Stent and stent-graft having one or more conformance struts

• US 8,672,992 B2
• Filed: 12/17/2009
• Issued: 03/18/2014
• Est. Priority Date: 12/18/2008
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Orr, David E.
• Primary Examiner(s): McEvoy, Thomas
• Assistant Examiner(s): TANNER, JOCELIN C
• Application Number:
  US12/641,125
• Publication Number:
  US 20100161027A1
• Time in Patent Office: 1,552 Days
• Field of Search: 606/108, 606/198, 606/194, 623 111- 116, 623/1.35, 623/1.36, 623/1.23
• US Class Current: 623/1.13
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/848 having means for fixation to the vessel wall, e.g. barbs
• 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 2/91 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 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2002/8483 Barbs
• CPC Class Codes: A61F 2002/8486 provided on at least one of the ends
• CPC Class Codes: A61F 2002/91508 the meander having a difference in amplitude along the band
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2220/0058 soldered or brazed or welded
• 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 2250/0048 differing in mechanical expandability, e.g. in mechanical, self- or balloon expandability

Abstract

A stent includes a main body having proximal and distal ends, and at least one conformance strut coupled to the proximal end of the main body. A portion of the at least one conformance strut extends proximal to a proximal end of a graft material in a compressed delivery configuration, and further is aligned inside the proximal end of the graft material in an expanded deployed configuration. In the deployed configuration, the proximal conformance strut may at least partially encircle the graft material just distal to the proximal end of the graft material, which may reduce the likelihood of infolding at the proximal edge of the graft material and potential endoleaks.

Claims

1. A stent-graft for use in a medical procedure, the stent-graft comprising:

a substantially tubular graft material; and

at least one stent coupled to the graft material and having compressed and deployed configurations,

where a proximal end of the stent comprises a plurality of proximal apices at least one conformance strut having a compressed delivery configuration and an expanded deployed configuration, and

where, in the compressed delivery configuration, the at least one conformance strut comprises a first end and a second end and a proximally extending loop between the first and second ends that is substantially parallel to a longitudinal axis of the stent and extends beyond a proximal end of the graft material, where the first end of the conformance strut is coupled to a first proximal apex of the stent and the second end of the conformance strut is coupled to an adjacent, second proximal apex of the stent wherein the first end of the conformance strut converges with the second end such that the respective ends substantially abut each other at a location proximal of the proximal end of the stent, and

where, in the deployed configuration, the at least one conformance strut is disposed substantially perpendicular to the longitudinal axis and is aligned inside the proximal end of the graft material.

2. The stent-graft of claim 1 where the at least one conformance strut is integrally formed with the stent.

3. The stent-graft of claim 1 where the stent comprises a zig-zag shape having a plurality of proximal and distal apices, where at least one conformance strut is disposed between adjacent proximal apices.

4. The stent-graft of claim 3 where each proximal apex is connected to the next adjacent proximal apex by a conformance strut to form a proximal conformance ring when the conformance struts are in the deployed configuration.

5. The stent-graft of claim 1 where, in the deployed configuration, the at least one conformance strut is wave-shaped.

6. The stent-graft of claim 1 where, in the deployed configuration, the at least one conformance strut is concave-shaped relative to a main body of the stent.

7. The stent-graft of claim 1 where, in the deployed configuration, the at least one conformance strut is convex-shaped relative to a main body of the stent.

8. The stent-graft of claim 1 wherein the conformance strut further comprises a central region disposed between the first and second ends.

9. The stent-graft of claim 8 further comprising a trigger wire removably engaged with the central region of the conformance strut, the trigger wire configured to restrain the stent in the compressed delivery configuration.

10. A stent for use in a medical procedure, the stent comprising:

a main body having proximal and distal ends, and further comprising at least one conformance strut coupled to the proximal end of the main body, where the main body and the at least one conformance strut each comprise a compressed delivery configuration and each comprise an expanded deployed configuration,

where the main body is formed from a single zig-zag stent ring, which in the deployed configuration comprises a plurality of substantially straight first segments and second segments having a plurality of proximal and distal apices disposed therebetween,

where the at least one conformance strut comprises a first end, a second end, and a central region formed therebetween, where the first end of the conformance strut is coupled to a first proximal apex of the main body, and the second end of the conformance strut is coupled to an adjacent, second proximal apex of the main body, and wherein the first end of the conformance strut converges with the second end of the conformance strut such that the respective first and second ends substantially abut each other at a location proximal of the proximal end of the main body,

where the at least one conformance strut extends proximal to the proximal apices of the main body in the compressed delivery configuration, and further forms a substantially ring shape together with the proximal apices of the main body in the expanded deployed configuration,

where the at least one conformance strut comprises a portion having a reduced profile relative to the main body.

11. The stent of claim 10 where the at least one conformance strut is integrally formed with the main body.

12. The stent of claim 10 where the central region of each of the conformance struts comprises an arcuate shape in the compressed delivery configuration.

13. The stent of claim 10 where, in the deployed configuration, the at least one conformance strut is wave-shaped.

14. The stent of claim 10 where, in the deployed configuration, the at least one conformance strut is concave-shaped relative to the main body of the stent.

15. The stent of claim 10 further comprising at least one integral barb formed in at least one of the first and second segments of the main body.

16. The stent of claim 10 where the reduced profile comprises at least one of a reduced width, thickness or cross-sectional area.

17. The stent-graft of claim 10 further comprising a trigger wire removably engaged with the central region of the conformance strut, the trigger wire configured to restrain the stent in the compressed delivery configuration.