Bifurcated axially flexible stent

• US 6,017,363 A
• Filed: 02/24/1998
• Issued: 01/25/2000
• Est. Priority Date: 09/22/1997
• Status: Expired due to Term

• Current Assignee: Cardinal Health Switzerland 515 GmbH (Cardinal Health, Inc.)
• Original Assignee: Cordis Corporation (Cardinal Health, Inc.)
• Inventors: Hojeibane, Hikmat
• Primary Examiner(s): Isabella, David J.
• Assistant Examiner(s): Koh, Choon P.
• Application Number:
  US09/028,383
• Time in Patent Office: 700 Days
• Field of Search: 623/1, 623/11, 623/12, 606/194, 606/198
• US Class Current: 623/23.7
• CPC Class Codes: A61F 2/856 Single tubular stent with a side portal passage
• CPC Class Codes: A61F 2/885 comprising a coil including a plurality of spiral or helical sections with alternate directions around a central axis
• 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 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/91508 the meander having a difference in amplitude along the band
• CPC Class Codes: A61F 2002/91516 the meander having a change in frequency along the band
• 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 2002/91541 Adjacent bands are arranged out of phase
• CPC Class Codes: A61F 2002/9155 Adjacent bands being connected to each other
• CPC Class Codes: A61F 2002/91558 connected peak to peak

Abstract

A stent with axial flexibility, in a preferred embodiment, has a longitudinal axis and comprises a plurality of longitudinally disposed bands, wherein each band defines a generally continuous wave along a line segment parallel to the longitudinal axis. A plurality of links maintains the bands in a tubular structure. In a further embodiment of the invention, each longitudinally disposed band of the stent is connected, at a plurality of periodic locations, by a short circumferential link to an adjacent band. Further, a pair of bifurcated stents is disclosed.

Claims

1. A bifurcated stent comprising a first stent portion having first and second ends with an intermediate section therebetween, the 1st stent further having a longitudinal axis and a plurality of longitudinally disposed cells, wherein each cell has an opening therein;

and

a second stent portion having first and second ends with an intermediate section therebetween, the 2nd stent further having a longitudinal axis and a plurality of longitudinally disposed cells, wherein each cell has an opening therein; and

each of said stent portions capable of expanding from a first respective diameter to a larger second respective diameter; and

wherein said second stent portion is configured in its said first respective diameter passing through a cell of the first stent portion in its first diameter.

2. A stent according to claim 1, each said stent formed by a series of longitudinally extending struts connected by links, wherein each link is axially displaced from any circumferentially adjacent link.

3. A stent according to claim 2, wherein, at each one of a first group of common axial positions, there is a circumferential link between each of a first set of adjacent pairs of struts.

4. A stent according to claim 3, wherein, at each one of a second group of common axial positions, there is a circumferential link between each of a second set of adjacent rows of struts, wherein, along the longitudinal axis, a common axial position occurs alternately in the first group and in the second group, and the first and second sets are selected so that a given strut is linked to a neighboring strut at only one of the first and second groups of common axial positions.

5. A stent according to claim 2, wherein the spatial frequency of the wave associated with each of the struts is decreased in a first end region lying proximate to the first end and in a second end region lying proximate to the second end, in comparison to the spatial frequency of the wave in the intermediate section.

6. A bifurcated stent system comprising in combination:

a pair of balloons aligned parallel with one another, said balloons each loaded with at least one stent and said stents maintained generally parallel with each other as they are guided along said balloon into the lumen of a body; and

a first stent portion having first and second ends with an intermediate section therebetween, the stent further having a longitudinal axis and a plurality of longitudinally disposed cells, wherein each cell has an opening therein; and

a second stent portion having first and second ends with an intermediate section therebetween, the stent further having a longitudinal axis and a plurality of longitudinally disposed cells, wherein each cell has an opening therein; and

each of said stent portions capable of expanding from a first respective diameter to a larger second respective diameter; and

wherein said second stent portion is configured in its said first respective diameter passing through a cell of the first stent portion in its first diameter;

and such that said respective stent portions are aligned on said balloon to be parallel to one another.

7. A combination according to claim 6, each said stent formed by a series of longitudinally extending struts connected by links, wherein each link is axially displaced from any circumferentially adjacent link.

8. The combination according to claim 7, wherein, at each one of a first group of common axial positions, there is a circumferential link between each of a first set of adjacent pairs of struts.

9. The combination according to claim 8, wherein, at each one of a second group of common axial positions, there is a circumferential link between each of a second set of adjacent rows of struts, wherein, along the longitudinal axis, a common axial position occurs alternately in the first group and in the second group, and the first and second sets are selected so that a given strut is linked to a neighboring strut at only one of the first and second groups of common axial positions.

10. The combination according to claim 7, wherein the spatial frequency of the wave associated with each of the struts is decreased in a first end region lying proximate to the first end and in a second end region lying proximate to the second end, in comparison to the spatial frequency of the wave in the intermediate section.

11. A bifurcated balloon system, said bifurcated balloon capable of being passed through a lumen of the body, said bifurcated balloon containing at least two balloons, a first of said balloons capable of being placed within a first lumen and said second balloon capable of being placed in a second lumen when said first balloon is placed within said first lumen further comprising a bifurcated stent placed on said combination, said bifurcated stent comprising:

a first stent portion having first and second ends with an intermediate section therebetween, the stent further having a longitudinal axis and a plurality of longitudinally disposed cells, wherein each cell has an opening therein; and

a second stent portion having first and second ends with an intermediate section therebetween, the stent further having a longitudinal axis and a plurality of longitudinally disposed cells, wherein each cell has an opening therein; and

each of said stent portions capable of expanding from a first respective diameter to a larger second respective diameter; and

wherein said second stent portion is configured in its said first respective diameter passing through a cell of the first stent portion in its first diameter.

12. A system according to claim 11, wherein each said stent formed by a series of longitudinally extending struts connected by links, wherein each link is axially displaced from any circumferentially adjacent link.

13. A system according to claim 12, wherein, at each one of a first group of common axial positions, there is a circumferential link between each of a first set of adjacent pairs of struts.

14. A system according to claim 13, wherein, at each one of a second group of common axial positions, there is a circumferential link between each of a second set of adjacent rows of struts, wherein, along the longitudinal axis, a common axial position occurs alternately in the first group and in the second group, and the first and second sets are selected so that a given strut is linked to a neighboring strut at only one of the first and second groups of common axial positions.

15. A system according to claim 12, wherein the spatial frequency of the wave associated with each of the struts is decreased in a first end region lying proximate to the first end and in a second end region lying proximate to the second end, in comparison to the spatial frequency of the wave in the intermediate section.

16. A stent containing:

at least two stents, comprising at least a first stent and at least a second stent, each of said stents having an opening in its lateral wall, and one of said stents capable of being emplaced through said lateral wall opening so that a portion of said second stent is maintained separate from said first stent; and

wherein said stents are capable of being rotated one with respect to the other in order to maintain said stents in close-fitting relationship to each other in a bifurcated lumen of the body.

17. The system of claim 16 wherein said said first and second stents comprise a bifurcated stent comprising:

a first stent portion having first and second ends with an intermediate section therebetween, the stent further having a longitudinal axis and a plurality of longitudinally disposed cells, wherein each cell has an opening therein; and

a second stent portion having first and second ends with an intermediate section therebetween, the stent further having a longitudinal axis and a plurality of longitudinally disposed cells, wherein each cell has an opening therein; and

each of said stent portions capable of expanding from a first respective diameter to a larger second respective diameter; and

wherein said second stent portion is configured in its said first respective diameter passing through a cell of the first stent portion in its first diameter.

18. A method of stenting a bifurcated vessel comprising:

a) placing a bifurcated stent on a balloon, said bifurcated stent having a pair of stent sections, and said balloon having a pair of inflatable sections aligned side-by-side;

each of said stents sections having an opening in its lateral wall, and one of said stent sections capable of being emplaced through said lateral wall opening so that a portion of said second stent section is maintained separate from said first stent section; and

wherein said stents sections are capable of being rotated one with respect to the other in order to maintain said stents in close-fitting relationship to each other in said bifurcated lumen of the body;

b) guiding said stent sections on said balloon to a target bifurcated lesion of the body;

c) causing said first stent section to pass through the hole in said second stent section, so that at least a portion of said two stent sections are separated;

d) rotating said sections one relative to the other, so as to align their respective lateral wall opening; and

e) inflating said balloons, to thereby inflate said segments.

19. The method of claim 18 wherein said stent further comprises:

a first stent portion having first and second ends with an intermediate section therebetween, the stent further having a longitudinal axis and a plurality of longitudinally disposed cells, wherein each cell has an opening therein; and

a second stent portion having first and second ends with an intermediate section therebetween, the stent further having a longitudinal axis and a plurality of longitudinally disposed cells, wherein each cell has an opening therein; and

each of said stent portions capable of expanding from a first respective diameter to a larger second respective diameter; and

wherein said second stent portion is configured in its said first respective diameter passing through a cell of the first stent portion in its first diameter.

20. A method of stenting a bifurcated vessel comprising:

providing a pair of stents, each of said stents having a tubular structure and a hole formed in the wall of said tubular structure;

placing each of said stents on a balloon catheter;

passing said stents along an artery with said holes facing one another;

passing a first of said stents into an arterial bifurcation so that the hole in said stent is positioned at the base of the primary artery;

passing a second of said stents through said first stent, so that the hole in said first stent is juxtaposed with the hole in said second stent;

inflating said stents; and

removing said balloon catheter.