Bifurcated stent

• US 6,086,611 A
• Filed: 09/25/1997
• Issued: 07/11/2000
• Est. Priority Date: 09/25/1997
• Status: Expired due to Fees

• Current Assignee: Medtronic Ave Incorporated (Medtronic Plc)
• Original Assignee: Ave Connaught
• Inventors: Garutti, Gigliano, Cattabriga, James, Manara, Daniele, Carleton, Maria, Duffy, Naill, Duffy, James
• Primary Examiner(s): Milano, Michael J.
• Application Number:
  US08/937,199
• Time in Patent Office: 1,020 Days
• Field of Search: 623/1, 623/12
• US Class Current: 623/1.35
• CPC Class Codes: A61F 2/82 Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents stent-grafts for tubular structures of the body other than blood vessels A61F2/04; stent-grafts for blood vessels A61F2/07; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95; for closing wounds, or holding wounds closed A61B17/04 - A61B17/115; dilators A61M29/00
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels

Abstract

An endoluminal stent is formed in a modular construction to include at least one elongate spine and a plurality of general tube-defining modules attached to the spine, or spines, in a longitudinal array. The modules are constructed along a spine-like structure so as to form a bifurcate shape for implantation in branching or bifurcating vessels. Each module defines, in cooperation with a spine, a closed ring-like structure. Each of the modules is radially expandable from a reduced diameter, low profile configuration, in which it is readily navigated through the body passages, to an expanded diameter engageable with the inner luminal surface of the body lumen. The stent, being of modular construction, can be built to individual specifications for a specific patient. Modules are formed from a wire shaped in a flat serpentine configuration that is then wrapped in a cylindrical configuration with its free ends connected to a spine. The modules are expandable, as by a balloon, from a low profile to an expanded configuration. During expansion, the modules can wipe against the inner surface of the lumen to smooth sharp points or edges. A spine of the stent defines a substantially greater mass than that of the individual modules such that the spine can be readily observed under X-ray or fluoroscopy. The modular construction enables a wide range of variation in the characteristics of the stent, including longitudinal flexibility, radial expansion characteristics, among others.

Claims

1. A bifurcated stent comprising:

a main body comprising a support wire and a plurality of modules coupled to said support wire at sequential locations along said support wire, said support wire extending between and through said plurality of modules;

a first side branch coupled to said main body, said first branch comprising at least one module coupled to a support wire; and

a second side branch coupled to said main body, said second side branch comprising at least one module couple to a support wire,

wherein said first side branch and said second side branch are coupled to each other at an apex section of the bifurcated stent and the bifurcated stent is inserted into a body lumen in a closed configuration with an axis of said first side branch and an axis of said second side branch substantially parallel to each other.

2. A bifurcated stent as defined in claim 1, wherein each of said modules defines a closed circumferential loop and said modules are arranged on said respective support wire to define a generally tubular configuration.

3. A bifurcated stent as defined in claim 1, wherein each of said modules is expandable from a radially contracted configuration in which it can be positioned in the body lumen to a radially expanded configuration.

4. A bifurcated stent as defined in claim 1, wherein each of said modules is formed from a serpentine wire having a plurality of elongate segments alternated with shorter connective bends.

5. A bifurcated stent as defined in claim 4, wherein said serpentine wire has free terminal ends attached to a connector to secure each of said modules in its closed circumferential loop configuration.

6. A bifurcated stent as defined in claim 1, wherein said modules are coupled to said support wire using connectors.

7. A bifurcated stent as defined in claim 6, wherein each of said modules, support wire, and connectors are formed from a material sufficiently similar in composition to inhibit development of corrosion at junctures where said modules, support wire, and connectors join each other.

8. A bifurcated stent as defined in claim 6, further comprising spacers disposed between adjacent connectors.

9. A bifurcated stent as defined in claim 8, wherein said spacers and said connectors are formed of the same material and define a substantially continuous region of high radiopacity when visualized radiographically.

10. A bifurcated stent as defined in claim 4, wherein said serpentine wire and said support wire have a different malleability.

11. A bifurcated stent as defined in claim 4, wherein said serpentine wire is formed from a material belonging to the group comprising annealed stainless steel, titanium alloys, nickel gold alloys, nickel chromium alloys, and titanium chromium alloys.

12. A bifurcated stent as defined in claim 1, wherein said first side branch comprises a plurality of modules and said second side branch comprises a plurality of modules.

13. A bifurcated stent as defined in claim 1, wherein said support wire of said first side branch comprises an extension of said support wire of said main body and said first side branch is coupled to said main body through said support wire.

14. A bifurcated stent as defined in claim 13, wherein each of said modules of said first side branch are coupled to said support wire.

15. A bifurcated stent as defined in claim 14, wherein said modules of said first side branch are coupled to said support wire using connectors.

16. A bifurcated stent as defined in claim 14, wherein each of said modules of said first branch is formed from a serpentine wire having a plurality of elongate segments alternated with shorter connective bends.

17. A bifurcated stent as defined in claim 16, wherein said serpentine wire has free terminal ends attached to a connector to secure each of said modules in its closed circumferential loop configuration.

18. A bifurcated stent as defined in claim 1, wherein each of said modules of said main body is coupled to at least two support wires and one of said at least two support wires extends to said first side branch to form said support wire of said first side branch and another of said at least two support wires extends to said second side branch to form said support wire of said second branch.

19. A bifurcated stent as defined in claim 1, wherein the stent is coated with a protective material.

20. A bifurcated stent as defined in claim 19, wherein said protective material comprises carbon.

21. The bifurcated stent of claim 18, wherein said support wires extending from said main body to said first side branch and said second side branch each terminate at a first module of each of said first side branch and said second side branch and said first and second side branches are coupled to each other utilizing a third support wire coupled to a plurality of modules of said first and second side branches and extending into said apex section of the stent.