Angioplasty stents

• US 8,439,965 B2
• Filed: 05/05/2011
• Issued: 05/14/2013
• Est. Priority Date: 11/04/1997
• Status: Expired due to Fees

• Current Assignee: CID S.p.A (Alvimedica ApS)
• Original Assignee: CID S.p.A (Alvimedica ApS)
• Inventors: Rolando, Giovanni, Gaschino, Paolo, Vallana, Franco, Cerise, Osvaldo
• Primary Examiner(s): GHERBI, SUZETTE JAIME J
• Application Number:
  US13/101,670
• Publication Number:
  US 20110213457A1
• Time in Patent Office: 740 Days
• Field of Search: 623 115- 148
• US Class Current: 623/1.15
• 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 2002/91508 the meander having a difference in amplitude along the band
• CPC Class Codes: A61F 2002/91516 the meander having a change in frequency along the band
• 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 2002/91566 connected trough to trough

Abstract

An angioplasty stent comprises a body comprising a plurality of successive segments connected in pairs by bridge means so that the successive segments can be oriented relative to one another for the purposes of bending of the body in any direction defined by a linear combination of respective orientation axes defined by the bridge connection means. During the radial expansion of the stent, the axial contraction of the segments resulting from the opening-out of the respective loops is compensated by axial projection of the bridge elements from the respective concave portions. The wall of the body comprises arms for supporting a lumen as well as regions which are selectively deformable during the expansion of the stent, the arms and the selectively deformable regions having different cross-sections and/or cross-sectional areas. At least one portion of the body may have a substantially reticular structure, the branches of which define geometrical figures identifiable as fractals.

Claims

1. An angioplasty stent comprising a body which has a generally tubular wall and configured to be expandable in use from a radially contracted condition towards a radially expanded condition, wherein the wall of the body comprises a plurality of arms and a plurality of selectively deformable regions extending between the arms, each selectively deformable region having first and second ends connected between two arms and being configured to be deformable during the expansion of the stent such that an angle between the two arms connected to each selectively deformable region is greater in the radially expanded condition than in the radially contracted condition, each arm having a first cross-section, each deformable region having a second cross-section which is different from the first cross-section, the cross-section of each selectively deformable region being substantially constant except at transition portions adjacent the ends of the selectively deformable regions, wherein the plurality of arms and the plurality of selectively deformable regions form a plurality of loops, the plurality of loops including a first portion of loops connected to an adjacent loop by a bridge connector and a second portion of loops free of connection to an adjacent loop.

2. The stent of claim 1, wherein each selectively deformable region comprises a concave portion, and wherein the concave portions and the arms differ in cross-sectional area so that, during radial expansion of the stent, the concave portions and the arms adopt different behaviors.

3. The stent of claim 2, wherein the arms have a shape which is generally flattened in the general plane of the wall so that outer faces of the arms define respective broad support surfaces for the wall of the lumen.

4. The stent of claim 2, wherein the concave portions have a substantially circular cross-section.

5. The stent of claim 1, wherein the wall of the body comprises at least one bent wire element.

6. The stent of claim 5, wherein the wall comprises adjacent portions of wire firmly connected to one another.

7. The stent of claim 6, wherein adjacent portions of wire are connected to one another by one of welding, brazing, gluing, crimping or combinations thereof.

8. The stent of claim 1, wherein the arms are configured to extend substantially parallel to a longitudinal axis of the body when the body is in the radially contracted condition.

9. The stent of claim 8, wherein the arms have a first outer wall surface width and the selectively deformable regions have a second outer wall surface width, the first outer wall surface width being greater than the second outer wall surface width.

10. The stent of claim 1, wherein each arm has a first cross-sectional area and each deformable region has a second cross-sectional area, the first cross-sectional area being different from the second cross-sectional area.

11. The stent of claim 2, wherein each concave portion has a concave side which faces a plane perpendicular to a longitudinal axis of the body.

12. The stent of claim 11, wherein each concave portion is configured to open outwardly when the body is expanded from the radially contracted condition to the radially expanded condition such that an angle between the two arms connected to each selectively deformable region is greater in the radially expanded condition than in the radially contracted condition, each arm being substantially parallel to a longitudinal axis of the body when the body is in the radially contracted condition.

13. The stent of claim 2, wherein each concave portion is configured to open outwardly when the body is expanded from the radially contracted condition to the radially expanded condition, each of the concave portions having a cross-sectional area which is substantially constant over its length between the two arms and which is different from a cross-sectional area of each of the arms.

14. The stent of claim 1, wherein the first and second ends of each selectively deformable region are connected between ends of two of the plurality of arms, each arm having first and second ends and first and second sides, a distance between the first and second ends being a length of the arm and a distance between the first and second sides being a width of the arm, the plurality of arms being sized and configured such that when the body is in the contracted condition the plurality of arms are oriented generally in a longitudinal direction of a longitudinal axis of the body and a maximum circumferential distance between adjacent arms is less than the width of the arms.

15. An angioplasty stent comprising a body which has a generally tubular wall defining a longitudinal axis, the body being expandable in use from a radially contracted condition towards a radially expanded condition, the wall of the body having a plurality of arms and a plurality of selectively deformable regions, each selectively deformable region having first and second ends connected between ends of two of the plurality of arms, each arm having first and second ends and first and second sides, a distance between the first and second ends being a length of the arm and a distance between the first and second sides being a width of the arm, each arm having a cross-sectional shape, each selectively deformable region having a cross-sectional shape which is different from the cross-sectional shape of the arms, the plurality of arms being sized and configured such that when the body is in the contracted condition a maximum circumferential distance between adjacent arms is less than the width of the arms, wherein the plurality of arms and the plurality of selectively deformable regions form a plurality of loops, the plurality of loops including a first portion of loops connected to an adjacent loop by a bridge connector and a second portion of loops free of connection to an adjacent loop.

16. The stent of claim 15, wherein each selectively deformable region comprises a concave portion, and wherein the concave portions and the arms differ in cross-sectional area so that, during radial expansion of the stent, the concave portions and the arms adopt different behaviors.

17. The stent of claim 16, wherein the arms have a shape which is generally flattened in the general plane of the tubular wall of the body so that outer faces of the arms define respective broad support surfaces for the wall of the lumen.

18. The stent of claim 16, wherein the concave portions have a substantially circular cross-section.

19. The stent of claim 15, wherein the wall of the body comprises at least one bent wire element.

20. The stent of claim 19, wherein the wall comprises adjacent portions of wire firmly connected to one another.

21. The stent of claim 20, wherein adjacent portions of wire are connected to one another by one of welding, brazing, gluing, crimping or combinations thereof.

22. The stent of claim 15, wherein the arms are configured to extend substantially parallel to a longitudinal axis of the body when the body is in the radially contracted condition.

23. The stent of claim 15, wherein the arms have a first width and the selectively deformable regions have a second width, the first width being greater than the second width.

24. The stent of claim 15, wherein each arm has a first cross-sectional area and each deformable region has a second cross-sectional area, the first cross-sectional area being different from the second cross-sectional area.

25. The stent of claim 16, wherein each concave portion has a concave side which faces a plane perpendicular to a longitudinal axis of the body.

26. The stent of claim 25, wherein each concave portion is configured to open outwardly when the body is expanded from the radially contracted condition to the radially expanded condition such that an angle between the two arms connected to each selectively deformable region is greater in the radially expanded condition than in the radially contracted condition, each arm being substantially parallel to a longitudinal axis of the body when the body is in the radially contracted condition.

27. The stent of claim 16, wherein each concave portion is configured to open outwardly when the body is expanded from the radially contracted condition to the radially expanded condition such that an angle between the two arms connected to each selectively deformable region is greater in the radially expanded condition than in the radially contracted condition, each of the concave portions having a cross-section which is substantially constant over its length between the two arms and which is different from a cross-section of each of the arms.

28. The stent of claim 15, wherein when the body is in the contracted condition the plurality of arms are oriented generally in a longitudinal direction of the longitudinal axis of the body.

29. An angioplasty stent comprising a body which has a generally tubular wall and configured to be expandable in use from a radially contracted condition towards a radially expanded condition, wherein the wall of the body comprises a plurality of arms and a plurality of selectively deformable regions extending between the arms, each selectively deformable region having first and second ends connected between two arms and being configured to be deformable during the expansion of the stent such that an angle between the two arms connected to each selectively deformable region is greater in the radially expanded condition than in the radially contracted condition, each arm having a first cross-section, each deformable region having a second cross-section which is different from the first cross-section, the cross-section of each selectively deformable region being substantially constant except at transition portions adjacent the ends of the selectively deformable regions, wherein the first and second ends of each selectively deformable region are connected between ends of two of the plurality of arms, each arm having first and second ends and first and second sides, a distance between the first and second ends being a length of the arm and a distance between the first and second sides being a width of the arm, the plurality of arms being sized and configured such that when the body is in the contracted condition the plurality of arms are oriented generally in a longitudinal direction of a longitudinal axis of the body and a maximum circumferential distance between adjacent arms is less than the width of the arms.

30. The stent of claim 29, wherein each selectively deformable region comprises a concave portion, and wherein the concave portions and the arms differ in cross-sectional area so that, during radial expansion of the stent, the concave portions and the arms adopt different behaviors.

31. The stent of claim 30, wherein the arms have a shape which is generally flattened in the general plane of the wall so that outer faces of the arms define respective broad support surfaces for the wall of the lumen.

32. The stent of claim 30, wherein the concave portions have a substantially circular cross-section.

33. The stent of claim 29, wherein the wall of the body comprises at least one bent wire element.

34. The stent of claim 33, wherein the wall comprises adjacent portions of wire firmly connected to one another.

35. The stent of claim 34, wherein adjacent portions of wire are connected to one another by one of welding, brazing, gluing, crimping or combinations thereof.

36. The stent of claim 29, wherein the arms are configured to extend substantially parallel to a longitudinal axis of the body when the body is in the radially contracted condition.

37. The stent of claim 36, wherein the arms have a first outer wall surface width and the selectively deformable regions have a second outer wall surface width, the first outer wall surface width being greater than the second outer wall surface width.

38. The stent of claim 29, wherein each arm has a first cross-sectional area and each deformable region has a second cross-sectional area, the first cross-sectional area being different from the second cross-sectional area.

39. The stent of claim 30, wherein each concave portion has a concave side which faces a plane perpendicular to a longitudinal axis of the body.

40. The stent of claim 39, wherein each concave portion is configured to open outwardly when the body is expanded from the radially contracted condition to the radially expanded condition such that an angle between the two arms connected to each selectively deformable region is greater in the radially expanded condition than in the radially contracted condition, each arm being substantially parallel to a longitudinal axis of the body when the body is in the radially contracted condition.

41. The stent of claim 30, wherein each concave portion is configured to open outwardly when the body is expanded from the radially contracted condition to the radially expanded condition, each of the concave portions having a cross-sectional area which is substantially constant over its length between the two arms and which is different from a cross-sectional area of each of the arms.

42. The stent of claim 29, wherein the plurality of arms and the plurality of selectively deformable regions form a plurality of loops, the plurality of loops including a first portion of loops connected to an adjacent loop by a bridge connector and a second portion of loops free of connection to an adjacent loop.