Surgical stent method and apparatus

• US 4,990,155 A
• Filed: 05/19/1989
• Issued: 02/05/1991
• Est. Priority Date: 05/19/1989
• Status: Expired due to Fees

• Current Assignee: Howard M. Wilkoff
• Original Assignee: Howard M. Wilkoff
• Inventors: Wilkoff, Howard M.
• Primary Examiner(s): NOT, DEFINED
• Assistant Examiner(s): Owens, Kerry
• Application Number:
  US07/354,185
• Time in Patent Office: 627 Days
• Field of Search: 606/191, 606/194, 606/198, 606/200
• US Class Current: 606/191
• CPC Class Codes: A61F 2/0095 Packages or dispensers for prostheses or other implants for intraocular lenses A61F2/1691; for dental surgery A61C19/02
• 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

Abstract

A method for preventing arterial restenosis after angioplasty and including the steps of providing from a plastic material filament a base coil of a substantially uniform given diameter, inducing in the base coil an elastic memory that provides an inherent tendency thereof to return to the given diameter after any distortion, forming from the base coil a coil stent with a substantially uniform predetermined diameter substantially less than the given diameter, releasably coupling the coil stent to an elongated delivery device adapted to pass through a blood carrying vessel, inserting the coil stent and delivery device into a vessel, and manipulating the delivery device within the vessel so as to position the coil stent at a desired location therein. After placement, the coil stent is decoupled from the delivery device which is removed from the vessel, and the elastic memory is allowed to expand the coil stent into contact with the inner walls of the vessel and to the diameter substantially greater than the predetermined diameter. The use of an inherently expandable plastic coil stent permits the effective prevention of restenosis in small arteries typically found in the area of the heart.

Claims

1. A method for preventing arterial restenosis after angioplasty, comprising the steps of:

winding a plastic material filament into a helical base coil having a cross-section of substantially uniform given diameter;

said providing step comprising the step of inducing in said filament an elastic memory that provides an inherent tendency for said base coil to return to said given diameter after any distortion thereof;

forming from said base coil a helical coil stent with a cross-section having a substantially uniform predetermined diameter substantially less than said given diameter;

releasably coupling said coil stent to an elongated delivery device adapted to pass through a blood carrying vessel;

inserting said coil stent and delivery device into a vessel;

manipulating said delivery device within the vessel so as to position said coil stent at a desired location therein;

decoupling said coil stent from said delivery device;

removing said delivery device from the vessel; and

allowing said elastic memory to expand said coil stent into contact with the inner walls of the vessel and to a diameter substantially greater than said predetermined diameter.

2. A method according to claim 1 wherein said forming step comprises winding said base coil on a mandrel so as to produce said coil stent with a temporary set at said predetermined diameter.

3. A method according to claim 2 wherein said inducing step comprises subjecting said base coil to electron beam radiation so as to cause cross linkage of the molecules therein.

4. A method according to claim 3 wherein said providing step comprises winding said filament on a mandrel, applying heat to said mandrel retained base coil -so- as to relieve substantially all strain therein, and removing said base coil from the mandrel.

5. A method according to claim 4 wherein said coupling step comprises inserting said coil stent into a compartment portion of said delivery device, and said decoupling step comprises ejecting said coil stent from said compartment portion.

6. A method according to claim 5 wherein said providing step comprises adding an x-ray opaque material to said plastic material.

7. A method according to claim 5 wherein said providing step comprises adding an anti-coagulate substance to said plastic material.

8. A method according to claim 5 wherein said plastic material is a high density polyethylene having a specific gravity greater than 0.95.

9. A method according to claim 1 wherein said providing step comprises winding said filament on a mandrel to form said base coil having said given diameter and a predetermined length, packaging said base coil in a sterile package, and removing said base coil from said package;

and said forming step comprises winding a portion of said base coil on a mandrel so as to provide therefore said predetermined diameter, and detaching said portion from said base coil to provide said coil stent.

10. A method according to claim 9 wherein said inducing step comprises subjecting said base coil to electron beam radiation so as to cause cross linkage of the molecules therein.

11. A method according to claim 10 wherein said providing step comprises winding said filament on a mandrel, applying heat to said mandrel retained base coil so as to relieve substantially all strain therein, and removing said base coil from the mandrel.

12. A method according to claim 1 wherein said expansion of said coil stent to said diameter substantially greater than said predetermined diameter requires a time period greater than 15 seconds.

13. A method according to claim 12 wherein said forming step comprises winding said base coil on a mandrel so as to produce said coil stent with a temporary set at said predetermined diameter.

14. A method according to claim 13 wherein said inducing step comprises subjecting said base coil to electron beam radiation so as to cause cross linkage of the molecules therein.

15. A method according to claim 14 wherein said providing step comprises winding said filament on a mandrel, applying heat to said mandrel retained base coil so as to relieve substantially all strain therein, and removing said coil stent from the mandrel.

16. A method according to claim 12 wherein said providing step comprises winding said filament on a mandrel, applying heat to said mandrel retained base coil so as to relieve substantially all strain therein, and removing said coil stent from the mandrel.

17. A method according to claim 1 wherein said inducing step comprises subjecting said base coil to electron beam radiation so as to cause cross linkage of the molecules therein.

18. A method according to claim 1 wherein said providing step comprises winding said filament on a mandrel, applying heat to said mandrel retained base coil so as to relieve substantially all strain therein, and removing said base coil from the mandrel.

19. A method according to claim 1 wherein said inserting, manipulating, and removing steps are performed in an operating room;

and said forming step is performed in the operating room prior thereto.

20. A method according to claim 19 wherein said providing step comprises winding said filament on a mandrel to form said base coil having said given diameter and a predetermined length, packaging said base coil in a sterile package, and removing said base coil from said package;

and said forming step comprises winding a portion or said base coil on a mandrel so as to provide therefore said predetermined diameter, and detaching said portion from said base coil to provide said coil stent.

21. A method according to claim 5 wherein said delivery device comprises an elongated cable and said decoupling step comprises the step of activating said cable to apply a force that ejects said coil stent from said compartment portion.