Implantable, self-expanding prosthetic device

• US 20020128707A1
• Filed: 05/07/2002
• Published: 09/12/2002
• Est. Priority Date: 08/06/1992
• Status: Active Grant

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Original Assignee: Aleksandr P. Korshok, Andrej A. Kadnikov, Beth Ann Kirts, Palle Hansen, Zaza A. Kavteladze
• Inventors: Hansen, Palle, Kirts, Beth Ann, Kavteladze, Zaza A., Korshok, Aleksandr P., Kadnikov, Andrej A.
• Granted Patent: US 6,814,750 B2
• Time in Patent Office: Days
• US Class Current: 623/1.17
• 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 2002/9505 having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2002/9665 with additional retaining means
• CPC Class Codes: A61F 2210/0019 operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation

Abstract

A prosthetic device for sustaining a vessel or hollow organ lumen (a stent) has a tubular wire frame (1) with rows of elongate cells (2) having a larger axis and a smaller axis. The cells are arranged with the larger axis in the circumferential direction of the frame (2) and the smaller axis parallel to the axial direction thereof. Each cell is formed by two U-shaped wire sections, and in a plane perpendicular to the longitudinal axis one of the branches of the U-shaped wire sections in one row form together a closed ring shape (4) which provides the frame (1) with large radial stiffness. In the axial direction the frame (1) has only low stiffness so that it easily conforms to the vascular wall even if this deforms due to external loads. The interconnection between the cells (2) may be flexible.

Claims

1. A prosthetic device (20) for sustaining a blood vessel or hollow organ lumen (21), comprising:

a wire frame (1) having a flexible tubular shape (13) and a plurality of interconnected cells (2) with flexible interconnections (14), wherein each of the flexible interconnections has first and second wire segments (15,16) that are wound around each other at an axially extending portion (17) of the wire frame, wherein each of the first and second wire segments runs longitudinally along the wire frame and through the interconnected cells, wherein the first and second wire segments in at least one of the flexible interconnections are wound in a first direction (18), and wherein the first and second wire segments in at least an other of the flexible interconnections are wound in a second direction (19) opposite to the first direction.

2. The prosthetic device of claim 1 wherein the flexible interconnections wound in the first direction are substantially equivalent in number to the flexible interconnections wound in the second direction.

3. The prosthetic device of claim 1 wherein each of the first and second wire segments runs helically through the cells.

4. The prosthetic device of claim 1 wherein at least one of the first and second wire segments runs in a first helical direction (22) and wherein at least another one of the first and second wire segments runs in a second helical direction (23) opposite to the first helical direction.

5. The prosthetic device of claim 4 wherein the first and second wire segments running in the first helical direction are equivalent in number to the first and second wire segments running in the second helical direction.

6. The prosthetic device of claim 1 wherein the first and second wire segments comprise an even number of pairs (24).

7. The prosthetic device of claim 1 wherein the first and second wire segments are of a superelastic material.

8. The prosthetic device of claim 1 wherein the first and second wire segments are of a shape memory material.

9. The prosthetic device of claim 1 wherein the first and second wire segments are heat set.

10. The prosthetic device of claim 1 wherein the first and second wire segments are of a nickel-titanium alloy.

11. A prosthetic device (20) for sustaining a blood vessel or hollow organ lumen (21), comprising:

a wire frame (1) having a flexible tubular shape (13) and rows (25) of interconnected cells (2), selected of the cells each having first and second substantially U-shaped wire sections (3), wherein each substantially U-shaped wire section includes first and second flexibly interconnected wire segments (15,16) each of which runs helically along the wire frame and through the rows of interconnected cells, wherein the first and second flexibly interconnected wire segments in each substantially U-shaped wire section are wound around each other at an axially extending portion (17) of the frame, wherein the first and second flexibly interconnected wire segments in at least one of the U-shaped wire sections are wound in a first direction (18), and wherein the first and second flexibly interconnected wire segments in at least an other of the U-shaped wire sections are wound in a second direction (19) opposite to the first direction.

12. The prosthetic device of claim 11 wherein the first and second flexibly interconnected wire segments in each cell of a given row (26) are all wound in the first direction and wherein the first and second flexibly interconnected wire segments in each cell in a row (27) adjacent to the given row are all wound in the second direction.

13. The prosthetic device of claim 11 wherein the first and second flexibly interconnected wire segments in the U-shaped wire sections of a given cell are wound in opposite directions (18,19).

14. The prosthetic device of claim 11 wherein selected of the first and second flexibly interconnected wire segments run helically through the rows of the interconnected cells.

15. The prosthetic device of claim 11 wherein the first wire segment of the first and second flexibly interconnected wire segments runs in a first helical direction (22), and wherein the second wire segment of the first and second flexibly interconnected wire segments runs in a second helical direction (23) opposite to the first helical direction.

16. The prosthetic device of claim 11 wherein the wire frame includes at one end (32) a plurality of loops (28) from each of which extends a pair (24) of first and second flexibly interconnected wire segments.

17. The prosthetic device of claim 16 wherein the first and second flexibly interconnected wire segments extending from each loop are wound all in the same direction (18,19).

18. The prosthetic device of claim 16 wherein the first and second flexibly interconnected wire segments extending from adjacent loops (29,30) are wound in opposite directions (18,19).

19. The prosthetic device of claim 16 wherein the first and second flexibly interconnected wire segments extending from each loop are wound only a half turn (37).

20. The prosthetic device of claim 11 wherein the first and second flexibly interconnected wire segments in each U-shaped wire section are wound around each other only one turn (31).

21. The prosthetic device of claim 16 wherein the wire frame includes at an other end (33) first and second flexibly interconnected wire segments (34,35) fixedly secured to each other.

22. The prosthetic device of claim 21 wherein the first and second flexibly interconnected wire segments that are fixedly secured to each other at the other end of the wire frame are all wound in one direction (18,19).

23. The prosthetic device of claim 21 wherein adjacent ones (36) of the first and second flexibly interconnected wire segments that are fixedly secured to each other at the other end of the wire frame are wound in opposite directions (18,19).

24. The prosthetic device of claim 11 wherein the first and second flexibly interconnected wire segments are of a superelastic material.

25. The prosthetic device of claim 11 wherein the first and second flexibly interconnected wire segments are of a shape memory material.

26. The prosthetic device of claim 11 wherein the first and second flexibly interconnected wire segments are of a nickel-titanium alloy material.

27. The prosthetic device of claim 11 wherein the first and second flexibly interconnected wire segments are heat set.

28. The prosthetic device of claim 11 wherein in a plane substantially perpendicular to a longitudinal axis of the wire frame, branches (3a, 3b) of the U-shaped wire sections together form a closed ring shape.

29. A prosthetic device (20) for sustaining a blood vessel or hollow organ lumen (21), comprising:

a wire frame (1) having a flexible tubular shape (13) and rows (25) of interconnected cells (2), selected of the cells each having first and second substantially U-shaped wire sections (3), wherein each substantially U-shaped wire section includes first and second flexibly interconnected wire segments (15,16) of a heat-set, shape memory nickel-titanium alloy material, each segment running helically along the wire frame and through the rows of interconnected cells, wherein the first wire segment (15) of the first and second flexibly interconnected wire segments runs in a first helical direction (22) and the second wire segment (16) runs in a second helical direction (23) opposite to the first helical direction, wherein said wire frame includes an even number of pairs (24) of the first and second flexibly interconnected wire segments, wherein the first and second flexibly interconnected wire segments in each cell in the U-shaped wire sections of a given cell are wound one turn (31) around each other at an axially extending portion (17) of the frame, wherein the first and second flexibly interconnected wire segments in each cell of a given row (26) are all wound in a first direction (18), wherein the first and second flexibly interconnected wire segments in each cell in a row (29) adjacent to the given row are all wound in a second direction (19) opposite to the first direction, wherein the wire frame includes at one end (32) a plurality of loops (28) from each of which extends a pair (24) of first and second flexibly interconnected wire segments, the first and second wire segments being wound only a half turn, and wherein the wire frame at an other end (33) includes pairs (36) of first and second flexibly interconnected wire segments (34,35) that are fixedly secured to each other.