Ostial stent and method for deploying same

• US 20020077691A1
• Filed: 12/18/2000
• Published: 06/20/2002
• Est. Priority Date: 12/18/2000
• Status: Abandoned Application

• Current Assignee: Advanced Cardiovascular Systems Incorporated
• Original Assignee: Advanced Cardiovascular Systems Incorporated
• Inventors: Nachtigall, John C.
• Application Number:
  US09/740,116
• Publication Number:
  US 20020077691A1
• Time in Patent Office: Days
• US Class Current: 623/1.12
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
• CPC Class Codes: A61F 2002/821 Ostial stents

Abstract

An expandable stent to be positioned and implanted at the intersection of a great vessel and a branch vessel. A deployable stop engages the wall of the great vessel surrounding the ostium and the stent body extends into and is implanted in a branch vessel. A sheath holds the stent in a compressed state during delivery and a retainer holds the stop in an undeployed position while the delivery system is advanced to a desired location at the intersection of the great vessel and the branch vessel.

Claims

1. An expandable stent to be advanced intralumenally through a great vessel to the ostium of a branch vessel and implanted therein, comprising:

an elongated tubular body having a proximal end and a distal end, the tubular body having a diameter sized for delivery through the ostium to be positioned in the branch artery and being expandable from a compressed position to an implanted position; and

an elongated stent stop mounted adjacent the tubular body proximal end and configured to be deployed in the great vessel from an undeployed position coextensive with the wall of the tubular body to a transversely projecting deployed position projecting laterally from the tubular body to, upon the tubular body being advanced into the branch vessel, engage the wall of the great vessel to limit further distal advancement of the stent.

2. The expandable stent of claim 1, wherein the stent stop is constructed to be biased towards the deployed position.

3. The expandable stent of claim 1, wherein the stent stop aligns with a longitudinal axis of the tubular body when in the compressed position.

4. The expandable stent of claim 1, wherein the tubular body is constructed of a shape-memory material.

5. The expandable stent of claim 4, wherein the tubular body is constructed of temperature responsive shape-memory material to retain the tubular body in the contracted position.

6. The expandable stent of claim 4, wherein the shape-memory material expands in response to body temperature to expand to the implanted position.

7. The expandable stent of claim 1, wherein the stent is formed from a superelastic material.

8. The expandable stent of claim 7, wherein the superelastic material expands isothermally in response to the release of stress on the tubular body.

9. The expandable stent of claim 1, wherein the stent is formed from a spring-like material.

10. The expandable stent of claim 9, wherein the spring-like material is configured to self-expand the stent to the implanted state.

11. The expandable stent of claim 1, wherein the stent stop includes a plurality of resilient stop wings.

12. The expandable stent of claim 1, wherein the stent stop includes three resilient stop wings that project radially outwardly from the stent body at an angle of substantially 90°

relative to a longitudinal axis of the tubular body.

13. The expandable stent of claim 12, wherein each of the stop wings having an interior surface positioned adjacent an exterior surface of the stent body.

14. The expandable stent of claim 1, wherein the stop is mounted on the proximal end of the stent body.

15. The stent of claim 1, wherein the stent stop includes a plurality of resilient stop wings projecting radially outwardly from the longitudinal axis of the stent body and defining a combined diametrical length greater than the diameter of the ostium.

17. The system of claim 16, wherein such stent body is constructed of memory retaining material normally assuming such expanded position.

18. The system of claim 16, wherein the retractor member withdraws the sheath distally to uncover and release the stent.

19. The system of claim 16, wherein a retainer tube telescopes over such catheter from the proximal end to engage and retain the stops in the retracted position.

16. A stent and catheter delivery system for repairing a branch vessel branching off from a great vessel, comprising:

a stent including an elongated tubular body having a compressed position and being expandable to an implanted position for engaging the walls of the branch vessel, the stent further including a stop at a proximal end of the tubular body pivotable from a retracted position to a deployed position projecting laterally relative to the longitudinal axis of the tubular body to engage the wall of the great vessel on the opposite sides of the ostium;

a catheter having a mounting region at the distal extremity for mounting the stent thereon;

a retainer sheath to cover and retain the stent on the mounting region, and

a retractor member associated with the retainer sheath and being moveable to withdraw the retainer off of the stent to release the stent for expansion to the implanted position.

20. A method for delivery of an expandable stent to a branch vessel branching outwardly from an ostium of a great vessel, comprising:

providing a stent having an elongated tubular body which is expandable to an implanted position in a vessel and further having an elongated stop adjacent a proximal end thereof;

mounting the stent on a distal end of a catheter;

introducing and advancing the catheter into the great artery;

deploying the stop from a retracted position to a deployed position projecting laterally relative to the longitudinal axis of the stent to engage the wall of the great vessel at the ostium;

further advancing the catheter to advance the stent into the branch vessel a distance sufficient to engage the stop with the wall of the great vessel; and

expanding the stent into contact with the wall of the branch vessel.

21. The method of claim 20, wherein the stop projects substantially perpendicular relative to the longitudinal axis of the stent.

22. The method of claim 20, wherein mounting the stent includes fitting a sheath over the stent;

and

after deploying the stop and engaging the wall of the great vessel, removing the sheath from the stent.

23. The method of claim 20, wherein mounting the stent further includes advancing a stop retainer over the stop to restrain the stop in the retracted position.