WO1996002211A1 - Intraluminal stent - Google Patents
Intraluminal stent Download PDFInfo
- Publication number
- WO1996002211A1 WO1996002211A1 PCT/US1995/009839 US9509839W WO9602211A1 WO 1996002211 A1 WO1996002211 A1 WO 1996002211A1 US 9509839 W US9509839 W US 9509839W WO 9602211 A1 WO9602211 A1 WO 9602211A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- stent
- barbs
- barb
- vessel
- ribs
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
- A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
- A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
- A61F2/915—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/848—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs
- A61F2002/8483—Barbs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
- A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
- A61F2/915—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
- A61F2002/9155—Adjacent bands being connected to each other
- A61F2002/91558—Adjacent bands being connected to each other connected peak to peak
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0008—Fixation appliances for connecting prostheses to the body
- A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0028—Shapes in the form of latin or greek characters
- A61F2230/0054—V-shaped
Definitions
- This invention relates to intraluminal stents and, more particularly, to intraluminal stents of the type used to retain a grafted stent within a blood vessel.
- Endoluminal grafts have been used to repair blood vessels affected with any of a variety of lesions which can compromise circulation through the blood vessel to a portion of the body.
- the graft may be made of dacron, expanded polytetrafluoroethelyne (ePTFE) , or a natural substitute such as a vein or artery taken from another portion of the body.
- ePTFE expanded polytetrafluoroethelyne
- the graft is held in place within a blood vessel by means of an expandable stent.
- Palmaz stent A variety of different stents have been used and proposed for this purpose.
- One stent known as a Palmaz stent, has been used as a means for anchoring a graft within a blood vessel.
- the Palmaz stent is illustrated in Figs. 1A and IB of Palmaz U.S. Patent No. 5,102,417.
- the Palmaz stent is characterized as an "expandable intraluminal graft".
- Patent No. 5,102,417 the "Palmaz patent" and its parents are hereby incorporated by reference into this specification.
- the basic Palmaz stent comprises a mesh-like tubular member which can be expanded from a first diameter to a second diameter.
- the stent may be expanded by means of a balloon catheter, the force applied by the balloon exceeding the elastic limit of the stent so that when the balloon is deflated, the stent remains in its expanded form. Since expansion of the stent can be closely controlled, if the stent is expanded into contact with the surface of a blood vessel, a graft positioned between the stent and blood vessel can be secured within the blood vessel.
- the Palmaz stent provides benefits in addition to the ability to anchor a graft at a desired location within a blood vessel.
- the stent can be used by itself to prevent the recurrence of stenoses, and to prevent recoil of an elastic vascular stenosis. It is usable in critical vessels such as the left main coronary artery where the possibility of the intimal flap blocking blood flow limits the use of balloon dilatation procedures.
- the present invention provides an improvement over the basic Palmaz stent in that it provides a means for mechanically anchoring the stent to the blood vessel.
- these means comprise barbs which remain within the surface of the stent when the stent is in its unexpanded condition, but which extend from the surface of the stent when the stent is expanded. These barbs are adapted to engage the graft and the surface of the blood vessel to mechanically attach the stent to the vessel. Because friction is not solely relied upon to hold the stent in place, the stent may exert less force on the blood vessel which, in turn, means that a thinner stent requiring less force for expansion may be used. In addition, there may be less radial force permanently exerted in an artery after stent deployment which may be less injurious to the vessel.
- FIG. 1 is a perspective view of a preferred embodiment of the invention showing the stent in its unexpanded condition
- Fig. 2 is a perspective view of the stent of Fig. 1 in its expanded condition
- Fig. 3 is an exploded view of a portion of the stent showing the manner in which the barb is connected to the mesh- like wall of this stent;
- Fig. 4 is a sectional view along the line 4-4 of Fig. 2;
- Fig. 5 is a perspective view of a modification of the preferred embodiment showing the stent in its unexpanded condition with a staggered arrangement of circumferential ribs.
- the invention is intended to be used as part of a stented graft, but it is contemplated that the invention would have utility for other purposes, including but not limited to the purposes itemized in the Palmaz patent.
- Delivery and deployment of a stent in accordance with the invention may be by conventional means including, but not limited to, the balloon catheters disclosed in the Palmaz patents.
- the mechanical delivery and deployment means disclosed in U.S. Patent Application Serial No. 08/196,278 filed on February 10, 1994, in the names of Michael and Ralph Marin and entitled APPARATUS AND METHOD FOR DEPLOYMENT OF RADIALLY EXPANDABLE STENTS BY A MECHANICAL LINKAGE may also be used. Since the device for delivering and deploying the stent forms no part of this invention, it is neither illustrated nor described in this application.
- a stent comprises a tubular mesh-like member 10.
- the stent may be made from a stainless steel tube or other metal in which elongated openings 12 are cut, for example by conventional laser cutting techniques or electrical discharge machining. Removal of the tubular material to form the elongated openings 12 results in a multiplicity of intersecting members which may be characterized as circumferential ribs 14 and bars 16 which are colinear with the axis of the tube. As shown in Fig. l, each of the circumferential ribs 14 intersects one of the colinear bars 16 at the halfway point of an adjacent rectangular opening 12.
- the stent may be made of various materials, but a thin-walled stainless steel tube is preferred.
- the material must deform when pressure is applied to the interior surface of the tubular member (for example by means of a balloon) and, of course, must be strong enough to withstand any pressure applied by the blood vessel (or other body lumen) in which it is to be placed.
- the diameter of the unexpanded stent is shown at "d" in Fig. 1.
- the colinear bars 16 are deformed causing the openings 12 to assume a diamond-like shape.
- the diameter of the stent increases from “d” to "D", with the length of the stent being reduced proportionately to accommodate the increase in diameter (compare Fig. 1 with Fig. 2) .
- a barb 18 extends into each of the elongated openings 12 from a circumferential rib 14 at one end of the opening.
- Each of the barbs lies flat in the surface of the tubular member in its unexpanded state. It has been discovered that if a pair of oblique slots 20 and 22 (see Fig. 3) are provided in the circumferential rib 14 at its juncture with the barb 18, when a force is applied to the inner surface of the stent, expansion of the stent will cause the barb 18 to move radially outwardly from the surface of the stent as it expands (see Fig. 4) . In other words, as the stent is deployed, the barbs 18 are also deployed so that when the stent contacts the surface of the blood vessel, the barbs penetrate the inner lining of the blood vessel to anchor the stent in place.
- the dimensions of the components of the stent, including the barb are not critical and may be determined empirically. It is believed that the angle o. illustrated in Fig. 3 should be between 30° and 60°, optimally 45°. Likewise the length of the slots 20 and 22 may be determined empirically with a view toward optimizing the deployment of the barbs without weakening excessively the circumferential ribs 14. The slots 20 and 22 serve an important function in causing the barbs to deploy during expansion of the stent.
- opposing barbs 18 may extend toward each other in each slot 12.
- two barbs 18 would extend in opposite directions from each circumferential rib 14. This, of course would double the number of barbs, which would enhance attachment of the stent to the blood vessel.
- a stent having a staggered arrangement of circumferential ribs 14 as shown in Fig. 5. By staggering or displacing the circumferential ribs 14 as shown in Fig. 5, expansion of the stent will create forces in an oblique direction which may increase the strain in the ribs 14 and thereby magnify the force on the junction between each barb 18 and rib 14.
Abstract
Description
Claims
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP50529796A JP3701679B2 (en) | 1994-07-19 | 1995-07-18 | Endovascular stent |
EP95928727A EP1032326A1 (en) | 1994-07-19 | 1995-07-18 | Intraluminal stent |
AU32374/95A AU3237495A (en) | 1994-07-19 | 1995-07-18 | Intraluminal stent |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US278,546 | 1988-12-01 | ||
US08/278,546 US5397355A (en) | 1994-07-19 | 1994-07-19 | Intraluminal stent |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1996002211A1 true WO1996002211A1 (en) | 1996-02-01 |
Family
ID=23065412
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1995/009839 WO1996002211A1 (en) | 1994-07-19 | 1995-07-18 | Intraluminal stent |
Country Status (5)
Country | Link |
---|---|
US (1) | US5397355A (en) |
EP (1) | EP1032326A1 (en) |
JP (1) | JP3701679B2 (en) |
AU (1) | AU3237495A (en) |
WO (1) | WO1996002211A1 (en) |
Cited By (10)
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DE19728337A1 (en) * | 1997-07-03 | 1999-01-07 | Inst Mikrotechnik Mainz Gmbh | Implantable stent |
WO2000018322A1 (en) | 1998-09-29 | 2000-04-06 | Edwards Lifesciences Corporation | Expanding intraluminal device |
EP1194082A1 (en) * | 2000-04-11 | 2002-04-10 | Endovascular Technologies, Inc. | Hook for attaching to a corporeal lumen and method of manufacturing |
DE102007019772A1 (en) * | 2007-04-26 | 2008-10-30 | Acandis Gmbh & Co. Kg | Stent and method of making a stent |
US10779968B2 (en) | 2010-05-29 | 2020-09-22 | Intact Vascular, Inc. | Endoluminal device and method |
US10779971B2 (en) | 2009-06-11 | 2020-09-22 | Intact Vascular, Inc. | Endovascular implant |
US10898356B2 (en) | 2015-01-29 | 2021-01-26 | Intact Vascular, Inc. | Delivery device and method of delivery |
US10993824B2 (en) | 2016-01-01 | 2021-05-04 | Intact Vascular, Inc. | Delivery device and method of delivery |
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US11660218B2 (en) | 2017-07-26 | 2023-05-30 | Intact Vascular, Inc. | Delivery device and method of delivery |
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Also Published As
Publication number | Publication date |
---|---|
JPH11501526A (en) | 1999-02-09 |
EP1032326A1 (en) | 2000-09-06 |
JP3701679B2 (en) | 2005-10-05 |
US5397355A (en) | 1995-03-14 |
AU3237495A (en) | 1996-02-16 |
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