Flexible expandable stent

• US 5,972,018 A
• Filed: 02/19/1998
• Issued: 10/26/1999
• Est. Priority Date: 03/17/1994
• Status: Expired due to Term

• Current Assignee: Medinol Limited (Medinol USA Incorporated)
• Original Assignee: Medinol Limited (Medinol USA Incorporated)
• Inventors: Pinchasik, Gregory, Israel, Henry Marshall
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): LEWIS, WILLIAM W
• Application Number:
  US09/026,099
• Time in Patent Office: 614 Days
• Field of Search: 606/1, 606/108, 606/194, 606/195, 606/198, 606/200, 623/1, 623/12
• US Class Current: 606/198
• 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 2002/061 provided with means for allowing access to secondary lumens
• 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 2230/0013 Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped

Abstract

There is disclosed a stent for implanting in the body. The stent is formed of a tube having a patterned shape which has first and second meander patterns having axes extending in first and second directions. The first meander patterns can be formed into even and odd first meander patterns. The even and odd first meander patterns are 180° out of phase with each other and the odd patterns occur between every two even patterns. The second meander patterns are intertwined with the first meander patterns. The first and second directions can be orthogonal to each other. The second meander patterns can also be formed of even and odd patterns.

Claims

1. A stent formed of a tube having a patterned shape the patterned shape comprising:

a) even first meander patterns having axes extending in a first direction;

b) odd first meander patterns, also having axes extending in said first direction, wherein said odd first meander patterns are 180°

out of phase with said even first meander patterns and occur between every two even first meander patterns;

c) second meander patterns having axes extending in a second direction different than said first direction, wherein said second meander patterns are intertwined with said even and odd first meander patterns;

d) wherein said first and said second meander patterns comprises loops;

e) wherein said even and odd first meander patterns are connected on first and second sides, respectively, of each loop of said second meander patterns to said second meander patterns;

f) wherein said second meander patterns are of one kind; and

g) wherein said second meander patterns are connected to said even and odd first meander patterns so as to leave two loops of said first meander patterns between each pair of said second meander patterns.

3. A stent according to claim 1 wherein said first and second directions are orthogonal.

4. A stent according to claim 1 wherein said first and second directions are not orthogonal.

2. A stent formed of a tube having a patterned shape, the patterned shape comprising:

a) even first meander patterns having axes extending in a first direction;

b) odd first meander patterns, also having axes in said first direction, wherein said odd first meander patterns are 180°

out of phase with said even flat meander patterns and occur between every two even first meander patterns;

c) second meander patterns having axes extending in a second direction different than said first direction, wherein said second meander pattern are intertwined with said even and odd first meander pattern;

d) wherein said first and said second meander patterns comprise loops;

e) wherein said even and odd first meander patterns are connected on first and second sides, respectively, of each loop of said second meander patterns to said second meander patterns;

f) wherein said second meander patterns are formed of even and odd second meander patterns and are connected to said even and odd first meander patterns so as to leave three loops of said first meander patterns between each pair of said even and odd second meander patterns.

5. An expandable stent in the shape of an elongated unitary tube formed from flat metal having a flexible patterned shape suitable for insertion into a blood vessel or other orifice in the body in which it may be expanded to maintain the resultant size of the lumen comprising:

a plurality of first meander patterns extending in a first direction and a plurality of second meander patterns extending in a second direction, said meander patterns being connected together to form a plurality of flexible cells so that when attached to a balloon catheter the stent easily passes through the curved blood vessels, each of said flexible cells being provided with a plurality of loops adapted to cooperate so that upon the expansion of said stent the growth of some of said loops in the longitudinal direction of the tube compensates for the shrinkage of other loops in the longitudinal direction of the tube to eliminate any significant shrinkage of the stent in length during expansion.

6. A stent according to claim 5 wherein changes in the shape of the loops provide rigidity to the stent upon expansion to enable the stent to maintain a blood vessel or lumen at a desired inner diameter.

7. A stent according to claim 6 wherein the flexible cells of said stent are formed from orthogonal intertwined first and second meander patterns.

8. A stent according to claim 5 wherein the flexible cells of said stent are formed from intertwined circumferential and longitudinal meander patterns, and wherein upon expansion the circumferential growth of the circumferential meander pattern compensates, at least partially, for the circumferential shrinkage of the longitudinal meander pattern and vice versa.

9. A stent according to claim 8 wherein the end portions of said stent shrink somewhat upon expansion.

10. A flexible, expandable stent in the form of an elongated unitary tube comprising:

a pattern which defines substantially uniform spaces or cells cut from flat metal, said stent adapted so that when it is expanded radially, its overall length remains substantially the same because some cell elements of the stent grow in the tube'"'"'s longitudinal direction while some cell elements of the stent shrink in the tube'"'"'s longitudinal direction.

11. An expandable stent in the shape of an elongated unitary tube formed of flat metal having a flexible patterned shape suitable for insertion into a blood vessel or other orifice in the body in which it may be expanded to maintain the resultant size of the lumen comprising:

a plurality of first meander patterns extending in a first direction and a plurality of second meander patterns extending in a second direction, said meander patterns being connected together to form a plurality of flexible cells so that when attached to a balloon catheter the stent easily passes through the curved blood vessels, each of said flexible cells being provided with a plurality of loops, said loops adapted to cooperate so that upon bending of the stent the inside curvature is shortened with respect to the outside curvature and the loops change shape to compensate for the difference in length between the inside and outside curves.

12. A stent according to claim 11 wherein changes in the shape of the loops provides rigidity to the stent upon expansion to enable the stent to maintain a blood vessel or lumen at a desired inner diameter.

13. A stent according to claim 11 wherein the flexible cells of said stent are formed from orthogonal intertwined first and second meander patterns.

14. A stent according to claim 11 wherein the flexible cells of said stent are formed of intertwined circumferential and longitudinal meander patterns, each of which are involved in the bending of the stent.

15. A stent according to claim 14 wherein said stent can bend in any direction and in more than one direction at any time.

16. A flexible, expandable stent comprising:

an elongated unitary tube formed of a pattern which defines spaces or cells cut from flat metal, said spaces or cells adapted to cooperatively change shape when the stent is bent, each of said uniform spaces or cells being adapted to facilitate either longitudinal expansion or shrinkage in order to accommodate the stent'"'"'s bending.

17. A flexible, expandable stent comprising:

an elongated unitary tube formed of a pattern which defines spaces cut from flat metal, said spaces or cells to cooperatively change shape when the stent is bent so that the spaces or cells nearer the inside of the curve shrink and the spaces near the outside of the curve grow, said cooperation enabling the stent to bend uniformly along its length.

18. A stent formed of a tube having a patterned shape, comprising:

a) even first meander patterns, having axes extending in a first direction;

b) odd first meander patterns, also having axes extending in said first direction, wherein said odd first meander patterns are 180°

out of phase with said even first meander patterns and occur between every two even first meander patterns;

c) second meander patterns having axes extending in a second direction different from said first direction, wherein said second meander patterns are intertwined with said even and odd first meander patterns to form a distributed structure;

d) wherein said first and said second meander patterns comprise loops;

e) wherein said even and odd first meander patterns are connected to said second meander patterns so as to leave a loop of said second meander patterns between each odd and even first meander patterns; and

f) wherein said second meander patterns are connected to said even and odd first meander patterns so as to leave loops of said first meander patterns between each pair of second meander patterns.

19. A stent according to claim 18, wherein said second meander patterns are connected to said even and odd first meander patterns so as to leave two loops of said first meander patterns between each pair of second meander patterns.

20. A stent according to claim 18, wherein said second meander patterns are formed of even and odd second meander patterns and are connected to said even and odd first meander patterns so as to leave three loops of said first meander patterns between each pair of said even and odd second meander patterns.

21. A stent, according to claim 18, wherein said first and second directions are orthogonal.

22. A stent according to claim 18, wherein said first and second directions are not orthogonal.

23. A stent according to claim 18, wherein said first and second meander patterns are formed from wire.

24. A stent according to claim 18, wherein said first and second meander patterns are cut from flat metal.

25. A stent according to claim 18, wherein said stent is plated with a protective material embedded with medicine, and covered with a material.

26. A cylindrical stent, comprising:

(a) a plurality of odd and even alternating circumferential meanders, each substantially equally spaced from the next and each having alternate oppositely facing first areas of inflection, wherein the odd meanders are out of phase from the even meanders such that alternate first areas of inflection on the odd meanders are adjacent oppositely facing alternate first areas of inflection on the even meanders; and

(b) means connecting the odd and even meanders comprising a plurality of flexible links connecting adjacent first areas of inflection of adjacent even and odd meanders, wherein each flexible link has at least two portions connected by at least one second area of inflection, and wherein the first areas of inflection define a series of identical first bends and the second areas of inflection define a series of identical second bends; and

wherein the bisecting lines of the first bends are at angles to the bisecting lines of the second bends.

27. A stent according to claim 26, wherein the meanders extend in the circumferential direction of the stent such that the bisecting lines of the first areas of inflection extend in the axial direction of the stent.

28. A stent according to claim 27, wherein the bisecting lines of the second areas of inflection extend in the circumferential direction of the stent.

29. A stent according to claim 28, wherein a flexible link connects each pair of adjacent first areas of inflection.

30. A stent according to claim 29, wherein the meanders and flexible links of the stent define a plurality of enclosed spaces;

each enclosed space being defined by two first areas of inflection alternating with two flexible links.

31. A stent comprising:

a) at least odd and even alternating serpentine sections, each having first areas of inflection, wherein said odd serpentine section is out of phase from said even serpentine section such that first areas of inflection of said odd serpentine section are adjacent first areas of inflection on said even serpentine section; and

b) at least one flexible connector, comprising a plurality of flexible links connecting adjacent first areas of inflection of adjacent even and odd serpentine sections;

wherein each flexible link has at least two portions connected by at least one second areas of inflection define first and second angles whose bisecting lines are at angles one to another.

32. A stent comprising a mesh of adjacent, connected cells, each cell comprising:

an even number of fixed length, alternating, first and second loops, connected together in a closed cell, each loop having at least two portions with an area of inflection there between, said first and second loops defining first and second angles whose bisecting lines are at angles one to another.

33. A flexible, expandable stent, comprising:

a plurality of flexible cells provided with a plurality of first loops and a plurality of second loops, said first loops and said second loops disposed and adapted to cooperate so that upon the expansion of said stent the vertical growth of said first loops substantially compensates for the vertical shrinkage of said second loops.

34. A flexible, expandable stent, comprising:

a plurality of first meander patterns extending in a first direction and a plurality of second meander patterns extending in a second direction intersecting said first meander patterns to define a plurality of enclosed cells, said first and said second meander patterns disposed and adapted to cooperate so that upon the expansion of said stent the vertical growth of said first meander patterns substantially compensates for the vertical shrinkage of said second meander patterns.

35. A flexible, expandable stent, comprising:

a plurality of flexible cells provided with a plurality of first loops and a plurality of second loops, said first loops and said second loops disposed and adapted to cooperate so that upon the expansion of said stent said first loops and said second loops change shape to compensate for the tendency of said stent to foreshorten when said stent is expanded.

36. A flexible, expandable stent, comprising:

a plurality of first meander patterns extending in a first direction and a plurality of second meander patterns extending in a second direction intersecting said first meander patterns to define a plurality of enclosed cells, said first and said second meander patterns disposed and adapted to cooperate so that upon the expansion of said stent said first meander patterns and said second meander patterns change shape to compensate for the tendency of said stent to foreshorten when said stent is expanded.

37. A flexible, expandable stent having a longitudinal axis, comprising:

a plurality of flexible cells provided with a plurality of first loops and a plurality of second loops, said loops adapted so that said stent prior to expansion is substantially uniformly flexible along its longitudinal axis and bendable in substantially any direction and in several directions at once without affecting the structural or functional integrity of said stent, said first loops and said second loops disposed and adapted to cooperate so that upon the expansion of said stent the vertical growth of said first loops substantially compensates for the vertical shrinkage of said second loops, said loops further adapted to impart rigidity to said stent in an amount sufficient to support a lumen when said stent is expanded.

38. A flexible, expandable stent having a longitudinal axis, comprising:

a plurality of first meander patterns extending in a first direction and a plurality of second meander patterns extending in a second direction intersecting said first meander patterns to define a plurality of enclosed cells, said meander patterns adapted so that said stent prior to expansion is substantially uniformly flexible along its longitudinal axis and bendable in substantially any direction and in several directions at once without affecting the structural or functional integrity of said stent, said first and said second meander patterns disposed and adapted to cooperate so that upon the expansion of said stent the vertical growth of said first meander patterns substantially compensates for the vertical shrinkage of said second meander patterns, said meander patterns further adapted to impart rigidity to said stent in an amount sufficient to support a lumen when said stent is expanded.

39. A flexible, expandable stent having a longitudinal axis, comprising:

a plurality of flexible cells provided with a plurality of first loops and a plurality of second loops, said loops adapted so that said stent prior to expansion is substantially uniformly flexible along its longitudinal axis and bendable in substantially any direction and in several directions at once without affecting the structural or functional integrity of said stent, said first loops and said second loops disposed and adapted to cooperate so that upon the expansion of said stent said first loops and said second loops change shape to compensate for the tendency of said stent to foreshorten when said stent is expanded, said loops further adapted to impart rigidity to said stent in an amount sufficient to support a lumen when said stent is expanded.

40. A flexible, expandable stent having a longitudinal axis, comprising:

a plurality of first meander patterns extending in a first direction and a plurality of second meander patterns extending in a second direction intersecting said first meander patterns to define a plurality of enclosed cells, said meander patterns adapted so that said stent prior to expansion is substantially uniformly flexible along its longitudinal axis and bendable in substantially any direction and in several directions at once without affecting the structural or functional integrity of said stent, said first and said second meander patterns disposed and adapted to cooperate so that upon the expansion of said stent said first meander patterns and said second meander patterns change shape to compensate for the tendency of said stent to foreshorten when said stent is expanded, said meander patterns further adapted to impart rigidity to said stent in an amount sufficient to support a lumen when said stent is expanded.

41. An expandable stent, including:

a plurality of connected cells defining a longitudinal aperture having a longitudinal axis, said cells arranged in a plurality of bands, each of said plurality of cells in each of said bands comprising;

a) a first member having a first end and a second end;

b) a second member having a first end and a second end,

c) a third member having a first end and a second end;

d) a fourth member having a first end and a second end;

e) a first loop defining a first angle disposed between said first end of said first member and said first end of said second member;

f) a second loop defining a second angle disposed between said second end of said third member and said second end of said fourth member;

g) a first flexible arcuate compensating member disposed between said second end of said first member and said first end of said third member; and

h) a second flexible arcuate compensating member disposed between said second end of said second member and said first end of said fourth member, said first flexible arcuate compensating member and said second flexible arcuate compensating member of each of said plurality of cells in each of said plurality of bands flexibly connecting adjacent bands.

42. The stent of claim 41 wherein said first and said second flexible arcuate compensating members are adapted to lengthen upon the expansion of said stent to compensate for the tendency of said stent to foreshorten when said stent is expanded.

43. The stent of claim 41, wherein said first and said second flexible arcuate compensating members are readily differentially compressible or expandable when said stent is unexpanded and are less differentially compressible or expandable after said stent is expanded.

44. The stent of claim 41, wherein said first and said second flexible arcuate compensating members are provided with a width that is smaller than the width of said first, said second, said third, and said fourth members and said first loop and said second loop.

45. The stent of claim 42 wherein said first and said second flexible arcuate compensating members elongate in an amount substantially equal to the amount that the distance between the ends of said first and second members and said third and fourth members increases when said stent is expanded by a catheter balloon.

46. A stent formed of a tube having a patterned shape, the patterned shape comprising:

first meander patterns which are periodic about axes extending in a first direction;

second meander patterns which are periodic about axes extending in a second direction different than said first direction, wherein said second meander patterns are intertwined with said first meander patterns; and

wherein said second meander patterns define a plurality of flexible arcuate compensating members adapted to elongate in said second direction to compensate for the tendency of said first meander patterns to foreshorten when said stent is expanded.

47. A generally longitudinally extending tubular stent which is substantially uniformly flexible with respect to its longitudinal axis by the flexibility of its cells with respect to said axis including:

(a) a plurality of cells flexible around said longitudinal axis connected to one another about the circumference of said stent to form a band of flexible cells, each of said flexible cells having apices disposed apart and generally opposite to one another,

(b) each of said flexible cells having a plurality of flexible links disposed apart and generally opposite to one another,

(c) each of said flexible links including a plurality of portions with neighboring portions having an area of inflection therebetween, and

(d) said flexible cells in said adjacent bands of flexible cells connected to one another.

48. An expandable stent, including:

a plurality of connected cells having a longitudinal axis defining a structure of flexible cells having a longitudinal axis and a circumferential axis substantially perpendicular to said longitudinal axis;

each of said flexible cells having apices disposed apart and generally opposite to one another along said longitudinal axis of each of said cells;

each of said flexible cells having at least two flexible links disposed apart and generally opposite to one another about the circumferential extension of the cell, each of said flexible links including at least two portions with an area of inflection therebetween.

49. An expandable stent having a longitudinal axis, comprising:

a plurality of flexible cells having a first and a second end, said cells disposed about the circumference of the stent, each of said cells comprising;

a first pair of members connected by an area of inflection generally disposed at said first end of said cell;

a second pair of members connected by an area of inflection generally disposed at said second end of said cell; and

a plurality of flexible links connecting said first and second pair of members and generally disposed between each neighboring cell about the circumference of said stent.

50. The stent of claim 49, wherein said flexible links have some area with a width smaller than the width of said areas of inflection.

51. A generally longitudinally extending tubular stent which is substantially uniformly flexible with respect to its longitudinal axis, said stent consisting essentially of:

a plurality of flexible cells, each having a longitudinal extension parallel to said longitudinal axis and a circumferential extension parallel to an arc of a circle around the circumference of the stent,

(a) wherein each of said flexible cells comprises apices disposed apart and generally opposite to one another along said longitudinal extension of the cell,

(b) wherein each of said flexible cells comprises at least first and second flexible links, wherein prior to expansion of the stent, the first and second flexible links are disposed apart and generally opposite to one another along the circumferential extension of the cell, and

(c) wherein each of said flexible links comprises a first attachment point and a second attachment point, the first and second attachment points being on a line segment that extends substantially parallel to said longitudinal axis prior to expansion of the stent, wherein each of said flexible links has a bend in it such that the length of said flexible link is greater than the distance between said first and second attachment points, whereby the flexible link can change shape to allow the distance between the attachment points to become longer or shorter to facilitate bending of the stent.

52. A stent formed of a tube having a patterned shape, the patterned shape comprising;

even first meander patterns having axes extending in a first direction;

odd first meander patterns, also having axes extending in said first direction, wherein said odd first meander patterns are 180°

out of phase with said even first meander patterns and occur between every two even first meander patterns;

second meander patterns having axes extending in a second direction, wherein said second meander patterns are intertwined with said even and odd first meander patterns to form a distributed structure;

wherein said second meander patterns have two loops per period; and

wherein said even and odd first meander patterns are connected on first and second sides, respectively, of each loop.

53. A stent having a longitudinal axis formed of a tube having a patterned shape, the patterned shape comprising:

a. first meander patterns having axes extending in a first direction;

b. second meander patterns having axes extending in a second direction, different than said first direction, wherein said second meander patterns intersect with said first meander patterns;

c. wherein said first meander patterns have loops;

d. wherein said first meander patterns are spaced apart to leave a portion of said second meander patterns between each pair of adjacent first meander patterns;

e. wherein each of said second meander patterns has at least one loop between at least one pair of adjacent first meander patterns; and

f. wherein said loops are disposed and adapted to cooperate so that upon the expansion of said stent the growth of some of said loops in the longitudinal direction of said tube compensates for the shrinkage of other of said loops in the longitudinal direction of said tube to eliminate any significant shrinkage of said stent in the length during expansion.

54. A stent having a longitudinal axis formed of a tube having a patterned shape, the patterned shape comprising:

a. first meander patterns having axes extending in a first direction;

b. second meander patterns having axes extending in a second direction, different than said first direction, wherein said second meander patterns intersect with said first meander patterns;

c. wherein said first meander patterns have loops;

d. wherein said first meander patterns are spaced apart to leave a portion of said second meander patterns between each pair of adjacent first meander patterns;

e. wherein each of said second meander patterns has at least one loop between at least one pair of adjacent first meander patterns, and

f. wherein said meander patterns are disposed and adapted to cooperate so that upon the expansion of said stent the vertical growth of said first meander patterns compensates for the vertical shrinkage of said second meander patterns to eliminate any significant shrinkage of said stent in length during expansion.

55. A stent having a longitudinal axis formed of a tube having a patterned shape, the patterned shape comprising:

a. first meander patterns having axes extending in a first direction;

b. second meander patterns having axes extending in a second direction, different than said first direction, wherein said second meander patterns intersect with said first meander patterns;

c. wherein said first meander patterns have loops;

d. wherein said first meander patterns are spaced apart to leave a portion of said second meander patterns between each pair of adjacent first meander patterns;

e. wherein each of said second meander patterns has at least one loop between at least one pair of adjacent first meander patterns, and

f. wherein said loops and meander patterns are disposed and adapted to cooperate so that upon the expansion of said stent the growth of some of said loops in the longitudinal direction of said tube compensates for the shrinkage of other of said loops in the longitudinal direction of said tube to eliminate any significant shrinkage of said stent in the length during expansion.

56. A stent formed of a tube having a patterned shape, the patterned shape comprising:

a. first meander patterns having axes extending in a first direction;

b. second meander patterns having axes extending in a second direction, different than said first direction, wherein said second meander patterns intersect with said first meander patterns;

c. wherein said first meander patterns have loops;

d. wherein said first meander patterns are spaced apart to leave a portion of said second meander patterns between each pair of adjacent first meander patterns;

e. wherein each of said second meander patterns has at least one loop between at least one pair of adjacent first meander patterns, and

f. wherein said loops are disposed and adapted to cooperate so that upon the bending of said stent the inside curvature is shortened with respect to the outside curvature and said loops change shape to compensate for the difference in length between the inside and outside curvature.

57. A stent formed of a tube having a patterned shape, the patterned shape comprising:

a. first meander patterns having axes extending in a first direction;

b. second meander patterns having axes extending in a second direction, different than said first direction, wherein said second meander patterns intersect with said first meander patterns;

c. wherein said first meander patterns have loops;

d. wherein said first meander patterns are spaced apart to leave a portion of said second meander patterns between each pair of adjacent first meander patterns;

e. wherein each of said second meander patterns has at least one loop between at least one pair of adjacent first meander patterns, and

f. wherein said stent can bend in any direction and in more than one direction at any time prior to expansion and wherein changes in the shape of said loops upon expansion provides rigidity to said stent to enable said stent to maintain a blood vessel or a lumen at a desired inner diameter.

58. A stent having a longitudinal axis and a vertical axis formed of a tube having a patterned shape, the patterned shape comprising:

a. first meander patterns having axes extending in a first direction;

b. second meander patterns having axes extending in a second direction, different than said first direction, wherein said second meander patterns intersect with said first meander patterns;

c. wherein said first meander patterns have loops;

d. wherein said first meander patterns are spaced apart to leave a portion of said second meander patterns between each pair of adjacent first meander patterns;

e. wherein each of said second meander patterns has at least one loop between at least one pair of adjacent first meander patterns, and

f. wherein said loops are disposed and adapted to cooperate so that upon the expansion of said stent the vertical growth of the said loops disposed on said first meander patterns substantially compensates for the vertical shrinkage of said loops disposed on said second mender patterns.

59. A stent having a longitudinal axis and a vertical axis formed of a tube having a patterned shape, the patterned shape comprising:

a. first meander patterns having axes extending in a first direction;

b. second meander patterns having axes extending in a second direction, different than said first direction, wherein said second meander patterns intersect with said first meander patterns;

c. wherein said first meander patterns have loops;

d. wherein said first meander patterns are spaced apart to leave a portion of said second meander patterns between each pair of adjacent first meander patterns;

e. wherein each of said second meander patterns has at least one loop between at least one pair of adjacent first meander patterns, and

f. wherein said first and said second meander patterns are disposed and adapted to cooperate so that upon the expansion of said stent the vertical growth of said first meander patterns substantially compensates for the vertical shrinkage of said second meander patterns.

60. A stent having a longitudinal axis formed of a tube having a patterned shape, the patterned shape comprising:

a. first meander patterns having axes extending in a first direction;

b. second meander patterns having axes extending in a second direction, different than said first direction, wherein said second meander patterns intersect with said first meander patterns;

c. wherein said first meander patterns have loops;

d. wherein said first meander patterns are spaced apart to leave a portion of said second meander patterns between each pair of adjacent first meander patterns;

e. wherein each of said second meander patterns has at least one loop between at least one pair of adjacent first meander patterns, and

f. wherein said loops disposed on said first meander patterns and said loops disposed on said second meander patterns are disposed and adapted to cooperate so that upon the expansion of said stent said loops change shape to compensate for the tendency of said stent to foreshorten when said stent is expanded.

61. A stent having a longitudinal axis and a vertical axis formed of a tube having a patterned shape, the patterned shape comprising:

a. first meander patterns having axes extending in a first direction;

b. second meander patterns having axes extending in a second direction, different than said first direction, wherein said second meander patterns intersect with said first meander patterns;

c. wherein said first meander patterns have loops;

d. wherein said first meander patterns are spaced apart to leave a portion of said second meander patterns between each pair of adjacent first meander patterns;

e. wherein each of said second meander patterns has at least one loop between at least one pair of adjacent first meander patterns, and

f. wherein said first and said second meander patterns are disposed and adapted so that said stent prior to expansion is substantially uniformly flexible along said longitudinal axis and bendable in substantially any direction and in several directions at once without affecting the structural or functional integrity of said stent, said first and said second meander patterns disposed and adapted to cooperate so that upon the expansion of said stent the vertical growth of said first meander patterns substantially compensates for the vertical shrinkage of said second meander patterns, said meander patterns further adapted to impart rigidity to said stent in an amount sufficient to support a lumen when said stent is expanded.

62. A stent having a longitudinal axis and a vertical axis formed of a tube having a patterned shape, the patterned shape comprising:

a. first meander patterns having axes extending in a first direction;

b. second meander patterns having axes extending in a second direction, different than said first direction, wherein said second meander patterns intersect with said first meander patterns;

c. wherein said first meander patterns have loops;

d. wherein said first meander patterns are spaced apart to leave a portion of said second meander patterns between each pair of adjacent first meander patterns;

e. wherein each of said second meander patterns has at least one loop between at least one pair of adjacent first meander patterns, and

f. wherein said loops are disposed and adapted so that said stent prior to expansion is substantially uniformly flexible along said longitudinal axis and bendable in substantially any direction and in several directions at once without affecting the structural or functional integrity of said stent, said loops disposed and adapted to cooperate so that upon the expansion of said stent the vertical growth of said loops disposed on said first meander patterns substantially compensates for the vertical shrinkage of said loops disposed on said second meander patterns, said loops further disposed and adapted to impart rigidity to said stent in an amount sufficient to support a blood vessel or lumen when said stent is expanded.

63. A stent having a longitudinal axis formed of a tube having a patterned shape, the patterned shape comprising:

a. first meander patterns having axes extending in a first direction;

b. second meander patterns having axes extending in a second direction, different than said first direction, wherein said second meander patterns intersect with said first meander patterns;

c. wherein said first meander patterns have loops;

d. wherein said first meander patterns are spaced apart to leave a portion of said second meander patterns between each pair of adjacent first meander patterns;

e. wherein each of said second meander patterns has at least one loop between at least one pair of adjacent first meander patterns, and

f. wherein said stent is adapted so that when it is expanded radially, its overall length remains substantially the same because some elements of said stent grow in said tube'"'"'s longitudinal direction while some elements of said stent shrink in said tube'"'"'s longitudinal direction.

64. A stent formed of a tube having a patterned shape, the patterned shape comprising:

a. first meander patterns having axes extending in a first direction;

b. second meander patterns having axes extending in a second direction, different than said first direction, wherein said second meander patterns intersect with said first meander patterns;

c. wherein said first meander patterns have loops;

d. wherein said first meander patterns are spaced apart to leave a portion of said second meander patterns between each pair of adjacent first meander patterns;

e. wherein each of said second meander patterns has at least one loop between at least one pair of adjacent first meander patterns, and

f. wherein at least one of said loops is provided with a width that is smaller than the width of the meander pattern on which said at least one of said loops is disposed.