GRADUALLY SELF-EXPANDING STENT

• US 20140296957A1
• Filed: 06/12/2014
• Published: 10/02/2014
• Est. Priority Date: 12/23/2008
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Irwin, Nathaniel A., Janzten, Alexandra E., Melscheimer, Jeffry S.
• Granted Patent: US 9,345,601 B2
• Time in Patent Office: Days
• US Class Current: 623/1.2
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/90 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 2002/823 Stents, different from stent-grafts, adapted to cover an aneurysm
• CPC Class Codes: A61F 2002/91558 connected peak to peak
• CPC Class Codes: A61F 2210/0076 multilayered, e.g. laminated structures
• CPC Class Codes: A61F 2230/0078 hyperboloidal
• CPC Class Codes: A61F 2230/008 paraboloidal
• CPC Class Codes: A61L 31/148 Materials at least partially resorbable by the body
• CPC Class Codes: A61L 31/16 Biologically active materials, e.g. therapeutic substances A61L31/047 takes precedence

Abstract

A gradually self-expanding stent is provided with a plurality of stent cells. A restraining material is attached to the stent structure and restrains the stent structure from expanding to the expanded configuration. Over time the restraining material releases the stent structure to allow the stent structure to expand to the expanded diameter. An anti-thrombotic drug is incorporated into the restraining material.

Claims

1. A self-expanding stent, comprising:

a stent structure comprising a plurality of stent cells having a compressed configuration and an expanded configuration, said stent structure being self-expanding from said compressed configuration to said expanded configuration;

a first restraining material attached to said stent structure, said first restraining material initially restraining said stent structure from expanding to said expanded configuration, and said first restraining material releasing said stent structure over time to allow said stent structure to expand to said expanded configuration; and

an anti-thrombotic drug incorporated into said first restraining material.

2. The self-expanding stent according to claim 1, wherein said anti-thrombotic drug is mixed into one or more layers of said first restraining material.

3. The self-expanding stent according to claim 1, wherein said first restraining material is biodegradable.

4. The self-expanding stent according to claim 3, wherein said anti-thrombotic drug is enclosed within a pocket or opening in said first restraining material for dispersion after biodegradation begins.

5. The self-expanding stent according to claim 1, wherein said first restraining material comprises a plurality of layers having varying degradation rates.

6. The self-expanding stent according to claim 1, wherein said first restraining material comprises one layer having a substantially uniform degradation rate.

7. The self-expanding stent according to claim 1, further comprising a first region and two second regions of said stent structure, said first region being disposed longitudinally between said second regions, wherein said first restraining material is attached to said first region of said stent structure, and said second regions of said stent structure expand at a faster rate than said first region.

8. The self-expanding stent according to claim 7, wherein said second regions are open and unrestrained by a restraining material, said second regions thereby being free to immediately expand to said expanded configuration.

9. The self-expanding stent according to claim 7, wherein said second regions are disposed at a most proximal end and a most distal end of said stent structure.

10. The self-expanding stent according to claim 7, further comprising two third regions, said first region and said second regions being disposed longitudinally between said third regions, and a second restraining material attached to said second regions of said stent structure, said second restraining material initially restraining said second regions from expanding to said expanded configuration, and said second restraining material releasing said second regions over time to allow said second regions to expand to said expanded configuration, wherein said second restraining material releases said second regions at a faster rate than said first restraining material releases said first region.

11. The self-expanding stent according to claim 10, wherein said third regions are open and unrestrained by a restraining material, said third regions thereby being free to immediately expand to said expanded configuration.

12. The self-expanding stent according to claim 11, wherein said third regions are disposed at a most proximal end and a most distal end of said stent structure.

13. The self-expanding stent according to claim 7, wherein said first region of said stent structure comprises a first plurality of said stent cells, each of said first plurality of said stent cells in said first region comprising first and second bends, said first and second bends facing each other and being longitudinally spaced apart, a plurality of structural members interconnecting said first and second bends, wherein each structural member has a length, each of said first plurality of said stent cells being defined by said first and second bends and said lengths of said plurality of structural members, and said first restraining material is attached to said first plurality of said stent cells along the entire length of said structural members, said first restraining material extending across an entirety of an area defined by said first and second bends and said plurality of structural members of each of said stent cells in said first plurality of said stent cells, said first restraining material thereby extending longitudinally across each of said areas between said first and second bends and circumferentially across each of said areas between said plurality of structural members disposed adjacent each other.

14. The self-expanding stent according to claim 13, wherein said first region of said stent structure further comprises a second plurality of said stent cells dispersed amongst said first plurality of said stent cells in a circumferentially uniform manner, said second plurality of said stent cells being open and unrestrained by a restraining material, said second plurality of said stent cells thereby being free to immediately expand.

15. The self-expanding stent according to claim 14, wherein a proportion of said first plurality of said stent cells to said second plurality of said stent cells is substantially equal.

16. The self-expanding stent according to claim 7, wherein said first region is disposed at a longitudinally central portion of said stent structure.

17. The self-expanding stent according to claim 16, wherein said first region is between 40% to 80% of a total length of said stent structure.

18. The self-expanding stent according to claim 7, further comprising a second restraining material attached to said second regions of said stent structure, said second restraining material initially restraining said second regions from expanding to said expanded configuration, and said second restraining material releasing said second regions over time to allow said second regions to expand to said expanded configuration, wherein said second restraining material releases said second regions at a faster rate than said first restraining material releases said first region, and said first restraining material is thicker than said second restraining material.

19. The self-expanding stent according to claim 1, wherein said anti-thrombotic drug is mixed into one or more layers of said first restraining material, said first restraining material is biodegradable, further comprising a first region and two second regions of said stent structure, said first region being disposed at a longitudinally central portion of said stent structure between said second regions, wherein said first restraining material is attached to said first region of said stent structure, and a second restraining material is attached to said second regions of said stent structure, said second restraining material initially restraining said second regions from expanding to said expanded configuration, and said second restraining material releasing said second regions over time to allow said second regions to expand to said expanded configuration, wherein said second restraining material releases said second regions at a faster rate than said first restraining material releases said first region, said second restraining material is biodegradable, further comprising two third regions, said first region and said second regions being disposed longitudinally between said third regions, said third regions are disposed at a most proximal end and a most distal end of said stent structure, and said third regions are open and unrestrained by a restraining material, said third regions thereby being free to immediately expand to said expanded configuration.

20. The self-expanding stent according to claim 19, wherein said first region is between 40% to 80% of a total length of said stent structure, said first region of said stent structure comprises a first plurality of said stent cells, each of said first plurality of said stent cells in said first region comprising first and second bends, said first and second bends facing each other and being longitudinally spaced apart, a plurality of structural members interconnecting said first and second bends, wherein each structural member has a length, each of said first plurality of said stent cells being defined by said first and second bends and said lengths of said plurality of structural members, and said first restraining material is attached to said first plurality of said stent cells along the entire length of said structural members, said first restraining material extending across an entirety of an area defined by said first and second bends and said plurality of structural members of each of said stent cells in said first plurality of said stent cells, said first restraining material thereby extending longitudinally across each of said areas between said first and second bends and circumferentially across each of said areas between said plurality of structural members disposed adjacent each other, and said first region of said stent structure further comprises a second plurality of said stent cells dispersed amongst said first plurality of said stent cells in a circumferentially uniform manner, said second plurality of said stent cells being open and unrestrained by a restraining material, said second plurality of said stent cells thereby being free to immediately expand, and said second regions of said stent structure comprises a third plurality of said stent cells, each of said third plurality of said stent cells in said second regions comprising first and second bends, said first and second bends facing each other and being longitudinally spaced apart, a plurality of structural members interconnecting said first and second bends, wherein each structural member has a length, each of said third plurality of said stent cells being defined by said first and second bends and said lengths of said plurality of structural members, and said second restraining material is attached to said third plurality of said stent cells along the entire length of said structural members, said second restraining material extending across an entirety of an area defined by said first and second bends and said plurality of structural members of each of said stent cells in said third plurality of said stent cells, said second restraining material thereby extending longitudinally across each of said areas between said first and second bends and circumferentially across each of said areas between said plurality of structural members disposed adjacent each other, and said second regions of said stent structure further comprises a fourth plurality of said stent cells dispersed amongst said third plurality of said stent cells in a circumferentially uniform manner, said fourth plurality of said stent cells being open and unrestrained by a restraining material, said fourth plurality of said stent cells thereby being free to immediately expand.