STENT AND STENT-GRAFT DESIGNS

• US 20120277848A1
• Filed: 04/19/2012
• Published: 11/01/2012
• Est. Priority Date: 04/28/2011
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated), William Cook Europe ApS (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Roeder, Blayne A., Rasmussen, Erik E., Gopalakrishnamurthy, Sharath, Dierking, William K.
• Granted Patent: US 8,840,659 B2
• Time in Patent Office: Days
• US Class Current: 623/1.13
• CPC Class Codes: A61F 2/07 Stent-grafts
• 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 2/915 with bands having a meander structure, adjacent bands being connected to each other
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2002/8483 Barbs
• CPC Class Codes: A61F 2002/8486 provided on at least one of the ends
• CPC Class Codes: A61F 2002/91575 connected peak to trough
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• 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

Abstract

The present embodiments provide stents and stent-grafts for use in medical procedures. In one embodiment, a stent comprises a series of proximal apices, a series of distal apices, and at least one imaging element. A distal region of the stent, including the series of distal apices and a first suture bore, overlaps with the graft material, while a proximal region of the stent, including the series of proximal apices and at least one barb, is disposed proximally beyond the graft material. In an alternative embodiment, a stent-graft comprises a graft, a first stent and a second stent, in which a series of proximal apices of the first stent are each disposed distal to the proximal end of the graft, and a series of proximal apices of the second stent are each disposed proximally beyond the proximal end of the graft.

Claims

1. A stent for use in a medical procedure, the stent comprising:

a series of proximal apices disposed at a proximal end of the stent;

a series of distal apices disposed at a distal end of the stent;

a plurality of strut segments disposed between each proximal apex and each distal apex, where the strut segments enable expansion of the stent from a compressed state to a deployed state, and where adjacent strut segments are joined at a transition region between the proximal and distal apices;

an imaging bore formed in the transition region; and

a first suture bore formed in the transition region and disposed distal to the imaging bore, the first suture bore adapted to receive a suture for coupling a portion of the transition region to a graft material.

2. The stent of claim 1 further comprising at least one barb integrally formed in a surface of the transition region at a location proximal to the imaging bore.

3. The stent of claim 1 where a distal region of the stent, including the series of distal apices and a distal portion of the transition region including the first suture bore, overlaps with the graft material.

4. The stent of claim 3 where a proximal region of the stent, including the series of proximal apices and a proximal portion of the transition region including at least one barb, is disposed proximally beyond the graft material.

5. The stent of claim 4 where the distal region of the stent that overlaps with the graft material accounts comprises about 20 to about 45 percent of the longitudinal length of the stent, while the proximal region of the stent that is disposed distally beyond the graft material comprises between about 55 to about 80 percent of the longitudinal length of the stent.

6. The stent of claim 4 where the imaging bore is disposed at the location corresponding to an endpoint of a proximal edge of the graft material.

7. The stent of claim 4 further comprising a notched region of reduced diameter disposed in the transition region at a location proximal to the imaging bore and the at least one barb, where the notched region facilitates radial flaring of the proximal region of the stent.

8. The stent of claim 1 where the series of proximal apices comprises alternating first and second proximal apices, where each of the first proximal apices comprises an end region having a first bore, and where each of the second proximal apices comprises a second bore,

where at least one of the first proximal apices is simultaneously restrained with an adjacent, second proximal apex by a single trigger wire disposed through the first and second bores during delivery of the stent.

9. The stent of claim 8 where the second proximal apex comprises at least one integral barb disposed adjacent to the second bore.

10. The stent of claim 8 where the first bore formed in the first proximal apex directly overlaps longitudinally and circumferentially with the second bore in the second proximal apex in a delivery state.

11. The stent of claim 8 further comprising a recessed portion formed in the first proximal apex at a location distal to the first bore, where the second proximal apex is configured to be pulled towards the first proximal apex to become nested within the recessed portion of the first proximal apex, where the first and second bores are disposed substantially in longitudinal alignment with one another when the single trigger wire is disposed through the first and second bores during delivery of the stent.

12. A stent for use in a medical procedure, the stent comprising:

a series of proximal apices disposed at a proximal end of the stent;

a series of distal apices disposed at a distal end of the stent;

at least one imaging element disposed between the series of proximal apices and the series of distal apices; and

a first suture bore disposed in a surface of the stent at a location distal to the imaging element, the first suture bore adapted to receive a suture for coupling a portion of the stent to a graft material,

where a distal region of the stent, including the series of distal apices and the first suture bore, overlaps with the graft material, and

where a proximal region of the stent, including the series of proximal apices and at least one barb, is disposed proximally beyond the graft material.

13. The stent of claim 12 where the imaging element is disposed at a location corresponding to an endpoint of a proximal edge of the graft material.

14. The stent of claim 12 where the distal region of the stent that overlaps with the graft material comprises between about 20 to about 45 percent of the longitudinal length of the stent, while the proximal region that is disposed distally beyond the graft material comprises between about 55 to about 80 percent of the longitudinal length of the stent.

15. The stent of claim 12 where each of the distal apices comprises an end region having a second suture bore adapted to receive a suture for coupling the distal apices to the graft material.

16. A stent-graft for use in a medical procedure, the stent-graft comprising:

a graft having proximal and distal ends and a lumen extending therebetween;

a first stent having proximal and distal ends, a series of proximal apices disposed at the proximal end of the first stent, a series of distal apices disposed at the distal end of the first stent, and a plurality of strut segments disposed between the series of proximal apices and the series of distal apices of the first stent, where the series of proximal apices of the first stent are each disposed distal to the proximal end of the graft; and

a second stent having proximal and distal ends, a series of proximal apices disposed at the proximal end of the second stent, and a series of distal apices disposed at the distal end of the second stent, and a plurality of strut segments disposed between the series of proximal apices and the series of distal apices of the second stent, where the series of distal apices of the second stent are each disposed distal to the proximal end of the graft, and where the series of proximal apices of the second stent are each disposed proximally beyond the proximal end of the graft,

where at least one of the proximal apices of the first stent is circumferentially aligned with a corresponding distal apex of the second stent, and

where the first stent and the second stent comprise different geometries.

17. The stent-graft of claim 16 where at least one of the proximal apices of the first stent is sutured to one of the distal apices of the second stent.

18. The stent-graft of claim 16 where:

the first stent comprises a zig-zag stent shape; and

the series of proximal apices of the second stent comprises a plurality of alternating first and second proximal apices, where each of the first proximal apices comprises an end region having a first bore, and where each of the second proximal apices comprises first and second regions, where at least one integral barb is formed in the first region and where a second bore is formed in the second region, and each of the second proximal apices further comprises a recessed portion formed in the second proximal apex at a location distal to the second bore, where at least one of the first proximal apices is nested within the recessed portion of an adjacent, second proximal apex delivery of the stent.

19. The stent-graft of claim 16 where each of the distal apices of the second stent comprises a suture bore adapted to receive a suture for coupling a distal end of the second stent to the graft.

20. The stent-graft of claim 19 where each of the distal apices of the second stent further comprises an imaging bore adapted to receive a radiopaque marker, where the imaging bore is disposed proximal to the suture bore, and the imaging bore is adapted to be aligned with the proximal edge of the graft.