Vascular stent with improved vessel wall apposition

• US 9,028,540 B2
• Filed: 03/23/2012
• Issued: 05/12/2015
• Est. Priority Date: 03/25/2011
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Wainwright, John, Ma, Jianlu, Losordo, Michael Louis
• Primary Examiner(s): SEVERSON, RYAN J
• Application Number:
  US13/428,822
• Publication Number:
  US 20120245671A1
• Time in Patent Office: 1,145 Days
• Field of Search: 623/1.1, 623/1.11, 623/1.12, 623/1.15, 623/1.17, 623/1.18, 623/1.19, 623/1.2, 623/1.23, 623/1.3, 623/1.37
• US Class Current: 623/1.12
• CPC Class Codes: A61B 17/12031 complete occlusion
• CPC Class Codes: A61B 17/12118 for positioning in conjunction with a stent
• CPC Class Codes: A61B 17/1214 Coils or wires
• CPC Class Codes: A61F 2/848 having means for fixation to the vessel wall, e.g. barbs
• CPC Class Codes: A61F 2/915 with bands having a meander structure, adjacent bands being connected to each other
• CPC Class Codes: A61F 2/92 Stents in the form of a rolled-up sheet expanding after insertion into the vessel , e.g. with a spiral shape in cross-section
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2002/823 Stents, different from stent-grafts, adapted to cover an aneurysm
• CPC Class Codes: A61F 2002/9155 Adjacent bands being connected to each other
• CPC Class Codes: A61F 2002/91575 connected peak to trough
• CPC Class Codes: A61F 2002/9505 having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2002/9528 for retrieval of stents
• CPC Class Codes: A61F 2002/9534 for repositioning of stents
• CPC Class Codes: A61F 2230/0054 V-shaped
• CPC Class Codes: A61F 2250/0036 differing in thickness

Abstract

A medical device is provided. The medical device includes a vessel-engaging member attached to a distal end of a delivery wire via a connection mechanism. The vessel-engaging member includes a plurality of rows and a plurality of bridges positioned between each adjacent row, each of the bridges connecting a vertex of a first row with a corresponding vertex of a second row. The vessel-engaging member further includes first and second tapered sections coupled to the connection mechanism, each of the tapered sections projecting from a proximal row and tapering in a direction from the proximal row toward the connection mechanism, each of the tapered sections having a length measured along a longitudinal axis, wherein the length of the first tapered section is less than the length of the second tapered section.

Claims

1. A medical device, comprising:

a delivery wire having a proximal end and a distal end;

a connection mechanism; and

a vessel-engaging member attached to the distal end of the delivery wire via the connection mechanism, the vessel-engaging member comprising;

a plurality of rows, each row having a plurality of struts arranged in an alternating pattern such that for each row, a first set of vertices is positioned on a proximal side, and a second set of vertices is positioned on a distal side;

a plurality of bridges positioned between each adjacent row, each of the bridges connecting a vertex of a first row with a vertex of a second row, the vertex of the first row lying substantially along a line parallel to a longitudinal axis of the vessel-engaging member and the vertex of the second row lying outside the line, each of the bridges extending continuously distally from the vertex of the first row to the vertex of the second row, a cross-sectional width of each of the plurality of bridges being less than a cross-sectional width of each of the struts to which that bridge connects; and

first and second tapered sections coupled to the connection mechanism, each of the tapered sections projecting from a proximal row and tapering in a direction from the proximal row toward the connection mechanism, each of the tapered sections having a length measured along the longitudinal axis;

wherein the length of the first tapered section is less than the length of the second tapered section.

2. The medical device of claim 1, wherein each bridge has a bridge angle relative to the longitudinal axis of the member of between ten and fifty degrees.

3. The medical device of claim 1, wherein each of the plurality of struts has a strut length, each bridge has a bridge length, and the strut length is greater than the bridge length.

5. The medical device of claim 1, further comprising first and second connecting members with distal ends connected to the proximal row and proximal ends connected to the first tapered section.

6. The medical device of claim 5, wherein the first and second connecting members intersect.

7. The medical device of claim 1, wherein the first tapered section is connected to the proximal row at a middle vertex and a first strut endpoint, and the second tapered section is connected to the proximal row at the middle vertex and a second strut endpoint.

8. The medical device of claim 1, wherein the device has a working region and a first and second non-working region, each region having a length, the working region comprising the plurality of rows and a portion of the tapered sections, the first non-working region comprising a remaining portion of the first tapered section, the second non-working region comprising a remaining portion of the second tapered section.

9. The medical device of claim 8, wherein the length of the first non-working region is less than the length of the second non-working region.

10. The medical device of claim 1, wherein the distal end of the delivery wire comprises a first connection wire and a second connection wire, wherein the first connection wire is releasably connected to the first tapered section via the connection mechanism, and the second connection wire is releasably connected to the second tapered section via the connection mechanism.

4. The medical device of embodiment 1, wherein each of the plurality of struts has a strut length, each bridge has a bridge length, and the strut length and the bridge length are the same.

11. A method of implanting a medical device in the neurovasculature comprising:

inserting a guide catheter into the neurovasculature;

inserting a microcatheter through the distal end of the guide catheter;

inserting a vessel-engaging member into the microcatheter such that the distal portion of the member is located adjacent a treatment site in the neurovasculature, wherein the member comprises;

a plurality of rows, each row having a plurality of struts arranged in an alternating pattern such that for each row, a first set of vertices is positioned on a proximal side and a second set of vertices is positioned on a distal side;

a plurality of bridges positioned between each adjacent row, each of the bridges connecting a vertex of a first row with a vertex of a second row, the vertex of the first row lying substantially along a line parallel to a longitudinal axis of the vessel-engaging member and the vertex of the second row lying outside the line, each of the bridges extending continuously distally from the vertex of the first row to the vertex of the second row, a cross-sectional width of each of the plurality of bridges being less than a cross-sectional width of each of the struts to which that bridge connects; and

first and second tapered sections projecting from a proximal row and tapering in a direction from the proximal row toward a proximal end of the member, each of the tapered sections having a length measured along the longitudinal axis;

wherein the length of the first tapered section is less than the length of the second tapered section; and

withdrawing the microcatheter so as to expose and deploy the vessel-engaging member, the vessel-engaging member configured to expand against and engage the treatment site.

12. The method of claim 11, further comprising retrieving the vessel-engaging member by moving the microcatheter until the microcatheter covers a portion of the vessel-engaging member, and then withdrawing both the microcatheter and vessel-engaging member together proximally.

13. The method of claim 11, wherein expanding against and engaging the treatment site comprises extending the vessel-engaging member across a neck of an aneurysm, wherein the vessel-engaging member inhibits dislodging of objects out of the neck of the aneurysm.

14. The method of claim 13, further comprising inserting embolic material into a fundus of the aneurysm.

15. The method of claim 14, wherein inserting embolic material comprises inserting coils.

16. The method of claim 11, further comprising detaching the vessel-engaging member via a connection mechanism.

17. The method of claim 16, further comprising repositioning the vessel-engaging member prior to detachment.

18. The method of claim 11, wherein the treatment site comprises a lumen with tortuous curvature.

19. A method of implanting a medical device in a lumen at a tortuous curve, comprising:

inserting a vessel-engaging member into the lumen, the member comprising;

a plurality of rows, each row having a plurality of struts arranged in an alternating pattern such that for each row, a first set of vertices is positioned on a proximal side and a second set of vertices is positioned on a distal side;

a plurality of bridges positioned between each adjacent row, each of the bridges connecting a vertex of a first row with a vertex of a second row, the vertex of the first row lying substantially along a line parallel to a longitudinal axis of the vessel-engaging member and the vertex of the second row lying outside the line, each of the bridges extending continuously distally from the vertex of the first row to the vertex of the second row, a cross-sectional width of each of the plurality of bridges being less than a cross-sectional width of each of the struts to which that bridge connects; and

first and second tapered sections projecting from a proximal row and tapering in a direction from the proximal row toward a proximal end of the member, each of the tapered sections having a length measured along the longitudinal axis;

wherein the length of the first tapered section is less than the length of the second tapered section; and

contacting a wall of the lumen with the member at an apex of the tortuous curve by deflecting the plurality of bridges adjacent to the apex so that vertices adjacent to the deflecting the plurality of bridges contact the wall of the lumen.