CA2175720A1 - Bifurcated stent and method for the manufacture and delivery of same - Google Patents
Bifurcated stent and method for the manufacture and delivery of sameInfo
- Publication number
- CA2175720A1 CA2175720A1 CA002175720A CA2175720A CA2175720A1 CA 2175720 A1 CA2175720 A1 CA 2175720A1 CA 002175720 A CA002175720 A CA 002175720A CA 2175720 A CA2175720 A CA 2175720A CA 2175720 A1 CA2175720 A1 CA 2175720A1
- Authority
- CA
- Canada
- Prior art keywords
- stent
- bifurcated
- wall
- bifurcated stent
- apex
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2/856—Single tubular stent with a side portal passage
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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Abstract
An expandable bifurcated stent comprising a proximal end and a distal end in communication with one another. The proximal end comprises a primary passageway and the distal end comprises a pair of secondary passageways. The stent is expandable from a first, contracted position to a second, expanded position upon the application of a radially outward force exerted on the stent. Each of the primary passageway and the secondary passageway being constructed of a tubular wall having a porous surface, a method for production of a bifurcated stent is also described. The method comprises the step of connecting a first stent section to a second stent section, the first stent section having an end thereof adapted for connection to an opening disposed along the length of a second stent section.
Claims (65)
1. An expandable bifurcated stent comprising a proximal end and a distal end in communication with one another, the proximal end comprising a primary passageway and the distal end comprising a pair of secondary passageways, the stent being expandable from a first, contracted position to a second, expanded position upon the application of a radially outward force exerted on the stent, each of the primary passageway and the secondary passageway being constructed of a tubular wall having a porous surface.
2. The bifurcated stent defined in claim 1, wherein the primary and each secondary passageway is elongate and has a longitudinal axis which substantially bisects the pair of secondary passageways.
3. The bifurcated stent defined in claim 2, wherein the porous surface is defined by a plurality intersecting members.
4. The bifurcated stent defined in claim 3, wherein the intersecting members define a first repeating pattern.
5. The bifurcated stent defined m claim 4, wherein the first repeating pattern is a first repeating pattern comprised of a polygon having a pair of side walls substantially parallel to the longitudinal axis, a concave-shaped first wall having a first apex and a convex-shaped second wall having a second apex, the first wall and the second wall connecting the side walls, at least one of the first apex and the second apex being substantially flat.
6. The bifurcated stent defined in claim 5, wherein both the first apex and the second apex are substantially flat.
7. The bifurcated stent defined in claim 5, wherein the first apex and the second apex are of different length.
8. The bifurcated stent defined in claim 5, wherein the first apex and the second apex are of the same length.
9. The bifurcated stent defined in claim 5, wherein the first wall and the second wall are substantially equidistant from one another along an axis parallel to the longitudinal axis.
10. The bifurcated stent defined in claim 5, wherein one of the first apex and the second apex is substantially arcuate.
11. The bifurcated stent defined in any one of claims 5-10, further comprising a strut connecting the first apex to the second apex.
12. The bifurcated stent defined in claim 11, wherein the strut is curved with respect to the longitudinal axis.
13. The bifurcated stent defined in claim 12, wherein the strut has length of up to about 35 % greater than the distance between the first apex and the second apex.
14. The bifurcated stent defined in claim 12, wherein the strut has a length up to about 15% greater than the distance between the first apex and the second apex.
15. The bifurcated stent defined in claim 12, wherein the strut has a length in the range of from about 2 % to about 8 % greater than the distance between the first apex and the second apex.
16. The bifurcated stent defined in claim 12, wherein the strut has a length in the range of from about 3 % to about 7 % greater than the distance between the first apex and the second apex.
17. The bifurcated stent defined in any one of claims 5-10, wherein the side walls are substantially equidistant from one another along an axis orthogonal to the longitudinal axis of stent.
18. The bifurcated stent defined in any one of claims 5-10, wherein at least one of the side walls is curved with respect to the longitudinal axis.
19. The bifurcated stent defined in claim 18, wherein the at least one of the side walls which is curved has a length up to about 35 % greater than the distance between the respective termini of the first wall and the second wall.
20. The bifurcated stent defined in claim 18, wherein the at least one of the side walls which is curved has a length up to about 15% greater than the distance between the respective termini of the first wall and the second wall.
21. The bifurcated stent defined in claim 18, wherein the at least one of the side walls which is curved has a length in the range of from about 2 % to about 8 % greater than the distance between the respective termini of the first wall and the second wall.
22. The bifurcated stent defined in claim 18, wherein the at least one of the side walls which is curved has a length in the range of from about 3 % to about 7 % greater than the distance between the respective termini of the first wall and the second wall.
23. The bifurcated stent defined in any one of claims 5-10, wherein both of the side walls are curved with respect to the longitudinal axis.
24. The bifurcated stent defined in claim 23, wherein the side walls have a length up to about 35% greater than the distance between the respective termini of the first wall and the second wall.
25. The bifurcated stent defined in claim 23, wherein the side walls have a length up to about 15% greater than the distance between the respective termini of the first wall and the second wall.
26. The bifurcated stent defined in claim 23, wherein the side walls have a length in the range of from about 2 % to about 8 % greater than the distance between the respective termini of the first wall and the second wall.
27. The bifurcated stent defined in claim 23, wherein the side walls have a length in the range of from about 3 % to about 7 % greater than the distance between the respective termini of the first wall and the second wall.
28. The bifurcated stent defined in claim 1, wherein the stent is constructed of stainless steel.
29. The bifurcated stent defined in claim 1, wherein the stent is constructed of a self-expanding material.
30. The bifurcated stent defined in claim 29, wherein the self-expanding material is nitinol.
31. The bifurcated stent defined in claim 29, wherein the self-expanding material expands at a temperature of greater than about 30°C.
32. The bifurcated stent defined in claim 29, wherein the self-expanding material expands at a temperature of in the range of from about 30° to about 40°C.
33. The bifurcated stent defined in claim 4, wherein the intersecting members define a second repeating pattern.
34. The bifurcated stent defined in claim 33, wherein the second repeating pattern is a substantial mirror image of the first repeating pattern taken along an axis substantially normal to the longitudinal axis of the primary passageway.
35. The bifurcated stent defined in claim 33, wherein the first repeating pattern and the second repeating pattern complement one another.
36. The bifurcated stent defined in claim 1, wherein the primary passageway is connected to the each of the secondary passageways at an intersection point.
37. The bifurcated stent defined in claim 36, wherein the intersection point reinforced with respect to the remainder of the stent.
38. The bifurcated stent defined in claim 36, wherein the intersection point is porous.
39. The bifurcated stent defined in claim 38, wherein the porosity of the intersection point is defined by a plurality intersecting members.
40. The bifurcated stent defined in claim 39, wherein the intersecting members define a third repeating pattern.
41. The bifurcated stent defined in claim 40, wherein the third repeating pattern is a polygon having a pair of side walls substantially parallel to the longitudinal axis of the primary passageway, a first concave-shaped wall and a second convex-shaped wall connecting the side walls, the first wall and the second wall being substantially equidistant along an axis which is parallel to the longitudinal axis of the primary passageway, and a reinforcing bar disposed between and substantially parallel to the pair of side walls.
42. The bifurcated stent defined in claim 41, wherein the reinforcing bar is disposed substantially equidistant from each of the side walls.
43. The bifurcated stent defined in claim 36, wherein the intersection point comprises overlapping portions of at least two of the primary passageway and the pair of secondary passageways.
44. a method for production of a bifurcated stent comprising the step of connecting a first stent section to a second stent section, the first stent section having an end thereof adapted for connection to an opening disposed along the length of a second stent section.
45. The method defined in claim 44, wherein the end of the first stent section adapted for connection is bevelled with respect to a longitudinal axis of the first stent section.
46. The method defined in claim 44, comprising the further step of disposing at least one first flap portion at the end of the first stent section adapted for connection to the opening disposed along the length of the second stent section.
47. The method defined in claim 46, wherein the at least one first flap portion is produced by folding from the end of the first stent section adjacent the bevelled cut.
48. The method defined in claim 46, wherein, prior to the connecting step, the at least one first flap portion is trimmed to a reduced size.
49. The method defined in claim 46, comprising the further step of overlapping the at least one first flap portion of the first stent section on toa portion of the second stent section.
50. The method defined in any one of claims 46-49, wherein the connecting step comprises welding the at least one first flap portion of the first stent section to the second stent section.
51. The method defined in claim 46-47, wherein, prior to the connecting step, the at least one first flap portion is removed.
52. The method defined in claim 44, comprising the further step of disposing at least one second flap portion at a periphery of the opening disposed along the length of the second stent section.
53. The method defined in claim 44, comprising the further step of disposing a pair of second flap portions at a periphery of the opening disposed along the length of the second stent section.
54. The method defined in claim 52, wherein, prior to the connecting step, at least one second flap portion is trimmed to a reduced size.
55. The method defined in claim 52, comprising the further step of overlapping the at least one second flap portion of the second stent section on to a portion of the first stent section.
56. The method defined in any one of claims 52-55, wherein the connecting step comprises welding the at least one second flap portion of the second stent section to the first stent section.
57. The method defined in claim 52-53, wherein, prior to the connecting step, at least one second flap portion is removed.
58. The method defined in claim 44, comprising the further steps of producing the second stent section by:
providing a pair of third stent sections, each third stent sections having an end thereof bevelled with respect to a longitudinal axis of the third stent section;
joining the pair of third stent sections in a complementary manner at each bevelled end thereof to provide a substantially V-shaped stent section;
and removing an apex portion of the V-shaped stent section to define the second stent section having an opening therein.
providing a pair of third stent sections, each third stent sections having an end thereof bevelled with respect to a longitudinal axis of the third stent section;
joining the pair of third stent sections in a complementary manner at each bevelled end thereof to provide a substantially V-shaped stent section;
and removing an apex portion of the V-shaped stent section to define the second stent section having an opening therein.
59. The method defined in claim 58, wherein the connecting step comprises connecting the end of the first stent section to the opening defined in the V-shaped stent section.
60. The method defined in claim 44, wherein the connecting step comprises welding the first stent section to the second stent section.
61. A method for production of a bifurcated stent comprising the steps of:
passing a first stent section having a first opening disposed along a length thereof through a second stent section having a second opening disposed along a length thereof, the first stent section having a diameter less than a diameter of the second stent section;
passing a leading end of the first stent section through the second opening of the second stent section; and substantially aligning the first opening and the second opening with respect to one another.
passing a first stent section having a first opening disposed along a length thereof through a second stent section having a second opening disposed along a length thereof, the first stent section having a diameter less than a diameter of the second stent section;
passing a leading end of the first stent section through the second opening of the second stent section; and substantially aligning the first opening and the second opening with respect to one another.
62. A method for delivery to a target body passageway of an expandable bifurcated stent comprising a proximal end and a distal end in communication with one another, the proximal end comprising a primary passageway and the distal end comprising a pair of secondary passageways, the stent being expandable from a first, contracted position to a second, expanded position upon the application of a radially outward force from the interior of the stent, the method comprising the steps of:
disposing the stent in the first, contracted position on a catheter;
inserting the stent and catheter within the target body passageway by catheterization of the target body passageway;
exerting a radially outward expansive force on the stent such that the stent assumes the second, expanded position and is urged against the target body passageway.
disposing the stent in the first, contracted position on a catheter;
inserting the stent and catheter within the target body passageway by catheterization of the target body passageway;
exerting a radially outward expansive force on the stent such that the stent assumes the second, expanded position and is urged against the target body passageway.
63. The method defined in claim 62, wherein the expansive force is provided by expanding the catheter such that the stent assumes the second, expanded position and is urged against the target body passageway.
64. The method defined in claim 62, comprising the further steps of:
collapsing the catheter; and removing the catheter from the target body passageway.
collapsing the catheter; and removing the catheter from the target body passageway.
65. The method defined in claims 62, wherein the expansive force is provided simultaneously to the primary passageway and each of the secondary passageways.
Priority Applications (12)
Application Number | Priority Date | Filing Date | Title |
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CA2175720A CA2175720C (en) | 1996-05-03 | 1996-05-03 | Bifurcated stent and method for the manufacture and delivery of same |
CA2253546A CA2253546C (en) | 1996-05-03 | 1997-05-02 | Bifurcated stent and method for the manufacture of same |
MYPI97001911A MY124237A (en) | 1996-05-03 | 1997-05-02 | Bifurcated stent and method for the manufacture and delivery of same |
EP97919222A EP0959811B1 (en) | 1996-05-03 | 1997-05-02 | Bifurcated stent and method for the manufacture of same |
DE69729886T DE69729886T2 (en) | 1996-05-03 | 1997-05-02 | STENT WITH DISTRIBUTION AND ITS MANUFACTURING PROCESS |
AT97919222T ATE270860T1 (en) | 1996-05-03 | 1997-05-02 | STENT WITH BRANCH AND PROCESS OF PRODUCTION THEREOF |
PCT/CA1997/000294 WO1997041803A1 (en) | 1996-05-03 | 1997-05-02 | Bifurcated stent and method for the manufacture of same |
US09/180,146 US6811566B1 (en) | 1996-05-03 | 1997-05-02 | Bifurcated stent and method for the manufacture of same |
JP53936697A JP4659159B2 (en) | 1996-05-03 | 1997-05-02 | Bifurcated stent and manufacturing method thereof |
US08/850,742 US5906640A (en) | 1994-11-03 | 1997-05-02 | Bifurcated stent and method for the manufacture and delivery of same |
AU23773/97A AU2377397A (en) | 1996-05-03 | 1997-05-02 | Bifurcated stent and method for the manufacture of same |
IDP971484A ID16864A (en) | 1996-05-03 | 1997-05-05 | VESSELS OF BRANCHES MADE AND BRANCH AND METHOD OF MAKING AND HOW TO CARRY IT |
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CA2175720A CA2175720C (en) | 1996-05-03 | 1996-05-03 | Bifurcated stent and method for the manufacture and delivery of same |
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CA2175720C CA2175720C (en) | 2011-11-29 |
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CA2253546A Expired - Fee Related CA2253546C (en) | 1996-05-03 | 1997-05-02 | Bifurcated stent and method for the manufacture of same |
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CA2253546A Expired - Fee Related CA2253546C (en) | 1996-05-03 | 1997-05-02 | Bifurcated stent and method for the manufacture of same |
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EP (1) | EP0959811B1 (en) |
JP (1) | JP4659159B2 (en) |
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AU (1) | AU2377397A (en) |
CA (2) | CA2175720C (en) |
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JP4659159B2 (en) | 2011-03-30 |
DE69729886D1 (en) | 2004-08-19 |
DE69729886T2 (en) | 2005-08-25 |
US5906640A (en) | 1999-05-25 |
WO1997041803A1 (en) | 1997-11-13 |
CA2253546A1 (en) | 1997-11-13 |
EP0959811B1 (en) | 2004-07-14 |
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