Slide-and-lock stent

• US 8,277,500 B2
• Filed: 06/20/2006
• Issued: 10/02/2012
• Est. Priority Date: 12/17/2004
• Status: Expired due to Fees

• Current Assignee: REVA Medical Inc.
• Original Assignee: REVA Medical Inc.
• Inventors: Schmid, Eric, Morris, Andrew, Nguyen, John D.
• Primary Examiner(s): SONNETT, KATHLEEN C
• Application Number:
  US11/455,986
• Publication Number:
  US 20070032854A1
• Time in Patent Office: 2,296 Days
• Field of Search: 606/194, 606/200, 623 111- 154, 245/931.1, 246/16
• US Class Current: 623/1.15
• 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 2/92 Stents in the form of a rolled-up sheet expanding after insertion into the vessel , e.g. with a spiral shape in cross-section
• CPC Class Codes: A61F 2/93 circumferentially expandable by using ratcheting locks
• CPC Class Codes: A61F 2210/0076 multilayered, e.g. laminated structures
• CPC Class Codes: A61F 2220/005 using adhesives
• CPC Class Codes: A61F 2220/0058 soldered or brazed or welded
• CPC Class Codes: B33Y 80/00 Products made by additive manufacturing

Abstract

The invention relates to an expandable stent comprising circumferentially adjacent modules. The modules comprise longitudinally adjacent slide-and-lock radial elements which permit one-way sliding of the radial elements from a collapsed diameter to an expanded/deployed diameter, but inhibit radial recoil from the expanded diameter.

Claims

1. A slide-and-lock stent, comprising a tubular member having a longitudinal axis, said tubular member comprising:

a first radial element comprising an elongate rail comprising a deflectable tooth, wherein said elongate rail defines upper and lower portions and first and second ends, said upper portion tapering circumferentially from a first radial thickness to a second radial thickness in a first direction approaching a distal edge of said upper portion, said lower portion tapering circumferentially from said first radial thickness to said second radial thickness in a direction opposite the first direction approaching a distal edge of said lower portion, the first radial element not overlapping itself when the stent is in an expanded state;

a second radial element comprising an engagement means configured to circumferentially overlap and slidably engage said elongate rail of the first radial element in an expanded state to define an overlapped section of the elongate rail, said engagement means configured to deflect said deflectable tooth as the tooth contacts said engagement means such that said tubular member achieves circumferential expansion with reduced recoil, wherein said overlapped section of the elongate rail of the first radial element tapers along substantially its entire length for reducing a radial thickness of the stent; and

a flexible linkage element engaging the first and second ends of the elongate rail of the first radial element, the first end comprising the distal edge of the upper portion and the second end comprising the distal edge of the lower portion.

2. The slide-and-lock stent of claim 1 wherein said engagement means comprises a closed loop which defines a slot.

3. The slide-and-lock stent of claim 1, wherein said second radial thickness is approximately one-half of said first radial thickness.

4. The slide-and-lock stent of claim 2, wherein said lower portion defines a generally constant taper from said first radial thickness to said second radial thickness.

5. The slide-and-lock stent of claim 1, wherein said engagement means tapers circumferentially.

6. The slide-and-lock stent of claim 5, wherein said engagement means tapers circumferentially to said second thickness approaching a distal edge of said engagement means.

7. The stent of claim 1, wherein the first radial element further comprises an engagement means configured to slidably engage a third radial element.

8. The stent of claim 1, wherein at least one of the first and second radial elements further comprises a radially non-tapered portion.

9. The stent of claim 1, wherein the engagement means is configured to deflect the deflectable tooth in a direction generally parallel to the longitudinal axis.

10. The stent of claim 1, wherein the engagement means does not include paired slots.

11. A slide-and-lock stent, comprising a tubular member having a longitudinal axis, said tubular member comprising:

a first radial element comprising an elongate rail comprising a plurality of deflectable teeth, the first radial element not overlapping itself when the stent is in an expanded state; and

a second radial element, circumferentially adjacent to the first radial element, and comprising an elongate rail and an engagement means comprising a slot configured to slidably engage said elongate rail of the first radial element and deflect said deflectable teeth in a direction generally parallel to the longitudinal axis as said elongate rail of the first radial element passes through the slot such that said tubular member achieves circumferential expansion with reduced recoil, the second radial element not overlapping itself when the stent is in the expanded state;

wherein said elongate rail of said first element defines upper and lower portions and a first radial thickness, said upper portion tapering circumferentially from said first thickness to a second radial thickness in a first direction approaching a distal edge of said upper portion, said lower portion tapers circumferentially from said first radial thickness to said second radical thickness in a direction opposite the first direction approaching a distal edge of said lower portion; and

wherein said second radical element overlaps with the first radial element in an expanded state to define an overlapped section of the first radial element, and wherein the overlapped section tapers along substantially its entire length for reducing a radial thickness of the stent when the stent is in the expanded state.

12. The stent of claim 11, wherein said elongate rail of said first radial element further comprises two rail members with a gap being disposed therebetween, said rail members deflecting toward one another into the gap when engaged by the slot of the second radial element.

13. The stent of claim 11, wherein said second radial thickness is approximately one-half of said first radial thickness.

14. The stent of claim 11, wherein the first and second radial elements are structurally separate from one another.

15. The stent of claim 11, wherein the engagement means comprises an offset portion that is radially offset from the elongate rail of the second radial element, the offset portion and the elongate rail of the second radial element being disposed on opposing sides of the elongate rail of the first radial element when the first radial element is engaged by the second radial element.

16. The stent of claim 11, wherein a combined radial thickness of the first and second radial elements in the overlapped section does not exceed 1 ½

of the first radial thickness.

17. The stent of claim 11, wherein at least one of the first and second radial elements further comprise a radially non-tapered portion.

18. The stent of claim 11, wherein the engagement means does not include paired slots.

19. The stent of claim 11, wherein the elongate rail further comprises a first end and a second end, the first end comprising the distal edge of the upper portion and the second end comprising the distal edge of the lower portion, the first and second ends being engaged by a flexible linkage element.

20. A slide-and-lock stent, comprising:

a first radial element comprising a first elongate rail, the first elongate rail defining a first tapered section having a radial thickness that tapers in a first circumferential direction, the first radial element comprising an engagement structure disposed along the first tapered section; and

a second radial element comprising a second elongate rail, the second elongate rail defining a second tapered section having a radial thickness that tapers in a second circumferential direction that is generally opposite to the first circumferential direction, the second radial element comprising an engagement means configured to slidably engage the engagement structure of the first elongate rail such that the stent achieves expansion with reduced recoil, the engagement means not including paired slots;

wherein the second tapered section circumferentially overlaps the first tapered section when the stent is in an expanded state and the first and second tapered sections taper along substantially their entire length to minimize a combined radial thickness of the first and second tapered sections for reducing the radial thickness of the stent at the overlapping first and second tapered sections of the first and second radial elements.

21. The stent of claim 20, wherein the first and second tapered sections overlap only each other.

22. The stent of claim 21, wherein the first and second radial elements are structurally separate from one another.

23. The stent of claim 20, wherein the first and second radial elements do not overlap with themselves when the stent is in the expanded state.

24. The stent of claim 20, wherein the engagement means of the second radial element comprises an offset buckle portion being radially offset from the second elongate rail without the second radial element overlapping itself, the offset buckle portion and the second elongate rail being disposed on opposing sides of the first elongate rail of the first radial element when the first radial element is engaged by the second radial element.

25. The stent of claim 20, wherein the engagement means comprises a slot and the engagement structure comprises at least one tooth.

26. The stent of claim 20, wherein the engagement means is disposed adjacent to the second tapered section of the second radial element.

27. The stent of claim 20, wherein the first and second tapered sections taper from a first radial thickness to a second radial thickness, wherein the combined radial thickness of the first and second tapered sections along overlap thereof does not exceed the sum of the first and second radial thicknesses when the stent is in the expanded state.

28. The stent of claim 20, wherein the combined radial thickness of overlapping first and second tapered sections does not exceed 1 ½

of a maximum thickness of the first radial element.

29. The stent of claim 20, wherein at least one of the first and second radial elements further comprise a radially non-tapered portion.

30. The stent of claim 20, wherein:

the first elongate rail further comprises circumferentially spaced apart first and second ends,

the first and second ends engaged by a flexible linkage element.

31. The stent of claim 20, wherein the slide-and-lock stent has a longitudinal axis, the engagement structure of the first elongate rail comprises a deflectable tooth, and the engagement means of the second radial element is configured to deflect the deflectable tooth in a direction generally parallel to the longitudinal axis.

32. A slide-and-lock stent, comprising a tubular member having a longitudinal axis, said tubular member comprising:

a first radial element comprising an elongate rail comprising a deflectable tooth, wherein said elongate rail defines upper and lower portions, said upper portion tapering circumferentially from a first radial thickness to a second radial thickness in a first direction approaching a distal edge of said upper portion, said lower portion tapering circumferentially from said first radial thickness to said second radial thickness in a direction opposite the first direction approaching a distal edge of said lower portion, the first radial element not overlapping itself when the stent is in an expanded state; and

a second radial element comprising an engagement means configured to circumferentially overlap and slidably engage said elongate rail of the first radial element in an expanded state to define an overlapped section of the elongate rail, said engagement means configured to deflect said deflectable tooth as the tooth contacts said engagement means such that said tubular member achieves circumferential expansion with reduced recoil, wherein said overlapped section of the elongate rail of the first radial element tapers along substantially its entire length for reducing a radial thickness of the stent;

wherein said engagement means tapers circumferentially from a radial thickness of approximately 1 1/2 of said first radial thickness to said second radial thickness approaching a distal edge of said engagement means.

33. A slide-and-lock stent, comprising a tubular member having a longitudinal axis, said tubular member comprising:

a first radial element comprising an elongate rail comprising a deflectable tooth, wherein said elongate rail defines upper and lower portions, said upper portion tapering circumferentially from a first radial thickness to a second radial thickness in a first direction approaching a distal edge of said upper portion, said lower portion tapering circumferentially from said first radial thickness to said second radial thickness in a direction opposite the first direction approaching a distal edge of said lower portion, the first radial element not overlapping itself when the stent is in an expanded state; and

a second radial element comprising an engagement means configured to circumferentially overlap and slidably engage said elongate rail of the first radial element in an expanded state to define an overlapped section of the elongate rail, said engagement means configured to deflect said deflectable tooth as the tooth contacts said engagement means such that said tubular member achieves circumferential expansion with reduced recoil, wherein said overlapped section of the elongate rail of the first radial element tapers along substantially its entire length for reducing a radial thickness of the stent;

wherein a combined radial thickness of the overlapped section of the first radial element and the second radial element does not exceed 1 ½

of the first radial thickness.

34. A slide-and-lock stent, comprising a tubular member having a longitudinal axis, said tubular member comprising:

a first radial element comprising an elongate rail comprising a deflectable tooth, wherein said elongate rail defines upper and lower portions, said upper portion tapering circumferentially from a first radial thickness to a second radial thickness in a first direction approaching a distal edge of said upper portion, said lower portion tapering circumferentially from said first radial thickness to said second radial thickness in a direction opposite the first direction approaching a distal edge of said lower portion, the first radial element not overlapping itself when the stent is in an expanded state; and

a second radial element comprising an engagement means configured to circumferentially overlap and slidably engage said elongate rail of the first radial element in an expanded state to define an overlapped section of the elongate rail, said engagement means configured to deflect said deflectable tooth as the tooth contacts said engagement means such that said tubular member achieves circumferential expansion with reduced recoil, wherein the engagement means tapers from a radial thickness of approximately 1 ½

of the thickness of the non-tapered portion to approximately one-half of a radial thickness of the non-tapered portion;

wherein said overlapped section of the elongate rail of the first radial element tapers along substantially its entire length for reducing the radial thickness of the stent; and

wherein at least one of the first and second radial elements further comprises a radially non-tapered portion.

35. A slide-and-lock stent, comprising a tubular member having a longitudinal axis, said tubular member comprising:

a first radial element comprising an elongate rail comprising a plurality of deflectable teeth, the first radial element not overlapping itself when the stent is in an expanded state; and

a second radial element, circumferentially adjacent to the first radial element, and comprising an elongate rail and an engagement means comprising a slot configured to slidably engage said elongate rail of the first radial element and deflect said deflectable teeth as said elongate rail of the first radial element passes through the slot such that said tubular member achieves circumferential expansion with reduced recoil, the second radial element not overlapping itself when the stent is in the expanded state;

wherein said elongate rail of said first radial element defines upper and lower portions and a first radial thickness, said upper portion tapering circumferentially from said first radial thickness to a second radial thickness in a first direction approaching a distal edge of said upper portion, said lower portion tapers circumferentially from said first radial thickness to said second radial thickness in a direction opposite the first direction approaching a distal edge of said lower portion;

wherein said second radial element overlaps with the first radial element in an expanded state to define an overlapped section of the first radial element, and wherein the overlapped section tapers along substantially its entire length for reducing a radial thickness of the stent when the stent is in the expanded state; and

wherein at least one of the first and second radial elements further comprise a radially non-tapered portion, and the maximum radial thickness of the stent is less than or equal to approximately 1 ½

of the radial thickness of the non-tapered portion.

36. A slide-and-lock stent, comprising:

a first radial element comprising a first elongate rail, the first elongate rail defining a first tapered section having a radial thickness that tapers in a first circumferential direction, the first radial element comprising an engagement structure disposed along the first tapered section; and

a second radial element comprising a second elongate rail, the second elongate rail defining a second tapered section having a radial thickness that tapers in a second circumferential direction that is generally opposite to the first circumferential direction, the second radial element comprising an engagement means configured to slidably engage the engagement structure of the first elongate rail such that the stent achieves expansion with reduced recoil, wherein the engagement means tapers circumferentially for minimizing the combined radial thickness at the overlapping first and second tapered sections of the first and second radial elements;

wherein the second tapered section circumferentially overlaps the first tapered section when the stent is in an expanded state and the first and second tapered sections taper along substantially their entire length to minimize a combined radial thickness of the first and second tapered sections for reducing the radial thickness of the stent at the overlapping first and second tapered sections of the first and second radial elements.

37. A slide-and-lock stent, comprising:

a first radial element comprising a first elongate rail, the first elongate rail defining a first tapered section having a radial thickness that tapers in a first circumferential direction, the first radial element comprising an engagement structure disposed along the first tapered section; and

a second radial element comprising a second elongate rail, the second elongate rail defining a second tapered section having a radial thickness that tapers in a second circumferential direction that is generally opposite to the first circumferential direction, the second radial element comprising an engagement means configured to slidably engage the engagement structure of the first elongate rail such that the stent achieves expansion with reduced recoil;

wherein the second tapered section circumferentially overlaps the first tapered section when the stent is in an expanded state and the first and second tapered sections taper along substantially their entire length to minimize a combined radial thickness of the first and second tapered sections for reducing the radial thickness of the stent at the overlapping first and second tapered sections of the first and second radial elements;

wherein at least one of the first and second radial elements further comprise a radially non-tapered portion; and

wherein the first and second tapered sections taper from a first radial thickness to a second radial thickness, the combined radial thickness of the first and second tapered sections along the overlap thereof not exceeding approximately 1 ½

of the thickness of the non-tapered portion.