Stent, stent delivery device and stent delivery method

• US 8,556,959 B2
• Filed: 03/26/2009
• Issued: 10/15/2013
• Est. Priority Date: 09/29/2006
• Status: Active Grant

• Current Assignee: Terumo Kabushiki Kaisha
• Original Assignee: Terumo Kabushiki Kaisha
• Inventors: Goto, Hiroki
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): SZPIRA, JULIE ANN
• Application Number:
  US12/412,159
• Publication Number:
  US 20090187239A1
• Time in Patent Office: 1,664 Days
• Field of Search: 623/1.11, 623/1.16
• US Class Current: 623/1.16
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• 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 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/91558 connected peak to peak

Abstract

A stent to be implanted in a living body is formed substantially as a tube having a form in which plural wavy annular members are arranged adjacent to each other in the axial direction of the stent, with the axially adjacent wavy annular members connected to each other. The stent possesses an outer diameter whose dimension is so set that the stent is insertable into a lumen inside a living body, and is expandable when a force spreading radially from the inside of the tube is applied. The wavy annular member has parallel straight-line portions extending parallel to the axis of the stent before and after the stent expands. The stent has connection portions each connecting ends of the parallel straight-line portions of the adjacent wavy annular members to each other.

Claims

1. A stent possessing a longitudinal axis and comprising:

a plurality of wavy annular members arranged axially adjacent one another along an axial extent of the stent to form a tubular-shaped stent;

the stent being expandable from a first state of a first size permitting the stent to be positioned in a lumen of a living body to an expanded second state of a second size larger than the first size upon application of a radially outwardly directed expansion force from inside the stent;

the wavy annular members comprising a first wavy annular member, a second wavy annular member axially adjacent the first wavy annular member without any other wavy annular member positioned between the first and second wavy annual members, and a third wavy annular member axially adjacent the second wavy annular member without any other wavy annular member positioned between the second and third wavy annual members;

the first, second and third wavy annular members each comprising;

a plurality of straight line portions positioned parallel to the longitudinal axis of the stent when the stent is in both the first state and the expanded second state;

a plurality of additional portions angled with respect to one another; and

the plurality of straight line portions and the plurality of additional portions being interconnected so that each of the first, second and third wavy annular members is a continuous wavy annular member;

a first connection portion connecting a first of the straight line portions of the first wavy annular member to a first of the straight line portions of the second wavy annular member, a second connection portion connecting a second of the straight line portions of the first wavy annular member to a second of the straight line portions of the second wavy annular member, a third connection portion connecting a third of the straight line portions of the second wavy annular member to a first of the straight line portions of the third wavy annular member, and a fourth connection portion connecting a fourth of the straight line portions of the second wavy annular member to a second of the straight line portions of the third wavy annular member;

the first connection portion, the first straight line portion of the first wavy annular member and the first straight line portion of the second wavy annular member extending along a common straight line;

the second connection portion, the second straight line portion of the first wavy annular member and the second straight line portion of the second wavy annular member extending along a common straight line;

the third connection portion, the third straight line portion of the second wavy annular member and the first straight line portion of the third wavy annular member extending along a common straight line;

the fourth connection portion, the fourth straight line portion of the second wavy annular member and the second straight line portion of the third wavy annular member extending along a common straight line;

the first and second connection portions being circumferentially offset from one another, the third and fourth connection portions being circumferentially offset from one another; and

the third and fourth connection portions not being aligned with the first and second connection portions in the axial direction of the stent.

2. A stent according to claim 1, wherein the first and second wavy annular members are connected to each other only by way of the first and second connection portions, and the second and third wavy annular members are connected to each other only by way of the third and fourth connection portions.

3. A stent possessing a longitudinal axis, formed substantially as a tube and comprising a plurality of wavy annular members arranged along an axial extent of the stent so that the plurality of wavy annular members are axially adjacent wavy annular members, with axially adjacent wavy annular members connected to each other, the axially adjacent annular members being configured so that the stent possesses a relatively smaller outer diameter dimensioned to be inserted into a lumen inside a living body, and expandable to a relatively larger outer diameter when a force spreading radially from an inside of the tube is applied to the stent, each of the plurality of wavy annular members comprising parallel straight-line portions extending parallel to the longitudinal axis of the stent before and after the stent is expanded;

and the stent comprising connection portions each connecting together opposed ends of the parallel straight-line portions of the axially adjacent wavy annular members, each respective connection portion and the straight line portions of the axially adjacent wavy annular members connected by the respective connection portion extending in a common straight line.

4. A stent according to claim 3, wherein the parallel straight-line portions of each pair of axially adjacent wavy annular members possess end portions positioned proximate one another and connected by the connection portion which is shorter in length than the straight-line portions.

5. A stent according to claim 3, wherein the connection portions are so disposed that the connection portions are not continuous with each other in the axial direction of the stent.

6. A stent according to claim 3, wherein the wavy annular members comprise a first wavy annular member, a second wavy annular member axially adjacent the first wavy annular member without any other wavy annular member positioned between the first and second wavy annual members, and a third wavy annular member axially adjacent the second wavy annular member without any other wavy annular member positioned between the second and third wavy annual members, the connection portion connecting the parallel straight-line portions of the first and second wavy annular members being circumferentially shifted relative to the connection portion connecting the parallel straight-line portions of the second and third wavy annular members.

7. A stent according to claim 3, wherein the two axially adjacent wavy annular members are connected by a plurality of the connection portions.

8. A stent according to claim 3, wherein the wavy annular member comprises the straight-line portion, an inclined straight-line portion oriented obliquely to the longitudinal axis of the stent at a predetermined angle at least when the stent is expanded, and an inclined curved line portion oriented obliquely to the longitudinal axis of the stent at a predetermined angle at least when the stent is expanded.

9. A stent according to claim 3, wherein the wavy annular member comprises a plurality of modified M-shaped linear portions, continuous with each other, each of which has four linear portions composed of the straight-line portion, a first inclined straight-line portion which is connected to one end of the straight-line portion through a bent portion and is oriented obliquely to the longitudinal axis of the stent at a predetermined angle at least when the stent is expanded, an inclined linear portion which is connected to one end of the first inclined straight-line portion through a bent portion and extending obliquely at a predetermined angle to the longitudinal axis of the stent, and a second inclined straight-line portion connected to one end of the inclined linear portion through a bent portion and is oriented obliquely to the longitudinal axis of the stent at a predetermined angle at least when the stent is expanded.

10. A stent according to claim 9, wherein the inclined linear portion is an inclined curved line portion.

11. A stent according to claim 9, wherein the first inclined straight-line portion is substantially parallel to the longitudinal axis of the stent.

12. A stent according to claim 9, wherein the straight-line portion possesses a length shorter than the length of each of the first inclined straight-line portion, the inclined linear portion, and the second inclined straight-line portion.

13. A stent according to claim 9, wherein the bent portion connecting the one end of the parallel straight-line portion of the wavy annular member and the first inclined straight-line portion to each other is rounded.

14. A stent according to claim 9, wherein the bent portion connecting the one end of the straight-line portion of the wavy annular member and the first inclined straight-line portion to each other is rounded, and the bent portion connecting an opposite end of the straight-line portion of the wavy annular member and the second inclined straight-line portion to each other is rounded.

15. A stent according to claim 9, wherein the stent is configured so that with the stent in an expanded state, a ratio (B/A) of an internal angle B between the first inclined straight-line portion and the inclined linear portion to an internal angle A between the straight-line portion and the first inclined straight-line portion is not less than 1.8.

16. A stent according to claim 9, wherein the stent is configured so that with the stent in an expanded state, a ratio (D/C) of an internal angle D between the second inclined straight-line portion and the inclined linear portion to an internal angle C between the straight-line portion and the second inclined straight-line portion is not less than 1.8.

17. A stent according to claim 3, wherein the wavy annular members each comprise a plurality of one-end side bent portions each having an apex at one-end side of the stent in the axial direction and a plurality of other-end side bent portions each having an apex at an other-end side of the stent in the axial direction of the stent;

a first line connecting the apexes of two of the other-end side bent portions of a first wavy annular member, and a second line connecting the apexes of two of the one-end side bent portions of a second wavy annular member positioned axially adjacent the first wavy annular member;

the apex of one of the one-end side bent portions of the second wavy annular member extending beyond the first line in a direction away from the second wavy annular member; and

the apex of one of the other-end side bent portions of the first wavy annular member extending beyond the second line in a direction away from the first wavy annular member.

18. A stent delivery device comprising:

a tubular shaft body;

a foldable and expandable balloon disposed at a distal end of the shaft body;

a stent mounted on the folded balloon and covering the balloon, the stent being expandable as a result of expansion of the balloon, wherein the stent is a stent according to claim 3.