Stent having a multiplicity of undulating longitudinals

• US 6,716,240 B2
• Filed: 01/16/2003
• Issued: 04/06/2004
• Est. Priority Date: 02/25/1994
• Status: Expired due to Fees

• Current Assignee: Cardinal Health Switzerland 515 GmbH (Cardinal Health, Inc.)
• Original Assignee: Cordis Corporation (Cardinal Health, Inc.)
• Inventors: Fischell, Tim A., Fischell, David R., Fischell, Robert E.
• Primary Examiner(s): Lateef, Marvin M.
• Assistant Examiner(s): Jain, Ruby
• Application Number:
  US10/345,531
• Publication Number:
  US 20030114868A1
• Time in Patent Office: 446 Days
• Field of Search: 623/1.16, 623/1.1, 623/1.15, 623/1.17, 623/1.2, 623/12, 606/198, 606/1, 606/194, 606/195
• US Class Current: 623/1.16
• CPC Class Codes: A61F 2/844 folded prior to deployment
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• 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 2002/825 having longitudinal struts
• CPC Class Codes: A61F 2002/91533 characterised by the phase between adjacent bands
• CPC Class Codes: A61F 2002/9155 Adjacent bands being connected to each other
• CPC Class Codes: A61F 2210/0019 operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation

Abstract

A stent which is adapted for placement in the vessels of a human body is provided. The stent may be in the form of a thin-walled metal cylinder having a longitudinal axis. The stent has a proximal end and a distal end and includes a number of circumferentially relatively rigid portions. The relatively rigid portions are joined to each other by one or more longitudinals which extend in a substantially longitudinal direction. At least a portion of at least one of the longitudinals has an undulating shape where a first relatively rigid portion is located at the proximal end of the stent and a second relatively rigid portion is located at the distal end of the stent.

Claims

1. A stent adapted for placement in the vessels of the human body, said stent comprising:

a thin-walled metal cylinder having a longitudinal axis, a proximal end and a distal end including a plurality of circumferentially relatively rigid portions, the relatively rigid portions being joined one to the other by one or more longitudinals extending in a substantially longitudinal direction, at least a portion of at least one of said longitudinals having an undulating shape wherein a first relatively rigid portion is located at the proximal end of the stent and a second relatively rigid portion is located at the distal end of the stent.

2. The stent as recited in claim 1 where at least one of said circumferentially relatively rigid portions defines a frame element having a substantially circumferential contour extending around said longitudinal axis.

3. The stent as recited in claim 2 where said at least one relatively rigid portion has a zig-zag contour extending throughout at least a portion of the circumferential extension of the relatively rigid portion.

4. The stent as recited in claim 1 where said at least one relatively rigid portion forms a circumferentially directed frame element.

5. The stent as recited in claim 2 where at least one of the said longitudinals is fixedly coupled to at least two longitudinally displaced frame elements.

6. The stent as recited in claim 2 where at least one of said longitudinals includes at least one undulating section and at least one substantially linearly directed section.

7. The stent as recited in claim 6 where at least one of said longitudinals includes a pair of substantially linearly directed sections formed integrally with and on opposing sides of said at least one undulating section.

8. A stent having a longitudinal axis, comprising:

(a) a frame having a plurality of frame elements extending around said longitudinal axis of said stent, at least one of said frame elements having a circumferential contour extending at least partially external to a cross-sectional plane normal to said longitudinal axis; and

,

(b) a multiplicity of structures coupled to said frame, forming longitudinals and extending in a substantially longitudinal direction, at least a portion of at least one of said longitudinals having an undulating contour.

9. The stent as recited in claim 8 where at least one of said longitudinals is fixedly coupled to at least two longitudinally displaced frame elements.

10. The stent as recited in claim 8 where at least one of said longitudinals includes at least one undulating section and at least one substantially linearly directed section.

11. The stent as recited in claim 10 where at lest one of said longitudinals includes a pair of linearly directed sections formed integrally with and on opposing sides of said undulating section.

12. The stent as recited in claim 11 where each of said linearly directed sections is joined respectively to a pair of consecutively positioned and longitudinally displaced frame elements.

13. The stent as recited in claim 8 where at least one of said frame elements is formed in closed contour around said longitudinal axis of said stent.

14. The stent as recited in claim 8 where said frame and said longitudinals are formed from a thin-walled metal cylinder.

15. The stent as recited in claim 8 where at least one of said frame elements has at least one apex section, said at least one of said longitudinals being joined to said at least one of said frame elements at said apex section.

16. The stent as recited in claim 8 where at least two of said frame elements have a radiopacity value different than a radiopacity value of other frame elements forming said frame.

17. The stent as recited in claim 8 where said stent structure is formed from a metal having a shape memory characteristic.

18. The stent as recited in claim 8 where said frame is geometrically defined as a cylindrical envelope.

19. A stent having a longitudinal axis, comprising:

at least two longitudinal structures each having at least one straight section and at least one undulating section, with each said straight section being joined to said at least one undulating section, the straight sections of all of the longitudinal structures being generally parallel to the longitudinal axis of the stent, the undulating section of each longitudinal structure extending generally in a circumferential direction and being of a generally curved shape so as to allow each undulating longitudinal structure to readily change length during insertion of the stent structure into a curved vessel of a human body.

20. A stent comprising:

a plurality of longitudinal struts arranged circumferentially around said stent, said longitudinal struts having one or more undulating sections, each undulating section having a generally curved shape and having a first end point and a second end point wherein a line drawn from the first end point to the second end point is generally parallel to the stent'"'"'s longitudinal axis, said longitudinals connected by a circumferentially extending structure configured to provide radial support to said stent.

21. A generally cylindrical stent having a circumference and a longitudinal axis, said stent having sufficient flexibility to permit said stent to be delivered percutaneously to curved coronary arteries, comprising:

a plurality of circumferential elements, each of said circumferential elements extending around the circumference of the stent, and a plurality of connecting elements, each of said connecting elements having a first end and a second end, with the first end being fixedly connected to a first of said circumferential elements and the second end being fixedly connected to a circumferential element adjacent to said first circumferential element, where at least one of said connecting elements has an undulating section that can expand and contract in length while being passed through a curved coronary artery.

22. The stent of claim 21 where a line drawn from the first end of at least one connecting element to the second end of said at least one connecting element is substantially parallel to the stent'"'"'s longitudinal axis.

23. The stent of claim 21 where at least one of said circumferential elements is formed integral with at least one of said connecting elements.

24. The stent of claim 21 where the stent is formed as an integral structure from a single piece of metal.

25. The stent of claim 21 where the stent is formed as an integral structure from a pre-existing metal tube.

26. The stent of claim 21 where each of said circumferential elements has at least two peaks and at least two valleys when the stent is in its pre-deployed shape.

27. The stent of claim 26 wherein the first end of at least one of said connecting elements is connected to a peak of one circumferential element and the second end of said connecting element is connected to a valley of an adjacent circumferential element.

28. The stent of claim 26 where each of said peaks and valleys are oriented along the longitudinal axis of the stent.

29. The stent of claim 21 where at least one of said connecting elements is straight and parallel to the longitudinal axis of the stent.

30. The stent of claim 21 including at least two connecting elements connecting adjacent circumferential elements.

31. A generally cylindrical stent having a circumference and a longitudinal axis, said stent having sufficient flexibility to permit said stent to be delivered percutaneously to curved coronary arteries, comprising:

a plurality of circumferential elements, each of said circumferential elements extending around the circumference of the stent, and a plurality of connecting elements, each of said connecting elements having a first end and a second end, with the first end being fixedly connected to a first of said circumferential elements and the second end being fixedly connected to a circumferential element adjacent to said first circumferential element, whereby a line drawn from the first end of at least one connecting element to the second end of said at least one connecting element is substantially parallel to the stent'"'"'s longitudinal axis and where at least one of said connecting elements has an undulating section that can expand and contract in length while being passed through a curved coronary artery.

32. The stent of claim 31 where at least one of said circumferential elements is formed integral with at least one of said connecting elements.

33. The stent of claim 31 where the stent is formed as an integral structure from a single piece of metal.

34. The stent of claim 31 where the stent is formed as an integral structure from a pre-existing metal tube.

35. The stent of claim 31 where each of said circumferential elements has at least two peaks and at least two valleys when the stent is in its pre-deployed shape.

36. The stent of claim 35 wherein the first end of at least one of said connecting elements is connected to a peak of one circumferential element and the second end of said connecting element is connected to a valley of an adjacent circumferential element.

37. The stent of claim 36 where each of said peaks and valleys are oriented along the longitudinal axis of the stent.

38. The stent of claim 31 where at least one of said connecting elements is straight and parallel to the longitudinal axis of the stent.

39. The stent of claim 31 including at least two connecting elements connecting adjacent circumferential elements.

40. A generally cylindrical stent having a circumference and a longitudinal axis, said stent having sufficient flexibility to permit said stent to be delivered percutaneously to curved coronary arteries, comprising:

a plurality of circumferential elements, each of said circumferential elements extending around the circumference of the stent, and a plurality of connecting elements, each of said connecting elements having a first end and a second end, with the first end being fixedly connected to a first of said circumferential elements and the second end being fixedly connected to a circumferential element adjacent to said first circumferential element, where at least one of said circumferential elements is formed integral with at least one of said connect elements and where at least one of said connecting elements has an undulating section that can expand and contract in length while being passed through a curved coronary artery.

41. The stent of claim 40 where a line drawn from the first end of at least one connecting element to the second end of said at least one connecting element is substantially parallel to the stent'"'"'s longitudinal axis.

42. The stent of claim 40 where the stent is formed as an integral structure from a single piece of metal.

43. The stent of claim 40 where the stent is formed as an integral structure from a pre-existing metal tube.

44. The stent of claim 40 where each of said circumferential elements has at least two peaks and at least two valleys when the stent is in its pre-deployed shape.

45. The stent of claim 44 wherein the first end of at least one of said connecting elements is connected to a peak of one circumferential element and the second end of said connecting element is connected to a valley of an adjacent circumferential element.

46. The stent of claim 44 where each of said peaks and valleys are oriented along the longitudinal axis of the stent.

47. The stent of claim 40 where at least one of said connecting elements is straight and parallel to the longitudinal axis of the stent.

48. The stent of claim 40 including at least two connecting elements connecting adjacent circumferential elements.

49. A generally cylindrical stent having a circumference and a longitudinal axis, said stent having sufficient flexibility to permit said stent to be delivered percutaneously to curved coronary arteries, comprising:

a plurality of circumferential elements where each of said circumferential elements has at least two peaks and at least two valleys when the stent is in a pre-deployed state, each of said circumferential elements extending around the circumference of the stent, and a plurality of connecting elements, each of said connecting elements having a first end and a second end, with the first end being fixedly connected to a first of said circumferential elements and the second end being fixedly connected to a circumferential element adjacent to said first circumferential element, where at least one of said connecting elements has an undulating section that can expand and contract in length while being passed through a curved coronary artery.

50. The stent of claim 49 where a line drawn from the first end of at least one connecting element to the second end of said at least one connecting element is substantially parallel to the stent'"'"'s longitudinal axis.

51. The stent of claim 49 where at least one of said circumferential elements is formed integral with at least one of said connecting elements.

52. The stent of claim 49 where the stent is formed as an integral structure from a single piece of metal.

53. The stent of claim 49 where the stent is formed as an integral structure from a pre-existing metal tube.

54. The stent of claim 49 wherein the first end of at least one of said connecting elements is connected to a peak of one circumferential element and the second end of said connecting element is connected to a valley of an adjacent circumferential element.

55. The stent of claim 49 where each of said peaks and valleys are oriented along the longitudinal axis of the stent.

56. The stent of claim 49 where at least one of said connecting elements is straight and parallel to the longitudinal axis of the stent.

57. The stent of claim 49 including at least two connecting elements connecting adjacent cumferential elements.

58. A generally cylindrical stent having a circumference and a longitudinal axis, said stent having sufficient flexibility to permit said stent to be delivered percutaneously to curved coronary arteries, comprising:

a plurality of circumferential elements, each of said circumferential elements extending around the circumference of the stent, and a plurality of connecting elements, each of said connecting elements having a first end and a second end, with the first end being fixedly connected to a first of said circumferential elements and the second end being fixedly connected to a circumferential element adjacent to said first circumferential element, where at least two of said connecting elements connect adjacent circumferential elements and where at least one of said connecting elements has an undulating section that can expand and contract in length while being passed through a curved coronary artery.

59. The stent of claim 58 where a line drawn from the first end of at least one connecting element to the second end of said at least one connecting element is substantially parallel to the stent'"'"'s longitudinal axis.

60. The stent of claim 58 where at least one of said circumferential elements is formed integral with at least one of said connecting elements.

61. The stent of claim 58 where the stent is formed as an integral structure from a single piece of metal.

62. The stent of claim 58 where the stent is formed as an integral structure from a preexisting metal tube.

63. The stent of claim 58 where each of said circumferential elements has at least two peaks and at least two valleys when the stent is in its pre-deployed shape.

64. The stent of claim 63 wherein the first end of at least one of said connecting elements is connected to a peak of one circumferential element and the second end of said connecting element is connected to a valley of an adjacent circumferential element.

65. The stent of claim 63 where each of said peaks and valleys are oriented along the longitudinal axis of the stent.

66. The stent of claim 58 where at least one of said connecting elements is straight and parallel to the longitudinal axis of the stent.