Ureteral stent for improved patient comfort

• US 8,845,752 B2
• Filed: 07/26/2012
• Issued: 09/30/2014
• Est. Priority Date: 11/07/1995
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: McWeeney, John O., Whitmore, Willet F. III, Rubin, Stephani
• Primary Examiner(s): STIGELL, THEODORE J
• Application Number:
  US13/559,224
• Publication Number:
  US 20130024003A1
• Time in Patent Office: 796 Days
• Field of Search: 623 2364- 2366, 623/23.7
• US Class Current: 623/23.66
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2018/00148 with metal
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61F 2/94 Stents retaining their form, i.e. not being deformable, after placement in the predetermined place
• CPC Class Codes: A61F 2002/048 Ureters
• CPC Class Codes: A61F 2220/0075 sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61M 2210/1082 Kidney
• CPC Class Codes: A61M 27/008 pre-shaped, for use in the urethral or ureteral tract

Abstract

A ureteral stent for assisting the movement of urine along a patient'"'"'s ureter and into the patient'"'"'s bladder. The stent includes an elongated tubular segment extending toward the bladder from a kidney end region for placement in the renal cavity to a bladder end region. A central lumen connects at least one opening at the first end region to at least one opening in the bladder end region. Thin flexible tail(s) are attached to the bladder end region of the tubular segment at a point outside the bladder so as to receive urine from the opening in the bladder end region of the tubular segment and to transport urine from there across the ureter/bladder junction and into the bladder.

Claims

1. A ureteral stent, comprising:

a tubular body defining a lumen, the tubular body being of a length that extends from a kidney of a patient to a portion of a ureter between a bladder of the patient and the kidney such that a proximal end of the tubular body terminates in the portion of the ureter between the bladder and the kidney, a distal region of the tubular body including a retention structure configured to help retain the ureteral stent within the kidney; and

at least one filament extending from the proximal end of the tubular body, the at least one filament being of a length that extends from the portion of the ureter between the bladder and the kidney to a location within the bladder, wherein the at least one filament is configured to transfer fluid received from the proximal end of the tubular body to the bladder along a surface of the at least one filament.

2. The ureteral stent of claim 1, wherein the proximal end of the tubular body defines an opening, the at least one filament being coupled to the proximal end via a loop through the opening of the proximal end of the tubular body.

3. The ureteral stent of claim 1, wherein the at least one filament forms a loop.

4. The ureteral stent of claim 1, wherein the filament forms a loop having a first portion extending monolithically from the proximal end of the tubular body and a second portion extending monolithically from the proximal end of the tubular body.

5. The ureteral stent of claim 1, wherein the at least one filament includes multiple filaments forming multiple loops.

6. The ureteral stent of claim 1, wherein the at least one filament forms a loop, a distal end of the loop extends distally from a ureteral orifice of the patient about 3 centimeters or more.

7. The ureteral stent of claim 1, wherein the at least one filament forms a loop, the loop includes a pliable portion, the pliable portion being softer than a portion of the tubular body.

8. The ureteral stent of claim 1, wherein the at least one filament forms a loop, the loop includes a pliable portion, the pliable portion is compressible upon an exertion of a pressure by a ureteral orifice of the patient.

9. The ureteral stent of claim 1, wherein the at least one filament forms a loop, the loop includes a pliable portion, the pliable portion is configured to collapse sufficiently to inhibit urine reflux.

10. The ureteral stent of claim 1, wherein the at least one filament forms a loop, and the loop is configured to transfer fluid along an interstitial space disposed between strands of the loop.

11. The ureteral stent of claim 1, wherein the at least one filament forms a loop, the loop is configured to transfer fluid along an interstitial space disposed between strands of the loop, the interstitial space being at least partially collapsible upon exertion of body pressure.

12. The ureteral stent of claim 1, wherein the at least one filament has a diameter less than approximately 0.040 inches.

13. The ureteral stent of claim 1, wherein a hardness of the tubular body gradually decreases from a distal portion of the tubular body to the proximal end of the tubular body.

14. The ureteral stent of claim 1, wherein the tubular body includes an opening on a surface of the tubular body, and the at least one filament includes a lumen, wherein the ureteral stent further includes a suture configured to extend through the opening and through the lumen of the at least one filament.

15. A ureteral stent for assisting flow of urine, the stent comprising:

an elongated tubular segment, the elongated tubular segment including a coiled end region configured to be positioned substantially in a kidney of a patient, the elongated tubular segment being of a length that extends from a kidney of a patient to a portion of a ureter between a bladder of the patient and the kidney such that the elongated tubular segment terminates in the portion of the ureter between the bladder and the kidney; and

a flexible elongated tail extending monolithically from the proximal end of the elongated tubular segment, the flexible elongated tail including at least one thread being configured to extend from the portion of the ureter between the bladder and the kidney to a location within the bladder, wherein the at least one thread is configured to transfer fluid received from the proximal end of the elongated tubular segment to the bladder along a surface of the at least one filament.

16. The stent of claim 15, wherein the flexible elongated tail includes multiple threads.

17. The stent of claim 15, wherein the flexible elongated tail is solid.

18. The stent of claim 15, wherein the flexible elongated tail is hollow.

19. The stent of claim 15, wherein the elongated tubular segment includes multiple openings along its length.