Stent

• US 6,878,159 B2
• Filed: 10/30/2002
• Issued: 04/12/2005
• Est. Priority Date: 10/30/2001
• Status: Expired due to Term

• Current Assignee: Olympus Corporation
• Original Assignee: Olympus Corporation, Terumo Kabushiki Kaisha
• Inventors: Takahashi, Makoto, Ishikawa, Hitoshi, Iwasaka, Masayuki, Iwami, Jun, Yunoki, Seiko
• Primary Examiner(s): McDermott, Corrine
• Assistant Examiner(s): GHERBI, SUZETTE JAIME J
• Application Number:
  US10/283,726
• Publication Number:
  US 20030114922A1
• Time in Patent Office: 895 Days
• Field of Search: 623 111- 123, 623 132- 133
• US Class Current: 623/1.11
• CPC Class Codes: A61F 2/86 Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• 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 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0075 sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2230/005 Rosette-shaped, e.g. star-shaped

Abstract

A stent for dilating an internal lumen includes tubular segments that are arranged side by side in its axial direction. Each of segments expands and contracts in the diametrical direction of the stent, and its axial length is shorter than its expanded-state radius.

Claims

1. A stent for dilating an internal lumen, comprising tubular segments capable of expanding and contracting in the radial direction thereof and having an axial length shorter than the expanded-state radius thereof, the segments being arranged side by side from a distal side to a proximal side in the axial direction of the stent, wherein each of segments is formed of a wire having a plain-stitch structure with reverse-side loops facing outward.

2. A stent according to claim 1, wherein at least one of the segments located individually on the distal and proximal sides is subjected to shape-memory processing such that face-side loops face outward.

3. A stent according to claim 1, wherein the segments are enclosed by a filmy member capable of expanding and contracting in the diametrical direction.

4. A stent according to claim 3, wherein the filmy member is made from bio-absorbable material.

5. A stent according to claim 1, wherein one of the segments located on the extreme distal side is connected with a pulling element extending on the proximal side of the segment on the extreme proximal side, the pulling element being passed through the interior of the segments.

6. A stent for dilating an internal lumen, comprising tubular segments capable of expanding and contracting in the radial direction thereof and having an axial length shorter than the expanded-state radius thereof, the segments being arranged side by side from a distal side to a proximal side in the axial direction of the stent, the stent further having a connecting portion capable of connecting each segment to another segment adjacent thereto and preventing interference between the segments so that the distal-side segment is turned back into the proximal-side segment, wherein the segments are enclosed by a filmy member capable of expanding and contracting in the diametrical direction and the filmy member is made from bio-absorbable material.

7. A stent for dilating an internal lumen, comprising tubular segments capable of expanding and contracting in the radial direction thereof and having an axial length shorter than the expanded-state radius thereof, the segments being arranged side by side from a distal side to a proximal side in the axial direction of the stent, the stent further having a connecting portion capable of connecting each segment to another segment adjacent thereto and preventing interference between the segments so that the distal-side segment is turned back into the proximal-side segment, wherein the segments are enclosed by a filmy member capable of expanding and contracting in the diametrical direction and one of the segments located on the extreme distal side is connected with a pulling portion extending on the proximal side of the segment on the extreme proximal side, the segments being arranged side by side when the stent is indwelled in the internal lumen, the pulling element being passed through the interior of the segments.

8. A stent according to claim 7, wherein one of the segments located on the extreme distal side is provided with a looped member connected with the pulling portion.

9. A stent according to claim 7, wherein each of the segments is formed of a zigzagged wire.

10. A stent for dilating an internal lumen, comprising tubular segments capable of expanding and contracting in the radial direction thereof and having an axial length shorter than the expanded-state radius thereof, the segments being arranged side by side from a distal side to a proximal side in the axial direction of the stent, the stent further having a connecting portion capable of connecting each segment to another segment adjacent thereto and preventing interference between the segments so that the distal-side segment is turned back into the proximal-side segment, wherein one of the segments located on the extreme distal side is connected with a pulling element extending on the proximal side of the segment on the extreme proximal side, the segments being arranged side by side when the stent is indwelled in the internal lumen, the pulling element being passed through the interior of the segments.

11. A stent according to claim 10, wherein one of the segments located on the extreme distal side is provided with a looped member connected with the pulling portion.

12. A stein for dilating an internal lumen, comprising tubular segments capable of expanding and contracting in the radial direction thereof and having an axial length shorter than the expanded-state radius thereof, the segments being arranged side by side from a distal side to a proximal side in the axial direction of the stent the stent further comprising a tubular filmy member located around the segments and capable of being urged to expand diametrically outward by the segments, wherein one of the segments located on the extreme distal side is connected with a pulling element extending on the proximal side of the segment on the extreme proximal side, the segments being arranged side by side when the stent is indwelled in the an internal lumen, the pulling element capable of being passed through the interior of the segments.

13. A stent according to claim 12, wherein one of the segments located on the extreme distal side is provided with a looped member connected with the pulling portion.

14. A recovery method for recovering a stent in a dilated state, indwelled in a detention portion in an internal lumen, comprising:

inserting an intracoelomic observation system, having a channel and capable of observing the interior of a body cavity, into the body cavity;

guiding a device having a holding mechanism through the channel of the intracoelomic observation system into the detention portion of the stent including tubular segments capable of expanding and contracting in the axial direction thereof and having an axial length shorter than the expanded-state radius thereof, the segments being arranged side by side from the distal side to the proximal side in the axial direction;

holding that one of the segments of the stent located on the extreme distal side by means of the device passed through the segments; and

pulling the device to the hand side to separate the segment on the extreme distal side while contracting the segment diametrically inward, and turning the stent inside out as the distal-side segment is passed through the interior of the successively adjacent segments on the proximal side, thereby separating and recovering the stent.

15. A recovering method for recovering a stent located in a living body, the stent comprising a filmy member and a plurality of tubular segments each having a length in an axial direction of the stent which is smaller than a radius of said each segment, the segments being arranged at regular intervals in an axial direction of the stent,

inserting a holding member for holding a furthest one of the segments with respect to a proximal side, into an inside-diameter section of the stent;

making the holding member hold the furthest one of the segments, and pulling the holding member toward an extreme proximal side of the stent, and

successively pulling and reversing the segments from the furthest one of the segments by further pulling the holding member, such that said each segment is passed through an interior of one of the segments which is located adjacent to said each segment and closer to the proximal side than said each segment.

16. A recovering method for recovering a stent located in a living body, the stent comprising a filmy member, a plurality of tubular segments each having a length in an axial direction of the stent, which is smaller than a radius of said each segment, the segments being arranged at regular intervals in the axial direction, and a pulling portion which is connected to a furthest one of the segments with respect to a proximal side, and extends to a position which is closer to the proximal side than a closet one of the segments, the furthest one of the segments and the closest one of the segments are located furthest from and closest to the proximal side when the stent is located in the loving body,

moving a holding member capable of holding the pulling portion closer to the stent,

making the holding member hold the pulling portion, the pulling portion toward the proximal side;

successively pulling and reversing the segments by further pulling the pulling portion, such that said each segment is passed through an interior of one of the segments which is located adjacent to said each segment, and closer to the proximal side than said each segment.

17. A stent comprising:

a filmy member;

a plurality of segments arranged in the filmy member, and

a connecting portion capable of connecting each of the plurality of segments to another of the plurality of segments adjacent thereto and capable of preventing interference between the plurality of segments so that a distal-side segment is turned back into a proximal-side segment;

wherein each of the segments is tubular, and has a length which is smaller than a radius of said each segment, and the segments are arranged at regular intervals in an axial direction of the stent.

18. A stent according to claim 17, wherein each of the plurality of segments is formed of a wavy wire and the plurality of segments are enclosed by the filmy member capable of expanding and contracting in the diametrical direction.

19. A stent according to claim 17, wherein the plurality of segments are enclosed by the filmy member which is capable of expanding and contracting in the diametrical direction.

20. A stent according to claim 17, wherein the filmy member is provided to cover outer peripherals of the segments.

21. A stent according to claim 17, wherein said each segment is capable of expanding/contracting in a diametrical direction of said each segment.

22. A stent according to claim 17, wherein said filmy member expands/contracts when said each segment expands/contracts in the diametrical direction.

23. A stent according to claim 17, wherein the filmy member is made of bio-absorbable material.

24. A stent according to claim 17, wherein one of the plurality of segments which is located on an extreme distal side of the stent is connected with a pulling element extending through interiors of the segments to a position which is closer to a proximal side than one of the segments which is located on an extreme proximal side of the stent and wherein a looped member is provided at said one of the plurality of segments which is located on the extreme distal side of the stent, and the pulling element is connected to the looped member.

25. A stent comprising:

a filmy member, and

a plurality of segments arranged in the filmy member,

wherein each of the segments is tubular, and has a length which is smaller than a radius of said each segment, and the segments are arranged at regular intervals in an axial direction of the stent and wherein one of segments which is located on an extreme distal side of the stent is connected with a pulling element extending through interiors of the segments to a position which is closer to a proximal side than one of the segments which is located on an extreme proximal side of the stent.

26. A stent according to claim 25, wherein each of the plurality of segments is formed of a wavy wire and the plurality of segments are enclosed by the filmy member capable of expanding and contracting in the diametrical direction.

27. A stent according to claim 25, wherein the plurality of segments are enclosed by the filmy member which is capable of expanding and contracting in the diametrical direction.

28. A stent according to claim 25, wherein the filmy member is provided to cover outer peripherals of the segments.

29. A stent according to claim 25, wherein said each segment is capable of expanding/contracting in a diametrical direction of said each segment.

30. A stent according to claim 25, wherein said filmy member expands/contracts when said each segment expands/contracts in the diametrical direction.

31. A stent according to claim 25, wherein the filmy member is made of bio-absorbable material.

32. A stent according to claim 25, wherein a looped member is provided at said one of the plurality of segments which is located on the extreme distal side of the stent, and the pulling element is connected to the looped member.

33. A stent comprising:

a filmy member; and

a plurality of segments arranged in the filmy member, wherein each of the segments is tubular, and has a length which is smaller than a radius of said each segment, and the segments are arranged at regular intervals in an axial direction of the stent, and wherein the segments and capable of preventing interference preventing the plurality of segments so that a distal-side segment is turned back into a proximal-side segment.

34. A stent according to claim 33, wherein each of the plurality of segments is formed of a wavy wire and the plurality of segments are enclosed by the filmy member capable of expanding and contracting in the diametrical direction.

35. A stent according to claim 33, wherein the plurality of segments are enclosed by the filmy member which is capable of expanding and contracting in the diametrical direction.

36. A stent according to claim 33, wherein the filmy member is provided to cover outer peripherals of the segments.

37. A stent according to claim 33, wherein said each segment is capable of expanding/contracting in a diametrical direction of said each segment.

38. A stent according to claim 33, wherein said filmy member expands/contracts when said each segment expands/contracts in the diametrical direction.

39. A stent according to claim 33, wherein the filmy member is made of bio-absorbable material.

40. A stent according to claim 33, wherein one of the plurality of segments which is located on an extreme distal side of the stent is connected with a pulling element extending through interiors of the segments to a position which is closer to a proximal side than one of the segments which is located on an extreme proximal side of the stent.

41. A stent according to claim 33, wherein a looped member is provided at said one of the plurality of segments which is located on the extreme distal side of the stent, and the pulling element is connected to the looped member.