Stent and stent-graft designs

• US 9,060,853 B2
• Filed: 10/17/2013
• Issued: 06/23/2015
• Est. Priority Date: 04/28/2011
• Status: Active Grant

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Original Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Inventors: Roeder, Blayne A., Rasmussen, Erik E., Gopalakrishnamurthy, Sharath, Dierking, William K.
• Primary Examiner(s): GHERBI, SUZETTE JAIME J
• Application Number:
  US14/056,502
• Publication Number:
  US 20140039601A1
• Time in Patent Office: 614 Days
• Field of Search: 623 115- 136
• US Class Current: 1/1
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/82 Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents stent-grafts for tubular structures of the body other than blood vessels A61F2/04; stent-grafts for blood vessels A61F2/07; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95; for closing wounds, or holding wounds closed A61B17/04 - A61B17/115; dilators A61M29/00
• 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 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 2002/91575 connected peak to trough
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• 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 2230/0013 Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped

Abstract

The present embodiments provide stents and stent-grafts for use in medical procedures. In one embodiment, a stent comprises a series of proximal apices, a series of distal apices, and at least one imaging element. A first suture bore is disposed in a surface of the stent at a location distal to the imaging element, and is adapted to receive a suture for coupling a portion of the stent to a graft material. A distal region of the stent, including the series of distal apices and the first suture bore, overlaps with the graft material, while a proximal region of the stent, including the series of proximal apices and at least one barb, is disposed proximally beyond the graft material. In an alternative embodiment, a stent-graft comprises a graft, a first stent and a second stent, in which a series of proximal apices of the first stent are each disposed distal to the proximal end of the graft, and a series of proximal apices of the second stent are each disposed proximally beyond the proximal end of the graft.

Claims

1. A prosthesis comprising:

a substantially tubular graft having a first end, a second end, a first edge at the first end, and a second edge at the second end, each of the first and second edges defining a periphery about the end of the graft;

an expandable stent attached to the graft at one of the ends of the substantially tubular graft, and having a first end, a second end, and a plurality of apices at the second end, each apex having a surface;

a suture bore disposed through the surface of each of the plurality of apices of the second end of the stent, the suture bore disposed inwardly of an edge of the graft;

an imaging bore disposed through the surface of each of the plurality of apices of the second end of the stent, the imaging bore disposed directly axially adjacent the suture bore;

an imaging element disposed in each imaging bore and having an area;

wherein each imaging element is aligned precisely with one of the first and second edges of the graft such that the area of the imaging element overlaps edge of the graft and the location of the imaging element corresponds precisely with the edge of the graft with which it is aligned and provides precise imaging of the edge about the periphery.

2. The prosthesis of claim 1, wherein the first edge of the graft is a proximal edge of the graft and the second edge of the graft is a distal edge of the graft, and the first stent end is a proximal end of the stent and the second stent end is a distal stent end.

3. The prosthesis of claim 2, where the imaging element is aligned precisely with the proximal edge of the graft.

4. The prosthesis of claim 1, wherein the imaging element is aligned precisely with the first edge of the graft.

5. The prosthesis of claim 1, wherein the imaging element is aligned precisely with the second edge of the graft.

6. The prosthesis of claim 5, wherein the proximal end of the stent extends beyond the proximal end of the graft.

7. The prosthesis of claim 2 wherein the suture bore is spaced distally of the imaging element.

8. A stent-graft comprising:

a graft, at least a portion of which is tubular, having a first end, a second end, a first edge having a periphery, and a second edge having a periphery;

a stent having a first end and a second end, wherein the first end is attached to the graft and adjacent to the first edge of the graft, and wherein the first end comprises a plurality of apices;

a plurality of imaging elements affixed to the stent, such that at least two of the plurality of apices has an imaging element affixed thereto;

wherein the plurality of imaging elements is disposed about the periphery of and precisely aligned with the first edge of the graft such that the location of the imaging elements corresponds precisely with the periphery and the first edge of the graft thereby providing precise imaging of the first edge of the graft about the periphery; and

where each imaging element has an area that overlaps the graft.

9. The stent graft of claim 8, wherein an imaging element of the plurality of imaging elements is affixed to each of the plurality of apices.

10. The stent graft of claim 8, wherein the stent comprises a plurality of imaging bores in the apices of the stent, wherein each of the imaging bores has a luminal opening and an abluminal opening and the imaging elements are disposed within the imaging bores.

11. The stent graft of claim 8, wherein the first edge of the graft is a proximal edge of the graft and the imaging elements are disposed at the proximal edge of the graft.

12. The stent graft of claim 8, wherein the first edge of the graft is a distal edge of the graft and the imaging elements are disposed at the distal edge of the graft.

13. A stent-graft comprising:

a graft, at least a portion of which is tubular, having a first end, a second end, a first opening, a second opening, a lumen defined between the first and second openings,

a first peripheral edge about the first opening defining a terminal end of the graft,

a second peripheral edge about the second opening defining a terminal end of the graft;

a stent attached to the graft and having a first end and a second end, at least the first end comprising a plurality of apices each having a luminal side and an abluminal side, and having an imaging bore extending through the apices from the luminal side to the abluminal side;

an imaging element disposed within each of the imaging bores, the imaging element comprising a material having greater visualization under imaging techniques than a material of the stent, and each imaging element being visible from both the luminal side and the abluminal side of the apices;

wherein each imaging element has an area and is aligned precisely with a peripheral edge of the graft such that the location of the imaging element corresponds precisely with the peripheral edge of the graft with which it is aligned thereby providing precise imaging of the peripheral edge, and

wherein the imaging element has an area and the area overlaps the edge of the graft.

14. The stent graft of claim 13, wherein the imaging elements are disposed at the proximal edge of the graft.

15. The stent graft of claim 13, wherein the imaging elements are disposed at the distal edge of the graft.

16. The stent graft of claim 13, further comprising an attachment bore in each of the apices adjacent to the imaging bore.

17. The stent graft of claim 16 where the attachment bores are disposed inwardly of an edge of the graft.