Radially-expandable stent with controllable force profile

• US 6,613,079 B1
• Filed: 02/05/1999
• Issued: 09/02/2003
• Est. Priority Date: 02/05/1998
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Nativ, Ofer, Wolinsky, Lone, Loshakove, Amir
• Primary Examiner(s): McDermott, Corrine
• Assistant Examiner(s): STEWART, ALVIN J
• Application Number:
  US09/244,968
• Time in Patent Office: 1,670 Days
• Field of Search: 606/198, 606/196, 606/197, 606/107, 623/1, 623/12, 623/1.15, 623/1.16, 623/1.17, 623/1.18, 623/1.2, 623/1.22
• 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 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
• CPC Class Codes: A61F 2002/91533 characterised by the phase between adjacent bands
• CPC Class Codes: A61F 2002/91583 by a bridge, whereby at least one of its ends is connected along the length of a strut between two consecutive apices within a band
• CPC Class Codes: A61F 2230/0054 V-shaped
• CPC Class Codes: A61F 2250/0037 differing in height or in length

Abstract

The present invention provides radially-expandable stents that, in various embodiments, provide controllable expansive force profiles. The expansive force profiles can be controlled by varying the unrestrained expanded diameter of the stents, by varying the longitudinal length of the circumferential support sections in the stents, and/or by varying the circumferential width of the struts in the support sections. Also disclosed are methods of deploying the stents.

Claims

1. A radially expandable stent for implantation within a body lumen comprising:

an elongated generally tubular body defining a passageway having a longitudinal axis;

the body comprising a plurality of circumferential support sections arranged successively along the longitudinal axis, each circumferential support section of the plurality of circumferential support sections having a longitudinal length along the longitudinal axis;

each circumferential support section of the plurality of circumferential support sections comprising a plurality of primary bends interconnected by struts, the primary bends being located on alternating ends of each circumferential support section around the circumference of the body, the struts connecting successive primary bends on opposite ends of each circumferential support section, and further wherein at least some struts comprise a secondary bend proximate at least one longitudinal end of each of the at least some struts wherein the secondary bend is adapted to contact an adjacent secondary bend when the stent is compressed; and

at least one longitudinal member connecting adjacent circumferential support sections in the body;

wherein each of the circumferential support sections is radially compressible into a compressed diameter and radially expandable into an unrestrained expanded diameter in which the struts and the primary bends in each of the circumferential support sections are arranged in a zigzag pattern, and further wherein the longitudinal lengths of at least two of the circumferential support sections are different.

2. A stent according to claim 1, wherein the longitudinal lengths of successive circumferential support sections increase from one end of the stent to an opposite end of the stent.

3. A stent according to claim 2, wherein the increase in longitudinal length between successive circumferential support sections is uniform along the longitudinal length.

4. A stent according to claim 1, wherein the longitudinal length of each circumferential support section at each end of the stent is greater than the longitudinal length of one of the circumferential support sections located between the circumferential support sections at each end of the stent.

5. A stent according to claim 1, wherein the circumferential support section with the shortest longitudinal length is located proximate a center of the stent.

6. A stent according to claim 1, wherein the body comprises a nickel titanium alloy.

7. The stent according to claim 1, wherein each of the struts has a circumferential width, wherein the circumferential width of a first strut is greater than the circumferential width of a second strut.

8. A radially expandable stent for implantation within a body lumen comprising:

an elongated generally tubular body defining a passageway having a longitudinal axis;

the body comprising a plurality of circumferential support sections arranged successively along the longitudinal axis, each circumferential support section of the plurality of circumferential support sections having a longitudinal length along the longitudinal axis;

each circumferential support section of the plurality of circumferential support sections comprising a plurality of primary bends interconnected by struts, the primary bends being located on alternating ends of each circumferential support section around the circumference of the body, the struts connecting successive primary bends on opposite ends of each circumferential support section, and further wherein at least some struts comprise a secondary bend proximate at least one longitudinal end of each of the at least some struts wherein the secondary bend is adapted to contact an adjacent secondary bend when the stent is compressed; and

at least one longitudinal member connecting adjacent circumferential support sections in the body;

wherein each of the circumferential support sections is radially compressible into a compressed diameter and radially expandable into an unrestrained expanded diameter in which the struts and the primary bends in each of the circumferential support sections are arranged in a zigzag pattern, and further wherein the unrestrained expanded diameters of at least two of the circumferential support sections vary.

9. A stent according to claim 8, wherein the unrestrained expanded diameters of successive circumferential support sections increase from one end of the stent to an opposite end of the stent.

10. A stent according to claim 9, wherein the increase in the unrestrained expanded diameters between successive support sections is uniform along the longitudinal length.

11. A stent according to claim 8, wherein the unrestrained expanded diameter of each circumferential support section at each end of the stent is smaller than the unrestrained expanded diameter of one of the circumferential support sections located between the circumferential support sections at each end of the stent.

12. A stent according to claim 8, wherein the circumferential support section with the largest unrestrained expanded diameter is located proximate a center of the stent.

13. A stent according to claim 8, wherein the longitudinal lengths of the circumferential support sections are substantially uniform.

14. A stent according to claim 8, wherein the longitudinal lengths of at least two of the circumferential support sections are different.

15. A stent according to claim 8, wherein the body comprises a nickel titanium alloy.

16. A method of deploying a stent within a body lumen comprising:

a) providing a radially expandable stent in a compressed diameter proximate a distal end of a delivery device, wherein the stent comprises;

an elongated generally tubular body defining a passageway having a longitudinal axis;

the body comprising a plurality of circumferential support sections arranged successively along the longitudinal axis, each circumferential support section of the plurality of circumferential support sections having a longitudinal length along the longitudinal axis,

each circumferential support section of the plurality of circumferential support sections comprising a plurality of primary bends interconnected by struts, the primary bends being located on alternating ends of each circumferential support section around the circumference of the body, the struts connecting successive primary bends on opposite ends of each circumferential support section, and further wherein at least some struts comprise a secondary bend proximate at least one longitudinal end of each of the at least some struts wherein the secondary bend is adapted to contact an adjacent secondary bend when the stent is compressed; and

at least one longitudinal member connecting adjacent circumferential support sections in the body;

wherein each of the circumferential support sections is radially compressible into the compressed diameter and radially expandable into an unrestrained expanded diameter in which the struts and the primary bends in each of the circumferential support sections are arranged in a zigzag pattern, and further wherein the longitudinal lengths of at least two of the circumferential support sections are different;

b) advancing the distal end of the delivery device and the stent through a body lumen; and

c) deploying the stent at a desired location within the body lumen.

17. A method of deploying a stent within a body lumen comprising:

a) providing a radially expandable stent in a compressed diameter proximate a distal end of a delivcry device, wherein the stent comprises;

an elongated generally tubular body defining a passageway having a longitudinal axis;

the body comprising a plurality of circumferential support sections arranged successively along the longitudinal axis, each circumferential support section of the plurality of circumferential support sections having a longitudinal length along the longitudinal axis;

each circumferential support section of the plurality of circumferential support sections comprising a plurality of primary bends interconnected by struts, the primary bends being located on alternating ends of each circumferential support section around the circumferential of the body, the struts connecting successive primary bends on opposite ends of each circumferential support section, and further wherein at least some struts comprise a secondary bend proximate at least one longitudinal end of each of the at least some struts wherein the secondary bend is adapted to contact an adjacent secondary bend when the stent is compressed; and

at least one longitudinal member connecting adjacent circumferential support sections in the body;

wherein each of the circumferential support sections is radially compressible into the compressed diameter in which the sums are generally aligned with the longitudinal axis and radially expandable into an unrestrained expanded diameter in which the struts and the primary bends in each of the circumferential support sections are arranged in a zigzag pattern, and further wherein the unrestrained expanded diameters of at least two of the circumferential support sections vary;

b) advancing the distal end of the delivery device and the stent through a body lumen; and

c) deploying the stent at a desired location within the body lumen.

18. A radially expandable stent for implantation within a body lumen comprising:

an elongated generally tubular body defining a passageway having a longitudinal axis;

the body comprising a plurality of circumferential support sections arranged successively along the longitudinal axis, each circumferential support section of the plurality of circumferential support sections having a longitudinal length along the longitudinal axis;

each circumferential support section of the plurality of circumferential support sections comprising a plurality of primary bends interconnected by struts, the primary bends being located on alternating ends of each circumferential support section around the circumference of the body, the struts connecting successive primary bends on opposite ends of each circumferential support section, and further wherein each of the struts comprises a secondary bend proximate one or both longitudinal ends of each of the struts wherein the secondary bend is adapted to contact an adjacent secondary bend when the stent is compressed; and

at least one longitudinal member connecting adjacent circumferential support sections in the body;

wherein each of the circumferential support sections is radially compressible into a compressed diameter and radially expandable into an unrestrained expanded diameter in which the struts and the primary bends in each of the circumferential support sections are arranged in a zigzag pattern, and further wherein the longitudinal lengths of at least two of the circumferential support sections are different.

19. A radially expandable stent for implantation within a body lumen comprising:

an elongated generally tubular body defining a passageway having a longitudinal axis;

the body comprising a plurality of circumferential support sections arranged successively along the longitudinal axis, each circumferential support section of the plurality of circumferential support sections having a longitudinal length along the longitudinal axis;

each circumferential support section of the plurality of circumferential support sections comprising a plurality of primary bends interconnected by struts, the primary bends being located on alternating ends of each circumferential support section around the circumference of the body, the struts connecting successive primary bends on opposite ends of each circumferential support section, wherein one or more struts comprises a secondary bend proximate one or both longitudinal ends of the one or more struts, the secondary bend adapted to contact an adjacent secondary bend when the stent is compressed; and

at least one longitudinal member connecting adjacent circumferential support sections in the body, the longitudinal member spanning substantially between midpoints of proximate struts in adjacent circumferential support sections;

wherein each of the circumferential support sections is radially compressible into a compressed diameter and radially expandable into an unrestrained expanded diameter in which the struts and the primary bends in each of the circumferential support sections are arranged in a zigzag pattern, and further wherein the longitudinal lengths of at least two of the circumferential support sections are different.

20. A radially expandable stent for implantation within a body lumen comprising:

an elongated generally tubular body defining a passageway having a longitudinal axis;

the body comprising a plurality of circumferential support sections arranged successively along the longitudinal axis, each circumferential support section of the plurality of circumferential support sections having a longitudinal length along the longitudinal axis;

each circumferential support section of the plurality of circumferential support sections comprising a plurality of primary bends interconnected by struts, the primary bends being located on alternating ends of each circumferential support section around the circumference of the body, the struts connecting successive primary bends on opposite ends of each circumferential support section, wherein one or more struts comprises a protrusion proximate one or both longitudinal ends of the one or more struts, the protusion adapted to contact an adjacent protrusion when the stent is compressed; and

at least one longitudinal member connecting adjacent circumferential support sections in the body, the longitudinal member spanning substantially between midpoints of proximate struts in adjacent circumferential support sections;

wherein each of the circumferential support sections is radially compressible into a compressed diameter and radially expandable into an unrestrained expanded diameter in which the struts and the primary bends in each of the circumferential support sections are arranged in a zigzag pattern, and further wherein the longitudinal lengths of at least two of the circumferential support sections are different.

21. A radially expandable stent for implantation within a body lumen comprising:

an elongated generally tubular body defining a passageway having a longitudinal axis;

the body comprising a plurality of circumferential support sections arranged successively along the longitudinal axis, each circumferential support section of the plurality of circumferential support sections having a longitudinal length along the longitudinal axis;

each circumferential support section of the plurality of circumferential support sections comprising a plurality of primary bends interconnected by struts, the primary bends being located on alternating ends of each circumferential support section around the circumference of the body, the struts connecting successive primary bends on opposite ends of each circumferential support section;

a first contact portion and a second, opposing contact portion both located proximate at least one primary bend of the plurality of primary bends, wherein the opposing first and second contact portions contact one another during compression of the circumferential support section, thereby restricting the minimum bending radius of the at least one primary bend, and further wherein the first contact portion comprises a secondary bend formed in a first strut coupled to the at least one primary bend; and

at least one longitudinal member connecting adjacent circumferential support sections in the body;

wherein each of the circumferential support sections is radially compressible into a compressed diameter and radially expandable into an unrestrained expanded diameter in which the struts and the primary bends in each of the circumferential support sections are arranged in a zigzag pattern, and further wherein the longitudinal lengths of at least two of the circumferential support sections are different.

22. The stent of claim 21, wherein the second contact portion comprises a secondary bend formed in a second strut coupled to the at least one primary bend.

23. A radially expandable stent for implantation within a body lumen comprising:

an elongated generally tubular body defining a passageway having a longitudinal axis;

the body comprising a plurality of circumferential support sections arranged successively along the longitudinal axis, each circumferential support section of the plurality of circumferential support sections having a longitudinal length along the longitudinal axis;

each circumferential support section of the plurality of circumferential support sections comprising a plurality of primary bends interconnected by struts, the primary bends being located on alternating ends of each circumferential support section around the circumference of the body, the struts connecting successive primary bends on opposite ends of each circumferential support section;

a first contact portion and a second, opposing contact portion both located proximate at least one primary bend of the plurality of primary bends, wherein the opposing first and second contact portions contact one another during compression of the circumferential support section, thereby restricting the minimum bending radius of the at least one primary bend, and further wherein the first contact portion comprises a protrusion formed in a first strut coupled to the at least one primary bend; and

at least one longitudinal member connecting adjacent circumferential support sections in the body;

wherein each of the circumferential support sections is radially compressible into a compressed diameter and radially expandable into an unrestrained expanded diameter in which the struts and the primary bends in each of the circumferential support sections are arranged in a zigzag pattern, and further wherein the longitudinal lengths of at least two of the circumferential support sections are different.

24. The stent of claim 23, wherein the second contact portion comprises a protrusion formed in a second strut coupled to the at least one primary bend.

25. A radially expandable stent for implantation within a body lumen comprising:

an elongated generally tubular body defining a passageway having a longitudinal axis;

the body comprising a plurality of circumferential support sections arranged successively along the longitudinal axis, each circumferential support section of the plurality of circumferential support sections having a longitudinal length along the longitudinal axis;

each circumferential support section of the plurality of circumferential support sections comprising a plurality of primary bends interconnected by struts, the primary bends being located on alternating ends of each circumferential support section around the circumference of the body, the struts connecting successive primary bends on opposite ends of each circumferential support section, and further wherein at least some struts comprise a protrusion proximate at least one longitudinal end of each of the at least some struts wherein the protrusion is adapted to contact an adjacent strut when the stent is compressed; and

at least one longitudinal member connecting adjacent circumferential support sections in the body;

wherein each of the circumferential support sections is radially compressible into a compressed diameter and radially expandable into al unrestrained expanded diameter in which the struts and the primary bends in each of the circumferential support sections are arranged in a zigzag pattern, and further wherein the longitudinal lengths of at cast two of the circumferential support sections are different.

26. The stent according to claim 25, wherein the protrusion is adapted to contact an adjacent protrusion of the adjacent strut when the stent is compressed.

27. A radially expandable stent for implantation within a body lumen comprising:

an elongated generally tubular body defining a passageway having a longitudinal axis;

the body comprising a plurality of circumferential support sections arranged successively along the longitudinal axis, each circumferential support section of the plurality of circumferential support sections having a longitudinal length along the longitudinal axis;

each circumferential support section of the plurality of circumferential support sections comprising a plurality of primary bends interconnected by struts, the primary bends being located on alternating ends of each circumferential support section around the circumference of the body, the struts connecting successive primary bends on opposite ends of each circumferential support section, and further wherein at least come struts comprise a protrusion proximate at least one longitudinal end of each of the at least some struts wherein the protrusion is adapted to contact an adjacent strut when the stent is compressed; and

at least one longitudinal member connecting adjacent circumferential support sections in the body;

wherein each of the circumferential support sections is radially compressible into a compressed diameter and radially expandable into an unrestrained expanded diameter in which the struts and the primary bends in each of the circumferential support sections are arranged in a zigzag pattern, and further wherein the unrestrained expanded diameters of at least two of the circumferential support sections vary.

28. The stent according to claim 27, wherein the protrusion is adapted to contact an adjacent protrusion of the adjacent strut when the stent is compressed.

29. A method of deploying a stent within a body lumen comprising:

a) providing a radially expandable stent in a compressed diameter proximate a distal end of a delivery device, wherein the stent comprises;

an elongated generally tubular body defining a passageway having a longitudinal axis;

the body comprising a plurality of circumferential support sections arranged successively along the longitudinal axis, each circumferential support section of the plurality of circumferential support sections having a longitudinal length along the longitudinal axis;

each circumferential support section of the plurality of circumferential support sections comprising a plurality of primary bends interconnected by struts, the primary bends being located on alternating ends of each circumferential support section around the circumference of the body, the struts connecting successive primary bends on opposite ends of each circumferential support section, and further wherein at least some struts comprise a protrusion proximate at least one longitudinal end of each of the at least some struts wherein the protrusion is adapted to contact an adjacent protrusion when the stent is compressed; and

at least one longitudinal member connecting adjacent circumferential support sections in the body;

wherein each of the circumferential support sections is radially compressible into the compressed diameter and radially expandable into an unrestrained expanded diameter in which the struts and the primary bends in each of the circumferential support sections are arranged in a zigzag pattern, and further wherein the longitudinal lengths of at least two of the circumferential support sections are different;

b) advancing the distal end of the delivery device and the stent trough a body lumen; and

c) deploying the stent at a desired location within the body lumen.

30. A method of deploying a stent within a body luman comprising:

a) providing a radially expandable stent in a compressed diameter proximate a distal end of a delivery device, wherein the stent comprises;

an elongated generally tubular body defining a passageway having a longitudinal axis;

the body comprising a plurality of circumferential support sections arranged successively along the longitudinal axis, each circumferential support section of the plurality of circumferential support sections having a longitudinal length along the longitudinal axis;

each circumferential support section of the plurality of circumferential support sections comprising a plurality of primary bends interconnected by struts, the primary bends being located on alternating ends of each circumferential support section around the circumference of the body, the struts connecting successive primary bends on opposite ends of each circumferential support section, and further wherein at least some struts comprise a protrusion proximate at least one longitudinal end of each of the at least some struts wherein the protrusion is adapted to contact an adjacent protrusion when the stent is compressed; and

at least one longitudinal member connecting adjacent circumferential support sections in the body;

wherein each of the circumferential support sections is radially compressible into the compressed diameter in which the struts are generally aligned with the longitudinal axis and radially expandable into an unrestrained expanded diameter in which the struts and the primary bends in each of the circumferential support sections are arranged in a zigzag pattern, and further wherein the unrestrained expanded diameters of at least two of the circumferential support sections vary;

b) advancing the distal end of the delivery device and the stent through a body lumen; and

c) deploying the stent at a desired location within the body lumen.

31. A radially expandable stent for implantation within a body lumen comprising:

an elongated generally tubular body defining a passageway having a longitudinal axis;

the body comprising a plurality of circumferential support sections arranged successively along the longitudinal axis, each circumferential support section of the plurality of circumferential support sections having a longitudinal length along the longitudinal axis;

each circumferential support section of the plurality of circumferential support sections comprising a plurality of primary bends interconnected by struts, the primary bends being located on alternating ends of each circumferential support section around the circumference of the body, the struts connecting successive primary bends on opposite ends of each circumferential support section, and further wherein each of the struts comprises a protrusion proximate one or both longitudinal ends of each of the struts wherein the protrusion is adapted to contact an adjacent protrusion when the stent is compressed; and

at least one longitudinal member connecting adjacent circumferential support sections in the body;

wherein each of the circumferential support sections is radially compressible into a compressed diameter and radially expandable into an unrestrained expanded diameter in which the struts and the primary bends in each of the circumferential support section are arranged in a zigzag pattern, and further wherein the longitudinal lengths of at least two of the circumferential support sections are different.