publication, patent or patent application was specifically and individually indicated to be incorporated herein by reference. Citation or discussion of a reference herein shall not be construed as an admission that such is prior art.

Claims (23)

1. A stent loading and delivery system, the delivery system comprising an inner elongate tubular member having a proximal end and a distal end, an intermediate elongate tubular member having a proximal end and a distal end in sliding relationship to said inner elongate tubular member and an external elongate tubular member having a proximal end and a distal end in sliding relationship to said intermediate elongate tubular member, said intermediate elongate tubular member comprising a stop mechanism at its proximal end, wherein when the external elongate tubular member is adjacent the stop mechanism, the external elongate tubular member does not move in a proximal direction.

2. The stent loading and delivery device ofclaim 1 wherein the inner elongate tubular member comprises a proximal handle at the proximal end, the intermediate elongate tubular member comprises an intermediate handle at the proximal end and the external elongate tubular member comprises a distal handle at the proximal end, the distal handle has proximal position and a distal position, when the distal handle is in the proximal position, the external elongate tubular member overlies the stop mechanism.

3. The stent loading and delivery device ofclaim 2, the stop mechanism having an unexpanded and an expanded configuration, when the external elongate tubular member overlies the stop mechanism the stop mechanism is in its unexpanded configuration.

4. The stent loading and delivery device ofclaim 3 wherein when the external elongate tubular member is in its distal position, the stop mechanism is in its expanded configuration and when the distal handle of the external elongate tubular member is adjacent the expanded stop mechanism, the external elongate tubular member cannot be moved further in a proximal direction.

5. The stent loading and delivery device ofclaim 1 further comprising a stent loading basket, the stent loading basket is secured to the distal end of the intermediate elongate tubular member.

6. The stent loading and delivery device ofclaim 5 in combination with a stent having an unconstrained state and a constrained state and having a proximal end and a distal end, the proximal end of the stent is disposed within the stent loading basket.

7. The stent loading and delivery device ofclaim 6 wherein when the external elongate tubular member is in the distal position the stent loading basket and stent in a constrained state are within the distal end of the external elongate tubular member

8. The stent loading and delivery device ofclaim 7 wherein when the external elongate tubular member is adjacent the stop mechanism, the stent is outside of the external elongate tubular member in an unconstrained state and the stent loading basket is within the external elongate tubular member.

9. The stop mechanism ofclaim 1 wherein the external elongate tubular member has a distal end and a proximal end, the proximal end of the external elongate tubular member has a proximal position and a distal position, when the external elongate tubular member is in its proximal position the external elongate tubular member overlies the stop mechanism which is in a constrained state and when the external elongate tubular member is in its distal position the stop mechanism is exposed in an unconstrained state.

10. The stent loading and delivery device ofclaim 11 wherein the stop mechanism has an unexpanded and an expanded state, the stop mechanism forms a frustoconical cone in an expanded state.

11. The stent loading and delivery device ofclaim 1 wherein the stop mechanism has an unexpanded and an expanded state and the stop mechanism has a braided construction.

12. The stent loading and delivery device ofclaim 1 wherein the stop mechanism comprises a compressible bump or sleeve on the intermediate member.

13. A stent loading and delivery system comprising:

an inner elongate tubular member having a proximal end and a distal end, the inner elongate tubular member having a proximal handle at the proximal end of the inner elongate tubular member;

an intermediate elongate tubular member in sliding relationship with the inner elongate tubular member, the intermediate elongate tubular member having a proximal end and a distal end, the intermediate elongate tubular member having an intermediate handle, the intermediate handle having a first position and a second position, in the second position the intermediate handle is adjacent the proximal handle;

an external elongate tubular member having a proximal end and a distal end, the external elongate tubular member overlying at least a portion of the intermediate elongate tubular member and in sliding relationship therewith, the external elongate tubular member having a distal handle at the proximal end of the elongate external tubular member, the distal handle having a proximal position and a distal position; and

a stop mechanism secured to the proximal end of the intermediate elongate tubular member at a point corresponding to the proximal position of the intermediate handle of the intermediate elongate tubular member, the stop mechanism having a first unexpanded state and a second expanded state;

wherein when the distal handle of the external elongate tubular member is in the first proximal position, the proximal end of the external elongate tubular member overlies the stop mechanism and the stop mechanism is in its unexpanded state and when the distal handle of the external elongate tubular member is in the second distal position, the stop mechanism is exposed and is in its expanded state, the stop mechanism preventing the distal handle and external elongate tubular member from moving to a point beyond the stop mechanism.

14. The stent loading and delivery system ofclaim 13 further comprising a stent loading basket, the stent loading basket is secured to the distal end of the intermediate elongate tubular member adjacent the distal end of the external elongate tubular member.

15. The stent loading and delivery system ofclaim 12 in combination with a stent, the stent having an unconstrained and a constrained state and a distal end and a proximal end, the proximal end of the stent is disposed within the stent loading basket in an unconstrained state when the distal handle of the external elongate tubular member is in its proximal position and when the handle of the external elongate tubular member is in its distal position, the stent loading basket and the stent are in the distal end of the external elongate tubular member.

16. The stent loading and delivery system ofclaim 15 wherein when the distal handle of the external elongate tubular member is returned to the proximal position adjacent the stop mechanism the stent is outside the distal end of the external elongate tubular member in an unconstrained state and the stent loading basket is within the distal end of the external elongate tubular member in a constrained state.

17. The stent loading and delivery system ofclaim 13 wherein the stop mechanism expands to form a frustoconical cone.

18. The stent loading and delivery system ofclaim 13 wherein the stop mechanism comprises a pleated construction.

19. The stent loading and delivery system ofclaim 13 wherein the stop mechanism comprises a flanged cone.

20. The stent loading and delivery system ofclaim 13 wherein the stop mechanism comprises a braided construction.

21. The stent loading and delivery device ofclaim 13 wherein the stop mechanism comprises a compressible bump or sleeve on the intermediate member.

22. The stent loading and delivery system ofclaim 13 wherein the stop mechanism is formed from at least one member selected from the group consisting of polymers, flexible metals and shape memory metals.

23. A stent loading and delivery device comprising:

at least one inner tube having a proximal end and a distal end and a stop mechanism located at the proximal end; and

at least one outer tube having a proximal end and a distal end, the outer tube in sliding relationship with said at least one inner tube, the stop prevents the outer tube from advancing proximally when the proximal end of the outer tube is adjacent the stop

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