Re-expandable endoprosthesis

• US 5,383,926 A
• Filed: 11/23/1992
• Issued: 01/24/1995
• Est. Priority Date: 11/23/1992
• Status: Expired due to Term

• Current Assignee: Children's Medical Center Corporation
• Original Assignee: Children's Medical Center Corporation
• Inventors: Lock, James E., Mandell, Valerie, Perry, Stanton
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US07/980,300
• Time in Patent Office: 792 Days
• Field of Search: 623/1, 623/11, 623/12, 606/198, 606/195, 606/194, 606/192, 606/191, 606/108
• US Class Current: 623/1.2
• CPC Class Codes: A61F 2/92 Stents in the form of a rolled-up sheet expanding after insertion into the vessel , e.g. with a spiral shape in cross-section
• CPC Class Codes: A61F 2220/005 using adhesives
• CPC Class Codes: A61F 2220/0058 soldered or brazed or welded
• CPC Class Codes: A61F 2250/0071 breakable or frangible
• CPC Class Codes: A61F 2250/0082 specially designed for children, e.g. having means for adjusting to their growth

Abstract

A radially expandable endoprosthesis device (10) comprises an elongated sleeve member (12) in which the radially outward expansion of the sleeve member (12) is initially limited by connecting strips (22) which are operatively connected to the sleeve member (12). The connecting strips (22) are selectively removable to allow further radial outward expansion. Further, the sleeve can be C-shaped in cross sections when expanded, allowing space for growth of a vessel contained therein.

Claims

1. A method for fabricating a radially expandable endoprosthesis device comprising the steps of

forming an elongated radially outwardly expandable sleeve member (12) including a wall (14) and a longitudinal axis (20) extending through the length thereof,

forming at least one lateral slot (24) parallel to said longitudinal axis (20) disposed in said wall (14) including a pair of opposing edges (26,28) extending parallel of said longitudinal axis (20) and defining an open region (30) between the opposing edges (26,28),

forming expansion limiting means including at least one connecting strip (22),

disposing the expansion limiting means on the sleeve member (12) across the lateral slot (24) for initially limiting to a first circumference the radially outward expansion of the sleeve member (12).

2. The method of claim 1 wherein the step of forming the expansion limiting means includes fabricating the expansion limiting means from a material that ruptures above a predetermined pressure.

3. The method of claim 1 wherein the step of forming the expansion limiting means includes fabricating the limiting means from an absorbable suture material.

4. The method of claim 1 wherein the step of forming a lateral slot including a pair of opposing edges (26,28) includes depositing a radiopaque material along the opposing edges (26,28).

5. The method of claim 1 wherein the step of forming the expansion limiting means includes operatively connecting the opposing edges (26,28) with the connecting strip (22).

6. A method for reinforcing a vessel with an endoprosthesis device (10) while allowing for secondarily reinforcing the vessel following further radial change of the vessel comprising the steps of:

positioning an elongated sleeve member (12), including a wall (14), a longitudinal axis (20) extending through a length thereof, at least one lateral slot (24) parallel to the longitudinal axis (20) in the wall (14), the sleeve member (12) being expandable radially outwardly relative to said longitudinal axis (20), in an unexpanded configuration transluminally within a body vessel;

expanding the sleeve member (12) radially outwardly thereby expanding the lateral slot (24);

limiting the radially outward expansion of the sleeve member (12) initially to a first circumference corresponding to the lumen of the body vessel by at least one connecting strip (22) disposed across the lateral slot (24); and

removing the limiting of radially outward expansion thereby allowing further expansion of the lateral slot (24) and secondary expansion of the sleeve member (12) to accommodate further radial change of the vessel.

7. The method of claim 6 wherein the step of disposing the connecting strip (22) on the sleeve member includes girdling circumferentially the sleeve member (12) with the connecting strip (22).

8. The method of claim 6 wherein the step of removing the limiting of radially outward expansion includes disjoining the connecting strip (22). PG,19

9. The method of claim 8 wherein the step of disjoining the connecting strip (22) is accomplished by the connecting strip (22) being composed of a material that ruptures above a certain pressure.

10. The method of claim 6 wherein the step of positioning the sleeve member (12) transluminally includes positioning to accommodate branching vessels.

11. The method of claim 10 wherein the step of positioning the sleeve member (12) transluminally includes the step of accommodating branching vessels by positioning the lateral slot (24) in front of the branching vessel.

12. The method of claim 11 wherein the step of positioning the lateral slot (24) in front of the branching vessel is accomplished by imaging a radiopaque lining (32) of the opposing edges (26,28).

13. The method of claim 6 wherein the expanding steps comprise expanding the sleeve member (12) with a balloon catheter.

14. A method for reinforcing a vessel with an endoprosthesis device (10) while allowing for radial growth of the vessel comprising the steps of

preparing an elongated sleeve member (12), including a longitudinal axis (20) extending through a length thereof, the sleeve member (12) being expandable radially outwardly relative to said longitudinal axis (20),

forming at least one open lateral slot (24) parallel to the longitudinal axis (20) in the sleeve member (12), and forming a pair of opposing edges within the lateral slot (24) parallel to the longitudinal axis (20) with expansion limiting means including at least one connecting strip (22) disposed across the lateral slot (24),

positioning the elongated sleeve member (12), in an unexpanded configuration transluminally within a lumen of a body vessel,

expanding the sleeve member (12) radially outwardly to a first circumference corresponding to the lumen of the body vessel and maintaining the expansion by the expansion limiting means thereby opening up the lateral slot (24) between the opposing edges (26,28) forming an open region (30) for growth of the vessel;

and

expanding the sleeve member (12) radially outwardly by continuing to open up the lateral slot (24), as the vessel grows circumferentially, by disengaging the expansion limiting means.