Kink resistant stent-graft

• US 8,323,328 B2
• Filed: 09/09/2002
• Issued: 12/04/2012
• Est. Priority Date: 12/14/1995
• Status: Expired due to Fees

• Current Assignee: W. L. Gore & Associates (W.L. Gore & Associates)
• Original Assignee: W. L. Gore & Associates (W.L. Gore & Associates)
• Inventors: Martin, Gerald Ray, Lau, Lilip, Stonebrook, Scott N., Lam, Sharon, Thornton, Troy
• Primary Examiner(s): TYSON, MELANIE RUANO
• Application Number:
  US10/236,968
• Publication Number:
  US 20030130721A1
• Time in Patent Office: 3,739 Days
• Field of Search: 623 111- 115, 623/1.16, 623/1.22, 606/198
• US Class Current: 623/1.16
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/844 folded prior to deployment
• CPC Class Codes: A61F 2/88 the wire-like elements formed as helical or spiral coils forming a net-like or mesh-like structure A61F2/90
• CPC Class Codes: A61F 2/89 the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
• 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 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2002/9665 with additional retaining means
• 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
• 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 2220/0091 connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
• CPC Class Codes: A61F 2230/0041 J-shaped
• CPC Class Codes: A61F 2230/006 Y-shaped
• CPC Class Codes: A61F 2230/0078 hyperboloidal
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers

Abstract

A stent-graft including a stent member having an inner surface and an outer surface, a generally tubular graft member and a coupling member that couples the stent member to the graft member. The coupling member, which is the preferred embodiment is in the form of a ribbon, covers only a portion of the inner or outer surface of the stent member and secures the stent member and graft member to one another. Alternatively, the coupling member can be described as interconnecting less than entirely the inner or outer surface of the graft member to the stent member. With this construction, regions of the stent member do not interfere with the coupling member. Shear stresses between the stent member and the coupling member and the risk of tearing the graft or coupling member or delamination therebetween may be reduced as compared to a fully enveloped stent member. This construction also provides improved flexibility and kink resistance.

Claims

1. A stent comprising:

a first stent member with a first connectable stent end section and a second stent member with a second connectable stent end section, wherein said first connectable stent end section comprises a first undulation and said second connectable stent end section comprises a second undulation; and

wherein the connectable stent end section of the first stent member is affixed in phase directly to the connectable stent end section of the second stent member with a discrete connecting member, wherein the first stent member and the second stent member are in contact.

2. A stent according to claim 1, in which said first connectable stent end section and said second connectable stent end section are at least in part coincident.

3. A stent according to claim 1, having a helical turn comprising said first connectable stent end section and said second connectable stent end section.

4. A stent according to claim 1, wherein said first undulation comprises a first apex and said second undulation comprises a second apex, said first apex being positioned generally adjacent to said second apex.

5. A stent according to claim 4, wherein said first undulation and said second undulation are affixed with said first apex in phase with said second apex.

6. A stent according to claim 1, wherein said discrete connecting member comprises a suture.

7. A stent according to claim 1, a second discrete connecting member at least two sutures permanently affixing said first connectable stent end section and said second connectable stent end section.

9. A stent-graft comprising:

a graft member at least in-part being generally tubular; and

a stent according to claim 1, and said stent is positioned around said graft member.

10. A stent-graft according to claim 9, wherein said stent is secured to said graft member with a ribbon member.

11. A stent according to claim 1, wherein said stent is in a fully expanded state.

8. A stent according claim to 1, wherein said stent comprises a polished nickel-titanium alloy.

12. A stent-graft comprising:

a substantially tubular shaped stent member having an inner surface, an outer surface, and configured from multiple turns of an undulating element;

said stent member having at least a first undulating stent member with a first connectable stent section and a second undulating stent member with a second connectable stent section,

said first connectable stent section and said second connectable stent section overlapping in phase at least in part and wherein the first connectable stent section and the second connectable stent section are in contact; and

a discrete connecting member affixing said first connectable stent section at least in part to said second connectable stent section directly to each other;

a generally tubular graft member arranged within said stent member; and

a ribbon configured in contact with a portion of at least one of the inner and outer surfaces of said stent member and securing the stent member and graft member to one another.

13. The stent-graft of claim 12, wherein said undulating element is arranged in a helical configuration.

14. The stent-graft of claim 13, wherein said ribbon is arranged in a helical configuration with multiple turns, each turn being spaced from an adjacent turn.

15. A stent-graft comprising:

a substantially tubular shaped stent having an inner surface, an outer surface, and configured from multiple turns of an undulating element, said stent member having at least a first undulating stent member with a first connectable undulating stent section and a second undulating stent member with a second connectable stent section;

a generally tubular graft member arranged within said stent;

said first connectable undulating stent section and said second undulating connectable stent section are affixed directly to each other in phase; and

a discrete connecting member affixing said first connectable undulating stent section at least in part to said second connectable undulating stent section directly to each other, wherein the first undulating stent member and the second undulating stent member are in contact.

16. A stent according to claim 15, wherein said discrete connecting member comprises a suture.

17. A stent according to claim 15, further comprising a second discrete connecting member affixing said first connectable stent section and said second connectable stent section directly to each other.

18. A stent-graft according claim to 15, wherein said stent comprises a polished nickel-titanium alloy.