Low profile non-symmetrical stent

• US 9,345,595 B2
• Filed: 06/02/2014
• Issued: 05/24/2016
• Est. Priority Date: 12/26/2007
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Brocker, David, Dierking, William K., Leewood, Alan R., Chuter, Timothy A. M., Roeder, Blayne A., Charlebois, Steven J., Swift, Richard A., Gopalakrishnamurthy, Sharath, Huser, Matthew, Kratzberg, Jarin, Rasmussen, Erik E., Oehlenschlaeger, Bent, Mgelvang Jensen, Kim
• Primary Examiner(s): Iwamaye, Andrew
• Assistant Examiner(s): LOPEZ, LESLIE ANN
• Application Number:
  US14/293,286
• Publication Number:
  US 20140277370A1
• Time in Patent Office: 722 Days
• Field of Search: None
• 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 2/89 the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
• CPC Class Codes: A61F 2/915 with bands having a meander structure, adjacent bands being connected to each other
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2002/8486 provided on at least one of the ends
• CPC Class Codes: A61F 2002/91516 the meander having a change in frequency along the band
• CPC Class Codes: A61F 2002/91558 connected peak to peak
• CPC Class Codes: A61F 2210/0014 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2220/005 using adhesives
• 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
• CPC Class Codes: A61F 2230/005 Rosette-shaped, e.g. star-shaped
• CPC Class Codes: A61F 2230/0054 V-shaped
• CPC Class Codes: A61F 2230/0067 conical

Abstract

A stent for use in a medical procedure having opposing sets of curved apices, where the curved section of one set of apices has a radius of curvature that is greater than the curved section of the other set of apices. One or more such stents may be attached to a graft material for use in endovascular treatment of, for example, aneurysm, thoracic dissection, or other body vessel condition.

Claims

1. A stent graft comprising:

a tube of graft material having a proximal end and a distal end;

a plurality of stents attached to the tube of graft material between the proximal and distal ends;

a first stent of the plurality of stents, the first stent comprising a plurality of proximal apices and a plurality of distal apices, where each proximal apex comprises a first curved portion and each distal apex defines a second curved portion, where in the first curved portion and the second curved portion each comprises a radius of curvature, and the radius of curvature of the proximal apices is greater than the radius of curvature of the distal apices;

a second stent of the plurality of stents disposed immediately adjacent and distal of the first stent, the second stent comprising a plurality of distal apices and a plurality of proximal apices, where each distal apex comprises a first curved portion and each proximal apex defines a second curved portion, where in the first curved portion and the second curved portion each comprises a radius of curvature, and the radius of curvature of the distal apices is greater than the radius of curvature of the proximal apices;

wherein each distal apex of the first stent substantially abuts a proximal apex of the second stent; and

wherein the radius of curvature of the distal apices of the first stent and the radius of curvature of the proximal apices of the second stent is from about 0.5 mm to about 1.5 mm, and wherein the wherein the radius of curvature of the proximal apices of the first stent and the radius of curvature of the distal apices of the second stent is from about 4 mm to about 9 mm.

2. The stent graft of claim 1, wherein a ratio of the radius of curvature of the proximal apices of the first stent to the radius of curvature of the distal apices of the first stent is between about 2.6:

1 to about 18;

1.

3. The stent graft of claim 2, wherein a ratio of the radius of curvature of the distal apices of the second stent to the radius of curvature of the proximal apices of the second stent is between about 2.6:

1 to about 18;

1.

4. The stent graft of claim 1, wherein a ratio of the radius of curvature of the distal apices of the second stent to the radius of curvature of the proximal apices of the second stent is between about 2.6:

1 to about 18;

1.

5. The stent graft of claim 1, wherein each of the proximal and distal apices of the first stent and each of the proximal and distal apices of the second stent are connected by struts.

6. The stent graft of claim 5, further comprising at least one area of unstented graft material, wherein the at least one area of unstented graft material has a perimeter defined by the proximal apices and struts connecting the proximal apices of the first stent and the distal apices and struts connecting the distal apices of the second stent.

7. The stent graft of claim 6, wherein the at least one area of unstented graft material comprises an aperture within the area of unstented graft material, wherein the aperture is configured to receive a tubular graft therethrough.

8. The stent graft of claim 7, further comprising a second area of unstented graft material comprising an aperture in the second area, wherein the aperture of the second area of unstented graft material is configured to receive a second tubular graft therethrough.

9. The stent graft of claim 7, wherein the proximal apices of the first stent have a rounded inner radius.

10. The stent graft of claim 9, wherein the aperture is disposed within the rounded inner radius of a proximal apex of the first stent.

11. The stent graft of claim 1, wherein the proximal apices of the first stent have a rounded inner radius.

12. The stent graft of claim 11, further comprising an aperture disposed within the rounded inner radius of a proximal apex of a first stent, wherein the aperture is configured to receive a tubular graft therethrough.

13. The stent graft of claim 12, further comprising a second aperture disposed within the rounded inner radius of a second proximal apex of the first stent, wherein the second aperture is configured to receive a second tubular graft therethrough.

14. The stent graft of claim 1, wherein the distal end of the stent graft is bifurcated.

15. The stent graft of claim 1, wherein the plurality of stents includes at least one stent having proximal and distal apices having the same radius of curvature.

16. A stent graft comprising:

a tube of graft material having a first end and a second end;

a plurality of stents attached to the graft material between the first and second ends, first and second stents of the plurality of stents being disposed directly adjacent one another and entirely between the first and second ends of the tube of graft material;

wherein the first stent has proximal apices and distal apices each having a curve, wherein the curve of the proximal apices of the first stent is greater than the curve of the distal apices of the first stent;

wherein the second stent has proximal and distal apices each having a curve, where the curve of the distal apices of the second stent is greater than the curve of the proximal apices of the second stent;

wherein the distal apices of the first stent substantially abut the proximal apices of the second stent;

wherein each of the proximal apices of the first stent has a rounded inner radius and each of the distal apices of the second stent has a rounded inner radius directly opposite a rounded inner radius of a proximal apex of the first stent, and

wherein an area of unstented graft material is disposed between the rounded inner radii of the proximal apices of the first stent and the rounded inner radii of the distal apices of the second stent, and

wherein each of the proximal and distal apices of the first stent having a radius of curvature, and each of the proximal and distal apices of the second stent have a radius of curvature, wherein the radius of curvature of the distal apices of the first stent and the radius of curvature of the proximal apices of the second stent is from about 0.5 mm to about 1.5 mm, and wherein the wherein the radius of curvature of the proximal apices of the first stent and the radius of curvature of the distal apices of the second stent is from about 4 mm to about 9 mm.

17. The stent graft of claim 16, wherein a ratio of the radius of curvature of the proximal apices of the first stent to the radius of curvature of the distal apices of the first stent is between about 2.6:

1 to about 18;

1.

18. The stent graft of claim 17, wherein a ratio of the radius of curvature of the distal apices of the second stent to the radius of curvature of the proximal apices of the second stent is between about 2.6:

1 to about 18;

1.

19. The stent graft of claim 16, wherein a ratio of the radius of curvature of the distal apices of the second stent to the radius of curvature of the proximal apices of the second stent is between about 2.6:

1 to about 18;

1.

20. The stent graft of claim 16, wherein the area of unstented graft material between the rounded inner radius of a proximal apex of the first stent and the rounded inner radius of a distal apex of the second stent opposite the rounded inner radius of the proximal apex comprises and aperture.

21. The stent graft of claim 20, further comprising a second area of unstented graft material between a rounded inner radius of a second proximal apex of the first stent and a rounded inner radius of a second distal apex of the second stent opposite the rounded inner radius of the second proximal apex, wherein the second area of unstented graft material between the rounded inner radius of the second proximal apex of the first stent and the rounded inner radius of the second distal apex of the second stent opposite the rounded inner radius of the second proximal apex comprises an aperture in the second area of unstented graft material.

22. The stent graft of claim 16, wherein the second end of the tube of graft material is bifurcated.

23. The stent graft of claim 16, wherein the plurality of stents includes at least one stent having proximal and distal apices each having a radius of curvature, wherein the radius of curvature of each of the proximal and distal apices is the same.

24. The stent graft of claim 23, wherein the at least one stent is disposed distally of the first and second stents.