Medical stent

• US 9,763,813 B2
• Filed: 12/30/2015
• Issued: 09/19/2017
• Est. Priority Date: 09/07/2005
• Status: Active Grant

• Current Assignee: Rbkpark LLC
• Original Assignee: Rbkpark LLC
• Inventors: Park, Richard
• Primary Examiner(s): RODJOM, KATHERINE MARIE
• Application Number:
  US14/984,033
• Publication Number:
  US 20160106558A1
• Time in Patent Office: 629 Days
• Field of Search: 623 111, 623 134, 623 135
• 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 2/844 folded prior to deployment
• CPC Class Codes: A61F 2/856 Single tubular stent with a side portal passage
• CPC Class Codes: A61F 2/885 comprising a coil including a plurality of spiral or helical sections with alternate directions around a central axis
• 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 2002/826 more than one stent being applied sequentially
• CPC Class Codes: A61F 2250/0039 differing in diameter
• CPC Class Codes: A61F 2250/0067 Means for introducing or releasing pharmaceutical products into the body
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers

Abstract

In an embodiment, a stent is provided for use in blood vessels with blockage near or in a bifurcation. The stent includes a side aperture. The stent is inserted into one of the daughter branches of the bifurcation and positioned with the use of markers. The stent is then expanded so as to support the wall of the blood vessel while allowing the blood to continue to flow to both daughter branches.

Claims

1. A stent system configured to support a wall of at least one junction of a bodily vessel, the junction comprising a main branch, a first branch and a second branch, comprising:

a stent having a cylinder wall configured to be expanded from a first state to a second state, wherein at the first state, the cylinder wall comprises a first circumference along a length extending from a first end to a second end along a first axis, a side aperture located at a fixed position with respect to the first and the second ends having a perimeter, and a flexible extension positioned substantially within the circumference; and

wherein at the second state, the cylinder wall is configured to expand along its length configured to support the wall of the main branch and the first branch, to form a second circumference, wherein the second circumference is variable along the length of the cylinder and the flexible extension is configured to extend from a predefined portion of the side aperture'"'"'s perimeter that, upon expansion of the stent, is configured to flex outward from the cylinder wall to form a hood-like protrusion that arches over the perimeter; and

a first marker that upon expansion of the stent, is positioned in-line with and directly extending from a location where the distance of the aperture along the latitudinal direction is the greatest.

2. The stent system of claim 1, further comprising a second marker positioned on the flexible extension, wherein the second marker arches in a latitudinal direction over the perimeter in a direction that is substantially perpendicular to a longitudinal axis of the stent so as to provide a rotation orientation of the extension in a two-dimensional image.

3. The stent system of claim 1, wherein the stent is a first stent, the system further comprising a second stent configured to be at least partially positioned through the side aperture of the first stent.

4. The stent system of claim 3, wherein the second stent is configured to be expanded upon being partially positioned through the first stent, whereby the first and second stent form a support structure.

5. The stent system of claim 1, wherein the side aperture is a first side aperture, the stent comprising a second side aperture.

6. The stent system of claim 5, wherein the first side aperture and the second side aperture comprise a same diameter.

7. The stent system of claim 1, further comprising a second marker positioned on the flexible extension that forms an arch across the furthest point away from the aperture.

8. The stent system of claim 1, wherein cylinder wall includes a wall structure, the wall structure selected from the group consisting of a mesh design, a coil spring design and a slotted tube design.

9. The stent system of claim 1, wherein the stent is a mesh-type stent and the stent is coated with an anti-neointimal proliferation agent.

10. The stent of claim 1, further comprising a second marker positioned on the flexible extension that forms an arch across the furthest point away from the aperture of the first stent.

11. A stent system configured to support a wall of at least one junction of a bodily vessel, the junction comprising a main branch, a first branch and a second branch, comprising:

a first stent having a cylinder wall configured to be expanded from a first state to a second state, wherein at the first state, the cylinder wall comprises a first circumference along a length extending from a first end to a second end along a first axis, a first side aperture located at a fixed position with respect to the first and the second ends having a first perimeter, and a flexible extension positioned substantially within the circumference;

a second stent having a cylinder wall configured to be expanded from a first state to a second state;

wherein at the second state, the cylinder wall of the first stent is configured to expand along its length configured to support the wall of the main branch and the first branch, to form a second circumference, wherein the second circumference and the flexible extension is configured to extend from a predefined portion of the side aperture'"'"'s perimeter that, upon expansion of the stent, is configured to flex outward from the cylinder wall to form a hood-like protrusion that arches over the perimeter; and

a first marker that upon expansion of the first stent, is positioned in-line with and directly extending from a location where the distance of the aperture along the latitudinal direction is the greatest.

12. The stent system of claim 11, wherein when the first stent is at the second state, its circumference is variable along the length of its cylinder wall.

13. The stent system of claim 11, wherein the second stent is configured to be at least partially positioned through the side aperture of the first stent when the second stent is at the first state.

14. The stent system of claim 13, wherein the second stent is configured to be expanded to the second state upon being partially positioned through the first stent, whereby the first and second stent form a support structure.

15. The stent system of claim 11, wherein the marker extends a portion of a distance around the circumference of the cylinder wall in a direction extending away from the side aperture and substantially perpendicular to a longitudinal axis of the stent so as to provide a rotation orientation of the stent in a two-dimensional image.

16. The stent system of claim 11, further comprising a second marker positioned on the flexible extension, wherein the second marker arches in a latitudinal direction over the perimeter in a direction that is substantially perpendicular to a longitudinal axis of the stent so as to provide a rotation orientation of the extension in a two-dimensional image.

17. The stent system of claim 11, wherein at the second state, the cylinder wall of the first stent is variable along the length of the cylinder wall.

18. The stent system of claim 11, wherein the first stent comprises a second side aperture.

19. The stent of claim 18, wherein the first side aperture and the second side aperture comprise a same diameter.