Endoprosthesis for vascular bifurcation

• US 8,864,817 B2
• Filed: 07/09/2012
• Issued: 10/21/2014
• Est. Priority Date: 11/08/2002
• Status: Expired due to Fees

• Current Assignee: Jacques Seguin, Jean-Claude Laborde
• Original Assignee: Jacques Seguin, Jean-Claude Laborde
• Inventors: Sguin, Jacques, LaBorde, Jean-Claude
• Primary Examiner(s): SEVERSON, RYAN J
• Application Number:
  US13/544,714
• Publication Number:
  US 20130041450A1
• Time in Patent Office: 834 Days
• Field of Search: 623/1.15, 623/1.3, 623/1.31, 623/1.35
• US Class Current: 623/1.15
• 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 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2002/067 modular
• CPC Class Codes: A61F 2002/91541 Adjacent bands are arranged out of phase
• CPC Class Codes: A61F 2002/91558 connected peak to peak
• CPC Class Codes: A61F 2230/0067 conical
• CPC Class Codes: A61F 2250/0039 differing in diameter
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers

Abstract

An apparatus for treating an area of bifurcation where a principal body conduit separates into at least two secondary conduits comprises a radially expandable first stent body. The first stent body has a substantially conical shape and a first end having a greater diameter than a second end when fully expanded. The first stent body is preferably shaped to be independent of any other stent bodies, and is free of any means for connecting to any other stent bodies when fully expanded.

Claims

1. An assembly for positioning an apparatus for treating an area of bifurcation where a principal body conduit separates into at least two secondary conduits and wherein the principal conduit increases in cross section to the junction with the secondary conduits, said assembly comprising positioning equipment and the apparatus, the apparatus comprising a radially expandable first stent body configured to be engaged in the primary conduit in the area of bifurcation, wherein:

said first stent body being radially expandable and having, in a predetermined fully expanded state, a first distal end having a greater diameter than a second proximal end, and a cross section substantially greater than a cross section of one of the secondary conduits;

the first distal end being substantially conical and the second proximal end being substantially cylindrical;

the first stent body being shaped to conform to the increasing cross section of the principal conduit, in the area of a widened transitional zone of the bifurcation that separates the principal conduit from the secondary conduits, in the direction of at least one secondary conduit, said first end opening out in the direction of said secondary conduits upon expansion;

the first stent body being shaped to be independent of other stent bodies, and free of means for connecting to other stent bodies, when the first stent body is in a predetermined fully expanded state; and

the positioning equipment being capable of carrying the stent.

2. The assembly of claim 1, further comprising at least one radially expandable second stent body having, in a predetermined fully expanded state, a substantially cylindrical shape, said second stent body being configured to be engaged in a said secondary conduit;

the cross section of the at least one second stent body, in the predetermined fully expanded state, being less than the cross-section of the first distal and second proximal ends of the first stent body when the first stent body is in its predetermined expanded state.

3. The assembly of claim 2, said first and second stent bodies having a meshwork structure formed of meshes elongated in a longitudinal direction of the apparatus, each mesh having a substantially hexagonal shape, wherein the meshes of said first stent body have a width which increases progressively in the longitudinal direction of the apparatus with the meshes toward the first distal end of the first stent body having the greatest cross section in the expanded state.

4. The assembly of claim 2, the first stent body being configured to be engaged in the principal conduit only, and the at least one second stent body being configured to be engaged in one secondary conduit only.

5. The assembly of claim 2, said first and second stent bodies being made from first and second tubes of material, respectively, the first tube having a larger diameter than the second tube.

6. The assembly of claim 5, said tubes being made of the same material.

7. The assembly of claim 1, further comprising a plurality of radially expandable second stent bodies capable of being placed one after the other in a said secondary conduit and having, in the predetermined expanded state, a cross section that is substantially greater than the cross section of that secondary conduit.

8. The assembly of claim 1, wherein the first stent body is made from a single tube with different patterns of cuts.

9. The assembly of claim 1, wherein the first stent body is made from a nickel-titanium alloy.

10. The assembly of claim 1, wherein the positioning equipment comprises a support core and a retractable sheath.

11. The assembly of claim 10, wherein the support core is configured to support the first stent body in a contracted state.

12. The assembly of claim 10, further comprising markers on the sheath, the support core, and/or the first stent body.

13. The assembly of claim 10, wherein the support core comprises a longitudinal axial hole, such as a lumen, for engagement on a guide wire.

14. The assembly of claim 1, wherein the positioning equipment further comprises a marker to identify the angular orientation of the first stent body with respect to the bifurcation.

15. The assembly of claim 1, wherein the positioning equipment further comprises a marker to identify the longitudinal location of the first stent body with respect to the bifurcation.

16. A kit for treating an area of vascular bifurcation where a principal conduit separates into at least two secondary conduits and wherein the principal conduit increases in cross section to the junction with the multiple conduits, said kit comprising:

a packaging element, and

the assembly of claim 1.

17. The kit of claim 16, said kit consisting only of said packaging element and the assembly of claim 1.