Radially expandable axially non-contracting surgical stent

• US 5,868,782 A
• Filed: 12/24/1996
• Issued: 02/09/1999
• Est. Priority Date: 12/24/1996
• Status: Expired due to Term

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Global Therapeutics, Inc. (Cook Group Incorporated)
• Inventors: Frantzen, John J.
• Primary Examiner(s): LEWIS, WILLIAM W
• Application Number:
  US08/773,102
• Time in Patent Office: 777 Days
• Field of Search: 606/1, 606/108, 606/191, 606/194, 606/198, 606/200, 623/1, 623/12, 128/899
• 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 2002/91541 Adjacent bands are arranged out of phase
• CPC Class Codes: A61F 2002/91558 connected peak to peak
• CPC Class Codes: A61F 2002/91566 connected trough to trough
• CPC Class Codes: A61F 2230/0013 Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers

Abstract

A surgical stent (10) is provided which can be radially expanded away from a central axis (2) within a body lumen, such as an artery. The stent (10) is formed from a series of struts (20) circumscribing a cylindrical contour of the stent (10). Each strut (20) has a series of bends (30) formed therein with each bend including at least one trough (32) and at least one crest (36). Gaps (40) are provided between adjacent struts (20). Each gap (40) is spanned by an axial element such as a tie bar (50). Each tie bar (50) attaches to adjacent struts (20) through troughs (32) so that when the stent (10) is radially expanded, the struts (20) are not drawn together, but rather maintain their position and the stent (10) hence maintains its axial length without contracting. Other elements can alternatively be provided between adjacent circumferential elements to provide varying degrees of flexibility between adjacent struts (20).

Claims

1. A radially expandable axially substantially non-contracting stent for surgical implantation into a body lumen, such as an artery, said stent having a generally cylindrical contour both before and after expansion thereof, said stent comprising in combination:

at least three circumferential elements, each circumferential element forming an elongate circuit completely circumscribing said cylindrical contour, a first one of said circumferential elements defining a first end of said stent, a second one of second circumferential elements defining a second end of said stent;

each said circumferential element having a wave-like series of bends therein as each said circumferential element circumscribes said cylindrical contour of said stent;

each said bend including a trough and a crest, said trough defining a portion of said circumferential element where said circumferential element is more distant from adjacent said circumferential elements than other portions of said circumferential element, said crest defining a portion of said circumferential element where said circumferential element is closer to adjacent circumferential elements than other portions of said circumferential element;

at least one axial element having two extremities and located between at least one pair of adjacent circumferential elements, said extremities each attached to a different one of said pair of adjacent circumferential elements, joining said pair of circumferential elements together;

each said extremity attached to an adjacent one of said circumferential elements at one of said troughs;

at least one linking element having two link ends and located between at least one pair of adjacent circumferential elements, said link ends each attached to a different one of said pair of adjacent circumferential elements at one of said crests; and

whereby said axial elements prevent axial contraction of said stent when said stent is expanded radially.

2. The stent of claim 1 wherein said axial elements are of linear elongate form between said extremities and oriented parallel to a central axis of said cylindrical contour of said stent.

3. The stent of claim 2 wherein said circumferential elements have an amplitude defined by an axial distance between one of said troughs and one of said crests, wherein each said circumferential element is spaced from adjacent said circumferential elements by a gap, said gap having a minimum width where said crests of said adjacent circumferential elements are closest to each other and a maximum width where troughs of said adjacent circumferential elements are closest to each other, each said axial element having a length equal to a sum of said amplitude and said minimum width.

4. The stent of claim 1 wherein every trough in every said circumferential element which faces an adjacent circumferential element includes an axial element located therein and attached thereto.

5. The stent of claim 1 wherein said stent includes at least one linking element having two link ends, said linking element located between at least one pair of adjacent circumferential elements, each said link end attached to a different one of said pair of adjacent circumferential elements, joining said pair of circumferential elements together, each said link end attached to said circumferential element at one of said crests.

6. The stent of claim 5 wherein said linking elements are located within gaps between some adjacent said circumferential elements forming said stent and said axial elements are located within gaps between some adjacent said circumferential elements forming said stent, each said gap having at least one element located therein and attaching said circumferential elements adjacent said gap to each other, said gaps provided with said elements in an alternating pattern with said linking elements located in every other said gap and said axial elements located in every other said gap.

7. The stent of claim 6 wherein each said gap includes only similar elements therein, said gaps having said axial elements therein having a larger number of said axial elements than the number of said linking elements located in each said gap having said linking elements therein.

8. The stent of claim 7 wherein each said linking element is arched in a curving manner extending between said crests of adjacent said circumferential elements such that said linking elements span said gap.

9. The stent of claim 7 wherein each said linking element is angled to include a first arm and a second arm joined together by an elbow, said first arm attached to one of said crests of said circumferential element on one side of said gap including said linking element therein and said second arm attached to one of said crests of said circumferential element on an opposite side of said gap in which said linking element is located, said linking element including means to flex about said elbow in a manner allowing a central axis of said stent to flex.

10. The stent of claim 1 wherein each said crest is axially spaced a similar distance from each said trough such that each said circumferential element has a constant amplitude.

11. The stent of claim 10 wherein each said trough and each said crest are bulbous at least when said stent has not yet been radially expanded, such that lateral slots in said gap between adjacent said crests of one said circumferential element are on one side of said gap and adjacent said troughs of two said circumferential elements on opposite sides of said gap are provided with a width which first decreases and then increases as said lateral slot extends away from a center of said gap and toward said circumferential element.

12. The stent of claim 1 wherein each said circumferential element is formed from a series of attached linear segments including linear trough segments oriented perpendicular to a central axis of said cylindrical contour of said stent, crest segments oriented perpendicular to said central axis and spaced axially from said trough segments by an amplitude of said circumferential elements, and inflection segments non-parallel with said trough segments and said crest segments and linking each trough segment to adjacent said crest segments.

13. The stent of claim 1 wherein said first one of said circumferential elements defining said first end of said stent and said second one of said circumferential elements defining said second end of said stent are each formed completely of a material having means to be more opaque when viewed by an imaging device than materials forming other portions of said stent, whereby ends of said stent will more clearly appear when said stent is viewed with the imaging device.

14. A surgical stent for implantation into a body lumen, said stent having a substantially cylindrical contour and being radially expandable, the stent comprising in combination:

a plurality of circumferential elements, each circumferential element encircling said cylindrical contour of said stent;

at least two of said plurality of circumferential elements having an undulating form including at least one trough and at least one crest as said undulating circumferential elements circumscribe said cylindrical contour of said stent;

at least one axial element located between two adjacent said circumferential elements and attached to one of said adjacent circumferential elements at a first junction and to the other of said circumferential elements at a second junction;

wherein said first junction is located spaced from said crests and said second junction is located spaced from said crests; and

at least one linking element having two link ends and located between at least one pair of adjacent circumferential elements said link ends each attached to a different one of said pair of adjacent circumferential elements at one of said crests.

15. The surgical stent of claim 14 wherein said plurality of circumferential elements includes at least three circumferential elements including a first end undulating circumferential element located at a first end of said cylindrical contour of said stent, a second end undulating circumferential element located at a second end of said cylindrical contour of said stent, and at least one intermediate circumferential element;

and wherein said stent also includes at least two axial elements including at least one first end axial element and at least one second end axial element, said first end axial element attached to one of said troughs in said first end undulating circumferential element and said second end axial element attached to one of said troughs in said second end undulating circumferential element.

16. The surgical stent of claim 15 wherein each said circumferential element includes said undulating form.

17. The surgical stent of claim 16 wherein each said circumferential element has at least one of said axial elements attached through said first junction to a trough therein and attached through said second junction to a trough of an adjacent said circumferential element.

18. The surgical stent of claim 17 wherein each said intermediate circumferential element has a first side facing said first end undulating circumferential element and a second side facing said second end undulating circumferential element, both said first side and said second side having at least one trough with one of said axial elements attached thereto, said axial element attached thereto also attached to a trough of at least one adjacent said circumferential element.

19. The surgical stent of claim 17 wherein each said intermediate circumferential element has a first side facing said first end undulating circumferential element and a second side facing said second end undulating circumferential element, one said side having at least one trough with one of said axial elements attached thereto, said axial element attached thereto also attached to a trough of at least one adjacent said circumferential element, and one said side having at least one crest with a linking element attached thereto, said linking element also attached to an adjacent said circumferential element.