WO2005032414A2 - Extenseur modulaire - Google Patents

Extenseur modulaire Download PDF

Info

Publication number
WO2005032414A2
WO2005032414A2 PCT/US2004/031899 US2004031899W WO2005032414A2 WO 2005032414 A2 WO2005032414 A2 WO 2005032414A2 US 2004031899 W US2004031899 W US 2004031899W WO 2005032414 A2 WO2005032414 A2 WO 2005032414A2
Authority
WO
WIPO (PCT)
Prior art keywords
deflection
stent
support frame
thread
annular segment
Prior art date
Application number
PCT/US2004/031899
Other languages
English (en)
Other versions
WO2005032414A3 (fr
Inventor
Thomas Nissl
Eric Mangiardi
Original Assignee
Alveolus 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 Alveolus Inc. filed Critical Alveolus Inc.
Publication of WO2005032414A2 publication Critical patent/WO2005032414A2/fr
Publication of WO2005032414A3 publication Critical patent/WO2005032414A3/fr

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
    • 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
    • A61F2/86—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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • 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
    • A61F2002/826—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents more than one stent being applied sequentially
    • 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
    • A61F2002/91516—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 the meander having a change in frequency along the band
    • 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
    • A61F2002/91525—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 within the whole structure different bands showing different meander characteristics, e.g. frequency or amplitude
    • 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
    • A61F2002/91533—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 characterised by the phase between adjacent bands
    • 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
    • A61F2002/91566—Adjacent bands being connected to each other connected trough to trough
    • 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
    • A61F2002/91575—Adjacent bands being connected to each other connected peak to trough
    • 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
    • A61F2002/91591—Locking connectors, e.g. using male-female connections
    • 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
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/006—Additional features; Implant or prostheses properties not otherwise provided for modular

Definitions

  • the invention is relative to a stent with suture mediated removability features.
  • Stents are used to treat stenoses.
  • Stenoses are closures and constrictions of tubular body canals acquired congenitally or conditioned by disease. Tumors that press on the body canals or deposits that close the body canals are frequently causes for stenoses.
  • Stenoses can be opened by operative and non-operative measures.
  • stents are introduced by catheter techniques or introducing aids into the intracorporal vessel in the area of the stenosis. Stents function as prosthesis for supporting the inner walls of lumens.
  • a stent taught by DE 101 18 944 Al belongs to the state of the art whose support frame is surrounded on the outside by a thread or wire.
  • the support frame can be radially constricted by pulling on the thread ends, that are each provided with a loop or the like, which makes it possible for the frame to be removed.
  • the invention solves this problem in a stent in accordance with the features of protective Claim 1 in which the support frame is formed by several axially successive annular segments and in which at least two adjacent annular segments can be connected by positively intermeshing coupling elements.
  • the stent in accordance with the invention and the annular segments used to build the stent are constructed in a modular building- block system and can be individually composed.
  • the stent can be used wherever different lengths and/or different properties, e.g., different degrees of radial forces or different geometries should be used or must be used.
  • a stent can be constructed or composed of individual annular segments or of annular segments combined in groups adapted to the particular requirements of use of the stenosis to be treated. A rapid reaction time for specific and specially adapted stents for a patient is possible.
  • the stent of the invention is adapted functionally by means of the combination of annular segments with different properties, in particular with radial forces that differ from each other. This can take place by the combination of annular segments with a differing design and/or consisting of different materials.
  • the suggested stent also has manufacturing and economical advantages.
  • the rejection rate can be reduced by using short, individual annular segments.
  • An individual annular segment is, e.g., 20 mm long.
  • a complete stent can then be composed of 6 individual ⁇ nnul ⁇ r segments with ⁇ total length of 120 mm. If an annular segment is defective, only this single short annular segment needs to be replaced, whereas, in the case of a support frame with a one-piece construction the entire stent would be unusable.
  • the connection of the annular segments via the coupling elements is positive, but articulated in a limited manner. This measure is advantageous for the direction of the curves of the stent.
  • the annular segments are connected via positively intermeshing coupling elements.
  • the coupling elements are preferably designed as complementary claw connectors, as provided in protective Claim 2.
  • both coupling elements project axially relative to the annular segments in the direction of the longitudinal axis of the stent (protective Claim 3) .
  • one of the coupling elements is designed inside the annular segment so that only one corresponding coupling element projects in the axial direction of the stent.
  • special terminal annular segments on the free ends of a stent of the invention which segments comprise coupling elements only on one side in the direction of the middle of the stent.
  • the annular segments are positively connected by the coupling elements.
  • the coupling elements have undercut areas for producing a stable connection.
  • the undercut areas can be curved (protective Claim 4).
  • Straight-line undercut areas are also advantageous (protective Claim 5).
  • a combination of curved undercut areas and of straight-line undercut areas on the coupling elements is also possible.
  • the coupling elements are supported on each other by the undercut areas so that a reliable, positive coupling of the annular segments among themselves is assured.
  • a number of annular segments can be advantageously interlocked to stent sections by connector struts, as provided in protective Claim 6. According to this claim a number of annular segments are firmly connected by connector struts.
  • the individual sections again comprise coupling elements that make possible a positive connection of the annular segments or of the stent sections to each other in accordance with the invention.
  • the annular segments are formed by corrugated struts that endlessly follow each other.
  • All deformable, medically possible metals or metal alloys can be used in this instance, e.g., high-grade steel, cobalt alloys, technical pure iron or nickel-titanium alloys or other medical implant materials.
  • the invention is described in detail in the following using exemplary embodiments. Further objectives, features and advantages of the invention will be apparent from the following detailed description taken in conjunction with the accompanying drawings.
  • Figure 1 shows a three-dimensional view of a stent in accordance with the invention.
  • Figures 2 to 5 and 7 each show a section of a stent with the representation of five different configurations of the support frame.
  • Figure 6 shows a section of the support frame with the representation of a guide eyelet.
  • components corresponding to each other have the same reference numerals.
  • the invention is therefore based on the problem of creating a functionally improved, removable stent.
  • the invention solves this problem with ⁇ stent in accordance with the features of Claim 1 .
  • the core of the invention is constituted by the measure that the support frame of the stent is surrounded on the outside by a thread and that the thread ends are guided via a deflection from the outside into the support frame where they are coupled by a connector. In this manner the friction is distinctly reduced in contrast to a threaded thread, which substantially improves the explantation process of a stent.
  • the ends coupled in the interior of the support frame by the connection can be readily grasped with a suitable instrument.
  • the support frame can be drawn together, preferably partially in the area of the first annular segment, by pulling the thread.
  • the stent constricted in this manner can then be removed from the body canal.
  • a biocompatible, non-dissolvable thread can be used as thread.
  • the term " thread" can also denote a wire.
  • the deflection for the thread ends can basically be realized by differently designed deflection elements. Eyelet-shaped, loop-shaped or hook-like deflection elements are considered to be especially advantageous.
  • the deflection elements should reliably hold and guide the thread.
  • the deflection is realized by at least one deflection element provided on an annular segment.
  • the deflection is preferably formed by two deflection elements, e.g., eyelets, arranged on the circumference of the support frame at an interval from one another (Claim 3).
  • the explantation process can already be distinctly simplified if one or two end-side annular segments of a stent can be drawn together.
  • Claim 4 consequently provide that the deflection is provided on the end-side annular segment (viewed in the direction of the longitudinal axis of the stent).
  • Claim 5 Another advantageous embodiment of the stent of the invention provides according to Claim 5 that the deflection is arranged on the inner side, facing the middle of the stent, of the end-side annular segment.
  • An alternative embodiment forms subject matter of Claim 6. According to it the deflection is formed by two deflection elements of which a first deflection element is arranged on the inner side, facing the middle of the stent, of an annular segment and the second deflection element is arranged on the outer side of the annular segment.
  • the two deflection elements are spaced relative to one another over the circumference of the support frame as well as viewed in the direction of the longitudinal axis of the stent.
  • An entire annular segment is drawn together when the thread ends are pulled by the diagonal course of the thread achieved in this manner via the annular segment and the connector struts.
  • the deflection can also be formed by two deflection elements of which a first deflection element is provided on the end-side annular segment, viewed in the direction of the longitudinal axis of the stent, and the second deflection element is provided on the adjacent, inner annular segment (Claim 7).
  • the connector consists of a material visible in x-rays.
  • the coupling site on the thread ends can be detected by x-rays in this manner, which facilitates the medical intervention for explanting a stent.
  • other guide elements for the thread can be provided in the support frame in order to support the purposeful position of the yarn on the support frame, as is provided in Claim 9.
  • the annular segments themselves are formed by struts following each other in an endless manner in a corrugated manner.
  • adjacent annular segments are coupled by connector struts.
  • Each connector strut has a longitudinal section running substantially parallel to the longitudinal axis of the stent and has a strut section aligned transversely to the latter and configured in a U or V shape (Claim 1 1 ).
  • FIG. 1 shows a stent in accordance with the invention in a three-dimensional representation.
  • Stent 1 comprises a tubular support frame 2 on axially sequential, interconnected annular segments 3, 4, 5.
  • Each annular segment 3, 4, 5 is formed by struts 6, 7 following each other in an endless manner in a corrugated or zigzag pattern.
  • Adjacent annular segments 3, 4 and 4, 5 are coupled by connector struts 8.
  • Connector struts 8 have a longitudinal section 9 running substantially parallel to longitudinal axis L of the stent and have a strut section 10 aligned transversely to the latter and configured in a U or V shape (refer also to figure 2 in this regard).
  • the illustration according to figure 1 shows stent 1 in its widened out supporting state.
  • Support frame 2 is surrounded on the outside by thread 1 1 .
  • thread 1 1 is shown in figure 1 at an interval from support frame 2.
  • Thread 1 1 surrounds support frame 2 in an annular fashion between annular segments 3, 4.
  • the two thread ends 12, 13 of thread 1 1 are guided into the interior of support frame 2 via deflection 14 in the form of two deflection elements 15, 1 6 formed by eyelets.
  • Thread ends 12, 13 are firmly connected to one another by connector 17 consisting of a material visible to x-rays.
  • Figure 1 shows connector 17 in a simplified manner.
  • Connector 17 couples the two thread ends 12, 13 firmly and quasi inseparably to one another.
  • Figure 2 shows a section of support frame 2 corresponding to figure 1 .
  • Deflection 14 is provided on end-side (viewed in the direction of longitudinal axis L of the stent) annular segment 3.
  • the two deflection elements 15, 16 are arranged on the inner side, facing the middle of the stent, of annular segment 3 and in transitional area 18 between two struts 6, 7.
  • Deflection elements 15, 16 are located on the circumference of support frame 2 at distance A from one another.
  • Thread 1 1 runs between annular segments 3, 4 and loops around connector struts 8 with the exception of connector strut 8' between the two deflection elements 15, 1 6.
  • thread 1 1 is grasped in the interior of support frame 2 on connector 17.
  • the two annular segments 3, 4 are drawn together via connector struts 8 by the traction applied from the outside .and are reduced in diameter.
  • Stent 1 can subsequently be removed without problems.
  • Thread 1 1 can also overlap or cross itself on the end side before thread ends 12, 13 are guided via deflection elements 15, 1 6 of deflection 14 into the interior of support frame 2. Such a situation is shown in figure 7. Otherwise, the construction of the stent corresponds to the one previously described using figures 1 , 2.
  • deflection 14 is formed by two deflection elements 19, 20 in the form of eyelets of which ⁇ first deflection element 19 is arranged on the inner side, facing the middle of the stent, of annular segment 3 and the second deflection element 20 is arranged on the outer side of annular segment 3.
  • the first deflection element 19 is located in transitional area 18 between struts 6, 7 and in contrast thereto second deflection element 20 is arranged in transitional area 21 between struts 6, 7 and connector strut 8 on the side facing away from connector strut 8.
  • Thread 1 1 looping around support frame 2 on its outside is again guided via deflection 14 into support frame 2.
  • thread ends 12, 13 of thread 1 1 are threaded through deflection elements 19, 20 and coupled in support frame 2 by connector 17.
  • this second end is totally constricted during the drawing together by thread 1 1 .
  • Figure 4 shows a comparable configuration.
  • first deflection element 22 in the form of an eyelet arranged on the inner side, facing middle M of the stent, of annular segment 3 and has a second deflection element 23 on the outer side of annular segment 3.
  • First deflection element 22 is located on transitional area 24 between struts 6, 7 of the inner side of annular segment 3 and second deflection element 23 is located on transitional area 25 between struts 6, 7 on the outer side of annular segment 3.
  • Interval A between deflection elements 22, 23 is greater over the circumference than that in the embodiment of support frame 2 according to figure 3.
  • deflection 14 is formed by two deflection elements 26, 27 of which the first deflection element 26 is provided on the end-side ⁇ nnul ⁇ r segment 3, viewed in longitudinal axis L of the stent and the second deflection element 27 is provided on adjacent, inner annular segment 4.
  • deflection elements 26, 27 are preferably formed by eyelets. According to the invention thread 1 1 is guided via deflection elements 26, 27 from the outside into the interior of support frame 2, where it is coupled by connector 17.
  • Both annular segments 3, 4 are contracted when thread 1 1 is pulled as a result of the connecting of deflection elements 26, 27 to the first, inner segment area and to the second, outer segment area of annular segments 3, 4, whereupon stent 1 can be removed from the body canal.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Physics & Mathematics (AREA)
  • Vascular Medicine (AREA)
  • Optics & Photonics (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

L'invention concerne un extenseur (1) pourvu d'un cadre de support (2) constitué de segments annulaires interconnectés (3, 4, 5) qui se succèdent dans l'axe, ledit cadre de support (2) étant entouré de l'extérieur par un fil (11). Les extrémités de fil (12, 13) sont guidées à travers un élément de déflexion (14) de l'extérieur vers l'intérieur du cadre de support (2), où ils sont couplés par un connecteur constitué d'un matériau visible dans les rayons X. L'élément de déflexion (14) est constitué de deux éléments de déflexion (15, 16) ayant la forme d'oeillets ménagés dans le segment annulaire (3). Les éléments de déflexion (15, 16), situés à la circonférence du cadre de support (2) et séparés pour des intervalles, sont disposés sur le segment annulaire (3) du côté d'extrémité, vu dans le sens longitudinal L de l'extenseur.
PCT/US2004/031899 2003-09-30 2004-09-29 Extenseur modulaire WO2005032414A2 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US50725903P 2003-09-30 2003-09-30
US60/507,259 2003-09-30

Publications (2)

Publication Number Publication Date
WO2005032414A2 true WO2005032414A2 (fr) 2005-04-14
WO2005032414A3 WO2005032414A3 (fr) 2005-06-02

Family

ID=34421601

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2004/031899 WO2005032414A2 (fr) 2003-09-30 2004-09-29 Extenseur modulaire

Country Status (1)

Country Link
WO (1) WO2005032414A2 (fr)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2469296A (en) * 2009-04-07 2010-10-13 Cook Inc Modular stent assembly
US10779965B2 (en) 2013-11-06 2020-09-22 Enopace Biomedical Ltd. Posts with compliant junctions
US10828181B2 (en) 2011-09-09 2020-11-10 Enopace Biomedical Ltd. Annular antenna
US11400299B1 (en) 2021-09-14 2022-08-02 Rainbow Medical Ltd. Flexible antenna for stimulator
CN116929673A (zh) * 2023-09-15 2023-10-24 武汉天运汽车电器有限公司 一种车用阀类零件检测装置

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6540777B2 (en) * 2001-02-15 2003-04-01 Scimed Life Systems, Inc. Locking stent

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6540777B2 (en) * 2001-02-15 2003-04-01 Scimed Life Systems, Inc. Locking stent

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2469296A (en) * 2009-04-07 2010-10-13 Cook Inc Modular stent assembly
WO2010118126A1 (fr) 2009-04-07 2010-10-14 William Cook Europe Aps Ensemble modulaire de stent
GB2469296B (en) * 2009-04-07 2011-03-09 Cook Inc Modular stent assembly
US8361141B2 (en) 2009-04-07 2013-01-29 Cook Medical Technologies Llc Modular stent assembly
US10828181B2 (en) 2011-09-09 2020-11-10 Enopace Biomedical Ltd. Annular antenna
US10779965B2 (en) 2013-11-06 2020-09-22 Enopace Biomedical Ltd. Posts with compliant junctions
US11432949B2 (en) 2013-11-06 2022-09-06 Enopace Biomedical Ltd. Antenna posts
US11400299B1 (en) 2021-09-14 2022-08-02 Rainbow Medical Ltd. Flexible antenna for stimulator
CN116929673A (zh) * 2023-09-15 2023-10-24 武汉天运汽车电器有限公司 一种车用阀类零件检测装置
CN116929673B (zh) * 2023-09-15 2023-12-12 武汉天运汽车电器有限公司 一种车用阀类零件检测装置

Also Published As

Publication number Publication date
WO2005032414A3 (fr) 2005-06-02

Similar Documents

Publication Publication Date Title
EP1673034B1 (fr) Stent amovible
US8652196B2 (en) Stent
KR101877586B1 (ko) 동정맥 기형에서 혈류에 영향을 미치는 임플란트
US5749919A (en) Resilient prosthesis for widening a channel, particularly a blood vessel, and method for making same
US8142488B2 (en) Stent removal and repositioning aid and associated method
DE19950756B4 (de) Stützprothese mit longitudinaler Flexibilität und Verfahren zu deren Herstellung
EP0357003B1 (fr) Endoprothèse expansible radialement
US7008446B1 (en) Thermally pliable and carbon fiber stents
US6019779A (en) Multi-filar coil medical stent
US5849037A (en) Self-expanding stent for a medical device to be introduced into a cavity of a body, and method for its preparation
US7806918B2 (en) Removable stent
DE60007339T2 (de) Flexibler endoluminarer stent und verfahren zur herstellung
JP3886951B2 (ja) 拡張性血管内ステント
US5843168A (en) Double wave stent with strut
DE69532671T2 (de) Endoprothesen und stents
EP3257482B1 (fr) Stent
US20040267281A1 (en) Delivery system for self-expandable diverter
CN110037827B (zh) 迁移能力降低的可植入式医疗装置
WO2005032414A2 (fr) Extenseur modulaire
EP3446661B1 (fr) Géométrie et partie évasée de couronne de stent tressé
CN219782844U (zh) 胆管扩张支架
DE20318351U1 (de) Stent

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A2

Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BW BY BZ CA CH CN CO CR CU CZ DE DK DM DZ EC EE EG ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MA MD MG MK MN MW MX MZ NA NI NO NZ OM PG PH PL PT RO RU SC SD SE SG SK SL SY TJ TM TN TR TT TZ UA UG US UZ VC VN YU ZA ZM ZW

AL Designated countries for regional patents

Kind code of ref document: A2

Designated state(s): BW GH GM KE LS MW MZ NA SD SL SZ TZ UG ZM ZW AM AZ BY KG KZ MD RU TJ TM AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IT LU MC NL PL PT RO SE SI SK TR BF BJ CF CG CI CM GA GN GQ GW ML MR NE SN TD TG

121 Ep: the epo has been informed by wipo that ep was designated in this application
32PN Ep: public notification in the ep bulletin as address of the adressee cannot be established

Free format text: COMMUNICATION PURSUANT TO RULE 69(1) EPC SENT 06.07.06

122 Ep: pct application non-entry in european phase