Medical device for intraluminal endovascular stenting

• US 20030149469A1
• Filed: 02/28/2003
• Published: 08/07/2003
• Est. Priority Date: 04/16/1999
• Status: Active Grant

• Current Assignee: Amir David Loshakove, Arvi Penner, Gil Naor, Lone Wolinsky, Niall Duffy, Offer Nativ
• Original Assignee: Amir David Loshakove, Arvi Penner, Gil Naor, Lone Wolinsky, Niall Duffy, Offer Nativ
• Inventors: Naor, Gil, Duffy, Niall, Wolinsky, Lone, Loshakove, Amir David, Nativ, Offer, Penner, Arvi
• Granted Patent: US 6,918,928 B2
• Time in Patent Office: Days
• US Class Current: 623/1.11
• 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 2002/91525 within the whole structure different bands showing different meander characteristics, e.g. frequency or amplitude
• CPC Class Codes: A61F 2002/91533 characterised by the phase between adjacent bands
• CPC Class Codes: A61F 2002/91583 by a bridge, whereby at least one of its ends is connected along the length of a strut between two consecutive apices within a band
• CPC Class Codes: A61F 2230/0054 V-shaped
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers

Abstract

A medical device includes a catheter and a stent mounted on the catheter, the stent having a hollow, cylindrical body made with a plurality of rings. The rings each extend circumferentially around the cylindrical body and include an undulating series of peaks and valleys. The rings are joined together by a series of links which are shaped and arranged to promote longitudinal flexibility as the stent is delivered on the catheter and effective scaffolding after deployment. In one aspect of the invention, the rings are provided with inflection points on some portions of the rings which extend in a generally circumferential direction for a short distance. A link is joined at one end at the inflection point on one ring and also joined at a second end at a second inflection point on an adjacent ring. This construction allows the crimped stent to flex longitudinally when it is subjected to bending forces such as those encountered during delivery of the stent and catheter through a tortuous coronary artery.

Claims

1. A medical device comprising:

a catheter and a stent mounted on the catheter, the stent comprising

a hollow, cylindrical body comprised of a first ring and a second ring, the first and the second rings each extending circumferentially around the cylindrical body, the first and second rings each including an undulating series of peaks and valleys;

a first inflection point on the first ring, the first inflection point disposed on a portion of the first ring which extends between an adjacent peak and valley, the first inflection point including a short portion extending generally circumferentially;

a second inflection point on the second ring, the second inflection point disposed on a portion of the second ring which extends between an adjacent peak and valley, the second inflection point including a short portion extending generally circumferentially;

a link joined at a first end at the first inflection point on the first ring and at a second end at the second inflection point whereby the first and second rings are joined together.

2. A medical device as in claim 1 wherein the link includes at least two curved segments.

3. A medical device as in claim 1 wherein the short portion of the inflection point extending generally circumferentially has a length measured circumferentially which is substantially equal to a width of the link to which it is attached.

4. A medical device as in claim 1 wherein the stent is crimped onto a distal portion of the catheter.

5. A medical device as in claim 4 wherein the portion of the link near its first end nests within the undulations of the first ring of the crimped stent.

6. A medical device as in claim 4 wherein the crimped stent can flex near the first and second inflection points without significant radial expansion as the stent is subjected to bending along a longitudinal axis as it is advanced through bends in a coronary artery.

7. A medical device as in claim 1 wherein the inflection point is substantially centered between a peak and a valley.

8. A medical device as in claim 1 wherein the undulating peaks and valleys of each of the first and second rings are formed by opposing curved segments joined to each other by straight segments.

9. A medical device as in claim 8 wherein at least one of the straight segments is interrupted by an inflection point which produces a generally circumferentially offset portion in the straight segment.

10. A medical device as in claim 1 wherein no more than one link is connected to either of the first and second inflection points.

11. A medical device as in claim 1 wherein the undulating peaks and valleys of the first ring are arranged with the undulating peaks and valleys of the second ring such that the first and second rings appear as mirror images of each other.

12. A medical device as in claim 1 wherein the undulating peaks and valleys of the first ring are arranged with the undulating peaks and valleys of the second ring such that the first and second rings have peaks and valleys which are paired with each other in an in-phase relationship.

13. A medical device as in claim 1 wherein the first and second rings each include the same number of inflection points.

14. A medical device as in claim 1 wherein the first and second rings are joined by a plurality of links.

15. A medical device as in claim 14 wherein the plurality of links have complimentary shapes such that they will nest when the stent is crimped onto the catheter.

16. A medical device comprising:

a catheter and a stent mounted on the catheter, the stent comprising

a hollow, cylindrical body comprised of a first ring and a second ring, the first and the second rings each extending circumferentially around the cylindrical body, the first and second rings each including an undulating series of peaks and valleys;

a first inflection point on the first ring, the first inflection point disposed on a portion of the first ring which extends between an adjacent peak and valley;

a second inflection point on the second ring, the second inflection point disposed on a portion of the second ring which extends between an adjacent peak and valley;

a link joined at a first end at the first inflection point on the first ring and at a second end at the second inflection point whereby the first and second rings are joined together;

the stent crimped on the catheter such that the link nests near the first end within the undulations of the first ring and also nests near the second end within the undulations of the second ring.

17. A medical device as in claim 16 wherein the link includes at least two curved segments.

18. A medical device as in claim 16 wherein the inflection point has a length measured circumferentially which is substantially equal to a width of the link to which it is attached.

19. A medical device as in claim 16 wherein the crimped stent can flex near the first and second inflection points without significant radial expansion as the stent is subjected to bending along a longitudinal axis as it is advanced through bends in a coronary artery.

20. A medical device as in claim 16 wherein the inflection points are substantially centered between a peak and a valley.

21. A medical device as in claim 16 wherein the undulating peaks and valleys of each of the first and second rings are formed by opposing curved segments joined to each other by straight segments.

22. A medical device as in claim 21 wherein at least one of the straight segments is interrupted by an inflection point which produces a generally circumferentially offset portion in the straight segment.

23. A medical device as in claim 16 wherein no more than one link is connected to either of the first and second inflection points.

24. A medical device as in claim 16 wherein the undulating peaks and valleys of the first ring are arranged with the undulating peaks and valleys of the second ring such that the first and second rings appear as mirror images of each other.

25. A medical device as in claim 16 wherein the undulating peaks and valleys of the first ring are arranged with the undulating peaks and valleys of the second ring such that the first and second rings have peaks and valleys which are paired with each other in an in-phase relationship.

26. A medical device as in claim 16 wherein the first and second rings each include the same number of inflection points.

27. A medical device as in claim 16 wherein the first and second rings are joined by a plurality of links.

28. A medical device as in claim 27 wherein the plurality of links have complimentary shapes such that they will nest when the stent is crimped onto the catheter.

29. A medical device comprising:

a catheter and a stent mounted on the catheter, the stent-comprising

a hollow, cylindrical body comprised of a first ring and a second ring, the first and the second rings each extending circumferentially around the cylindrical body, the first and second rings each including an undulating series of peaks and valleys;

a first inflection point on the first ring, the first inflection point disposed on a portion of the first ring which extends between an adjacent peak and valley;

a second inflection point on the second ring, the second inflection point disposed on a portion of the second ring which extends between an adjacent peak and valley;

a link joined at a first end at the first inflection point on the first ring and at a second end at the second inflection point whereby the first and second rings are joined together;

the stent crimped on the catheter such that the stent can flex near the first and second inflection points without significant radial expansion as the stent is subjected to bending along a longitudinal axis as it is advanced through bends in a coronary artery.

30. A medical device as in claim 29 wherein the link includes at least two curved segments.

31. A medical device as in claim 29 wherein the inflection point has a length measured circumferentially which is substantially equal to a width of the link to which it is attached.

32. A medical device as in claim 29 wherein the inflection points are substantially centered between a peak and a valley.

33. A medical device as in claim 29 wherein the undulating peaks and valleys of each of the first and second rings are formed by opposing curved segments joined to each other by straight segments.

34. A medical device as in claim 33 wherein at least one of the straight segments is interrupted by an inflection point which produces a generally circumferentially offset portion in the straight segment.

35. A medical device as in claim 29 wherein no more than one link is connected to either of the first and second inflection points.

36. A medical device as in claim 29 wherein the undulating peaks and valleys of the first ring are arranged with the undulating peaks and valleys of the second ring such that the first and second rings appear as mirror images of each other.

37. A medical device as in claim 29 wherein the undulating peaks and valleys of the first ring are arranged with the undulating peaks and valleys of the second ring such that the first and second rings have peaks and valleys which are paired with each other in an in-phase relationship.

38. A medical device as in claim 29 wherein the first and second rings each include the same number of inflection points.

39. A medical device as in claim 29 wherein the first and second rings are joined by a plurality of links.

40. A medical device as in claim 39 wherein the plurality of links have complimentary shapes such that they will nest when the stent is crimped onto the catheter.

41. A medical device comprising:

a catheter and a stent mounted on the catheter, the stent comprising

a hollow, cylindrical body comprised of a first ring and a second ring, the first and the second rings each extending circumferentially around the cylindrical body, the first and second rings each including an undulating series of peaks and valleys, wherein the undulating peaks and valleys of the first ring are arranged with the undulating peaks and valleys of the second ring such that the first and second rings have peaks and valleys which are paired with each other in an in-phase relationship;

a link joined at a first end at a point on the first ring which is substantially centered between a peak and a valley and at a second end at a point on the second ring which is substantially centered between a peak and a valley;

the stent crimped on the catheter such that the link nests near the first end within the undulations of the first ring and also nests near the second end within the undulations of the second ring.

42. A medical device as in claim 41 wherein the link includes at least two curved segments at an intermediate portion of the link.

43. A medical device as in claim 41 wherein the crimped stent can flex near the first and second inflection points without significant radial expansion as the stent is subjected to bending along a longitudinal axis as it is advanced through bends in a coronary artery.

44. A medical device as in claim 41 wherein the undulating peaks and valleys of each of the first and second rings are formed by opposing curved segments joined to each other by straight segments.

45. A medical device as in claim 41 wherein no more than one link is connected to either the point on the first ring or the point on the second ring.

46. A medical device as in claim 41 wherein the first and second rings are joined by a plurality of links.

47. A medical device as in claim 46 wherein the plurality of links have complimentary shapes such that they will nest when the stent is crimped onto the catheter.

48. A medical device comprising:

a catheter and a stent mounted on the catheter, the stent comprising

a hollow, cylindrical body comprised of a first ring and a second ring, the first and the second rings each extending circumferentially around the cylindrical body, the first and second rings each including an undulating series of peaks and valleys, wherein the undulating peaks and valleys of the first ring are arranged with the undulating peaks and valleys of the second ring such that the first and second rings appear as mirror images of each other;

a link joined at a first end at a point on the first ring which is substantially centered between a peak and a valley and at a second end at a point on the second ring which is substantially centered between a peak and a valley;

the stent crimped on the catheter such that the link nests near the first end within the undulations of the first ring and also nests near the second end within the undulations of the second ring.

49. A medical device as in claim 48 wherein the link includes a sharply curved segment at each end and a gently curved central segment.

50. A medical device as in claim 48 wherein the crimped stent can flex near the first and second inflection points without significant radial expansion as the stent is subjected to bending along a longitudinal axis as it is advanced through bends in a coronary artery.

51. A medical device as in claim 48 wherein the undulating peaks and valleys of each of the first and second rings are formed by opposing curved segments joined to each other by straight segments.

52. A medical device as in claim 48 wherein no more than one link is connected to either the point on the first ring or the point on the second ring.

53. A medical device as in claim 48 wherein the first and second rings are joined by a plurality of links.

54. A medical device as-in claim 53 wherein the plurality of links have complimentary shapes such that they will nest when the stent is crimped onto the catheter.

55. A medical device comprising:

a catheter and a stent mounted on the catheter, the stent comprising

a hollow, cylindrical body comprised of a ring, the ring extending circumferentially around the cylindrical body, the ring including an undulating series of peaks and valleys;

an inflection point on the first ring, the inflection point disposed on a portion of the first ring which extends between an adjacent peak and valley;

a first link joined at an end at the inflection point.

56. A medical device as in claim 55 wherein the inflection point includes a short portion extending generally circumferentally.

57. A medical device as in claim 55 wherein the link extends substantially parallel to a portion of the ring.

58. A medical device as in claim 55 wherein the link extends beyond a peak or valley of the ring.

59. A medical device as in claim 56 wherein the short portion of the inflection point extending generally circumferentially has a length measured circumferentially which is substantially equal to a width of the link.

60. A medical device as in claim 55 also comprising a second link joined at an end at the inflection point and extending from the inflection point in a direction substantially opposite to the first link.

61. A medical device as in claim 60 wherein the first link is joined at an upper portion of the inflection point and the second link is joined at a lower portion of the inflection point.

62. A medical device as in claim 60 wherein the first link is joined to the ring above the ring and the second link is joined to the ring below the ring.

63. A medical device as in claim 55 wherein the stent is crimped onto a distal portion of the catheter.

64. A medical device as in claim 63 wherein a portion of the link nests within the undulations of the ring of the crimped stent.

65. A medical device as in claim 63 wherein the crimped stent can flex near the inflection point without significant radial expansion as the stent is subjected to bending along a longitudinal axis as it is advanced through bends in a coronary artery.

66. A medical device as in claim 55 wherein the inflection point is substantially centered between a peak and a valley.

67. A medical device as in claim 55 wherein the undulating peaks and valleys of the ring are formed by opposing curved segments joined to each other by straight segments.

68. A medical device as in claim 67 wherein the inflection point forms an offset at at least one of the straight segments to produce a generally circumferentially offset portion in the straight segment.

69. A medical device as in claim 55 wherein the ring includes a plurality of inflection points and a plurality of links joined to the inflection points.

70. A medical device as in claim 69 wherein each peak and valley has an inflection point therebetween and a first link joined at each inflection point.

71. A medical device as in claim 70 wherein each inflection point has a second link joined at each inflection point and extending longitudinally opposite the first link.

72. A medical device as in claim 70 wherein the plurality of links have complimentary shapes such that they will nest when the stent is crimped onto the catheter.

73. A medical device as in claim 55 wherein the link varies in width.

74. A medical device as in claim 73 wherein the link is wider at the end attached to the inflection point.

75. A medical device comprising:

a catheter and a stent mounted on the catheter, the stent comprising

a hollow, cylindrical body comprised of a first ring and a second ring, the first and the second rings each extending circumferentially around the cylindrical body, the first and second rings each including an undulating series of peaks and valleys, the peaks and valleys of the first ring forming a first amplitude and the peaks and valleys of the second ring forming a second amplitude which is smaller than the first amplitude;

a first point on the first ring, the first point disposed on a portion of the first ring which extends between an adjacent peak and valley;

a point on the second ring, the second point disposed on a portion of the second ring which extends between an adjacent peak and valley;

a link joined at a first end at the first point on the first ring and at a second end at the second point whereby the first and second rings are joined together.

76. A medical device as in claim 75 wherein the second ring is on a distal end of the stent.

77. A medical device as in claim 75 wherein the second ring is on a proximal end of the stent.

78. A medical device as in claim 75 wherein the points are substantially centered between a peak and a valley.

79. A medical device as in claim 75 wherein the undulating peaks and valleys of each of the first and second rings are formed by opposing curved segments joined to each other by straight segments.

80. A medical device as in claim 79 wherein at least one of the straight segments is interrupted by an inflection point which produces a generally circumferentially offset portion in the straight segment to which the link is joined.

81. A medical device as in claim 75 wherein the first and second rings have the same number of peaks and valleys.

82. A medical device as in claim 81 wherein the undulating peaks and valleys of the first ring are arranged with the undulating peaks and valleys of the second ring such that the first and second rings appear as mirror images of each other.

83. A medical device as in claim 81 wherein the undulating peaks and valleys of the first ring are arranged with the undulating peaks and valleys of the second ring such that the first and second rings have peaks and valleys which are paired with each other in an in-phase relationship.

84. A medical device as in claim 75 wherein the first and second rings are joined by a plurality of links.

85. A medical device as in claim 84 wherein the plurality of links have complimentary shapes such that they will nest when the stent is crimped onto the catheter.

90. A medical device as in claim 85 wherein the ring is joined to a plurality of links such that the portions of the ring adjacent to the radiopaque marker are joined to links that remain free of the adjacent radiopaque marker.

91. A medical device as in claim 85 wherein the ring includes a plurality of radiopaque markers spaced apart on the ring.

92. A medical device as in claim 91 wherein the radiopaque markers are spaced apart about 90 degrees.

86. A medical device comprising:

a catheter and a stent mounted on the catheter, the stent comprising

a hollow, cylindrical body comprised of a ring, the ring extending circumferentially around the cylindrical body, the ring including an undulating series of peaks and valleys;

a flat, radiopaque marker joined to the first ring and substantially centered between a peak and a valley;

the stent crimped on the catheter such that the radiopaque marker nests within the undulations of the first ring and also nests near the second end within the undulations of the second ring.

87. A medical device as in claim 86 wherein the radiopaque marker is joined to a land area formed in the ring.

88. A medical device as in claim 86 wherein the ring includes portions adjacent to the radiopaque marker which conform to the shape of the radiopaque marker.

89. A medical device as in claim 87 wherein a link is joined to the land area joined of the radiopaque marker such that the link remains free of the adjacent ring portions.