Slide-and-lock stent

• US 9,173,751 B2
• Filed: 09/13/2012
• Issued: 11/03/2015
• Est. Priority Date: 12/17/2004
• Status: Expired due to Fees

• Current Assignee: REVA Medical Inc.
• Original Assignee: REVA Medical Inc.
• Inventors: Schmid, Eric V., Nguyen, John D., Howard, Steven C., Padilla, Orlando M., Morris, Andrew, Eisele, Robert F., Moore, Daniel, Jackson, Thomas R., Zeltinger, Joan
• Primary Examiner(s): HOLWERDA, KATHLEEN SONNETT
• Application Number:
  US13/615,339
• Publication Number:
  US 20130253631A1
• Time in Patent Office: 1,146 Days
• Field of Search: 606/191, 606/194, 623 111- 154
• US Class Current: 1/1
• 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 2/92 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 2/93 circumferentially expandable by using ratcheting locks
• CPC Class Codes: A61F 2210/0076 multilayered, e.g. laminated structures
• CPC Class Codes: A61F 2220/005 using adhesives
• CPC Class Codes: A61F 2220/0058 soldered or brazed or welded
• CPC Class Codes: B33Y 80/00 Products made by additive manufacturing

Abstract

The invention relates to an expandable stent comprising circumferentially adjacent modules. The modules comprise longitudinally adjacent slide-and-lock radial elements which permit one-way sliding of the radial elements from a collapsed diameter to an expanded/deployed diameter, but inhibit radial recoil from the expanded diameter.

Claims

1. A slide-and-lock stent, comprising a tubular member having longitudinal, radial, and circumferential axes, and luminal and abluminal surfaces, the tubular member comprising:

a first longitudinal module and a second longitudinal module, the first longitudinal module and the second longitudinal module each comprising;

a first end, a second end longitudinally opposite the first end, and an intermediate portion joining the first end and the second end, the first end comprising a closed loop, the closed loop comprising an opening that extends between the luminal and abluminal surfaces, wherein a longitudinal axis of the closed loop extends parallel to the circumferential axis of the tubular member; and

a spine extending along the intermediate portion, the spine comprising alternating peaks and valleys;

a protrusion extending from at least one of the peaks of the first longitudinal module, the protrusion comprising a first lockout tooth and a second lockout tooth; and

a slot extending through a region of at least one of the valleys of the second longitudinal module;

wherein the protrusion of the first longitudinal module is configured to slidably engage with the slot of the second longitudinal module thereby circumferentially engaging the first longitudinal module and the second longitudinal module,

wherein the lockout tooth is configured to allow one-way slidable movement of the first longitudinal module relative to the second longitudinal module during expansion of the tubular member from a radially unexpanded state to a radially expanded state.

2. The slide-and-lock stent of claim 1, wherein the second end comprises a second closed loop.

3. The slide-and-lock stent of claim 1, wherein each of the peaks is longitudinally adjacent at least one of the valleys, the longitudinally adjacent peaks and valleys being circumferentially separated by an amplitude, the amplitude being substantially constant along the spine.

4. The slide-and-lock stent of claim 1, wherein the spine has a generally sinusoidal shape.

5. The slide-and-lock stent of claim 1, wherein the protrusion comprises a first lockout tooth configured to provide a first level of resistance to the expansion of the tubular member and a second lockout tooth configured to provide a second level of resistance to the expansion of the tubular member.

6. The slide-and-lock stent of claim 5, wherein:

the first lockout tooth is configured to engage with the slot prior to the second lockout tooth engaging with the slot during expansion of the tubular member from the radially unexpanded state to the radially expanded state; and

the first level of resistance is greater than the second level of resistance.

7. The slide-and-lock stent of claim 1, wherein the stent has no flexible linkage elements.

8. The slide-and-lock stent of claim 1, wherein the protrusion further comprises two deflectable members having a gap therebetween, the deflectable members being configured to flex longitudinally as the lockout tooth engages with the slot.

9. The slide-and-lock stent of claim 1, wherein the protrusion has a radial thickness that is less than a radial thickness of the spine.

10. The slide-and-lock stent of claim 9, the radial thickness of the stent is substantially constant.

11. The slide-and-lock stent of claim 1, wherein:

the modules comprise (n) material layers, wherein (n) is at least two;

wherein the protrusion and a portion of the spine each comprise less than (n) material layers; and

the total number of material layers at the portion of the spine equals (n) when the protrusion from the first module is slidably engaged within the slot from the second module, such that the thickness of the slide-and-lock stent is uniform and does not exceed (n) layers.

12. The slide-and-lock stent of claim 1, wherein a cross-sectional geometry of at least a portion of the stent is tapered so as to produce generally uniform blood flow characteristics when the stent is placed in a blood vessel lumen.

13. The slide-and-lock stent of claim 1, wherein the first longitudinal module comprises a plurality of protrusions and the second longitudinal module comprises a corresponding plurality of slots, wherein each of the plurality of protrusions is configured to slidably engage the corresponding slot of the plurality of slots.

14. The slide-and-lock stent of claim 13, wherein each of the plurality of protrusions is configured to move independent of the others of the plurality of protrusions, thereby facilitating a diameter of the stent varying along the longitudinal axis.

15. The slide-and-lock stent of claim 1, wherein the slot extends radially through a thickness of the second longitudinal module from a luminal to an abluminal surface of the second longitudinal module.

16. The slide-and-lock stent of claim 1, wherein the at least one of the valleys comprises an apex, and wherein the slot is positioned at the apex.

17. The slide-and-lock stent of claim 1, wherein:

at least one of the valleys comprises an apex; and

a portion of the slot is defined by a longitudinally extending crossmember, the crossmember circumferentially spaced from the apex.

18. The slide-and-lock stent of claim 1, wherein the first longitudinal module further comprises a second slot extending through a region of at least one of the valleys of the first longitudinal modules, and wherein the second longitudinal module further comprises a second protrusion comprising a second lockout tooth and extending from at least one of the peaks of the second longitudinal module;

wherein each protrusion is configured to slidably engage with each slot; and

wherein the second lockout tooth is configured to allow one-way slidable movement of the second longitudinal module relative to the first longitudinal module during expansion of the tubular member from a radially unexpanded state to a radially expanded state.

19. A slide-and-lock stent, comprising a tubular member having longitudinal, radial, and circumferential axes, the tubular member comprising:

a plurality of longitudinal modules, each of the longitudinal modules being monolithic, identical in shape, and comprising;

a first end, a second end longitudinally opposite the first end, and an intermediate portion joining the first end and the second end;

a spine extending along the intermediate portion, the spine comprising alternating peaks and valleys;

a protrusion extending from at least one of the peaks, the protrusion comprising a lockout tooth; and

a slot extending through a region of at least one of the valleys;

wherein the protrusion of a first of the plurality of longitudinal modules is configured to slidably engage with the slot of a second of the plurality of longitudinal modules thereby circumferentially engaging the first of the plurality of longitudinal modules and the second of the plurality of longitudinal modules,

wherein the lockout tooth is configured to allow one-way slidable movement of the first of the plurality of longitudinal modules relative to the second of the plurality of longitudinal modules during expansion of the tubular member from a radially unexpanded state to a radially expanded state.

20. The slide-and-lock stent of claim 19, wherein the lockout tooth extends at least partially radially.

21. A slide-and-lock stent, comprising a tubular member having longitudinal, radial, and circumferential axes, the tubular member configured to expand from a radially collapsed state to a radially expanded state, tubular member comprising:

a plurality of longitudinal modules, each of the longitudinal modules comprising;

a spine comprising a plurality of peaks, a plurality of valleys, and a plurality of struts, the peaks and valley alternating along the longitudinal axis, each of the peaks connected to at least one of the valleys by at least one of the struts, each of the struts extending substantially circumferentially and having a first circumferential length;

a protrusion extending substantially circumferentially from at least one of the peaks, the protrusion comprising a lockout tooth, the protrusion having a second circumferential length, the second circumferential length being less than the first circumferential length; and

a slot extending through a region of at least one of the valleys, the slot extending from a first closed end to a second closed end in a circumferential direction;

wherein the protrusion of a first of the plurality of longitudinal modules is configured to slidably engage with the slot of a second of the plurality of longitudinal modules thereby circumferentially engaging the first of the plurality of longitudinal modules and the second of the plurality of longitudinal modules,

wherein the lockout tooth is configured to allow one-way slidable movement of the first of the plurality of longitudinal modules relative to the second of the plurality of longitudinal modules during expansion of the tubular member from the radially collapsed state to the radially expanded state.

22. The slide-and-lock stent of claim 21, wherein each of the struts is oriented along a plane substantially perpendicular to the longitudinal axis when the tubular member is in the radially collapsed state.

23. A slide-and-lock stent, comprising a tubular member having longitudinal, radial, and circumferential axes, and luminal and abluminal surfaces, the tubular member comprising:

a first longitudinal module and a second longitudinal module, the first longitudinal module and the second longitudinal module each comprising;

a first end, a second end longitudinal opposite the first end and an intermediate portion joining the first end and the second end the first end comprising a closed loop, the closed loop comprising an opening that extends between the luminal and abluminal surfaces; and

a spine extending along the intermediate portion, the spine comprising alternating peaks and valleys;

a protrusion extending from at least one of the peaks of the first longitudinal module, the protrusion comprising a first lockout tooth and a second lockout tooth; and

a slot extending through a region of at least one of the valleys of the second longitudinal module;

wherein the protrusion of the first longitudinal module is configured to slidably engaged with the slot of the second longitudinal module thereby circumferentially engaging the first longitudinal module and the second longitudinal module;

wherein the first lockout tooth and the second lockout tooth are configured to allow one-way slidable movement of the first longitudinal module relative to the second longitudinal module during expansion of the tubular member from a radially unexpanded state to a radially expanded state;

wherein the first lockout tooth is configured to engage with the slot prior to the second lockout tooth engaging with the slot during expansion of the tubular member from the radially unexpanded state to the radially expanded state; and

wherein the first lockout tooth is configured to provide a first level of resistance to the expansion of the tubular member and the second lockout tooth is configured to provide a second level of resistance to the expansion of the tubular member, the first level of resistance being greater than the second level of resistance.