Stent with a crush-resistant zone

• US 9,259,336 B2
• Filed: 06/06/2007
• Issued: 02/16/2016
• Est. Priority Date: 06/06/2006
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Schaeffer, Darin G., Boatman, Scott E., Dittman, Jay A., Hartley, David Earnest
• Primary Examiner(s): Sweet, Thomas J
• Assistant Examiner(s): Mathew, Seema
• Application Number:
  US11/810,533
• Publication Number:
  US 20070293940A1
• Time in Patent Office: 3,177 Days
• Field of Search: 623/1.11, 623/1.13, 623/1.15, 623/1.31, 623/1.35, 623/23.64, 623/23.65
• US Class Current: 1/1
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/856 Single tubular stent with a side portal passage
• CPC Class Codes: A61F 2/86 Stents in a form characterised by the wire-like elements; Stents in the form 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 2/92 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 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/072 Encapsulated stents, e.g. wire or whole stent embedded in lining
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2002/821 Ostial stents
• CPC Class Codes: A61F 2002/91525 within the whole structure different bands showing different meander characteristics, e.g. frequency or amplitude
• CPC Class Codes: A61F 2002/91558 connected peak to peak
• CPC Class Codes: A61F 2002/91566 connected trough to trough
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• 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 2250/0018 differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2250/0029 differing in bending or flexure capacity
• CPC Class Codes: A61F 2250/0039 : differing in diameter
• CPC Class Codes: A61F 2250/0073 : Force-limiting means

Abstract

An endoluminal prosthesis system for a branched body lumen comprises a branch vessel prosthesis. The branch vessel prosthesis is deployable within a branch vessel body lumen and comprises a stent having a generally tubular body portion, a flareable proximal end portion, and a coupling portion disposed intermediate the body portion and the flareable portion. The coupling portion is preferably more crush-resistant than the body portion.

Claims

1. An endoluminal prosthesis system for a branched body lumen, the system comprising:

a branch vessel prosthesis deployable within a branch vessel body lumen and comprising a stent having a generally tubular body portion, a flareable proximal end portion, and a coupling portion disposed intermediate the body portion and the flareable portion, wherein the coupling portion is more crush-resistant than the body portion.

2. The system of claim 1, wherein:

the body portion has a stent configuration comprising at least one body stent ring including a plurality of interconnected body struts; and

the flareable end portion has a stent configuration comprising at least one flare stent ring including a plurality of interconnected flare struts.

3. The system according to claim 2, wherein the coupling portion has a stent configuration comprising at least one coupling stent ring disposed between a flare stent ring and a body stent ring, the at least one coupling stent ring including a plurality of interconnected coupling struts.

4. The system according to claim 3, wherein the coupling portion comprises a plurality of coupling stent rings.

5. The system according to claim 3, wherein the coupling struts are thicker than the body struts.

6. The system according to claim 5, wherein the coupling struts are at least one of:

circumferentially thicker than the body struts; and

radially thicker than the body struts.

7. The system according to claim 5, wherein the coupling struts are one of at least 10% thicker, at least 20% thicker, and at least 25% thicker than the body struts.

8. The system according to claim 3, wherein the coupling struts are thicker than the flare struts.

9. The system according to claim 2, wherein:

the body portion comprises a plurality of longitudinally-interconnected body stent rings;

the coupling portion comprises a plurality of longitudinally-interconnected coupling stent rings; and

the interconnection frequency between the coupling stent rings is greater than the interconnection frequency between the body stent rings adjacent the coupling portion.

10. The system according to claim 2, wherein:

the body portion comprises a plurality of body stent rings, each having an axial dimension;

the flareable end portion comprises a plurality of flare stent rings, each having an axial dimension; and

the axial dimension of each of the flare stent rings is greater than the axial dimension of each of at least two body stent rings adjacent the flareable end portion.

11. The system according to claim 10, wherein the axial dimension of each of the flare stent rings is one of at least 10% greater, at least 20% greater, and at least 40% greater than the axial dimension of each of at least two body stent rings adjacent the flareable end portion.

12. The system according to claim 10, wherein the axial dimension of the flare stent rings increases proximally with the flareable stent configuration.

13. The system according to claim 12, wherein the axial dimension of the proximal-most flare stent ring is one of at least 10%, at least 20%, and at least 25% greater than the axial dimension of the distal-most flare stent ring.

14. The system according to claim 2, wherein:

the body portion comprises a plurality of body stent rings that are interconnected by a plurality of body connector struts;

the flareable end portion comprises a plurality of flare stent rings that are interconnected by a plurality of flare connector struts; and

the flare connector struts are thicker than the body connector struts.

15. The system according to claim 14, wherein each of the flare connector struts are at least one of:

circumferentially thicker than the body connector struts; and

radially thicker than the body connector struts.

16. The system according to claim 14, wherein the flare connector struts are one of at least 10% thicker, at least 20% thicker, and at least 25% thicker than the body connector struts.

17. The system according to claim 1, further comprising:

a main vessel prosthesis deployable within a main vessel body lumen and having a main prosthesis lumen and a fenestration for providing fluid communication between the main prosthesis lumen and the branch vessel body lumen;

wherein the coupling portion of the branch vessel prosthesis is sized and configured to engage the fenestration.

18. The system according to claim 17, further comprising a reinforcing member at least partially surrounding the perimeter of the fenestration and configured to engage the coupling portion of the stent.

19. The system according to claim 1, wherein the branch vessel prosthesis further comprises a graft.

20. The system according to claim 1, further comprising:

a main vessel prosthesis deployable within a main vessel body lumen and having a main prosthesis lumen and a fenestration for providing fluid communication between the main prosthesis lumen and the branch vessel body lumen; and

a reinforcing member at least partially surrounding the perimeter of the fenestration and configured to engage the coupling portion of the stent;

wherein;

the body portion has a stent configuration comprising a plurality of longitudinally-interconnected body stent rings, each of the body stent rings including a plurality of interconnected body struts and having an axial dimension;

the flareable end portion has a stent configuration comprising a plurality of longitudinally-interconnected flare stent rings, each of the flare stent rings including a plurality of interconnected flare struts and having an axial dimension;

the coupling portion has a stent configuration comprising a plurality of longitudinally-interconnected coupling stent rings disposed between a flare stent ring and a body stent ring, each of the coupling stent rings including a plurality of interconnected coupling struts;

the interconnection frequency between the coupling stent rings is greater than the interconnection frequency between the body stent rings adjacent the coupling portion;

the coupling struts are thicker than the body struts;

the coupling struts are thicker than the flare struts;

the axial dimension of each of the flare stent rings is greater than the axial dimension of each of at least two body stent rings adjacent the flareable end portion;

the axial dimension of the flare stent rings increases proximally with the flareable stent configuration;

the body stent rings are interconnected by a plurality of body connector struts;

the flare stent rings are interconnected by a plurality of flare connector struts; and

the flare connector struts are thicker than the body connector struts.