Stent and Stent Retrieval System and a Method of Pulling a Stent Into a Tubular Member

• US 20080281403A1
• Filed: 05/25/2005
• Published: 11/13/2008
• Est. Priority Date: 05/25/2004
• Status: Active Grant

• Current Assignee: Stenz Corporation
• Original Assignee: Cook Incorporated (Cook Group Incorporated), William Cook Europe ApS (Cook Group Incorporated)
• Inventors: Kavteladze, Zaza Alexandrovich
• Granted Patent: US 8,343,210 B2
• Time in Patent Office: Days
• US Class Current: 623/1.16
• 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 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2002/9528 for retrieval of stents
• CPC Class Codes: A61F 2250/0067 Means for introducing or releasing pharmaceutical products into the body

Abstract

A stent has an engagement member (9). A stent retrieval system has a tubular member (13) and a retrieval member (14) with an engagement means (15). The engagement member is attached to an end row of cells of the tubular stent body (1). The cells in one annular row of cells are interconnected with the subsequent row of similarly oriented cells (2a) at areas of interconnection (7) which in the subsequent annular row of cells are circumferentially offset with respect to the connections (8) between the cells in said subsequent annular row of cells.

Claims

1. Stent and stent retrieval system, said retrieval system comprising a tubular member with a lumen terminating in a distal end opening, and a retrieval member with a least one engagement means, the tubular member and the retrieval member being mutually axially displaceable while the retrieval member extends in said lumen of the tubular member, said stent comprising at least one engagement member to which said at least one engagement means can engage and a tubular body of a plurality of annular rows of cells that are interconnected and located one after the other in the axial direction of the tubular body, the cells in one annular row of cells being interconnected with the subsequent row of similarly oriented cells at areas of interconnection which in said subsequent annular row of cells are circumferentially offset with respect to the connections between the cells in said subsequent annular row of cells, wherein the end row of cells is an annular row of cells comprising first cell sides forming at least one circumferentially closed loop in which the individual cell has an attachment point, wherein said at least one engagement member comprises at least three tie members that are mutually connected at a junction and extend individually from the junction to the attachment point of an associated cell, and wherein the attachment points in the annular end row of cells are circumferentially offset with respect to the connections or areas of interconnection at the end of the tubular body between the cells in said end row.

2. Stent and stent retrieval system according to claim 1, wherein the individual attachment point is circumferentially located approximately at the middle between the two adjacent connections or areas of interconnection.

3. Stent and stent retrieval system according to claim 1, wherein the individual area of interconnection is circumferentially located approximately at the middle between the two adjacent connections.

4. Stent and stent retrieval system according to claim 1, wherein the first cell sides extending from the individual attachment point form mutually on the side of the attachment point an angle (δ

) of less than 176°

.

5. Stent and stent retrieval system according to claim 1, wherein in the individual annular rows of cells located within the tubular body the first cell sides form at least one circumferentially closed loop in which the first cell sides extending from the individual area of interconnection form mutually on the side facing the end row with the attachment points an angle (δ

) of less than 176°

.

6. Stent and stent retrieval system according to claim 1, wherein in the individual annular row of cells the first cell sides form at least one circumferentially closed loop in which said first cell sides constituting the loop extend in directions forming angles (α

) in the range from 60°

to 120°

, with the axial direction (A) of the tubular body, when the tubular body is in an unloaded state.

7. Stent and stent retrieval system according to claim 1, wherein second cell sides in the individual annular row of cells interconnect the circumferentially closed loops and extend at least along part of their length in directions forming angles (β

) in the range from 20°

to 70°

, with the axial direction (A) of the tubular body, when the tubular body is in an unloaded state.

8. Stent and stent retrieval system according to claim 1, wherein said first cell sides extend substantially in a radial plane at the distal end opening of the tubular member, when second cell sides in an adjacent annular row of cells have been pulled in through the distal end opening to extend from said distal end opening and into the tubular member.

9. Stent and stent retrieval system according to claim 1, wherein while a loop is pulled into the distal end opening, the outer diameter of the subsequent loop outside the tubular member remains unaffected.

10. Stent and stent retrieval system according to claim 1, wherein said junction is located at the longitudinal central axis of the tubular body.

11. Stent and stent retrieval system according to claim 1, wherein the tie members have a length so that the junction is located at least 0.5×

W away from the annular end row of cells, W being the width in the axial direction of the annular row of cells.

12. Stent and stent retrieval system to claim 1, wherein said at least one engagement member comprises magnetic material.

13. Stent and stent retrieval system according to claim 12, wherein said magnetic material has a polarity which is opposite to the polarity of a magnetic material located on the engagement means.

14. Stent and stent retrieval system according to claim 1, wherein the inner lumen of the tubular member has a diameter in the range from 20% to 80% of the outer diameter of the tubular body in the unloaded state of the tubular body.

15. Stent and stent retrieval system according to claim 1, wherein the tubular body is provided with at least one additional means selected from the group consisting of a medically active substance, a bioactive factor inhibiting proliferation of a tumor cell, a bioactive substance, a bioactive agent, a drug, and a coating layer for controlled release of one or more of a bioactive material, a medically active substance or bioactive factor.

16. Stent and stent retrieval system according to claim 15, wherein said additional means has a predetermined active period in the range from three days to one month.

17. Stent and stent retrieval system according to claim 1, wherein the tubular body is provided with a tubular covering.

18. A method of pulling a stent into a tubular member, the stent comprising at least one engagement member and a tubular body having a plurality of annular rows of cells that re interconnected and located one after the other in the axial direction of the tubular body, where at least one engagement means grips the at least one engagement member and pulls it through a distal end opening of the tubular member and into an inner lumen of said tubular member, said annular rows of cells having an initial diameter which is larger than the diameter of said inner lumen, further comprising pulling said at least one engagement member into and along the lumen of the tubular member and pushing the tubular member towards the tubular body, whereby the annular rows of cells maintain their initial diameter at least until they are within one row from said end opening.

19. A method of pulling a stent into a tubular member according to claim 18, wherein when the engagement member is pulled, each cell in the annular end row of cells is pulled towards the lumen of the tubular member by a tie member of the engagement member, said engagement member comprising a plurality of tie members for simultaneously pulling all cells in the annular end row down to a reduced diameter at said end opening.