Self-expanding prosthesis having stable axial length

• US 5,064,435 A
• Filed: 06/28/1990
• Issued: 11/12/1991
• Est. Priority Date: 06/28/1990
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Schneider Electric SE
• Inventors: Porter, Christopher H.
• Primary Examiner(s): Shay, Randy Citrin
• Application Number:
  US07/544,923
• Time in Patent Office: 502 Days
• Field of Search: 623/1, 623/11, 623/12, 623/13, 604/96, 604/104, 606/151, 606/153, 606/155, 606/158, 606/191, 606/198
• US Class Current: 623/23.7
• CPC Class Codes: A61F 2/852 Two or more distinct overlapping stents
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2002/826 more than one stent being applied sequentially
• CPC Class Codes: A61F 2002/8486 provided on at least one of the ends
• CPC Class Codes: A61F 2220/0008 Fixation appliances for connecting prostheses to the body
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2230/0078 hyperboloidal
• CPC Class Codes: A61F 2250/0023 differing in porosity
• CPC Class Codes: A61F 2250/0063 Nested prosthetic parts

Abstract

A body implantable stent consists of two or more generally tubular, coaxial and slidably connected stent segments. Each of the stent segments is of open weave construction, formed of multiple braided, helically wound strands of resilient material. The stent is elastically deformed to a reduced radius when deployed. When released after positioning, the stent self-expands radially into contact with a tissue wall segment defining a blood vessel or other body cavity. As each stent segment expands radially, it contracts in the axial direction. To preserve a consistent length of the stent in spite of axial contraction of the segments, the axially outward and non-overlapping portions of the stent can be designed for secure fixation to the tissue wall segment, for example as radially outward flares. Accordingly, axial contraction occurs as a reduction in the length of the medial regions where adjacent stent segments overlap. Alternative approaches to maintain axial length include the addition of reinforcing filaments near the stent opposite ends to increase the restoring force, the provision of fixation hooks at opposite ends of the stent, and securing an elongate, axially directed, flexible and inextensible wire to the opposite ends of the stent.

Claims

1. A device for fixation in a body cavity, comprising:

a stent including generally tubular and coaxial first and second open weave stent segments slidably engaged along respective first and second axially inward portions overlapping one another to form a medial region of the stent, said stent segments further including respective non-overlapping first and second axially outward regions including respective and opposite first and second ends of the stent;

said stent segments, at least along said axially inward portions, having a predetermined first diameter and a predetermined first axial length, said stent segments being radially compressible to a second diameter less than said first diameter and to a second axial length longer than said first axial length, to facilitate an axial insertion of said stent into a body cavity for delivery to a selected location therealong and subsequent fixation of the stent within the cavity by effecting an engagement of the stent segments with a tissue wall segment defining said body cavity; and

wherein said first and second axially inward portions slide relative to one another to reduce the axial length of said medial region as said stent segments radially expand into said engagement, thus to maintain a substantially constant axial length of said stent during said radial expansion.

2. The device of claim 1 wherein:

each of said stent segments is an open weave construction of helically wound filaments of a resilient, body-compatible material.

3. The device of claim 2 wherein:

said material is a plastic.

4. The device of claim 2 wherein:

said material is stainless steel.

5. The device of claim 1 further including:

an elongate, flexible and substantially inextensible member running axially and connected to said first and second stent segments proximate said first and second ends, for maintaining the axial length of the stent constant during said radial expansion.

6. The device of claim 2 further including:

a means for fixing said first and second ends to said tissue wall segment.

7. The device of claim 6 wherein:

said fixing means comprises first and second pluralities of fixation hooks mounted to the stent at said first and second ends, respectively.

8. The device of claim 6 wherein:

said stent segments are flexible and have said predetermined first diameter and first axial length when not subject to external force, and are elastically compressible to said second diameter.

9. The device of claim 8 wherein:

said fixing means comprises elastic reinforcing strands connected to said filaments along first and second outer end portions including said first and second ends, respectively.

10. The device of claim 8 wherein:

said fixing means comprises first and second flared outer end portions of said first and second axially outward regions, respectively, whereby said first and second ends have diameters greater than said first diameter when the stent is in the relaxed state.

11. The device of claim 10 wherein:

the diameters of said first and second ends are greater than said first diameter by at least five percent.

12. The device of claim 11 wherein:

the axial length of each of said flared outer end portions is less than one-third of the axial length of its associated one of said stent segments.

13. A device for fixation in a body cavity, comprising:

a stent including a plurality of generally tubular and coaxial open weave stent segments, serially arranged, with adjacent stent segments slidably engaged and overlapping one another to form a plurality of intermediate overlapping regions between proximal and distal ends of said stent;

said stent segments having a predetermined first diameter and a predetermined first axial length, said stent segments further being radially compressible to a second diameter less than the first diameter and to a second axial length longer than the first axial length, to facilitate an axial insertion of said stent into a body cavity for delivery to a selected location therealong and subsequent fixation of the stent within the cavity by effecting an engagement of the stent segments with a tissue wall segment defining said body cavity; and

wherein said stent segments slide relative to one another along said intermediate overlapping regions to reduce the axial length of said intermediate regions as the stent segments radially expand into said engagement, thus to maintain a substantially constant axial length of the stent during said radial expansion.

14. The device of claim 13 further including:

an elongate, flexible and substantially inextensible member running axially and connected to said stent proximate said proximal and distal ends, for maintaining the axial length of the stent constant during said radial expansion.

15. The device of claim 13 wherein:

said stent segments are elastically radially compressible from said predetermined first diameter to said second diameter.

16. The device of claim 15 wherein:

each of said stent segments is constructed of helically wound filaments of a resilient, body-compatible material.

17. The device of claim 16 wherein:

said material is a plastic.

18. The device of claim 16 wherein:

said material is stainless steel.

19. The device of claim 16 further including:

a means for fixing said proximal and distal ends to said tissue wall segment.

20. The device of claim 19 wherein:

said fixing means comprises elastic reinforcing strands connected to said filaments along first and second outer end portions including said proximal and distal ends, respectively.

21. The device of claim 19 wherein:

said fixing means comprises first and second pluralities of fixation hooks mounted to the stent at said proximal and distal ends, respectively.

22. The device of claim 19 wherein:

said fixing means comprises first and second flared end portions proximate and including said proximal and distal ends, whereby the proximal and distal ends have diameters greater than said first diameter when the stent is in the relaxed state.

23. The device of claim 22 wherein:

the diameters of said proximal and distal ends are greater than the first diameter by at least five percent.

24. The device of claim 23 wherein:

the axial length of each of said flared end portions is less than one-third of the axial length of its associated one of said stent segments.

25. A process for fixing a prosthesis within a body cavity, comprising the steps of:

slidably interconnecting a plurality of open weave stent segments to form a stent having at least one intermediate region of overlapping adjacent stent segments between proximal and distal ends of said stent;

radially compressing the stent segments into a predetermined first diameter and first axial length, axially inserting the stent into a body cavity, and delivering the stent to a selected location along the body cavity; and

with said stent at said selected location, radially expanding and axially contracting the stent segments until the stent segments engage a tissue wall segment defining the body cavity to fix the stent within the body cavity, while maintaining the distance between said proximal and distal ends substantially constant.

26. The process of claim 25 wherein:

said stent segments are resilient, and said step of radially compressing the stent segments includes elastically compressing said segments into said first diameter and maintaining them in the first diameter with a restraining means, and wherein said step of radially expanding the stent segments includes removing the restraining means whereby the stent segments radially self-expand.