Axially-radially nested expandable device

• US 9,314,354 B2
• Filed: 05/10/2013
• Issued: 04/19/2016
• Est. Priority Date: 11/30/2007
• Status: Expired due to Fees

• Current Assignee: REVA Medical Inc.
• Original Assignee: REVA Medical Inc.
• Inventors: Morris, Andrew, Sheriff, Jeffrey T., Esser, Keith
• Primary Examiner(s): Eastwood, David C
• Application Number:
  US13/892,177
• Publication Number:
  US 20140025159A1
• Time in Patent Office: 1,075 Days
• Field of Search: 623/1.1, 623/1.11, 623/1.15, 623/1.16, 623 117- 134, 623/1.36, 623/1.37, 623/1.49
• US Class Current: 1/1
• CPC Class Codes: A61F 2/852 Two or more distinct overlapping stents
• CPC Class Codes: A61F 2/93 circumferentially expandable by using ratcheting locks
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2220/005 using adhesives
• CPC Class Codes: A61F 2230/0058 X-shaped
• CPC Class Codes: B33Y 80/00 Products made by additive manufacturing

Abstract

Expandable medical implants for maintaining support of a body lumen are disclosed. These implants comprise an axially-radially nested, diametrically expandable, moveable vascular device for enlarging an occluded portion of a vessel. The device can be configured to allow for motion such as translating and/or slide and lock. One advantage of the axially-radially nested stent is that it maintains the expanded size, without significant recoil.

Claims

1. A stent that is expandable from an axially-radially nested unexpanded state to an expanded state, the stent comprising a tubular member having longitudinal, radial, and circumferential axes, the tubular member comprising:

a first linkage strand and a second linkage strand, the first and second linkage strands each extending in a direction substantially parallel to the longitudinal axis,

the first linkage strand having a first plurality of central bodies connected in an end-to-end fashion via first curved s-shaped flexible portions such that longitudinally adjacent central bodies of the first plurality of central bodies are circumferentially and longitudinally offset,

the second linkage strand having a second plurality of central bodies connected in an end-to-end fashion via second curved s-shaped flexible portions such that longitudinally adjacent central bodies of the second plurality of central bodies are circumferentially and longitudinally offset,

wherein each of the central bodies in the first and second pluralities of central bodies comprises a first circumferential side, a second circumferential side, and a plurality of elongate interconnection members, each of the plurality of elongate interconnection members having an interlocking end and extending from the first circumferential side in a direction substantially parallel to the circumferential axis; and

a plurality of connectors, the connectors each having a plurality of connection points and a plurality of engagement apertures, wherein;

each of the connection points extends circumferentially through the respective connector and is configured to receive the interlocking end of one of the plurality of interconnection members of one of the central bodies of the first linkage strand, the interlocking end configured to engage with the connector during expansion of the stent from an axially-radially nested unexpanded state to an expanded state, such engagement inhibiting relative movement of the interlocking end and the connector in at least one circumferential direction; and

each of the engagement apertures extends circumferentially through the respective connector and is configured to receive one of the plurality of interconnection members of one of the central bodies of the second linkage strand, the interconnection member configured to provide one-way movement of the second linkage strand relative to the connector during expansion of the stent from the axially-radially nested unexpanded state to the expanded state; and

wherein a first circumferential side of each of the one of the plurality of connectors is the side from which the interlocking end is received into the connection point and from which the interconnection member is received into the engagement aperture.

2. The stent of claim 1, wherein the interlocking end protrudes from the connection point and the interconnection member protrudes from the engagement aperture, and wherein a second circumferential side of the respective connector is the side from which the interlocking end protrudes and from which the interconnection member protrudes.

3. The stent of claim 1, wherein the connection member does not include circumferentially extending members that are configured to engage at least one of the first linkage strand and the second linkage strand.

4. The stent of claim 1, wherein the interlocking end is located at a free end of the respective interconnection member.

5. The stent of claim 1, wherein the first plurality of central bodies each include a bridge section having a channel with a reduced radial thickness relative to other portions of the first plurality of central bodies, the channel receiving one of the interconnection members of one of the central bodies of the second linkage strand, thereby reducing the axial profile of the stent.

6. The stent of claim 5, wherein a second bridge section is located at least partly in each of the flexible portions of the first linkage strand.

7. The stent of claim 1, wherein the interconnection member comprises a plurality of teeth disposed along a side of the interconnection member and configured to engage the engagement aperture of the respective one of the connectors.

8. The stent of claim 1, wherein the first and second linkage strands each individually define a strand maximum radial thickness and the connectors each individually define a connector maximum radial thickness, the strand maximum radial thickness being less than the connector maximum radial thickness.

9. The stent of claim 1, wherein the first and second linkage elements and the respective connectors define an outside diameter of the tubular member, and the stent does not include portions that radially protrude beyond the outside diameter.

10. The stent of claim 1, further comprising a plurality of scales extending from an exterior surface of at least one of the linkage strands, the plurality of scales configured to engage a sidewall of a body lumen when the stent is in the expanded state.

11. A stent that is expandable from an axially-radially nested unexpanded state to an expanded state, the stent comprising a tubular member having longitudinal and circumferential axes, the tubular member comprising:

a first linkage strand and a second linkage strand, the first and the second linkage strands each extending in a direction substantially parallel to the longitudinal axis and having a plurality of central bodies connected in an end-to-end fashion via curved s-shaped flexible portions such that longitudinally adjacent central bodies of the plurality of central bodies are circumferentially and longitudinally offset,

wherein each of the central bodies comprises a base and an interconnection member extending from the base in a direction substantially parallel to the circumferential axis, the interconnection member having an interlocking end; and

a plurality of connectors, the connectors each having a connection point and an engagement aperture, the connection point and the engagement aperture each extending through the connector substantially in the circumferential direction,

wherein the connection point is configured to receive the interlocking end of the interconnection member of one of the central bodies of the first linkage strand,

wherein the engagement aperture is configured to receive the interconnection member of one of the central bodies of the second linkage strand to provide one-way movement of the first and second linkage strands relative to each other during expansion of the stent from an axially-radially nested unexpanded state to an expanded state, and

wherein the tubular member is configured such that the interconnection member of the one of the central bodies of the first linkage strand and the interconnection member of the one of the central bodies of the second linkage strand respectively enter into the connection point and the engagement aperture from the same circumferential side of the connector.

12. The stent of claim 11, wherein the central bodies of the first linkage strand further include a bridge section having a reduced radial thickness relative to other portions of the central bodies for allowing passage of an interconnection member of the second linkage strand therealong for reducing an axial profile of the stent.

13. The stent of claim 11, wherein each of the central bodies has a plurality of interconnection members extending therefrom.

14. The stent of claim 13, wherein each of the plurality of interconnection members extends in the same circumferential direction.

15. The stent of claim 11, wherein during movement of the stent from the unexpanded state to the expanded state:

a circumferential distance between the connector and the interlocking end of one of the central bodies of the first linkage element increases; and

a circumferential distance between the connector and the interlocking end of one of the central bodies of the second linkage element is constant or decreases.