Expandable stent and method of delivery of same

• US 5,755,771 A
• Filed: 02/28/1996
• Issued: 05/26/1998
• Est. Priority Date: 11/03/1994
• Status: Expired due to Term

• Current Assignee: Evysio Medical Devices ULC (Evysio Medical Devices)
• Original Assignee: Divysio Solutions ULC
• Inventors: Ricci, Donald R., Penn, Ian M.
• Primary Examiner(s): Milano, Michael J.
• Application Number:
  US08/605,189
• Time in Patent Office: 818 Days
• Field of Search: 623/1, 623/12, 606/194, 606/195
• US Class Current: 623/1.15
• CPC Class Codes: A61F 2/91 made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
• CPC Class Codes: A61F 2/915 with bands having a meander structure, adjacent bands being connected to each other
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/828 Means for connecting a plurality of stents allowing flexibility of the whole structure
• CPC Class Codes: A61F 2002/91525 within the whole structure different bands showing different meander characteristics, e.g. frequency or amplitude
• CPC Class Codes: A61F 2002/91533 characterised by the phase between adjacent bands
• CPC Class Codes: A61F 2002/91575 connected peak to trough

Abstract

An expandable stent comprising a proximal end and a distal end in communication with one another, a tubular wall disposed between the proximal end and the distal end, the tubular wall having a longitudinal axis and a porous surface defined by a plurality intersecting members arranged to define a first repeating pattern which is a polygon having a pair of side walls substantially parallel to the longitudinal axis, a first concave-shaped wall and a second convex-shaped wall connecting the side walls, the first wall and the second wall being equidistant along an axis which is parallel to the longitudinal axis, the stent being expandable from a first, contracted position to a second, expanded position upon the application of a radially outward force on the interior of the stent. A particularly preferred form of the stent is an expandable bifurcated stent comprising a proximal end and a distal end in communication with one another, the proximal end comprising a primary passageway and the distal end comprising a pair of secondary passageways, the stent being expandable from a first, contracted position to a second, expanded position upon the application of a radially outward force on the stent. A method of delivering the bifurcated stent to a target body passageway is also provided.

Claims

1. An expandable stent comprising a proximal end and a distal end in communication with one another, a tubular wall disposed between the proximal end and the distal end, the tubular wall having a longitudinal axis and a porous surface defined by a plurality of intersecting members arranged to define a first repeating pattern which, in two dimensions, is a polygon having a pair of side walls substantially parallel to the longitudinal axis, a first concave-shaped wall and a second convex-shaped wall connecting the side walls, at least one of the first concave-shaped wall and the second convex-shaped wall having a flat apex in the form of a segment which is normal to the longitudinal axis, the stent being expandable from a first, contracted position to a second, expanded position upon the application of a radially outward force on the stent.

2. The stent defined in claim 1, in the form of a bifurcated stent, the proximal end comprising a primary passageway and the distal end comprising a pair of secondary passageways.

3. The stent defined in claim 2, wherein the primary passageway is elongate and has a longitudinal axis which substantially bisects the pair of secondary passageways.

4. The stent defined in claim 2, wherein the primary passageway comprises said porous surface.

5. The stent defined in claim 2, wherein at least one of the secondary passageways is elongate and has a longitudinal axis which intersects the longitudinal axis of the primary passageway at an acute angle.

6. The stent defined in claim 5, wherein the at least one secondary passageway comprises said porous surface.

7. The stent defined in claim 2, wherein the primary passageway is connected to the each of the secondary passageways at an intersection.

8. The stent defined in claim 7, wherein the intersection reinforced with respect to the remainder of the stent.

9. The stent defined in claim 8, wherein the intersection is porous.

10. The stent defined in claim 9, wherein the porosity of the intersection is defined by a plurality intersecting members.

11. The stent defined in claim 10, wherein the intersecting members define a third repeating pattern.

12. The stent defined in claim 11, wherein the third repeating pattern is a polygon having a pair of side walls substantially parallel to the longitudinal axis of the primary passageway, a first concave-shaped wall and a second convex-shaped wall connecting the side walls, the first wall and the second wall being equidistant along an axis which is parallel to the longitudinal axis of the primary passageway, and a reinforcing bar disposed between and substantially parallel to the pair of side walls.

13. The stent defined in claim 12, wherein the reinforcing bar is disposed substantially equidistant from each of the side walls.

14. The stent defined in claim 2, wherein the primary passageway has a substantially circular cross-section.

15. The stent defined in claim 2, wherein each of the secondary passageways has a substantially circular cross-section.

16. The stent defined in claim 2, wherein the cross-sectional area of the primary passageway is substantially the same as the sum of the cross-sectional areas of each secondary passageway.

17. The stent defined in claim 2, wherein the distal end is flexible with respect to the remainder of the stent.

18. The stent defined in claim 2, wherein the proximal end is flexible with respect to the remainder of the stent.

19. The stent defined in claim 2, wherein the length of each of the primary passageway and the second passageways is substantially the same.

20. The stent defined in claim 1, wherein the first concave-shaped wall comprises the flat apex.

21. The stent defined in claim 1, wherein the second convex-shaped wall comprises the flat apex.

22. The stent defined in claim 1, wherein each of the first concave-shaped wall and the second convex-shaped wall comprises a flat apex.

23. The stent defined in claim 22, wherein the flat apex in the first concave-shaped wall and the second convex-shaped wall are substantially the same length.

24. The stent defined in claim 1, wherein the intersecting members define a second repeating pattern.

25. The stent defined in claim 24, wherein the second repeating pattern is a substantial mirror image of the first repeating pattern taken along a line substantially normal to the longitudinal axis.

26. The stent defined in claim 1, wherein the first concave-shaped wall comprises three segments.

27. The stent defined in claim 1, wherein the second convex-shaped wall comprises three segments.

28. The stent defined in claim 1, wherein each of the first concave-shaped wall and the second convex-shaped wall comprise three segments.

29. The stent defined in claim 1, further comprising a coating material thereon.

30. The stent defined in claim 29, wherein the coating material is selected from the group comprising biologically inert material, a medicinal composition and mixtures thereof.

31. An expandable stent comprising a proximal end and a distal end in communication with one another, a tubular wall disposed between the proximal end and the distal end, the tubular wall having a longitudinal axis and a porous surface defined by a plurality of intersecting members arranged to define a first repeating pattern which is a polygon having a pair of side walls substantially parallel to the longitudinal axis, a first concave-shaped wall and a second convex-shaped wall connecting the side walls, the first wall and the second wall being equidistant along an axis which is parallel to the longitudinal axis, the stent being expandable from a first, contracted position to a second, expanded position upon the application of a radially outward force on the stent

wherein at least one of the first concave-shaped wall and the second convex-shaped wall have a flat apex in the form of a segment which is normal to the longitudinal axis.

32. The stent defined in claim 31, wherein each of the first wall and the second wall comprises a flat apex.

33. The stent defined in claim 31, wherein the intersecting members define a second repeating pattern.

34. The stent defined in claim 33, wherein the second repeating pattern is a substantial mirror image of the first repeating pattern taken along a line substantially normal to the longitudinal axis.

35. A radially expandable stent comprising a proximal end and a distal end in communication with one another, a tubular wall disposed between the proximal end and the distal end, the tubular wall having a longitudinal axis and a porous surface having a first repeating pattern comprising a polygonal opening defined by a plurality of intersecting members, the polygonal opening, in two dimensions, comprising a pair of side walls substantially parallel to the longitudinal axis, a first concave-shaped wall and a second convex-shaped wall connecting the side walls, at least one of the first concave-shaped wall and the second convex-shaped wall having a flat apex in the form of a segment which is normal to the longitudinal axis.

36. The stent defined in claim 35, wherein the first concave-shaped wall comprises the flat apex.

37. The stent defined in claim 35, wherein the second convex-shaped wall comprises the flat apex.

38. The stent defined in claim 35, wherein each of the first concave-shaped wall and the second convex-shaped wall comprises a flat apex.

39. The stent defined in claim 38, wherein the flat apex in the first concave-shaped wall and the second convex-shaped wall are substantially the same length.

40. The stent defined in claim 35, wherein the intersecting members define a second repeating pattern.

41. The stent defined in claim 40, wherein the second repeating pattern is a substantial mirror image of the first repeating pattern taken along a line substantially normal to the longitudinal axis.

42. The stent defined in claim 35, wherein the first concave-shaped wall comprises three segments.

43. The stent defined in claim 35, wherein the second convex-shaped wall comprises three segments.

44. The stent defined in claim 35, wherein each of the first concave-shaped wall and the second convex-shaped wall comprise three segments.

45. The stent defined in claim 35, further comprising a coating material thereon.

46. The stent defined in claim 45, wherein the coating material is selected from the group comprising biologically inert material, a medicinal composition and mixtures thereof.