Stent customization system and method

• US 8,551,155 B2
• Filed: 06/16/2006
• Issued: 10/08/2013
• Est. Priority Date: 06/16/2006
• Status: Expired due to Fees

• Current Assignee: Gearbox LLC (Intellectual Ventures LLC)
• Original Assignee: The Invention Science Fund I, L.L.C. (Intellectual Ventures LLC)
• Inventors: Jung, Edward K. Y., Langer, Robert, Leuthardt, Eric C., Levien, Royce A., Lord, Robert W., Malamud, Mark A., Rinaldo, John D. Jr., Tegreene, Clarence T., Wood, Lowell L. Jr.
• Primary Examiner(s): Dunham, Jason
• Assistant Examiner(s): MISIASZEK, AMBER ALTSCHUL
• Application Number:
  US11/455,010
• Publication Number:
  US 20070293963A1
• Time in Patent Office: 2,671 Days
• Field of Search: 705 2- 3, 623 115- 116, 606/200
• US Class Current: 623/1.15
• CPC Class Codes: A61B 1/00082 Balloons
• CPC Class Codes: A61B 1/05 characterised by the image sensor, e.g. camera, being in the distal end portion
• CPC Class Codes: A61B 1/3137 for examination of the interior of blood vessels
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/411 Detecting or monitoring allergy or intolerance reactions to an allergenic agent or substance
• CPC Class Codes: A61B 8/08 Detecting organic movements or changes, e.g. tumours, cysts, swellings A61B8/02 - A61B8/06 take precedence
• CPC Class Codes: A61B 8/4416 related to combined acquisition of different diagnostic modalities, e.g. combination of ultrasound and X-ray acquisitions
• 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 2/844 folded prior to deployment
• CPC Class Codes: A61F 2250/0067 Means for introducing or releasing pharmaceutical products into the body
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders

Abstract

Methods and systems are described for receiving a parameter relating to a specific patient, and for customizing one or more attributes of a stent ex situ as an at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient or for customizing one or more junctions of a stent ex situ in response to the received parameter relating to the specific patient.

Claims

1. A system comprising:

circuitry for receiving a parameter relating to a specific patient over a network, the circuitry for receiving the parameter relating to the specific patient including;

circuitry for receiving a parameter relating to a stent inventory shortage, the parameter including a pathology description of the specific patient;

circuitry for receiving a patient identifier including one or more stent customization parameters comprising at least three-dimensional anatomical data of at least one blood vessel portion of the specific patient; and

circuitry for receiving an inventory status parameter providing stent component information and utilizing one or more direct availability information or one or more indirect indications designating at least one of an order as an emergency status or other parameter indicating an elevated priority relating to the specific patient; and

circuitry for customizing one or more attributes of at least one or more stents, each stent having different attributes of the one or more attributes as an at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient by customizing a material composition of the stent responsive to the pathology description of the specific patient, the circuitry for customizing one or more attributes located at a manufacturing facility that is ex situ from a patient care facility.

2. The system of claim 1 in which the circuitry for receiving a parameter relating to a specific patient comprises:

circuitry for receiving a heuristic model identifier as the parameter relating to the specific patient.

3. The system of claim 1 in which the circuitry for customizing one or more attributes of at least one or more stents as an at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient comprises:

circuitry for customizing one or more apertures of the at least one or more stents responsive to the parameter relating to the specific patient.

4. The system of claim 1 in which the circuitry for customizing one or more attributes of at least one or more stents as an at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient comprises:

circuitry for customizing a dosage of a therapeutic agent of the at least one or more stents responsive to the parameter relating to the specific patient.

5. The system of claim 1 in which the circuitry for receiving a parameter relating to a specific patient comprises:

circuitry for receiving an indication of a digestive system structure as the parameter relating to the specific patient.

6. The system of claim 1 in which the circuitry for receiving a parameter relating to a specific patient comprises:

circuitry for receiving one or more dimensions including at least the parameter relating to the specific patient.

7. The system of claim 1 in which the circuitry for receiving a parameter relating to a specific patient comprises:

circuitry for receiving stent component quantity information with the parameter relating to the specific patient.

8. The system of claim 1 in which the circuitry for customizing one or more attributes of at least one or more stents as an at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient comprises:

circuitry for bending a component of the at least one or more stents as the at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient.

9. The system of claim 1, further comprising:

a sheet bender; and

circuitry for bending a component of at least one of the at least one or more stents via the sheet bender as the at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient.

10. The system of claim 1 in which the circuitry for customizing one or more attributes of at least one or more stents as an at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient comprises:

circuitry for forming a flow occlusion portion of at least one of the at least one or more stents responsive to the parameter relating to the specific patient.

11. The system of claim 1, further comprising:

a press; and

circuitry for forming a flow occlusion portion of at least one of the at least one or more stents via the press and responsive to the parameter relating to the specific patient.

12. The system of claim 1 in which the circuitry for customizing one or more attributes of at least one or more stents as an at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient comprises:

circuitry for modifying a stiffness of at least one of the at least one or more stents responsive to the parameter relating to the specific patient.

13. The system of claim 1 in which the circuitry for customizing one or more attributes of at least one or more stents as an at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient comprises:

circuitry for customizing the one or more attributes of at least one of the at least one or more stents within a few months of receiving the parameter relating to the specific patient.

14. The system of claim 1 in which the circuitry for receiving a parameter relating to a specific patient comprises:

circuitry for retrieving a record including at least the parameter relating to the specific patient.

15. The system of claim 1 in which the circuitry for receiving a parameter relating to a specific patient comprises:

circuitry for prompting user input; and

circuitry for receiving the parameter relating to the specific patient via an interface after prompting the user input.

16. The system of claim 1 in which the circuitry for receiving a parameter relating to a specific patient comprises:

circuitry for receiving a pathological indication with the parameter relating to the specific patient.

17. The system of claim 1 in which the circuitry for receiving a parameter relating to a specific patient comprises:

circuitry for receiving shape information including at least the parameter relating to the specific patient.

18. The system of claim 1 further comprising:

circuitry for marking the stent with identifying information signifying at least one of a material, a structure, and/or a subcomponent manufacturer, and relating the identifying information to the one or more customized attributes of at least one of the at least one or more stents.

19. The system of claim 1 further comprising:

circuitry for aggregating data including at least the parameter relating to the specific patient and other information in a database.

20. They system of claim 1 further comprising:

circuitry for recording an identifier indicating at least one of a custom stent order date and/or a stent shipment date of the at least one or more stents with the parameter relating to the specific patient.

21. The system of claim 1 in which the circuitry for receiving a parameter relating to a specific patient comprises:

circuitry for receiving an indication of a linkage between the parameter and the specific patient.

22. They system of claim 1 in which the circuitry for customizing one or more attributes of at least one or more stents as an at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient comprises:

circuitry for configuring one or more lateral sleeves in a portion of at least one of the at least one or more stents responsive to the parameter relating to the specific patient.

23. The system of claim 1 in which the circuitry for customizing one or more attributes of at least one or more stents as an at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient comprises:

circuitry for configuring one or more pleats of at least one of the at least one or more stents responsive to the parameter relating to the specific patient.

24. The system of claim 1, further comprising:

a sheet bender; and

circuitry for configuring one or more pleats of at least one of the at least one or more stents via the sheet bender and responsive to the parameter relating to the specific patient.

25. The system of claim 1 in which the circuitry for customizing one or more attributes of at least one or more stents as an at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient comprises:

circuitry for combining at least a first stent component and a second stent component responsive to information including at least the parameter relating to the specific patient.

26. The system of claim 1, further comprising:

a bonder; and

circuitry for combining at least a first stent component and a second stent component via the bonder and responsive to information including at least the parameter relating to the specific patient.

27. The system of claim 1 in which the circuitry for customizing one or more attributes of at least one or more stents as an at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient comprises:

circuitry for cutting one or more flow holes in a component of at least one of the at least one or more stents responsive to the parameter relating to the specific patient.

28. The system of claim 1, further comprising:

a laser; and

circuitry for cutting one or more flow holes in a component of at least one of the at least one or more stents via the laser and responsive to the parameter relating to the specific patient.

29. The system of claim 1, further comprising:

a local user interface output device operably coupled to the circuitry for receiving the parameter relating to the specific patient.

30. The system of claim 1, further comprising:

a network interface operably coupled to the circuitry for customizing the one or more attributes of at least one of the at least one or more stents as the at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient.

31. The system of claim 1, further comprising:

an antibiotic dispenser operably coupled to the circuitry for customizing the one or more attributes of at least one of the at least one or more stents as the at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient.

32. The system of claim 1, further comprising:

a stock designator operably coupled to the circuitry for customizing the one or more attributes of at least one of the at least one or more stents as the at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient.

33. The system of claim 1, further comprising:

a substance applicator operably coupled to the circuitry for customizing the one or more attributes of at least one of the at least one or more stents as the at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient.

34. The system of claim 1, further comprising:

a machine interface operably coupled to the circuitry for customizing the one or more attributes of at least one of the at least one or more stents as the at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient.

35. The system of claim 1, further comprising:

a scribe operably coupled to the circuitry for customizing the one or more attributes of at least one of the at least one or more stents as the at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient.

36. The system of claim 1, further comprising:

a sheet bender operably coupled to the circuitry for customizing the one or more attributes of at least one of the at least one or more stents as the at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient.

37. The system of claim 1, further comprising:

a press operably coupled to the circuitry for customizing the one or more attributes of at least one of the at least one or more stents as the at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient.

38. The system of claim 1, further comprising:

a laser operably coupled to the circuitry for customizing the one or more attributes of at least one of the at least one or more stents as the at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient.

39. The system of claim 1, further comprising:

a bonder operably coupled to the circuitry for customizing the one or more attributes of at least one of the at least one or more stents as the at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient.

40. The system of claim 1, further comprising:

a data aggregator operably coupled to the circuitry for customizing the one or more attributes of at least one of the at least one or more stents as the at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient.

41. The system of claim 1 in which the circuitry for customizing one or more attributes of at least one or more stents comprises:

circuitry for selecting a template responsive to the parameter relating to the specific patient; and

circuitry for customizing the selected template responsive to other information relating to the specific patient.

42. The system of claim 1 in which the circuitry for customizing one or more attributes of at least one or more stents comprises:

circuitry for associating a medication regimen with the specific patient; and

circuitry for implementing the medication regimen associated with the specific patient ex situ.

43. The system of claim 1 in which the circuitry for customizing one or more attributes of at least one or more stents comprises:

circuitry for forming an antiproliferative surface of the stent; and

circuitry for applying at least one of an anticoagulant or an anti-platelet agent to the stent after forming the antiproliferative surface of the stent.

44. The system of claim 1 in which the circuitry for customizing one or more attributes of at least one or more stents comprises:

circuitry for including an antibiotic on the stent responsive to the parameter relating to the specific patient.

45. A system comprising:

circuitry for receiving an identifier of a specific patient with a parameter relating to the specific patient over a network, the identifier including one or more stent customization parameters comprising at least three-dimensional anatomical data of at least one blood vessel portion of the specific patient,

wherein the circuitry for receiving the identifier of the specific patient with the parameter relating to the specific patient including;

circuitry for receiving information at least partly relating to a stent inventory shortage, and the parameter including a pathology description of the specific patient; and

circuitry for receiving an inventory status parameter providing stent component information and utilizing one or more direct availability information or one or more indirect indications designating at least one of an order as an emergency status or other parameter indicating an elevated priority relating to the specific patient; and

circuitry for customizing one or more attributes of at least one or more stents as an at-least-roughly contemporaneous response to receiving the parameter relating to the specific patient by customizing a material composition of the stent responsive to the pathology description of the specific patient, the circuitry for customizing configured to implement a message parser as a web crawler that independently gathers stent information from a number of suppliers, a number of specifications, or a combination thereof, the circuitry for customizing one or more attributes located at a manufacturing facility that is ex situ from a patient care facility.