INTRAVASCULAR STENT

• US 20040230293A1
• Filed: 05/15/2003
• Published: 11/18/2004
• Est. Priority Date: 05/15/2003
• Status: Active Grant

• Current Assignee: Advanced Cardiovascular Systems Incorporated
• Original Assignee: Advanced Cardiovascular Systems Incorporated
• Inventors: Tsang, P.H. Wilson, Atladottir, Svava Maria, Limon, Timothy A., Yip, Philip S., Ho, Henjen
• Granted Patent: US 6,846,323 B2
• Time in Patent Office: Days
• US Class Current: 623/1.16
• CPC Class Codes: A61F 2/915 with bands having a meander structure, adjacent bands being connected to each other
• CPC Class Codes: A61F 2002/91508 the meander having a difference in amplitude along the band
• CPC Class Codes: A61F 2002/91516 the meander having a change in frequency along the band
• 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 2002/91558 connected peak to peak
• CPC Class Codes: A61F 2002/91566 connected trough to trough
• CPC Class Codes: A61F 2002/91575 connected peak to trough
• CPC Class Codes: A61F 2230/0013 Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
• CPC Class Codes: A61F 2230/0054 V-shaped
• CPC Class Codes: A61F 2250/0036 differing in thickness

Abstract

An intravascular stent assembly for implantation in a body vessel, such as a coronary artery, includes undulating circumferential rings having peaks on the proximal end and valleys on the distal end. Adjacent rings are coupled together by links. The rings and links are arranged so that the stent has good conformability as it traverses through, or is deployed in, a tortuous body lumen. The stent is also configured such that the likelihood of peaks and valleys on adjacent rings which point directly at each other to overlap in tortuous body vessels is reduced.

Claims

1. An intravascular stent for use in a body lumen, comprising:

a plurality of cylindrical rings, each cylindrical ring having a strut pattern, a first, proximal end and a second, distal end, the first, proximal end and the second, distal end defining a ring length, the cylindrical rings being aligned along a common longitudinal axis of the stent and radially expandable with a first delivery diameter and a second implanted diameter; and

at least one link coupling each pair of adjacent cylindrical rings;

wherein the strut pattern of each cylindrical ring includes an undulating pattern of U shaped portions forming peaks at the first, proximal end of the cylindrical ring and valleys at the second, distal end of the cylindrical ring with struts extending therebetween;

adjacent cylindrical rings alternating between a first, longer ring length and a second, shorter ring length, the cylindrical rings of the first, longer ring length having fewer peaks and valleys than the cylindrical rings of the second, shorter ring length;

the cylindrical rings of the first, longer ring length being in phase with each other;

the cylindrical rings of the second, shorter ring length being in phase with each other, and each cylindrical ring of the second, shorter ring length having a uniform ring length;

at least one peak on each of the cylindrical rings of the second, shorter ring length is coupled to a circumferentially aligned peak on the distally adjacent cylindrical ring of the first, longer ring length by a link; and

wherein at least one valley on the cylindrical rings of the first, longer ring length is coupled to a circumferentially aligned valley on the distally adjacent cylindrical ring of the second, shorter ring length by a link.

5. The stent of claim 1, wherein at least one valley on each of the cylindrical rings of the second, shorter ring length is coupled to a circumferentially aligned valley on the distally adjacent cylindrical ring of the first, longer ring length by a link.

9. The stent of claim 1, wherein an undulating link couples at least one valley at the first, proximal position on at least one of the cylindrical rings of the second, shorter length to the circumferentially aligned peak at the second, more distal position on the distally adjacent cylindrical ring of the first, longer length.

10. The stent of claim 1, wherein at least one of the links includes a straight configuration.

13. The stent of claim 1, wherein:

the strut pattern of the cylindrical rings of the first, longer ring length includes a first width;

the strut pattern of the cylindrical rings of the second, shorter ring length includes a second width; and

the first strut pattern width is greater than the second strut pattern width, the ratio between the first and second strut pattern widths being within a range of about 1.10;

1 to about 1.45;

1.

14. The stent of claim 1, wherein the ratio between the first, longer ring length and the second, shorter ring length is within a range of about 1.1:

1 to about 1.4;

1.

15. The stent of claim 1, wherein the ratio between the first, longer ring length and the second, shorter ring length is within a range of about 1.6:

1 to about 2.5;

1.

16. The stent of claim 1, wherein the first, longer ring length is within a range of about 0.6 to about 2.0 mm (0.024 0.079 inch) and the second, shorter ring length is within a range of about 0.4 to about 1.2 mm (0.016 0.047 inch).

17. The stent of claim 1, wherein the radial thickness of the stent is variable along the length of the stent.

18. The stent of claim 17, wherein the cylindrical rings of the first, longer ring length include a first radial thickness which is greater than a second radial thickness of the cylindrical rings of the second, shorter ring length.

21. The stent of claim 1, wherein at least one of the peaks of at least one of the cylindrical rings is circumferentially offset and near to a valley on the proximally adjacent cylindrical ring.

2. (Canceled)

3. (Canceled)

4. An intravascular stent for use in a body lumen, comprising:

a plurality of cylindrical rings, each cylindrical ring having a strut pattern, a first, proximal end and a second, distal end, the first, proximal end and the second, distal end defining a ring length, the cylindrical rings being aligned along a common longitudinal axis of the stent and radially expandable with a first delivery diameter and a second implanted diameter; and

at least one link coupling each pair of adjacent cylindrical rings;

wherein the strut pattern of each cylindrical ring includes an undulating pattern of U shaped portions forming peaks at the first, proximal end of the cylindrical ring and valleys at the second, distal end of the cylindrical ring with struts extending therebetween;

adjacent cylindrical rings alternating between a first, longer ring length and a second, shorter ring length, the cylindrical rings of the first, longer ring length having fewer peaks and valleys than the cylindrical rings of the second, shorter ring length;

the cylindrical rings of the first, longer ring length being in phase with each other;

the cylindrical rings of the second, shorter ring length being in phase with each other, and each cylindrical ring of the second, shorter ring length having a uniform ring length; and

wherein at least one valley on the cylindrical rings of the first, longer ring length is coupled to a circumferentially aligned valley on the distally adjacent cylindrical ring of the second, shorter ring length by a link; and

wherein at least one valley on each of the cylindrical rings of the second, shorter ring length is coupled to a circumferentially aligned peak on the distally adjacent cylindrical ring of the first, longer ring length by a link.

6. (Canceled)

7. An intravascular stent for use in a body lumen, comprising:

a plurality of cylindrical rings, each cylindrical ring having a strut pattern, a first, proximal end and a second, distal end, the first, proximal end and the second, distal end defining a ring length, the cylindrical rings being aligned along a common longitudinal axis of the stent and radially expandable with a first delivery diameter and a second implanted diameter; and

at least one link coupling each pair of adjacent cylindrical rings;

wherein the strut pattern of each cylindrical ring includes an undulating pattern of U shaped portions forming peaks at the first, proximal end of the cylindrical ring and valleys at the second, distal end of the cylindrical ring with struts extending therebetween;

adjacent cylindrical rinds alternating between a first, longer ring length and a second, shorter ring length, the cylindrical rings of the first, longer ring length having fewer peaks and valleys than the cylindrical rings of the second, shorter ring length;

the cylindrical rings of the first, longer ring length being in phase with each other;

the cylindrical rings of the second, shorter ring length being in phase with each other, and each cylindrical ring of the second, shorter ring length having a uniform ring length; and

wherein at least one valley on the cylindrical rings of the first, longer ring length is coupled to a circumferentially aligned valley on the distally adjacent cylindrical ring of the second, shorter ring length by a link; and

the cylindrical rings of the second, shorter ring length each include peaks at a first, proximal position and at least one peak at a second, more distal position along the longitudinal axis of the stent; and

the at least one peak at the second, more distal position of each of the cylindrical rings of the second, shorter ring length is circumferentially aligned with a valley on the proximally adjacent cylindrical ring of the first, longer ring length.

8. (Canceled)

11. (Canceled)

12. An intravascular stent for use in a body lumen, comprising:

a plurality of cylindrical rings, each cylindrical ring having a strut pattern, a first, proximal end and a second, distal end, the first, proximal end and the second, distal end defining a ring length, the cylindrical rings being aligned along a common longitudinal axis of the stent and radially expandable with a first delivery diameter and a second implanted diameter; and

at least one link coupling each pair of adjacent cylindrical rings;

wherein the strut pattern of each cylindrical ring includes an undulating pattern of U shaped portions forming peaks at the first, proximal end of the cylindrical ring and valleys at the second, distal end of the cylindrical ring with struts extending therebetween;

adjacent cylindrical rings alternating between a first, longer ring length and a second, shorter ring length, the cylindrical rings of the first, longer ring length having fewer peaks and valleys than the cylindrical rings of the second, shorter ring length;

the cylindrical rings of the first, longer ring length being in phase with each other;

the cylindrical rings of the second, shorter ring length being in phase with each other, and each cylindrical ring of the second, shorter ring length having a uniform ring length; and

wherein at least one valley on the cylindrical rings of the first, longer ring length is coupled to a circumferentially aligned valley on the distally adjacent cylindrical ring of the second, shorter ring length by a link; and

wherein at least one of the links includes straight portions and at least one curved portion.

19. (Canceled)

20. An intravascular stent for use in a body lumen, comprising:

a plurality of cylindrical rings, each cylindrical ring having a strut pattern, a first, proximal end and a second, distal end, the first, proximal end and the second, distal end defining a ring length, the cylindrical rings being aligned along a common longitudinal axis of the stent and radially expandable with a first delivery diameter and a second implanted diameter; and

at least one link coupling each pair of adjacent cylindrical rings;

wherein the strut pattern of each cylindrical ring includes an undulating pattern of U shaped portions forming peaks at the first, proximal end of the cylindrical ring and valleys at the second, distal end of the cylindrical ring with struts extending therebetween;

adjacent cylindrical rings alternating between a first, longer ring length and a second, shorter ring length, the cylindrical rings of the first, longer ring length having fewer peaks and valleys than the cylindrical rings of the second, shorter ring length;

the cylindrical rings of the first, longer ring length being in phase with each other;

the cylindrical rings of the second, shorter ring length being in phase with each other, and each cylindrical ring of the second, shorter ring length having a uniform ring length; and

wherein at least one valley on the cylindrical rings of the first, longer ring length is coupled to a circumferentially aligned valley on the distally adjacent cylindrical ring of the second, shorter ring length by a link; and

wherein the peaks of each cylindrical ring are circumferentially offset from the valleys on the proximally adjacent cylindrical ring.

22. An intravascular stent for use in a body lumen, comprising:

a plurality of cylindrical rings, each cylindrical ring having a strut pattern, a first, proximal end and a second, distal end, the first, proximal end and the second, distal end defining a ring length, the cylindrical rings being aligned along a common longitudinal axis of the stent and radially expandable with a first delivery diameter and a second implanted diameter; and

at least one link coupling each pair of adjacent cylindrical rings;

wherein the strut pattern of each cylindrical ring includes an undulating pattern of U shaped portions forming peaks at the first, proximal end of the cylindrical ring and valleys at the second, distal end of the cylindrical ring with struts extending therebetween;

adjacent cylindrical rings alternate between a first, longer ring length and a second, shorter ring length, the cylindrical rings of the first, longer ring length having fewer peaks and valleys than the cylindrical rings of the second, shorter ring length;

at least one valley on the cylindrical rings of the first, longer ring length is coupled to a circumferentially aligned valley on the distally adjacent cylindrical ring of the second, shorter ring length by a link; and

wherein the peaks of each cylindrical ring are circumferentially offset from and near to the valleys on the proximally adjacent cylindrical ring.

23. The stent of claim 22, wherein:

the circumferential distance between adjacent peaks on at least one of the cylindrical rings is variable about the circumference of the cylindrical rings; and

the circumferential distance between adjacent valleys on at least one of the cylindrical rings is variable about the circumference of the cylindrical rings.

24. The stent of claim 22, wherein at least one of the links includes at least one curved portion.

25. The stent of claim 22, wherein at least one peak on at least one cylindrical ring is coupled to a circumferentially offset valley on the proximally adjacent cylindrical ring by a link.

26. An intravascular stent for use in a body lumen, comprising:

a plurality of cylindrical rings including a first, proximal ring, at least one central ring and a second, distal ring, the at least one central ring being positioned between the first, proximal ring and the second, distal ring, each cylindrical ring having a strut pattern, a first, proximal end and a second, distal end, the first, proximal end and the second, distal end defining a ring length, the cylindrical rings being aligned along a common longitudinal axis of the stent and radially expandable with a first delivery diameter and a second implanted diameter; and

at least one link coupling each pair of adjacent cylindrical rings;

wherein the strut pattern of each cylindrical ring includes an undulating pattern of U shaped portions forming peaks at the first, proximal end of the cylindrical ring and valleys at the second, distal end of the cylindrical ring with struts extending therebetween;

the strut pattern of the first, proximal ring includes at least one group of adjacent valleys at a first, proximal position along the longitudinal axis of the stent and at least one group of adjacent valleys at a second, more distal position along the longitudinal axis of the stent;

the strut pattern of the at least one central ring includes at least one group of adjacent peaks at a first, proximal position along the longitudinal axis of the stent and at least one group of adjacent peaks at a second, more distal position along the longitudinal axis of the stent;

the strut pattern of the at least one central ring includes at least one group of adjacent valleys at a first, proximal position along the longitudinal axis of the stent and at least one group of adjacent valleys at a second, more distal position along the longitudinal axis of the stent;

the strut pattern of the second, distal ring includes at least one group of adjacent peaks at a first, proximal position along the longitudinal axis of the stent and at least one group of adjacent peaks at a second, more distal position along the longitudinal axis of the stent;

the valleys of the at least one group of adjacent valleys at the first, proximal position of the first, proximal ring are circumferentially aligned with the peaks of the at least one group of adjacent peaks at the first, proximal position of the distally adjacent central ring and the valleys of the at least one group of adjacent valleys at the second, more distal position of the first, proximal ring are circumferentially aligned with the peaks of the at least one group of adjacent peaks at the second, more distal position of the distally adjacent central ring;

wherein the valleys of the at least one group of adjacent valleys at the first, proximal position of the at least one central ring are circumferentially aligned with the peaks of the at least one group of adjacent peaks at the first, proximal position of the distally adjacent cylindrical ring and the valleys of the at least one group of adjacent valleys at the second, more distal position of the at least one central ring are circumferentially aligned with the peaks of the at least one group of adjacent peaks at the second, more distal position of the distally adjacent cylindrical ring;

wherein the number of valleys in the at least one group of adjacent valleys at the first, proximal position of the first, proximal ring is greater than the number of valleys in the at least one group of adjacent valleys at the second, more distal position of the first, proximal ring;

the number of peaks in the at least one group of adjacent peaks at the second, more distal position of the at least one central ring is greater than the number of peaks in the at least one group of adjacent peaks at the first, proximal position of the at least one central ring;

the number of valleys in the at least one group of adjacent valleys at the first, proximal position of the at least one central ring is greater than the number of valleys in the at least one group of adjacent valleys at the second, more distal position of the at least one central ring; and

the number of peaks in the at least one group of adjacent peaks at the second, more distal position of the second, distal ring is greater than the number of peaks in the at least one group of adjacent peaks at the first, proximal position of the second, distal ring.

27. The stent of claim 26, wherein:

the circumferential distance between adjacent valleys at the second, more distal position of the first, proximal ring is greater than the circumferential distance between adjacent valleys at the first, proximal position of the first, proximal ring;

the circumferential distance between adjacent peaks at the first, proximal position of the at least one central ring is greater than the circumferential distance between adjacent peaks at the second, more distal position of the at least one central ring;

the circumferential distance between adjacent valleys at the second, more distal position of the at least one central ring is greater than the circumferential distance between adjacent valleys at the first, proximal position of the at least one central ring;

the circumferential distance between adjacent peaks at the first, proximal position of the second, distal ring is greater than the circumferential distance between adjacent peaks at the second, more distal position of the second, distal ring.

29. The stent of claim 26, wherein:

the arc length of the at least one group of adjacent valleys at the first, proximal position of the first, proximal ring is substantially the same as the arc length of the at least one group of adjacent valleys at the second, more distal position of the first, proximal ring;

the arc length of the at least one group of adjacent peaks at the first, proximal position of the at least one central ring is substantially the same as the arc length of the at least one group of adjacent peaks at the second, more distal position of the at least one central ring;

the arc length of the at least one group of adjacent valleys at the first, proximal position of the at least one central ring is substantially the same as the arc length of the at least one group of adjacent valleys at the second, more distal position of the at least one central ring; and

the arc length of the at least one group of adjacent peaks at the first, proximal position of the second, distal ring is substantially the same as the arc length of the at least one group of adjacent peaks at the second, more distal position of the second, distal ring.

30. The stent of claim 26, wherein:

the peaks of the at least one group of adjacent peaks at the first, proximal position of the at least one central ring are circumferentially aligned with the valleys of the at least one group of adjacent valleys at the second, more distal position of the at least one central ring; and

the peaks of the at least one group of adjacent peaks at the second, more distal position of the at least one central ring are circumferentially aligned with the valleys of the at least one group of adjacent valleys at the first, proximal position of the at least one central ring.

31. The stent of claim 26, wherein the strut pattern of the first, proximal ring includes at least one group of adjacent peaks at a first, proximal position along the longitudinal axis of the stent and at least one group of adjacent peaks at a second, more distal position along the longitudinal axis of the stent.

32. The stent of claim 26, wherein the strut pattern of the second, distal ring includes at least one group of adjacent valleys at a first, proximal position along the longitudinal axis of the stent and at least one group of adjacent valleys at a second, more distal position along the longitudinal axis of the stent.

33. The stent of claim 26, wherein at least one of the links includes at least one curved portion.

34. The stent of claim 26, wherein at least one of the links includes a straight configuration.

35. The stent of claim 26, wherein at least one of the peaks of at least one of the cylindrical rings is circumferentially offset and near to a valley on the proximally adjacent cylindrical ring.

28. (Canceled)

36. An intravascular stent for use in a body lumen, comprising:

a plurality of cylindrical rings, each cylindrical ring having a strut pattern, a first, proximal end and a second, distal end, the first, proximal end and the second, distal end defining a ring length, the cylindrical rings being aligned along a common longitudinal axis of the stent and radially expandable with a first delivery diameter and a second implanted diameter; and

at least one link coupling each pair of adjacent cylindrical rings;

wherein the strut pattern of each cylindrical ring includes an undulating pattern of U shaped portions forming peaks at the first, proximal end of the cylindrical ring and valleys at the second, distal end of the cylindrical ring with struts extending therebetween;

adjacent cylindrical rings alternate between a first, longer ring length and a second, shorter ring length, the cylindrical rings of the first, longer ring length having fewer peaks and valleys than the cylindrical rings of the second, shorter ring length;

the radial thickness of the stent is variable along the length of the stent;

the cylindrical rings of the first, longer ring length are out of phase with each other;

the cylindrical rings of the second, shorter ring length each include peaks at a first, proximal position and at least one peak at a second, more distal position along the longitudinal axis of the stent, the at least one peak at the second, more distal position of each of the cylindrical rings of the second, shorter ring length is circumferentially aligned with a valley on the proximally adjacent cylindrical ring of the first, longer ring length;

the cylindrical rings of the second, shorter ring length each include at least one valley at a first, proximal position and valleys at a second,, more distal position along the longitudinal axis of the stent, the at least one valley at the first, proximal position of each of the cylindrical rings of the second, shorter ring length is circumferentially aligned with a peak on the distally adjacent cylindrical ring of the first, longer ring length; and

wherein at least one valley on the cylindrical rings of the first, longer ring length is coupled to a circumferentially aligned valley on the distally adjacent cylindrical ring of the second, shorter ring length by a link.

37. The stent of claim 36, wherein the cylindrical rings of the first, longer ring length include a first radial thickness which is greater than a second radial thickness of the cylindrical rings of the second, shorter ring length.

38. The stent of claim 36, wherein at least one of the peaks of at least one of the cylindrical rings is circumferentially offset and near to a valley on the proximally adjacent cylindrical ring.

39. An intravascular stent for use in a body lumen, comprising:

a plurality of cylindrical rings, each cylindrical ring having a strut pattern, a first, proximal end and a second, distal end, the first, proximal end and the second, distal end defining a ring length, the cylindrical rings being aligned along a common longitudinal axis of the stent and radially expandable with a first delivery diameter and a second implanted diameter; and

at least one link coupling each pair of adjacent cylindrical rings;

wherein the strut pattern of each cylindrical ring includes an undulating pattern of U shaped portions forming peaks at the first, proximal end of the cylindrical ring and valleys at the second, distal end of the cylindrical ring with struts extending therebetween;

adjacent cylindrical rings alternating between a first, longer ring length and a second, shorter ring length, the cylindrical rings of the first, longer ring length having fewer peaks and valleys than the cylindrical rings of the second, shorter ring length;

the cylindrical rings of the first, longer ring length being in phase with each other;

the cylindrical rings of the second, shorter ring length being in phase with each other;

wherein at least one valley on the cylindrical rings of the first, longer ring length is coupled to a circumferentially aligned valley on the distally adjacent cylindrical ring of the second, shorter ring length by a link; and

wherein at least one peak on each of the cylindrical rings of the second, shorter ring length is coupled to a circumferentially aligned valley on the distally adjacent cylindrical ring of the first, longer ring length by a link.

40. An intravascular stent for use in a body lumen, comprising:

a plurality of cylindrical rings, each cylindrical ring having a strut pattern, a first, proximal end and a second, distal end, the first, proximal end and the second, distal end defining a ring length, the cylindrical rings being aligned along a common longitudinal axis of the stent and radially expandable with a first delivery diameter and a second implanted diameter; and

at least one link coupling each pair of adjacent cylindrical rings;

wherein the strut pattern of each cylindrical ring includes an undulating pattern of U shaped portions forming peaks at the first, proximal end of the cylindrical ring and valleys at the second, distal end of the cylindrical ring with struts extending therebetween;

adjacent cylindrical rings alternating between a first, longer ring length and a second, shorter ring length, the cylindrical rings of the first, longer ring length having fewer peaks and valleys than the cylindrical rings of the second, shorter ring length;

the cylindrical rings of the first, longer ring length being in phase with each other;

the cylindrical rings of the second, shorter ring length being in phase with each other;

wherein at least one valley on the cylindrical rings of the first, longer ring length is coupled to a circumferentially aligned valley on the distally adjacent cylindrical ring of the second, shorter ring length by a link; and

wherein at least one valley on at least one cylindrical ring of the second, shorter ring length is coupled to a circumferentially offset peak on the distally adjacent cylindrical ring of the first, longer ring length by a link.

41. An intravascular stent for use in a body lumen, comprising:

a plurality of cylindrical rings, each cylindrical ring having a strut pattern, a first, proximal end and a second, distal end, the first, proximal end and the second, distal end defining a ring length, the cylindrical rings being aligned along a common longitudinal axis of the stent and radially expandable with a first delivery diameter and a second implanted diameter; and

at least one link coupling each pair of adjacent cylindrical rings;

wherein the strut pattern of each cylindrical ring includes an undulating pattern of U shaped portions forming peaks at the first, proximal end of the cylindrical ring and valleys at the second, distal end of the cylindrical ring with struts extending therebetween;

adjacent cylindrical rings alternating between a first, longer ring length and a second, shorter ring length, the cylindrical rings of the first, longer ring length having fewer peaks and valleys than the cylindrical rings of the second, shorter ring length;

the cylindrical rings of the first, longer ring length being in phase with each other;

the cylindrical rings of the second, shorter ring length being in phase with each other;

wherein at least one valley on the cylindrical rings of the first, longer ring length is coupled to a circumferentially aligned valley on the distally adjacent cylindrical ring of the second, shorter ring length by a link;

wherein the cylindrical rings of the second, shorter ring length each include at least one valley at a first, proximal position and valleys at a second, more distal position along the longitudinal axis of the stent; and

wherein the at least one valley at the first, proximal position of each of the cylindrical rings of the second, shorter ring length is circumferentially aligned with a peak on the distally adjacent cylindrical ring of the first, longer ring length.

42. An intravascular stent for use in a body lumen, comprising:

a plurality of cylindrical rings, each cylindrical ring having a strut pattern, a first, proximal end and a second, distal end, the first, proximal end and the second, distal end defining a ring length, the cylindrical rings being aligned along a common longitudinal axis of the stent and radially expandable with a first delivery diameter and a second implanted diameter; and

at least one link coupling each pair of adjacent cylindrical rings;

wherein the strut pattern of each cylindrical ring includes an undulating pattern of U shaped portions forming peaks at the first, proximal end of the cylindrical ring and valleys at the second, distal end of the cylindrical ring with struts extending therebetween;

adjacent cylindrical rings alternating between a first, longer ring length and a second, shorter ring length, the cylindrical rings of the first, longer ring length having fewer peaks and valleys than the cylindrical rings of the second, shorter ring length;

the cylindrical rings of the first, longer ring length being in phase with each other;

the cylindrical rings of the second, shorter ring length being in phase with each other;

wherein at least one valley on the cylindrical rings of the first, longer ring length is coupled to a circumferentially aligned valley on the distally adjacent cylindrical ring of the second, shorter ring length by a link; and

wherein at least one of the links includes an undulating configuration.