Bifurcated stent

• US 6,695,877 B2
• Filed: 02/26/2002
• Issued: 02/24/2004
• Est. Priority Date: 02/26/2001
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Wilson, Michael W., Hall, Todd, Rahdert, David A., Morris, Benjamin, Hubbs, Gerald, Furnish, Gregory, Barber, Josh, Walsh, Brandon G., Byrd, David, Vidal, Claude, Brucker, Gregory G., Futral, Valerie, Banks, Thomas, Gunasekara, Indaka, Rowe, Travis, Muskivitch, John C., Furnish, Simon, Ruhf, Gregory M., Pease, Matthew L., Mers Kelly, William C., Malaret, Enrique, Chernomordik, Sava A., Bouadi, Hacene, Reuss, William A. Jr., Redmond, Russ
• Primary Examiner(s): McDermott; Corrine
• Assistant Examiner(s): Sweet; Thomas
• Application Number:
  US10/084,766
• Publication Number:
  US 20020173840A1
• Time in Patent Office: 728 Days
• Field of Search: 623/1.16,1.35,1.13
• US Class Current: 623/1.16
• CPC Class Codes: A61F 2/064 with special features to facilitate anastomotic coupling anastomosis of natural blood vessels A61B17/11
• CPC Class Codes: A61F 2/856 Single tubular stent with a side portal passage
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2/97 the outer sleeve being splittable
• CPC Class Codes: A61F 2002/061 provided with means for allowing access to secondary lumens
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/067 modular
• CPC Class Codes: A61F 2002/821 Ostial stents
• CPC Class Codes: A61F 2002/9583 Means for holding the stent on the balloon, e.g. using protrusions, adhesives or an outer sleeve

Abstract

A bifurcated stent comprises a first stent section and a second stent section. Each stent section is expandable from a predeployed state to a deployed state independently from one another. The second stent section having an end engaged to a receiving region of the first stent section. In the deployed state the first stent section defines a primary flow path and the second stent section defines a secondary flow path in fluid communication with the first flow path. At least a portion of one or both the first stent section and second stent section is constructed from a wire member.

Claims

1. A bifurcated stent comprising:

a first stent section, the first stent section comprising a substantially tubular body defining openings at both ends, the substantially tubular body comprising a receiving region, the receiving region of the substantially tubular body defining a secondary opening between the openings at the ends of the tubular body, the first section being expandable from a predeployed state to a deployed state, in the deployed state the first stent section defining a primary flow path, in the deployed state the first section defines an outer diameter; and

a second stent section, the second stent section constructed from at least one member of the group consisting of a coil of wire having a substantially circular cross-section, a flattened ribbon, an etched panel, laser cut tubing and any combination thereof, the second stent section being expandable from a predeployed state to a deployed state, the second stent section having an end engaged to the receiving region of the first stent section, in the deployed state the second stent section defining a secondary flow path, the secondary flow path in fluid communication with the primary flow path, the first stent section and the second stent section being expandable independently from one another, at least a portion of at least one of the first stent section and the second stent section being constructed from a wire member, when the first section is in the deployed state and the second section is in the predeployed state, the second section has a length that does not extend substantially beyond the outer diameter of the first section.

2. The bifurcated stent of claim 1 wherein the first stent section is constructed from at least one member of the group consisting of a coil of wire having a substantially circular cross-section, a flattened ribbon, an etched panel, laser cut tubing and any combination thereof.

3. The bifurcated stent of claim 2 wherein the second stent section is constructed from the coil of wire, the coil of wire defining a first diameter and a second diameter.

4. The bifurcated stent of claim 1 wherein in the deployed state the first section defines an outer diameter, when the first section is in the deployed state and the second section is in the predeployed state, the second section is substantially contained within the primary flow path defined by the first section.

5. The bifurcated stent of claim 1 wherein the first stent section is balloon expandable and the second stent section is self-expandable.

6. The bifurcated stent of claim 1 wherein at least one of the first stent section and the second stent section are self-expandable.

7. The bifurcated stent of claim 1 wherein at least one of the first stent section and the second stent section are balloon-expandable.

8. The bifurcated stent of claim 1 wherein the wire is characterized as a flattened ribbon.

9. The bifurcated stent of claim 1 wherein the second stent section comprises a wire mesh.

10. The bifurcated stent of claim 9 wherein the wire mesh comprises a plurality of woven wires.

11. The bifurcated stent of claim 10 wherein receiving region comprises a plurality of the engagement points, the woven wires having ends, at least some of the ends being engaged to the engagement points.

12. The bifurcated stent of claim 11 wherein the at least some of the ends are welded to the engagement points.

13. The bifurcated stent of claim 11 wherein the at least some of the ends comprise a looped flange, each looped flange being moveably engaged to one of the engagement points.

14. The bifurcated stent of claim 1 wherein in the predeployed state the second stent section extends from the receiving region into the primary flow path defined by the first stent section.

15. The bifurcated stent of claim 14 wherein in the deployed state the second stent section extends from the receiving region and radially outward from the first stent section, the second stent section constructed and arranged being constructed and arranged such that when the second stent section is expanded from the predeployed state to the deployed state the position of the second stent section is inverted relative to the secondary opening.

16. A bifurcated stent comprising:

a substantially tubular stent body being expandable from a predeployed state to a deployed state, the substantially tabular stent body having openings at both ends and in the deployed state defining a primary flow path therethrough, the substantially tubular body further defining a secondary opening, the secondary opening having an opening diameter;

a secondary stent body, the secondary stent body being expandable from a predeployed state to a deployed state independently of the substantially tubular stent body, the secondary stent body having openings at both ends and in the deployed state defining a secondary flow path therethrough, one end of the secondary stent body being immediately adjacent to the secondary opening of the substantially tubular stent body; and

a wire engagement apparatus, the wire engagement apparatus comprising at least one wire member, at least a first portion of the at least one wire member being moveably engaged to the substantially tubular stent body, the at least a first portion of the wire engagement apparatus defining a ball of a ball-joint connection wherein the secondary opening of the substantially tubular stent body defines the joint, at least a second portion of the at least one wire member being engaged to the end of the secondary stent body being immediately adjacent to the secondary opening of the substantially tubular stent body, the secondary stent body being moveable relative to the substantially tubular stent body.

17. The bifurcated stent of claim 16 wherein the secondary stent body is constructed at least partially from wire.

18. The bifurcated stent of claim 17 wherein the secondary stent body is constructed at least partially from a shape memory material.

19. The bifurcated stent of claim 17 wherein the secondary stent body is self-expandable.

20. The bifurcated stent of claim 16 wherein the wire engagement apparatus is substantially contained within the primary flow path of the substantially tubular body adjacent to the secondary opening.

21. The bifurcated stent of claim 20 wherein the at least one wire member is shaped to define an apparatus diameter, the apparatus diameter being larger than the opening diameter.

22. The bifurcated stent of claim 16 wherein the wire engagement apparatus is disposed about a portion of the substantially tubular body.

23. A bifurcated stent comprising:

a substantially tubular stent body being expandable from a predeployed state to a deployed state, the substantially tabular stent body having a proximal end and a distal end, the substantially tubular stent body defining a flow path opening at each end and in the deployed state defining a primary flow path therethrough, the substantially tubular body further defining a secondary opening between the openings at each end of the substantially tubular stent body; and

a secondary stent body, the secondary stent body comprising a wire member, the wire member defining a first coiled portion, a second coiled portion and connection portion therebetween, the secondary stent body being expandable from a predeployed state to a deployed state independently of the substantially tubular stent body, in the deployed state the first coiled portion being positioned immediately adjacent to the secondary opening of the substantially tubular stent body and extending radially therefrom, in the deployed state the second coiled portion being positioned immediately adjacent to one of the flow path openings of the substantially tubular stent body and extending longitudinally therefrom, the connection portion being fictionally engaged to the substantially tubular stent body.