WO2002089893B1 - Drainage devices and methods - Google Patents

Drainage devices and methods

Info

Publication number
WO2002089893B1
WO2002089893B1 PCT/US2002/013918 US0213918W WO02089893B1 WO 2002089893 B1 WO2002089893 B1 WO 2002089893B1 US 0213918 W US0213918 W US 0213918W WO 02089893 B1 WO02089893 B1 WO 02089893B1
Authority
WO
WIPO (PCT)
Prior art keywords
medical device
segment
region
proximal
elongated segment
Prior art date
Application number
PCT/US2002/013918
Other languages
French (fr)
Other versions
WO2002089893A1 (en
Inventor
Willet F Whitmore Iii
Original Assignee
Scimed Life Systems Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Scimed Life Systems Inc filed Critical Scimed Life Systems Inc
Priority to EP02731627A priority Critical patent/EP1383568B1/en
Priority to DE60234253T priority patent/DE60234253D1/en
Publication of WO2002089893A1 publication Critical patent/WO2002089893A1/en
Publication of WO2002089893B1 publication Critical patent/WO2002089893B1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M27/00Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
    • A61M27/002Implant devices for drainage of body fluids from one part of the body to another
    • A61M27/008Implant devices for drainage of body fluids from one part of the body to another pre-shaped, for use in the urethral or ureteral tract
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1078Urinary tract
    • A61M2210/1082Kidney

Abstract

A ureteral drainage stent is designed to be placed in a patient's ureter and extend into a patient's bladder. An elongated tubular segment includes a distal region for placement in the renal cavity, and a proximal region for placement in a urinary bladder. A central lumen connects at least one opening in the distal region to at least one opening in the proximal region. The elongated segment is constructed such that the wall surrounding the lumen is thinner in the proximal region than in the distal region. The thin-walled portion of the elongated segment extends along at least part of the ureter, across the ureteral vesicle junction, and from there into the bladder.

Claims

AMENDED CLAIMS[received by the International Bureau on 03 December 2002 (03.12.02); original claims 1, 15 and 37 amended; remaining claims unchanged (4 pages)]
1. A medical device for assisting the drainage of fluid from a body cavity, comprising: an elongated segment extending from a distal region through a transition zone to a proximal region comprising a pliable wall, said segment having a substantially constant outer diameter and an inner wall defining a lumen having an inner diameter in the proximal region that is greater than the inner diameter in the distal region.
2. The medical device of claim 1, wherein said device comprises a stent.
3. The medical device of claim 1, wherein said device comprises a ureteral stent.
4. The medical device of claim 1, wherein said transition zone comprises a step in the inner diameter between said proximal and distal regions.
5. The medical device of claim 1, wherein said transition zone comprises varying inner diameters between said proximal and distal regions.
6. The medical device of claim 1, further comprising at least one member extending through at least some of said lumen to said proximal region.
7. The medical device of claim 6, wherein said member comprises a flexible material.
8. The medical device of claim 6, wherein said member comprises a thread.
9. The medical device of claim 6, wherein said member is secured to the inner wall.
10. The medical device of claim 6, wherein said member comprises a substantially noncompressible material.
11. The medical device of claim 6, wherein said member includes a loop.
12. The medical device of claim 1, wherein said elongated segment further comprises a retention structure in the distal region.
13. The medical device of claim 1, wherein said elongated segment further comprises a kink resistant retention structure in the distal region.
14. The medical device of claim 1, wherein said elongated segment further comprises a coil in the distal region.
15. The medical device of claim 1 , wherein said proximal region is flexible.
16. A medical device for assisting the drainage of fluid from a body cavity, comprising: an elongated segment extending from a distal region through a transition zone to a proximal region, said segment having a substantially constant outer diameter and an inner wall defining a lumen having an inner diameter in the proximal region that is greater than the inner diameter in the distal region; and a second segment comprising an exterior wall contacting at least a portion of the inner wall of said elongated segment, and further comprising an inner wall defining a lumen coaxial with said lumen of said elongated segment.
17. The medical device of claim 16, wherein said second segment further comprises a surface for contacting a pusher during implantation of said medical device in said body cavity.
18. The medical device of claim 16, wherein said transition zone comprises varying inner diameters between said proximal and distal regions.
19. The medical device of claim 16, wherein said exterior wall of said second segment provides an interference fit with said inner wall of said elongated segment.
20. The medical device of claim 16, wherein said device comprises a stent.
21. The medical device of claim 16, wherein said device comprises a ureteral stent.
22. The medical device of claim 16, further comprising at least one member extending from said inner tubular wall of said elongated segment.
23. The medical device of claim 16, further comprising at least one member extending from said second segment.
24. The medical device of claim 16, wherein said member comprises a flexible material.
25. The medical device of claim 16, wherein said member comprises a thread.
26. The medical device of claim 16, wherein said member comprises a substantially noncompressible material.
27. The medical device of claim 16, wherein said member includes a loop.
28. The medical device of claim 16, wherein said elongated segment further comprises a retention structure in the distal region.
29. The medical device of claim 16, wherein said elongated segment further comprises a kink resistant retention structure in the distal region.
30. The medical device of claim 29, wherein said retention structure includes a coil.
31. The medical device of claim 16, wherein said proximal region is pliable.
32. A medical device for assisting the drainage of fluid from a body cavity, said device comprising an elongated segment having an annular wall defining a lumen, said lumen extending from a distal opening to a proximal opening; said annular wall having a thickness near said distal opening greater than near said proximal opening, wherein said elongated segment is kink resistant near said distal opening and pliable near said proximal opening.
33. The medical device of claim 32, wherein said device comprises a stent.
34. The medical device of claim 32, wherein said device comprises a ureteral stent.
35. The medical device of claim 32, further comprising at least one member extending from and attached to said elongated segment.
36. The medical device of claim 32, wherein said member comprises a thread.
37. A method for treatment of blockage of urine flow from a kidney to a urinary bladder, the method comprising: a) providing a medical device for assisting the drainage of fluid from a body cavity, comprising an elongated segment extending from a distal region through a transition zone to a proximal region comprising a pliable wall, said segment having a substantially constant outer diameter and an inner wall defining a lumen having an imier diameter in the proximal region that is greater than the inner diameter in the distal region; and b) inserting said device in a ureter.
38. A method of claim 37, further positioning said distal region of said medical device near a renal pelvis; and positioning said proximal region of said medical device in a urinary bladder.
39. A method of claim 37, further comprising a pusher contacting a surface of the stent in the transition zone.
40. A method for treatment of blockage of urine flow from a kidney to a urinary bladder, the method comprising: a) providing a medical device for assisting the drainage of fluid from a body cavity, comprising an elongated segment extending from a distal region through a transition zone to a proximal region, said segment having a substantially constant outer diameter and an imier wall defining a lumen having an inner diameter in the proximal region that is greater than the inner diameter in the distal region; and a second segment comprising an exterior wall contacting at least a portion of the inner wall in the distal region of said elongated segment, and further comprising an inner wall defining a lumen coaxial with said lumen of said elongated segment; and b) inserting said device into a ureter.
41. A method of claim 40, further positioning said distal region of said medical device near a renal pelvis; and positioning said proximal region of said medical device in a urinary bladder.
42. A method of claim 40, further comprising a pusher contacting a surface on said second segment disposed within the lumen of the stent near the transition zone.
43. A method for treatment of blockage of urine flow from a kidney to a urinary bladder, the method comprising:
PCT/US2002/013918 2001-05-04 2002-05-03 Drainage devices and methods WO2002089893A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP02731627A EP1383568B1 (en) 2001-05-04 2002-05-03 Drainage devices
DE60234253T DE60234253D1 (en) 2001-05-04 2002-05-03 DRAINAGE DEVICE

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US09/849,202 US6676623B2 (en) 2001-05-04 2001-05-04 Drainage devices and methods
US09/849,202 2001-05-04

Publications (2)

Publication Number Publication Date
WO2002089893A1 WO2002089893A1 (en) 2002-11-14
WO2002089893B1 true WO2002089893B1 (en) 2003-04-03

Family

ID=25305297

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2002/013918 WO2002089893A1 (en) 2001-05-04 2002-05-03 Drainage devices and methods

Country Status (4)

Country Link
US (1) US6676623B2 (en)
EP (1) EP1383568B1 (en)
DE (1) DE60234253D1 (en)
WO (1) WO2002089893A1 (en)

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Also Published As

Publication number Publication date
EP1383568A1 (en) 2004-01-28
WO2002089893A1 (en) 2002-11-14
EP1383568B1 (en) 2009-11-04
US6676623B2 (en) 2004-01-13
DE60234253D1 (en) 2009-12-17
US20020173754A1 (en) 2002-11-21

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