Stent devices with detachable distal or proximal wires

• US 20030199965A1
• Filed: 04/25/2003
• Published: 10/23/2003
• Est. Priority Date: 11/28/2000
• Status: Active Grant

• Current Assignee: Stryker European Operations Holdings, LLC (Stryker Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Jansen, Lex P., Nita, Henry, Ortiz, John E.
• Granted Patent: US 7,063,719 B2
• Time in Patent Office: Days
• US Class Current: 623/1.11
• CPC Class Codes: A61F 2/88 the wire-like elements formed as helical or spiral coils forming a net-like or mesh-like structure A61F2/90
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/962 having an outer sleeve

Abstract

Stent and stent delivery system suited for the noninvasive treatment of aneurysms, diseased blood vessels, and other bodily lumen are described. Detachable proximal and/or distal wires connected to the proximal and distal ends, respectively, of the stent allow the operator to manipulate the position and final configuration of the stent upon deployment.

Claims

1. A stent device having a proximal end and a distal end and at least one detachable proximal wire connected to the proximal end or at least one detachable distal wire connected to the distal end.

2. The stent device of claim 1, comprising at least one detachable proximal wire connected to the proximal end.

3. The stent of claim 2, wherein the detachable proximal wire comprises an electrolytically detachable end adapted to detach from the stent by imposition of a current on the proximal wire.

4. The stent of claim 2, wherein the detachable distal wire is adapted to detach from the stent using mechanical, hydraulic, ultrasonic or radio-frequency detachment mechanisms.

5. The stent device of claim 1, comprising at least one detachable distal wire connected to the distal end.

6. The stent of claim 5, wherein the detachable distal wire comprises an electrolytically detachable end adapted to detach from the stent by imposition of a current on the distal wire.

7. The stent of claim 5, wherein the detachable distal wire is adapted to detach from the stent using mechanical, hydraulic, ultrasonic or radio-frequency detachment mechanisms.

8. The stent of claim 1, comprising at least one detachable distal wire connected to the distal end and at least one detachable proximal wire connected to the proximal end.

9. The stent of claim 8, wherein the detachable distal and proximal wires comprise an electrolytically detachable end adapted to detach from the stent by imposition of a current on the proximal and distal wires.

10. The stent of claim 8, wherein the detachable distal and proximal wires are adapted to detach from the stent using mechanical, hydraulic, ultrasonic or radio-frequency detachment mechanisms.

11. The stent of claim 8, further comprising at least one insulator between the proximal and distal ends.

12. The stent of claim 8, wherein the proximal wire is further attached to at least one additional location in the stent.

13. The stent of claim 8, wherein the distal wire is further attached to at least one additional location in the stent.

14. The stent of claim 8, wherein the distal and proximal wires are each further attached to least one additional site in the stent.

15. The stent of claim 14, wherein the stent further comprises at least one insulator between the sites of attachment of the proximal wire and the sites of attachment of the distal wire.

16. The stent of claim 14, wherein each additional site of attachment is via an electrolytically detachable link.

17. The stent of claim 14, wherein the each addition site of attachment is via mechanical, hydraulic, ultrasonic or radio-frequency detachable link.

18. The stent of claim 8, further comprising at least one aperture through which the distal wire is threaded.

19. The stent of claim 1, further comprising a bioactive coating.

20. The stent of claim 19, wherein the bioactive coating comprises a therapeutic agent.

21. The stent device of claim 1, wherein the stent is self-expandable.

22. The stent device of claim 1, wherein the stent is self-forming.

23. The stent device of claim 1, further comprising a sheath.

24. The stent of claim 23, wherein the sheath further includes at least one delivery wire.

25. The stent device of claim 22, wherein the stent has a first substantially linear configuration for insertion into a restraining member and a second tubular configuration upon extrusion from the restraining member, the second tubular configuration comprising a plurality of turns, wherein the turns are not touching and further wherein the second tubular configuration has an outer diameter and at least a portion of the outer diameter conforms to the vasculature.

26. The stent of claim 25, wherein the stent self-forms into the second tubular configuration.

27. The stent of claim 25, wherein the restraining member comprises a deployment catheter.

28. The stent of claim 25, wherein the stent further includes at least one aperture in each turn of the secondary configuration through which the distal wire is threaded.

29. A method of delivering a stent according to claim 25 to a selected site in a body cavity, the method comprising:

(a) loading a substantially straightened stent according to claim 25 into a catheter;

(b) accessing the selected site with the catheter; and

(c) discharging the stent from the catheter at the selected site, wherein the stent forms a tubular configuration upon discharge.

30. The method of claim 29, wherein step (c) comprises:

(i) pushing the stent out of the catheter by applying pressure to the proximal wire while keeping the stent in the desired location by applying tension to the distal wire; and

(ii) applying electrical impulses sufficient to detach the distal and proximal wires from the stent.

31. The method of claim 30, wherein step (c) further comprises:

(iii) moving the catheter.

32. The method of claim 29, wherein the selected site is a lesion.