Expandable stent with radiopaque markers and stent delivery system

• US 20040078071A1
• Filed: 06/27/2003
• Published: 04/22/2004
• Est. Priority Date: 09/23/2002
• Status: Active Grant

• Current Assignee: Codman & Shurtleff Incorporated (Johnson & Johnson)
• Original Assignee: Cordis Neurovascular, Inc. (Johnson & Johnson)
• Inventors: Mitelberg, Vladimir, Jones, Donald K., Escamilla, Angeli
• Granted Patent: US 6,955,685 B2
• Time in Patent Office: Days
• US Class Current: 623/1.11
• CPC Class Codes: A61B 17/12022 Occluding by internal devices, e.g. balloons or releasable wires plugging an opening in the wall of an organ A61B17/0057; occluders for the cervical canal A61F6/146; vas deferens occluders A61F6/20
• CPC Class Codes: A61B 17/12118 for positioning in conjunction with a stent
• CPC Class Codes: A61B 17/1214 Coils or wires
• CPC Class Codes: A61B 2017/1205 Introduction devices
• 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 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 2002/823 Stents, different from stent-grafts, adapted to cover an aneurysm
• CPC Class Codes: A61F 2002/8486 provided on at least one of the ends
• CPC Class Codes: A61F 2002/91533 characterised by the phase between adjacent bands
• CPC Class Codes: A61F 2002/91541 Adjacent bands are arranged out of phase
• CPC Class Codes: A61F 2002/9155 Adjacent bands being connected to each other
• CPC Class Codes: A61F 2002/91558 connected peak to peak
• CPC Class Codes: A61F 2002/9665 with additional retaining means
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers

Abstract

An expandable stent and delivery system therefor is provided for treating vascular diseases such as partially occluded blood vessels and aneurysms. The delivery system includes proximal, intermediate and distal cylindrical members disposed about an elongated core member. The proximal, intermediate, and distal cylindrical members are spaced apart such that first and second gaps are formed. The expandable stent includes anchor members which are formed by winding a radiopaque coil onto a threaded portion of a strut member of the expandable stent. The expandable stent is mounted on the intermediate cylindrical member with the anchor members disposed within the gaps between the cylindrical members. A deployment catheter is used to compress and constrain the stent about the intermediate cylindrical member to thereby interlock the stent onto the core member.

Claims

1. An expandable stent and stent delivery system comprising:

a delivery system including an elongated core member having a distal portion, a proximal cylindrical member disposed about the distal portion of said elongated core member, and a distal cylindrical member disposed about the distal portion of said elongated core member and generally positioned distally from said proximal cylindrical member and spaced apart from said proximal cylindrical member to define a gap having a longitudinal length;

an expandable stent comprising a small diameter skeletal tubular member having a thin wall, said wall of said tubular member is cut to define a plurality of cells which are formed by a plurality of interconnected strut members, a first one of said plurality of strut members being formed with a threaded portion on said first strut member, a coil formed of radiopaque material being wound onto said threaded portion of said first strut member to thereby define an anchor member, said anchor member having a longitudinal length no greater than the longitudinal length of said gap, and said expandable stent being mounted on at least one cylindrical member and positioned such that said anchor member is disposed within said gap; and

,

a deployment catheter having a lumen extending therethrough and disposed about said elongated core member such that said deployment catheter compresses said expandable stent about at least one cylindrical member causing said anchor member to be retained in said gap and thereby causing said expandable stent to be interlocked onto said elongated core member.

2. An expandable stent and stent delivery system as defined in claim 1, in which a second one of said plurality of strut members is formed to create a threaded portion and a coil formed of radiopaque material is wound onto said threaded portion of said second strut member to thereby define a second anchor member.

3. An expandable stent and stent delivery system as defined in claim 2, wherein said expandable stent includes a distal section and one anchor member is positioned within the distal section of said expandable stent.

4. An expandable stent and stent delivery system as defined in claim 3, wherein said expandable stent includes a proximal section and one anchor member is positioned within the proximal section of said expandable stent.

5. An expandable stent and stent delivery system as defined in claim 2, wherein said expandable stent includes a central section, a flared proximal section, and a flared distal section, and wherein said flared proximal section and said flared distal section have outer diameters greater than the outer diameter of the central section of said expandable stent.

6. An expandable stent and stent delivery system comprising:

a delivery system including an elongated core member having a distal portion, a proximal cylindrical member disposed about the distal portion of said elongated core member, and a distal cylindrical member disposed about the distal portion of said elongated core member and generally positioned distally from said proximal cylindrical member and spaced apart from said proximal cylindrical member to define a gap having a longitudinal length;

an expandable stent comprising a small diameter skeletal tubular member having a thin wall, said wall of said tubular member being cut to define a plurality of cells which are formed by a plurality of interconnected strut members, a first one of said plurality of strut members having threads cut into an edge of said first strut member, a coil formed of radiopaque material being wound onto said threads of said first strut member to thereby define an anchor member, said anchor member having a longitudinal length no greater than the longitudinal length of said gap, and said expandable stent being mounted on at least one cylindrical member and positioned such that said anchor member is disposed within said gap; and

,

a deployment catheter having a lumen extending therethrough and disposed about said elongated core member such that said deployment catheter compresses said expandable stent about at least one cylindrical member causing said anchor member to be retained in said gap and thereby causing said expandable stent to be interlocked onto said elongated core member.

7. An expandable stent and stent delivery system as defined in claim 6, wherein said first strut member includes threads cut into two opposing edges and a coil formed of radiopaque material being wound into said threads of said first strut member to thereby define a first anchor member.

8. An expandable stent and stent delivery system as defined in claim 7, in which a second one of said plurality of strut members includes threads cut into two opposing edges of said second strut member, and a coil formed of radiopaque material is wound onto said threads of said second strut member to thereby define a second anchor member.

9. An expandable stent and stent delivery system as defined in claim 8, wherein said expandable stent includes a distal section and one anchor member is positioned within the distal section of said expandable stent.

10. An expandable stent and stent delivery system as defined in claim 9, wherein said expandable stent includes a proximal section and one anchor member is positioned within the proximal section of said expandable stent.

11. An expandable stent and stent delivery system as defined in claim 8, wherein said expandable stent includes a central section, a flared proximal section, and a flared distal section, and wherein said flared proximal section and said flared distal section have outer diameters greater than the outer diameter of the central section of said expandable stent.

12. An expandable stent comprising:

a small diameter skeletal tubular member having a thin wall;

said wall of said tubular member including a plurality of cells which are formed by a plurality of interconnected strut members, a first one of said plurality of strut members being formed with a threaded portion on said first strut member; and

,

a radiopaque marker, which takes the form of a coil formed of radiopaque material being wound onto said threaded portion of said first strut member.

13. An expandable stent as defined in claim 12, wherein said tubular member includes a distal section and said radiopaque marker is positioned within the distal section of said tubular member.

14. An expandable stent as defined in claim 12, wherein said tubular member includes a proximal section and said radiopaque marker is positioned within the proximal section of said tubular member.

15. An expandable stent as defined in claim 12, in which a second one of said plurality of strut members is formed to create a threaded portion on said second strut member and said second strut member includes a radiopaque marker, which take the form of a coil formed of radiopaque material being wound onto said threaded portion of said second strut member.

16. An expandable stent as defined in claim 15, wherein said tubular member includes a distal section and one radiopaque marker is positioned within the distal section of said tubular member.

17. An expandable stent as defined in claim 16, wherein said tubular member includes a proximal section and one radiopaque marker is positioned within the proximal section of said tubular member.

18. An expandable stent as defined in claim 15, wherein said tubular member includes a central section, a flared proximal section, and a flared distal section, and wherein said flared proximal section and said flared distal section have outer diameters greater than the outer diameter of the central section of said tubular member.

19. An expandable stent as defined in claim 15, wherein said tubular member includes a central section, a flared proximal section, and a flared distal section, and wherein said flared proximal section and said flared distal section have outer diameters between two and three times the outer diameter of the central section of said tubular member.

20. An expandable stent as defined in claim 15, wherein said tubular member includes a central section, a flared proximal section, and a flared distal section, and wherein said flared proximal section and said flared distal section have outer diameters approximately equal to three times the outer diameter of the central section of said tubular member.

21. An expandable stent as defined in claim 12, wherein said tubular member includes a central section, a flared proximal section, and a flared distal section, and wherein said flared proximal section and said flared distal section have outer diameters greater than the outer diameter of the central section of said tubular member.

22. An expandable stent as defined in claim 12, wherein said tubular member includes a central section, a flared proximal section, and a flared distal section, and wherein said flared proximal section and said flared distal section have outer diameters between two and three times the outer diameter of the central section of said tubular member.

23. An expandable stent as defined in claim 12, wherein said tubular member includes a central section, a flared proximal section, and a flared distal section, and wherein said flared proximal section and said flared distal section have outer diameters approximately equal to three times the outer diameter of the central section of said tubular member.

24. An expandable stent comprising:

a small diameter skeletal tubular member having a thin wall;

said wall of said tubular member including a plurality of cells which are formed by a plurality of interconnected strut members, eight of said plurality of strut members being formed with a threaded portion on each of said eight strut members; and

,

eight radiopaque markers, which take the form of a coil formed of radiopaque material being wound onto each threaded portion of said eight strut members.

25. An expandable stent as defined in claim 24, wherein said tubular member includes a distal section and one radiopaque marker is positioned within the distal section of said tubular member.

26. An expandable stent as defined in claim 25, wherein said tubular member includes a proximal section and one radiopaque marker is positioned within the proximal section of said tubular member.

27. An expandable stent comprising:

a small diameter skeletal tubular member having a thin wall;

said wall of said tubular member being cut to define a plurality of cells which are formed by a plurality of interconnected strut members, a first one of said plurality of strut members having threads cut into an edge of said first strut member; and

a coil formed of radiopaque material being wound onto said threads of said first strut member.

28. An expandable stent as defined in claim 27, wherein said tubular member includes threads cut into two opposing edges of said first strut member and a radiopaque marker, which takes the form of a coil formed of radiopaque material being wound onto said threads of said first strut member.

29. An expandable stent as defined in claim 28, wherein said tubular member includes a distal section and said radiopaque marker is positioned within the distal section of said tubular member.

30. An expandable stent as defined in claim 28, wherein said tubular member includes a proximal section and said radiopaque marker is positioned within the proximal section of said tubular member.

31. An expandable stent as defined in claim 28, wherein said tubular member includes a second one of said plurality of strut members having threads cut into two opposing edges of said second strut member and having a radiopaque marker, which take the form of a coil formed of radiopaque material being wound onto said threads of said second strut member.

32. An expandable stent as defined in claim 31, wherein said tubular member includes a distal section and one radiopaque marker is positioned within the distal section of said tubular member.

33. An expandable stent as defined in claim 32, wherein said tubular member includes a proximal section and one radiopaque marker is positioned within the proximal section of said tubular member.

34. An expandable stent as defined in claim 31, wherein said tubular member includes a central section, a flared proximal section, and a flared distal section, and wherein said flared proximal section and said flared distal section have outer diameters greater than the outer diameter of the central section of said tubular member.

35. An expandable stent as defined in claim 31, wherein said tubular member includes a central section, a flared proximal section, and a flared distal section, and wherein said flared proximal section and said flared distal section have outer diameters between two and three times the outer diameter of the central section of said tubular member.

36. An expandable stent as defined in claim 31, wherein said tubular member includes a central section, a flared proximal section, and a flared distal section, and wherein said flared proximal section and said flared distal section have outer diameters approximately equal to three times the outer diameter of the central section of said tubular member.

37. An expandable stent as defined in claim 28, wherein said tubular member includes a central section, a flared proximal section, and a flared distal section, and wherein said flared proximal section and said flared distal section have outer diameters greater than the outer diameter of the central section of said tubular member.

38. An expandable stent as defined in claim 28, wherein said tubular member includes a central section, a flared proximal section, and a flared distal section, and wherein said flared proximal section and said flared distal section have outer diameters between two and three times the outer diameter of the central section of said tubular member.

39. An expandable stent as defined in claim 28, wherein said tubular member includes a central section, a flared proximal section, and a flared distal section, and wherein said flared proximal section and said flared distal section have outer diameters approximately equal to three times the outer diameter of the central section of said tubular member.

40. An expandable stent comprising:

a small diameter skeletal tubular member having a thin wall;

said wall of said tubular member being cut to define a plurality of cells which are formed by a plurality of interconnected strut members, eight of said plurality of strut members having threads cut into two opposing edges of said eight strut members; and

eight radiopaque markers, which take the form of a coil formed of radiopaque material being wound onto each of said threads of said eight strut members.

41. An expandable stent as defined in claim 40, wherein said tubular member includes a distal section and one of said eight radiopaque markers is positioned within the distal section of said tubular member.

42. An expandable stent as defined in claim 41, wherein said tubular member includes a proximal section and one of said eight radiopaque markers is positioned within the proximal section of said tubular member.