Pull apart coil stent

• US 5,514,176 A
• Filed: 01/20/1995
• Issued: 05/07/1996
• Est. Priority Date: 01/20/1995
• Status: Expired due to Term

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Original Assignee: Vance Products Incorporated (Cook Group Incorporated)
• Inventors: Bosley, Rodney W. Jr.
• Primary Examiner(s): Prebilic, Paul B.
• Application Number:
  US08/377,030
• Time in Patent Office: 473 Days
• Field of Search: 623/1, 623/11, 623/12, 606/151, 606/153, 606/155, 606/156, 606/191, 606/197, 606/199
• US Class Current: 623/1.15
• CPC Class Codes: A61F 2/0077 Special surfaces of prostheses, e.g. for improving ingrowth A61F2/30767 takes precedence
• CPC Class Codes: A61F 2/04 Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts A61F2/18, A61F2/20 take precedence; devices, other than stent-grafts, providing patency to, or preventing collapsing of, tubular structures of the body other than stent-grafts, e.g. stents A61F2/82; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95
• CPC Class Codes: A61F 2/30767 Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
• 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 2002/30092 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2002/30199 Three-dimensional shapes
• CPC Class Codes: A61F 2210/0014 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2230/0063 Three-dimensional shapes

Abstract

A stent (10) adapted for placement in a body lumen (50) such as the urethra, ureters, common bile duct, vagina, cervix, fallopian tubes, sinus tract, rectum, bowel, esophagus or vascular system is configured as a coil (14) whose adjacent loops (12) can be pulled apart for removing the stent (10) from the body lumen (50). More particularly, the loops (12) abut one another but are not compressed, and adjacent coil loops are detachably secured to one another to yield a resilient configuration (17) of generally fixed dimension. The stent (10) is substantially imperforate between adjacent coil loops (12), so as to prevent tissue ingrowth or intrusion between them and obviate any interference with removal of the stent (10). Removal of the stent (10) from the body lumen (50) is achieved by detachment of adjacent coil loops (12) from one another. The adjacent coil loops (12) can be secured to one another directly during their curing, or by a separate layer of silicone adhesive (20). Indeed, a separate layer of silicone adhesive (20) can be applied to selectively adjust the parting strength of adjacent coil loops (12) which were self-adhered during curing. The loops (12) can be formed from a strand (30) of a physiologically acceptable metal wire, or from a continuous solid or tubular strand (18) of a medical grade silicone, fluorocarbon, rubber, latex, or vinyl or urethane polymer. The stent (10) is particularly advantageous over prior devices in reducing patient discomfort and the chance of tissue trauma or damage arising from removal of the stent (10) from the body lumen (50).

Claims

1. A pull apart coil stent (10) placeable in a body lumen (50) comprising a plurality of uncompressed abutted loops (12) arranged as an open-ended coil (14), and a medical grade adhesive detachably securing adjacent coil loops to one another to yield a resilient configuration (17) of generally fixed dimension, wherein the stent (10) is substantially imperforate between adjacent coil loops.

2. The stent according to claim 1, wherein the loops (12) are formed from a continuous strand (30) of a physiologically acceptable metal wire.

3. The stent according to claim 1, wherein the loops (12) are formed from a continuous strand (18) of a medical grade silicone, fluorocarbon, rubber, latex, vinyl polymer or urethane polymer.

4. The stent according to claim 3, wherein the loops (12) are formed from a tube (34) having a lumen (36) therein.

5. The stent according to claim 4, further comprising a strand (38) of a physiologically acceptable metal wire contained in the tube lumen (36).

6. The stent according to claim 1, further comprising a tag end (22) formed continuously with the plurality of loops (12).

7. The stent according to claim 1, wherein adjacent coil loops (12) are secured to one another by a partable layer (13) formed from and between the adjacent coil loops (12).

8. The stent according to claim 1, wherein said medical grade adhesive comprises a medical grade silicone adhesive (20).

9. The stent according to claim 1, wherein the coil (14) includes a medial portion (24) and at least one end portion (26 or 28) having an outside diameter greater than the outside diameter of the medial portion (24) of the coil (14).

10. A pull apart coil stent (10) placeable in a body lumen (50) comprising a plurality of uncompressed abutted loops (12) arranged as an open-ended coil (14), and medical grade adhesive means (16) for detachably securing adjacent coil loops to one another to yield a resilient configuration (17) of generally fixed dimension, the medical grade adhesive means (16) also rendering the stent (10) substantially imperforate between adjacent coil loops.

11. The stent according to claim 10, wherein the loops (12) are formed from a continuous strand (30) of a physiologically acceptable metal wire.

12. The stent according to claim 10, wherein the loops (12) are formed from a continuous strand (18) of a medical grade silicone, fluorocarbon, rubber, latex, vinyl polymer or urethane polymer.

13. The stent according to claim 12, wherein the loops (12) are formed from a tube (34) having a lumen (36) therein.

14. The stent according to claim 13, further comprising a strand (38) of a physiologically acceptable metal wire contained in the tube lumen (36).

15. The stent according to claim 10, further comprising a tag end (22) formed continuously with the plurality of loops (12).

16. The stent according to claim 10, wherein the securing means (16) comprises a partable layer (13) formed from and between adjacent coil loops (12).

17. The stent according to claim 10, wherein the medical grade adhesive means (16) comprises a medical grade silicone adhesive (20) securing adjacent loops of the coil (14) to one another.

18. The stent according to claim 10, wherein the coil (14) includes a medial portion (24) and at least one end portion (26 or 28) having an outside diameter greater than the outside diameter of the medial portion (24) of the coil (14).

19. A pull apart coil stent (10) placeable in a body lumen (50) comprising:

a plurality of uncompressed abutted loops (12) arranged as an open-ended coil (14), the loops (12) being formed from a continuous strand (18) of medical grade silicone, and adjacent coil loops (12) being detachably secured to one another by a partable layer (13) formed from and between the adjacent coil loops (12) and by a medical grade silicone adhesive (20) so as to yield a resilient cylindrical configuration (17) of generally fixed dimension; and

a tag end (22) formed continuously with the plurality of loops (12);

wherein the partable layer (13) and the silicone adhesive (20) render the stent (10) substantially imperforate between adjacent coil loops, such that when adjacent loops are detached from one another, the stent (10) can be pulled to yield an elongated shape (40) of reduced outside diameter, permitting withdrawal of the stent (10) from the lumen (50) in which it was positioned.