Percutaneous stent and method for retrieval thereof

• US 5,035,706 A
• Filed: 10/17/1989
• Issued: 07/30/1991
• Est. Priority Date: 10/17/1989
• Status: Expired due to Term

• Current Assignee: Cook Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Incorporated (Cook Group Incorporated)
• Inventors: Giantureo, Cesare, Osborne, Thomas A.
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US07/422,606
• Time in Patent Office: 651 Days
• Field of Search: 606/108, 606/153, 606/154, 606/155, 606/156, 606/198, 606/200, 606/191, 604/105, 604/106
• US Class Current: 606/198
• 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 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2002/9505 having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2002/9528 for retrieval of stents
• CPC Class Codes: A61F 2220/0058 soldered or brazed or welded

Abstract

A self-expanding stent formed of stainless steel wire arranged in a closed zig-zag configuration includes an endless series of straight sections joined at their ends by bends. The stent is compressible into a reduced diameter size for insertion into and removal from a body passageway. The bends of at least one end of the stent are formed into eyes for connection with the eyes at one end of a similarly constructed stent to permit single-step introduction of several lengths of stent into the passageway. A stent can include a monofilament thread passing through successive eyes at one end of the stent, the thread passing through each eye at least once and through some of the eyes a second time. The trailing ends of the thread extend from the stent and outside the body passageway. The stent can be retrieved from the body passageway by threading a tube of the free ends of the thread until the tube is adjacent the stent. The diameter at one end of the stent is reduced by pulling the free ends of the thread through the tube. A sheath concentrically disposed over the tube is introduced into the body passageway and over the remaining length of the stent to further compress the stent for removal from the passageway.

Claims

1. A stent assembly comprising:

a first wire formed into a closed zig-zag configuration including;

an endless series of straight sections having opposite ends, said straight sections being joined by bends at said opposite ends to form a stent;

a set of eyes formed at several of said bends at one of said opposite ends; and

a thread passing through successive ones of said set of eyes, said thread including a pair of free ends trailing from said stent;

wherein said stent is resiliently contractable into a smaller first shape for conveyance through a body passageway;

wherein said one end of said stent is contractable by drawing said pair of free ends of said thread;

wherein said stent is resiliently expandable into a second shape in which the straight sections press against the walls of the body passageway; and

wherein said free ends are sufficiently long to extend outside the body passageway when said stent is situated within the passageway.

2. The stent assembly of claim 1, wherein:

said second shape of said stent includes a circumference at said one of said opposite ends, said set of eyes being situated at said circumference; and

said thread passes through successive eyes at least 360°

around said circumference.

3. The stent assembly of claim 2, wherein said thread passes through successive eyes approximately 540°

around said circumference.

4. The stent assembly of claim 1, further comprising:

a second wire formed into a closed zig-zag configuration including;

a second endless series of straight sections having opposite ends, said straight sections being joined by bends at said opposite ends to form a second stent;

a second set of eyes formed at several of said bends at one of said opposite ends;

wherein said second stent is resiliently contractable into a smaller first shape for conveyance through a body passageway;

wherein said second stent is resiliently expandable into a second shape in which the straight sections press against the walls of the body passageway; and

wherein said second set of eyes of said second wire are engaged about said first wire at one of said opposite ends.

5. The stent assembly of claim 4, wherein:

said first wire includes a third set of eyes formed at several bends at the other of said opposite ends of said first wire; and

said second set of eyes of said second wire are interengaged with said third set of eyes.

6. A method for combining a first and second self-expanding stent to form a stent assembly for insertion into a body passageway comprising the steps of:

forming a first stent from a continuous first length of wire formed into a closed zig-zag configuration having an endless series of straight sections joined at their ends by a plurality of bends;

forming a second stent from a continuous second length of wire formed into a closed zig-zag configuration having an endless series of straight sections joined at their ends by a plurality of bends, the bends at one end defining eyes open at the straight sections of the second stent;

engaging the eyes at the one end of the second stent about bends at one end of the first stent; and

closing the eyes at the one end of the second stent.

7. The method of claim 6 wherein:

the step of forming the first stent includes forming eyes at the one end of the first stent, the eyes open at the straight sections of the first stent; and

the step of engaging the eyes at one end of the second stent includes interlocking the eyes of the second stent with the eyes of the first stent and closing the eyes at the one end of the first stent.

8. A method for retrieving a stent disposed within a body passageway, the stent including a resilient wire formed in a closed zig-zag configuration having a set of eyes formed at one end of the stent, with a thread passing through successive eyes of the stent and having two free ends trailing from the stent outside the body passageway, the stent having a first compressed shape and a second expanded shape in which the resilient wire contacts the wall of the body passageway, comprising the steps of:

pulling the free ends of the thread to reduce the diameter of the one end of the stent while maintaining the position of the stent within the body passageway;

reducing the diameter of the remainder of the stent sufficient to permit travel of the stent through the body passageway;

retracting the compressed stent through the passageway.

9. The method for retrieving a stent of claim 8, wherein said step of pulling the free ends further includes the steps of:

threading a tube over the trailing free ends of the thread, the tube having an inner diameter smaller than the diameter of the first compressed shape of the stent;

introducing the tube into the body passageway and conveying the tube to a position adjacent the stent;

pulling the free ends of the thread through the tube to reduce the diameter of the one end of the stent.

10. The method for retrieving a stent of claim 9, wherein said step of reducing the diameter of the remainder of the stent further includes the steps of:

introducing a sheath concentrically disposed over the tube into the body passageway;

conveying the sheath over the tube through the body passageway and over the reduced diameter end of the stent;

further conveying the sheath over the remainder of the stent to compress the remainder of the sheath and withdraw the stent from contact with the wall of the body passageway.

11. The method for retrieving a stent of claim 8, wherein said step of reducing the diameter of the remainder of the stent further includes the steps of:

threading a sheath over the trailing free ends of the thread, the sheath having an inner diameter larger than the diameter of the first compressed shape of the stent but smaller than the diameter of the second expanded shape of the stent;

introducing the sheath into the body passageway and conveying the sheath through the body passageway and over the reduced diameter end of the stent;

further conveying the sheath over the remainder of the stent to compress the remainder of the sheath and withdraw the stent from contact with the wall of the body passageway.

12. A stent assembly comprising:

a first wire formed into a closed zig-zag configuration including;

an endless series of straight sections having opposite ends, said straight sections being joined by bends at said opposite ends to form a first stent; and

a second wire formed into a closed zig-zag configuration including;

a second endless series of straight sections having opposite ends, said straight sections being joined by bends at said opposite ends to form a second stent;

a set of eyes formed at several of said bends at one of said opposite ends;

wherein said first and second stents are resiliently contractable into a smaller first shape for conveyance through a body passageway;

wherein said first and second stents are resiliently expandable into a second shape in which the straight sections press against the walls of the body passageway; and

wherein said set of eyes of said second stent are engaged about said first wire at one of said opposite ends of said first wire.