Stent including displacement capabilities

• US 10,653,510 B2
• Filed: 11/08/2017
• Issued: 05/19/2020
• Est. Priority Date: 11/09/2016
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Fikfak, Vid, Garbey, Marc
• Primary Examiner(s): Prebilic, Paul B
• Application Number:
  US15/807,527
• Publication Number:
  US 20180125633A1
• Time in Patent Office: 923 Days
• 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 2/07 Stent-grafts
• CPC Class Codes: A61F 2/852 Two or more distinct overlapping stents
• 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 2002/044 Oesophagi or esophagi or gullets
• CPC Class Codes: A61F 2210/0014 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2220/0008 Fixation appliances for connecting prostheses to the body
• CPC Class Codes: A61F 2220/0058 soldered or brazed or welded
• 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 2230/0065 toroidal, e.g. ring-shaped, doughnut-shaped
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2250/0008 for adjusting a position by translation along an axis or two perpendicular axes
• CPC Class Codes: A61F 2250/0039 differing in diameter
• CPC Class Codes: A61F 2250/0063 Nested prosthetic parts
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers

Abstract

An example medical device for treating a body lumen is disclosed. The medical device includes an expandable scaffold positionable within a body lumen wherein the body lumen has an inner surface. The medical device also includes a support member extending circumferentially around and attached to an outer surface of the expandable scaffold. The support member is configured to be positioned between the outer surface of the expandable scaffold and the inner surface of the body lumen and at least a portion of the support member is configured to shift relative to the inner surface of the body lumen. Further, shifting the support member shifts the scaffold longitudinally from a first position within the body lumen to a second position within the body lumen with the scaffold in an expanded state to accommodate peristalsis.

Claims

1. A medical device, comprising:

an expandable scaffold positionable within a body lumen, the body lumen having an inner surface, the scaffold including a first end region and a second end region opposite the first end region; and

a support member extending circumferentially around and attached to an outer surface of the expandable scaffold;

wherein the support member is configured to be positioned between the outer surface of the expandable scaffold and the inner surface of the body lumen;

wherein when the scaffold and support member are disposed within the body lumen and the scaffold is in an expanded state, at least a portion of the support member is configured to move axially relative to the inner surface of the body lumen, and wherein moving the support member axially moves the scaffold longitudinally from a first position within the body lumen to a second position within the body lumen with the scaffold in the expanded state to accommodate peristalsis, wherein the first and second end regions of the expandable scaffold extend axially beyond an entirety of the support member in both the first and second positions.

2. The medical device of claim 1, wherein the support member is positioned between the first end region and the second end region.

3. The medical device of claim 2, wherein the first end region, the second end region or both the first and second end regions include a flared portion.

4. The medical device of claim 1, wherein the support member is configured to radially deform.

5. The medical device of claim 1, wherein the expandable scaffold, the support member or both the expandable scaffold and the support member include a covering.

6. The medical device of claim 5, wherein the covering provides a pathway for material to flow therethrough.

7. The medical device of claim 1, wherein the support member comprises a plurality of filaments woven together to form a torus surrounding the expandable scaffold.

8. The medical device of claim 7, wherein the torus includes a centrally located aperture, and wherein the scaffold extends through the centrally located aperture.

9. The medical device of claim 8, wherein the plurality of filaments are woven to the scaffold.

10. The medical device of claim 8, wherein the plurality of filaments are welded to the scaffold.

11. The medical device of claim 8, wherein the torus is configured to roll along the inner surface of the body lumen while remaining attached to the scaffold.

12. The medical device of claim 1, wherein the support member further includes an anchoring member and one or more support arms attached to and extending from the outer surface of the scaffold to the anchoring member.

13. The medical device of claim 12, wherein the plurality of support arms spaced around the outer surface of the expandable scaffold.

14. The medical device of claim 12, wherein the one or more support arms are each attached to the outer surface of the scaffold at an attachment point, and wherein the one or more support arms are configured to pivot about the attachment point as the scaffold moves axially from the first position within the body lumen to the second position within the body lumen.

15. A medical device, comprising:

an expandable stent positionable within a body lumen, the body lumen having an inner surface, the stent including a first end region and a second end region opposite the first end region; and

an expandable support member attached to the stent, the support member including a centrally located aperture;

wherein the stent is configured to extend through the aperture of the support member such that the expandable support member is positioned between the first and second end regions of the stent;

wherein the support member is configured to space the stent away from the inner surface of the body lumen;

wherein when the stent and support member are disposed within the body lumen and the stent is in an expanded state, at least a portion of the support member is configured to move axially relative to the inner surface of the body lumen, and wherein the support member axially moves the stent longitudinally from a first position within the body lumen to a second position within the body lumen with the stent in the expanded state to accommodate peristalsis, wherein the first and second end regions of the expandable stent extend axially beyond an entirety of the support member in both the first and second positions.

16. The medical device of claim 15, wherein first end region, the second end region or both the first and second end regions include a flared portion.

17. The medical device of claim 15, wherein the support member is configured to radially deform.

18. The medical device of claim 15, wherein the stent, the support member or both the stent and the support member include a covering configured to provide a pathway for material to flow therethrough.

19. The medical device of claim 15, wherein the support member comprises a plurality of filaments woven together to form a torus surrounding the stent.

20. A method of treating the esophagus, the method comprising:

advancing a medical device to a target site within the esophagus, the medical device including;

an expandable scaffold having a first end region and a second end region opposite the first end region; and

a support member extending circumferentially around and attached to an outer surface of the expandable scaffold at a position between the first and second end regions of the expandable scaffold;

radially expanding the scaffold and the support member to an expanded state such that the support member is positioned between an inner surface of the esophagus and an outer surface of the stent in the expanded state; and

moving at least a portion of the support member in the expanded state axially relative to the inner surface of the esophagus, wherein moving the support member axially moves the scaffold longitudinally from a first position within the esophagus to a second position to accommodate peristalsis in the esophagus, wherein the first and second end regions of the expandable scaffold extend axially beyond an entirety of the support member in both the first and second positions.