Stent with balloon for repair of anastomosis surgery leaks

• US 10,327,778 B2
• Filed: 02/27/2014
• Issued: 06/25/2019
• Est. Priority Date: 02/28/2013
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Weiner, Jason
• Primary Examiner(s): Templeton, Christopher L
• Application Number:
  US14/192,578
• Publication Number:
  US 20140243950A1
• Time in Patent Office: 1,944 Days
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61F 2/04 Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts A61F2/18, A61F2/20 take precedence; devices, other than stent-grafts, providing patency to, or preventing collapsing of, tubular structures of the body other than stent-grafts, e.g. stents A61F2/82; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95
• CPC Class Codes: A61F 2/064 with special features to facilitate anastomotic coupling anastomosis of natural blood vessels A61B17/11
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/045 Stomach, intestines
• CPC Class Codes: A61F 2250/0003 having an inflatable pocket filled with fluid, e.g. liquid or gas
• CPC Class Codes: A61F 2250/0039 differing in diameter
• CPC Class Codes: A61F 5/0036 Intragastrical devices
• CPC Class Codes: A61F 5/0079 Pyloric or esophageal obstructions

Abstract

A stent for repairing post-anastomosis surgery leaks is described. The stent includes an elongated tube having a flared proximal end and a flared distal end, and an intermediate region disposed between those two ends. An inflatable balloon is disposed about the intermediate region. In addition, the elongated tube is coated with a coating.

Claims

1. A stent, comprising:

an elongated tube having a flared proximal end having a first width, a flared distal end having a fourth width, and an intermediate region disposed therebetween, wherein the intermediate region tapers distally from a second width distal of the flared proximal end to a third width proximal of the flared distal end, wherein the second width is larger than the third width and wherein the first width is larger than the fourth width;

an anti-reflux valve disposed within the elongated tube;

a covering disposed over the elongated tube;

an inflatable balloon extending 360°

around an exterior of the intermediate region, the inflatable balloon having an inflated center diameter that is larger than the fourth width;

an inflation valve positioned between an inner lumen of the elongated tube and the balloon, the inflation valve positioned within the balloon between proximal and distal ends of the balloon; and

a retrieval wire extending from the flared proximal end.

2. The stent of claim 1, wherein the elongated tube is woven, braided or knitted.

3. The stent of claim 1, wherein the balloon is formed from a compliant material.

4. The stent of claim 1, further comprising at least one radiopaque marker band.

5. The stent of claim 1, wherein the anti-reflux valve is positioned perpendicular to a longitudinal axis of the elongated tube.

6. The stent of claim 1, wherein the inflatable balloon has an inflated outermost diameter that is substantially the same as the first width.

7. The stent of claim 1, wherein the flared proximal end includes a cylindrical portion extending to a proximal extremity of the elongated tube and a tapered portion positioned between the cylindrical portion and the intermediate region.

8. The stent of claim 7, wherein the flared distal end includes a cylindrical portion extending to a distal extremity of the elongated tube and a tapered portion positioned between the cylindrical portion of the flared distal end and the intermediate region.

9. The stent of claim 1, wherein the inflatable balloon is spherical.

10. The stent of claim 1, wherein the flared distal end extends distal beyond the inflatable balloon.

11. A stent, comprising:

an elongated tube having a flared proximal end region, a flared distal end region, and an intermediate region extending between the proximal end region and the distal end region, wherein the intermediate region tapers distally from a first width distal of the flared proximal end region to a second width proximal of the flared distal end region, wherein the first width is larger than the second width;

an anti-reflux valve disposed within the elongated tube;

a polymeric covering disposed over the elongated tube; and

an inflatable balloon secured to and extending 360°

around an exterior of the intermediate region, the inflatable balloon including an inflation valve extending between an inner surface of the elongated tube and an inner portion of the inflatable balloon, the inflation valve positioned within the balloon between proximal and distal ends of the balloon, the inflation valve configured to inflate and deflate the balloon.

12. The stent of claim 11, wherein the polymeric covering comprises a silicone, styrene isoprene butadiene, expanded polytetrafluoroethylene, or polyurethane.

13. The stent of claim 11, wherein the inflatable balloon has an inflated outermost diameter that is substantially the same as a width of the flared proximal end region.

14. The stent of claim 11, wherein:

the flared proximal end region includes a cylindrical portion extending to a proximal extremity of the elongated tube and a tapered portion positioned between the cylindrical portion and the intermediate region; and

the flared distal end region includes a cylindrical portion extending to a distal extremity of the elongated tube and a tapered portion positioned between the cylindrical portion of the flared distal end and the intermediate region.

15. A stent, comprising:

an elongated tube having a flared proximal end and a flared distal end and a tapered intermediate region disposed therebetween, wherein the tapered intermediate region tapers distally from a first width distal of the flared proximal end to a second width proximal of the flared distal end, wherein the first width is larger than the second width;

an anti-reflux valve disposed within the elongated tube, the anti-reflux valve disposed perpendicular to a longitudinal axis of the elongated tube;

a covering disposed over the elongated tube;

an inflatable balloon disposed circumferentially around an exterior of the intermediate region; and

an inflation valve configured to inflate and deflate the balloon, the inflation valve positioned between an inner lumen of the elongated tube and the balloon, the inflation valve positioned within the balloon between proximal and distal ends of the balloon.

16. The stent of claim 15, wherein the anti-reflux valve is adjacent the flared proximal end.