Radially expandable stent featuring accordion stops

• US 5,931,866 A
• Filed: 02/24/1998
• Issued: 08/03/1999
• Est. Priority Date: 02/24/1998
• Status: Expired due to Term

• Current Assignee: Endologix
• Original Assignee: John J. Frantzen
• Inventors: Frantzen, John J.
• Primary Examiner(s): Milano, Michael J.
• Application Number:
  US09/028,305
• Time in Patent Office: 525 Days
• Field of Search: 623/1, 623/11, 623/12
• US Class Current: 623/1.15
• 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 2002/91533 characterised by the phase between adjacent bands
• CPC Class Codes: A61F 2002/91575 connected peak to trough
• CPC Class Codes: A61F 2230/0054 V-shaped

Abstract

A radially expandable surgical stent is provided with a helical element 20 extending from a first end 12 of the stent 10 to a second end 14 of the stent 10 with a series of turns 26. Each turn 26 of the helical element 20 includes bends 30, 32, 34 therein which can have their radius of curvature 35 increased to expand the stent 10 radially. The stent 10 resists an accordion effect caused when axial contracting forces are applied to the stent, by having axial elements 50 between turns 26 in the helical element 20. The axial elements 50 span gaps 44 between adjacent turns 26 and maintain a spacing between the turns 26.

Claims

1. A surgical stent comprising in combination:

at least one elongate helical element positioned to define at least a portion of a generally cylindrical contour for said stent;

said helical element extending angularly more than 360 degrees around a central axis of said cylindrical contour of said stent, such that said helical element has at least two turns, each turn spaced axially from adjacent turns by a gap;

at least one axial element having at least two extremities including a first extremity and a second extremity, said first extremity attached to said helical element on a first turn of said at least two turns and said second extremity attached to said helical element on a second turn of said at least two turns, such that said axial element spans said gap;

wherein said at least one axial element is S-shaped including two curves facing in opposite directions between said first extremity and said second extremity, said two curves joined together at an inflection point; and

wherein said two curves include a smaller curve and a larger curve, said smaller curve having a radius of curvature less than a radius of curvature of said larger curve, said smaller curve adjacent said second extremity, said second extremity attached to a trough side of one of said bends in said helical element and said first extremity attached to a crest side of one of said bends in said helical element.

2. The stent of claim 1 wherein said stent includes means to allow said stent to have its cylindrical contour expanded radially away from said central axis.

3. The stent of claim 2 wherein said radial expansion means maintains an angular extension of said helical element about said central axis at a constant amount before, during and after radial expansion of said cylindrical contour of said stent.

4. The stent of claim 3 wherein said radial expansion means includes said elongate helical element having a series of bends therein with at least two bends in said helical element for every turn in said helical element, said bends oriented to cause said helical element to elongate circumferentially when said bends have a radius of curvature thereof increased.

5. The stent of claim 1 wherein said elongate helical element includes a series of bends therein, each bend spaced away from adjacent bends by segments, said helical element including at least two bends in each said turn of said helical element, at least a portion of each pair of adjacent turns in said helical element overlapping each other axially while said adjacent turns are spaced away from each other circumferentially with said gap maintained between said adjacent turns.

6. The stent of claim 5 wherein each said turn has a common number of bends therein, said bends in each said turn aligned axially with said bends of said adjacent turns, such that said bends in said adjacent turns are in phase with each other.

7. The stent of claim 1 wherein said elongate helical element includes a series of bends therein, each said turn in said elongate helical element including at least two bends, and said extremities of said at least one axial element are each attached to said helical element at one of said bends.

8. The stent of claim 7 wherein each said gap between said adjacent turns is spanned by at least one said axial element, each said axial element aligned axially, such that said axial elements resist axial contraction of said stent when said stent is radially expanded.

9. A surgical stent featuring radial expandability and limited axial contraction when expanded radially, the stent comprising in combination:

a cylindrical contour having a constant inner radius from a central axis and a constant outer radius from said central axis;

a series of at least two helical gaps passing through said cylindrical contour from said inner radius to said outer radius, each said helical gap spaced axially from adjacent helical gaps by a helical element having at least three turns about said central axis and each said helical gap spaced helically from said adjacent helical gaps by at least one axial element having at least two extremities including a first extremity and a second extremity, said at least one axial element extending between two of said turns in said helical element adjacent each said gap;

wherein said at least one axial element is S-shaped including two curves facing in opposite directions between said first extremity and said second extremity, said two curves joined together at an inflection point; and

wherein said two curves include smaller curve and a larger curve, said smaller curve having a radius of curvature less than a radius of curvature of said larger curve, said smaller curve adjacent said second extremity, said second extremity attached to a trough side of one of said bends in said helical element and said first extremity attached to a crest side of one of said bends in said helical element.

10. The stent of claim 9 wherein said helical element and said axial elements each have a similar constant radial thickness and are formed from a unitary mass.

11. The surgical stent of claim 10 wherein said helical element has a constant width between said adjacent helical gaps.

12. The surgical stent of claim 11 wherein only one helical element extends from a first end of said stent to a second end of said stent, said helical element having at least three turns.

13. The surgical stent of claim 12 wherein said helical element includes at least two bends in each turn of said helical element, said axial elements connected to said helical element at said bends, said bends including means to flex and adjust a radius of curvature of said bends.

14. A flexible radially expandable surgical stent comprising in combination:

at least one elongate helical element extending helically from a first end of said stent to a second end of said stent within a cylindrical contour a substantially constant distance from a central axis of said stent;

said helical element having at least two turns as said helical element extends from said first end to said second end;

at least one axial element having at least two extremities including a first extremity and a second extremity, said at least one axial element extending between two of said at least two turns which are adjacent to each other;

wherein said at least one axial element is S-shaped including two curves facing in opposite directions between said first extremity and said second extremity, said two curves joined together at an inflection point; and

wherein said two curves include a smaller curve and a larger curve, said smaller curve having a radius of curvature less than a radius of curvature of said larger curve, said smaller curve adjacent said second extremity, said second extremity attached to a trough side of one of said bends in said helical element and said first extremity attached to a crest side of one of said bends in said helical element.

15. The stent of claim 14 wherein said axial element includes sufficient length and rigidity to prevent said adjacent turns from coming into contact with each other.

16. The stent of claim 14 wherein at least two bends are included in each turn of said helical element, said bends spaced apart by segments, at least one of said segments in each said turn oriented to position at least one said bend in each said turn at a location which axially overlaps at least one said bend in each adjacent said turn while maintaining a gap between said adjacent turns, said bends including means to flex to adjust a radius of curvature of said bends and radially expand said cylindrical contour of said stent.

17. The stent of claim 16 wherein said segments between said bends are substantially linear, said segments having sufficient length to allow a diameter of said cylindrical contour of said stent to be doubled while maintaining at least one of said bends in each said turn at a location overlapping at least one said bend of adjacent said turns.

18. The stent of claim 14 wherein a gap between adjacent said turns of said helical element is spanned by at least one said axial element, each said axial element spaced circumferentially no more than 360 degrees from adjacent said axial elements.