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United States Patent [19]

Gianturco

[ii] Patent Number: 5,041,126 [45] Date of Patent: * Aug. 20, 1991

[54]

[75] [73]

ENDOVASCULAR STENT AND DELIVERY SYSTEM

Inventor: Cesare Gianturco, Champaign, 111.

Assignee: Cook Incorporated, Bloomington,
Ind.

[ * ] Notice: The portion of the term of this patent subsequent to Jan. 31, 2006 has been disclaimed.

[21] Appl. No.: 244,669

[22] Filed: Sep. 14, 1988

Related U.S. Application Data

[63] Continuation of Ser. No. 25,736, Mar. 13, 1987, Pat. No. 4,800,882.

[51] Int. Cl.s A61M 29/02

[52] U.S. CI 606/195; 604/104;

623/1

[58] Field of Search 128/341, 343, 344;

604/96, 8, 104; 606/191-200; 623/1, 12, 900

[56] References Cited

U.S. PATENT DOCUMENTS

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3,842,441 10/1974 Kaiser 623/13

3,868.956 3/1975 Alfidi et al. .

4,140,126 2/1979 Choudhury .

4.183.102 1/1980 Guiset .

4,214,587 7/1980 Sakura. Jr. .

4.416,028 11/1983 Erikson et al. .

4.483.339 11/1984 Gillis .

4,503,569 3/1985 Doner .

4,512.338 4/1985 Balko et al. .

4,553,545 11/1985 Maass et al. .

4,560,374 12/1985 Hammerslag 604/49

4.562.596 1/1986 Kornberg 623/1

4.577.631 3/1986 Kreamer .

4.580.568 4/1986 Gianturco .

4,641,653 2/1987 Rockey 128/344

4.649.922 3/1987 Wiktor .

4.665,918 5/1987 Garza et al. .

4,733,665 3/1988 Palmaz .

4,740,207 4/1988 Kreamer 623/1

4.800,882 1/1989 Gianturco 606/194

4,856,516 8/1989 Hillstead 604/104

[blocks in formation]

A wire stent for insertion and expansion into a passageway comprises a plurality of curved sections that are formed into a generally circular configuration. Adjacent curved sections are joined by a bend or cusp, so that a series of alternating opposing loops are formed. The wire stent as formed has a cylindrical shape with a longitudinal opening through which a folded balloon catheter is inserted. The opposing loops are tightly contracted about the catheter so that the cylindrical shape has an overlapping region in which portions of adjacent loops longitudinally overlap. The loops are arranged so that when the balloon catheter is inflated, adjacent loops diverge circumferentially relative to each other, thereby decreasing the overlapping region while increasing the diameter of the cylindrical shape. As the diameter of the cylindrical shape increases, the wire stent contacts the surface of a passageway in which the stent is inserted.

3 Claims, 5 Drawing Sheets

Page 2

OTHER PUBLICATIONS

Palmaz et al, "Atherosclerotic Rabbit Aortas: Expandable Intraluminal Grafting", Radiology, 160:723-726, Sep. 1986.

Roubin et al., "Early and Late Results of Intracoronary
Arterial Stenting after Coronary Angioplasty in Dogs",
Circulation, 76, No. 4, 891-897, Oct. 1987.
"Flexible Balloon-Expanded Stent for Small Vessels",
Radiology, Jan. 1987, pp. 276-280, vol. 162, No. 1.
"Expandable Intraluminal Graft: A Preliminary
Study"; Radiology, Jul. 1985; paper presented at 70th
Scientific Assembly and Annual Meeting of the Radiol-
ogy Society of North America.

"Percutaneous Endovascular Stents: An Experimental
Evaluation"; Wright et al, Radiology, 156; 1985.
"Non Surgical Placement of Arterial Endoprostheses:
A New Technique Using Nitinol Wire", Cragg et al,
Radiology, 147:261-263, Apr. 1983.
"Transluminally-Placed Coilspring Endurtorial Tub
Grafts", Dotter Investigative Radiology; Sep.-Oct.
1969.

"Radiology Follow-Up of Transluminal^ Inserted Vascular Endoprosthesis", Radiology, Sep. 1984, 152:659-663.

Dotter, C. T. et al., "Transluminal Expandable Nitonol Coil Stent Grafting", Radiology, Apr. 1983, 147:259-260.

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