Stent with a crush-resistant zone

• US 10,357,386 B2
• Filed: 01/28/2016
• Issued: 07/23/2019
• Est. Priority Date: 06/06/2006
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Schaeffer, Darin G., Boatman, Scott E., Dittman, Jay A., Hartley, David Ernest
• Primary Examiner(s): Mathew, Seema
• Application Number:
  US15/008,631
• Publication Number:
  US 20160135970A1
• Time in Patent Office: 1,272 Days
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/856 Single tubular stent with a side portal passage
• CPC Class Codes: A61F 2/86 Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/91 made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
• CPC Class Codes: A61F 2/915 with bands having a meander structure, adjacent bands being connected to each other
• CPC Class Codes: A61F 2/92 Stents in the form of a rolled-up sheet expanding after insertion into the vessel , e.g. with a spiral shape in cross-section
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/072 Encapsulated stents, e.g. wire or whole stent embedded in lining
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2002/821 Ostial stents
• CPC Class Codes: A61F 2002/91525 within the whole structure different bands showing different meander characteristics, e.g. frequency or amplitude
• CPC Class Codes: A61F 2002/91558 connected peak to peak
• CPC Class Codes: A61F 2002/91566 connected trough to trough
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0075 sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2250/0018 differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2250/0029 differing in bending or flexure capacity
• CPC Class Codes: A61F 2250/0039 : differing in diameter
• CPC Class Codes: A61F 2250/0073 : Force-limiting means

Abstract

An endoluminal prosthesis system for a branched body lumen comprises a branch vessel prosthesis. The branch vessel prosthesis is deployable within a branch vessel body lumen and comprises a stent having a generally tubular body portion, a flareable proximal end portion, and a coupling portion disposed intermediate the body portion and the flareable portion. The coupling portion is more crush-resistant than the body portion. The flareable proximal end may be disposed within a fenestrated stent graft wit with coupling portion disposed in the fenestration of the fenestrated stent graft.

Claims

1. An endoluminal prosthesis comprising:

a stent having a generally tubular body portion, a flareable proximal end portion, and a coupling portion disposed intermediate the body portion and the flareable portion, where the coupling portion is more crush-resistant than the body portion, whereby the coupling portion is more resistant to plastic deformation and bending than the body portion.

2. The endoluminal prosthesis of claim 1, wherein the stent comprises a plurality of interconnected struts.

3. The endoluminal prosthesis of claim 2, wherein the plurality of struts comprises struts in the coupling portion and in the body portion and wherein the struts in the coupling portion are circumferentially thicker than the struts in the body portion, radially thicker than the struts in the body portion, or both.

4. The endoluminal prosthesis of claim 2, wherein the interconnected struts comprise an interconnection frequency and the interconnection frequency of the struts in the coupling portion is greater than the interconnection frequency of the struts in the body portion.

5. The endoluminal prosthesis of claim 2, wherein the stent has a proximal end and a distal end and the interconnected struts comprise an interconnection frequency, and

wherein the interconnection frequency decreases distally away from the coupling portion.

6. The endoluminal prosthesis of claim 1, wherein the body portion is greater in length than the body of the coupling portion and the flareable end portion.

7. The endoluminal prosthesis of claim 1, wherein the stent comprises a plurality of cells interconnected by connection members.

8. The endoluminal prosthesis of claim 7, wherein the connection members interconnect between a peak of a cell in the body portion and a valley of an adjacent cell in the body portion.

9. The endoluminal prosthesis of claim 7, wherein the connection members have a longitudinally variable thickness.

10. The endoluminal prosthesis of claim 7, wherein the connection members each have a medial portion and an end portion wherein the medial portions are thicker than the end portions.

11. The endoluminal prosthesis of claim 7, wherein the connections between the plurality of cells have an interconnection frequency and the interconnection frequency is greater in the coupling portion than in the body portion.

12. An endoluminal prosthesis comprising:

a stent having a generally tubular body portion, a flareable proximal end portion, and a bending portion connecting the body portion and the flareable portion, where the stiffness of the flareable portion increases in the direction of the bending portion to form a coupling portion intermediate the flareable portion and the body portion, the coupling portion having a higher crush-resistance than the body portion, whereby the coupling portion is more resistant to plastic deformation and bending than the body portion.

13. The endoluminal prosthesis of claim 12, wherein the stent comprises a plurality of interconnected struts.

14. The endoluminal prosthesis of claim 13, wherein the interconnected struts comprise an interconnection frequency and the interconnection frequency of the struts in the coupling portion is greater than the interconnection frequency of the struts in the body portion.

15. The endoluminal prosthesis of claim 13, wherein the stent has a proximal end and a distal end and the interconnected struts comprise an interconnection frequency, and

wherein the interconnection frequency decreases distally away from the coupling portion.

16. The endoluminal prosthesis of claim 12, wherein the plurality of struts comprises struts in the coupling portion and in the body portion and wherein the struts in the coupling portion are circumferentially thicker than the struts in the body portion, radially thicker than the struts in the body portion, or both.

17. The endoluminal prosthesis of claim 12, wherein the body portion is greater in length than the body of the coupling portion and the flareable end portion.

18. The endoluminal prosthesis of claim 12, wherein the stent comprises a plurality of cells interconnected by connection members.

19. The endoluminal prosthesis of claim 18, wherein the connection members interconnect between a peak of a cell in the body portion and a valley of an adjacent cell in the body portion.

20. A method of repairing a body lumen at an intersection between a main vessel and a branch vessel, the method comprising the steps of:

inserting a branch vessel prosthesis into the branch vessel and through a fenestration in the sidewall of a main vessel prosthesis disposed within the main vessel, the branch vessel prosthesis comprising a stent having a generally tubular body portion, a flareable proximal end portion, and a coupling portion disposed intermediate the body portion and the flareable portion and having a higher crush-resistance than the body portion, whereby the coupling portion is more resistant to plastic deformation and bending than the body portion;

positioning the branch vessel prosthesis so that the coupling portion is aligned with the fenestration; and

expanding the branch vessel prosthesis so that the distal end of the branch vessel prosthesis engages the lumen of the branch vessel, the flareable portion flares within the lumen of the main vessel prosthesis, and the coupling portion engages the main body prosthesis at the fenestration.