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DE20308672U1 - Adjustable stent, assembled of several ring-shaped segments joined with particular elements - Google Patents

Adjustable stent, assembled of several ring-shaped segments joined with particular elements

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Publication number
DE20308672U1
DE20308672U1 DE20308672U DE20308672U DE20308672U1 DE 20308672 U1 DE20308672 U1 DE 20308672U1 DE 20308672 U DE20308672 U DE 20308672U DE 20308672 U DE20308672 U DE 20308672U DE 20308672 U1 DE20308672 U1 DE 20308672U1
Authority
DE
Germany
Prior art keywords
stent
ring segments
coupling elements
stent according
assembled
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.)
Expired - Lifetime
Application number
DE20308672U
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German (de)
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Merit Medical Systems Inc
Original Assignee
Qualimed Innovative Medizinprodukte GmbH
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Filing date
Publication date
Application filed by Qualimed Innovative Medizinprodukte GmbH filed Critical Qualimed Innovative Medizinprodukte GmbH
Priority to DE20308672U priority Critical patent/DE20308672U1/en
Publication of DE20308672U1 publication Critical patent/DE20308672U1/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents 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
    • A61F2/91Stents 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 sheets or tubes, e.g. perforated by laser cuts or etched holes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents 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
    • A61F2/91Stents 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 sheets or tubes, e.g. perforated by laser cuts or etched holes
    • A61F2/915Stents 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 sheets or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents 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
    • A61F2/91Stents 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 sheets or tubes, e.g. perforated by laser cuts or etched holes
    • A61F2/915Stents 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 sheets or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
    • A61F2002/91516Stents 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 sheets 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents 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
    • A61F2/91Stents 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 sheets or tubes, e.g. perforated by laser cuts or etched holes
    • A61F2/915Stents 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 sheets or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
    • A61F2002/91525Stents 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 sheets 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents 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
    • A61F2/91Stents 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 sheets or tubes, e.g. perforated by laser cuts or etched holes
    • A61F2/915Stents 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 sheets or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
    • A61F2002/91533Stents 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 sheets 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents 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
    • A61F2/91Stents 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 sheets or tubes, e.g. perforated by laser cuts or etched holes
    • A61F2/915Stents 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 sheets or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
    • A61F2002/9155Adjacent bands being connected to each other
    • A61F2002/91558Adjacent bands being connected to each other connected peak to peak
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents 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
    • A61F2/91Stents 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 sheets or tubes, e.g. perforated by laser cuts or etched holes
    • A61F2/915Stents 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 sheets or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
    • A61F2002/9155Adjacent bands being connected to each other
    • A61F2002/91575Adjacent bands being connected to each other connected peak to trough
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents 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
    • A61F2/91Stents 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 sheets or tubes, e.g. perforated by laser cuts or etched holes
    • A61F2/915Stents 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 sheets or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
    • A61F2002/9155Adjacent bands being connected to each other
    • A61F2002/91591Locking connectors, e.g. using male-female connections

Landscapes

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

Abstract

The stent (1) is assembled of several segments (3, 4, 5, 6, 7, 8 9, 10, 11, 12, 13, 14, 15, 16) each comprising two kinds of alternating sections. One type of section contains straight wire pieces (18, 19) bent in order form an area of parallel positioned endless wires, the second version is designed as a grid of v-shaped wires (26). Complementary hook elements (20, 21) integrated in the edges of two adjacent segments, are engaged for joining.

Description

Unser Zeichen: 22/40900-001Our reference: 22/40900-001

Qualimed Innovative Medizinprodukte GmbH Boschstraße 16. D-21423 WinsenQualimed Innovative Medical Products GmbH Boschstrasse 16. D-21423 Winsen

StentStents

Die Erfindung betrifft einen Stent mit einem tubulären Stützgerüst aus axial aufeinander folgenden, untereinander verbundenen Ringsegmenten.The invention relates to a stent with a tubular support structure made of axially successive, interconnected ring segments.

Stents kommen bei der Behandlung von Stenosen zur Anwendung. Stenosen sind angeborene oder krankheitsbedingt erworbene Verschlüsse oder Verengungen von tubulären Körperröhren, wie beispielsweise Luftröhre, Bronchien, Speiseröhre, Gallengänge, Harnwege, Aorta und andere Körpergefäße. Ursache für Stenosen sind häufig Tumore, die auf die Körperröhren drücken, oder Ablagerungen, welche die Körperröhren verschließen. Die Stenosen können durch operative und nicht operative Maßnahmen geöffnet werden. Bei den nicht operativen Maßnahmen werden Stents durch Kathetertechniken in das intrakorporale Gefäß im Bereich der Stenose eingebracht. Die Stents fungieren dort als Gefäßprothese zur Abstützung der Gefäßinnenwände.Stents are used to treat stenosis. Stenosis is a congenital or disease-related blockage or narrowing of tubular body tubes, such as the trachea, bronchi, esophagus, bile ducts, urinary tract, aorta and other body vessels. Stenosis is often caused by tumors that press on the body tubes or deposits that block the body tubes. The stenosis can be opened using surgical and non-surgical measures. In non-surgical measures, stents are inserted into the intracorporeal vessel in the area of the stenosis using catheter techniques. The stents act as a vascular prosthesis to support the inner walls of the vessel.

Stents gibt es in verschiedenartigen Ausführungsformen und Designs des Stützgerüsts. Häufig zum Einsatz gelangende Stents weisen ein tubuläres Stützgerüst aus Metall auf, welches aus mehreren Ringsegmenten besteht. Diese sind üblicherweise aus wellen- bzw. mäanderförmig sich über Bogenabschnitte endlos aneinander schließende Streben gebildet. In Längsrichtung der Stents benachbarte Ringsegmente sind über Verbinderstreben fest verbunden. Ein derartiger Stent ist aus der EP-B 0 364 787 bekannt.Stents are available in various forms and designs of the support structure. Stents that are frequently used have a tubular support structure made of metal, which consists of several ring segments. These are usually formed from struts that adjoin one another in a wave-like or meandering manner via arched sections. Ring segments that are adjacent in the lengthwise direction of the stents are firmly connected via connecting struts. A stent of this type is known from EP-B 0 364 787.

Viele Stents haben fixierte Enddurchmesser und sind selbstexpandierend. Andere Ausführungsformen lassen sich durch geeignete Werkzeuge, z.B. Ballons oder Spreizer, im Durchmesser verändern, um sie der anatomischen Situation anzupassen. Weiterhin gehören auch Stents aus einer sogenannten Formgedächtnislegierung mit Memoryeffekt zum Stand der Technik. Die am häufigsten verwendete Formgedächtnislegierung ist Nitinol, bei der es sich um eine Nickel-Titan-Legierung handelt. Ein hieraus gefertigter Stent geht temperaturabhängig von seinem komprimierten Ausgangszustand in seinen aufgeweiteten Stützzustand über.Many stents have fixed end diameters and are self-expanding. Other designs can be changed in diameter using suitable tools, e.g. balloons or spreaders, to adapt them to the anatomical situation. Stents made from a so-called shape memory alloy with a memory effect are also state of the art. The most commonly used shape memory alloy is nitinol, which is a nickel-titanium alloy. A stent made from this changes from its compressed initial state to its expanded support state depending on the temperature.

Im Umfang der DE 100 26 307 A1 zählt ein Stent zum Stand der Technik mit einem Stützgerüst, an dessen Enden in Umfangsrichtung verteilt mehrere Halteelemente ausgebildet sind. Über die Halteelemente kann der Stent mit einem Positionierelement des Einführkatheters gekoppelt werden.In the scope of DE 100 26 307 A1, a stent with a support structure, at the ends of which several holding elements are distributed in the circumferential direction, is considered to be state of the art. The stent can be coupled to a positioning element of the delivery catheter via the holding elements.

Der aus der DE 199 50 756 A1 bekannte Stent weist in nicht expandiertem Zustand einen gelenkigen Aufbau aus mehreren Ringsegmenten auf, die in Längsrichtung ineinander greifen und somit gegeneinander schwenkbar sind, ohne dass eine feste physische Verbindung zwischen ihnen besteht. Im aufgeweiteten Zustand sind die Kopplungen zwischen den einzelnen Ringsegmenten freigesetzt bzw. separiert, um die Ringsegmente in der endgültigen Aufweitung vollständig voneinander zu trennen.The stent known from DE 199 50 756 A1 has, in the non-expanded state, an articulated structure made up of several ring segments that interlock in the longitudinal direction and can thus pivot against each other without a fixed physical connection between them. In the expanded state, the couplings between the individual ring segments are released or separated in order to completely separate the ring segments from each other in the final expansion.

Naturbedingt weisen Stenosen jedoch selten einen gleichförmigen Verlauf auf. Sie variieren in der örtlichen Ausbreitung, also beispielsweise der Länge undHowever, due to their nature, stenoses rarely follow a uniform course. They vary in their local spread, for example in their length and

3- &pgr;&igr;.:.·Mh &Ggr;&igr;:·;3 - π&igr;.:.·Mh Ggr;&igr;:·;

&pgr;&igr;.:.·Mh &Ggr;&igr;:;π&igr;.:.·Mh Ggr;&igr;:;

hinsichtlich der Einschnürkraft. In der Praxis hat sich herausgestellt, dass die Stützgerüste der Stents häufig entweder nicht die erforderlichen Radialkräfte bereitstellen, um einer Stenose ausreichend auch über einen längeren Zeitraum standzuhalten oder aber so konfiguriert sind, dass sie die Funktion des Gefäßes behindern. Es ist daher wünschenswert, einen flexibel anpassbaren Stent zur Verfügung zu haben.in terms of constriction force. In practice, it has been found that the supporting structures of the stents often either do not provide the required radial forces to adequately withstand a stenosis over a longer period of time or are configured in such a way that they impair the function of the vessel. It is therefore desirable to have a flexibly adaptable stent available.

Der Erfindung liegt ausgehend vom Stand der Technik die Aufgabe zugrunde, einen flexibel gestaltbaren Stent bereit zu stellen, der hinsichtlich seiner Geometrie, insbesondere seiner Länge und/oder seiner Stützeigenschaften in vorteilhafter Weise auf die jeweiligen anatomischen Verhältnisse angepasst werden kann.Based on the prior art, the invention is based on the object of providing a flexibly designed stent which can be advantageously adapted to the respective anatomical conditions with regard to its geometry, in particular its length and/or its support properties.

Die Lösung dieser Aufgabe besteht nach der Erfindung in einem Stent gemäß den Merkmalen von Schutzanspruch 1, bei dem das Stützgerüst aus mehreren axial aufeinander folgenden Ringsegmenten gebildet ist und zumindest zwei benachbarte Ringsegmente durch formschlüssig ineinander greifende Koppelelemente verbindbar sind.The solution to this problem according to the invention consists in a stent according to the features of claim 1, in which the support structure is formed from several axially successive ring segments and at least two adjacent ring segments can be connected by positively engaging coupling elements.

Der erfindungsgemäße Stent bzw. die zur Bildung des Stents benutzten Ringsegmente sind nach Art eines Baukastensystems aufgebaut und individuell zusammensetzbar. Der Stent kann überall dort zum Einsatz gelangen, wo unterschiedliche Längen und/oder verschiedene Eigenschaften, z.B. verschieden starke Radialkräfte oder Geometrien zum Einsatz kommen sollen oder müssen.The stent according to the invention or the ring segments used to form the stent are constructed in the manner of a modular system and can be assembled individually. The stent can be used wherever different lengths and/or different properties, e.g. different strengths of radial forces or geometries, should or must be used.

Ein Stent kann in Anpassung auf die jeweiligen Einsatzanforderungen der zu behandelnden Stenose aus einzelnen oder zu Gruppen zusammengefassten Ringsegmenten aufgebaut bzw. zusammengesetzt werden. Eine schnelle Reaktionszeit für spezifische und speziell angepasste Stents für einen Patienten ist möglich.A stent can be constructed or assembled from individual ring segments or ring segments grouped together to suit the specific application requirements of the stenosis to be treated. A quick response time for specific and specially adapted stents for a patient is possible.

Die funktionale Anpassung des erfindungsgemäßen Stents erfolgt durch die Kombination von Ringsegmenten mit unterschiedlichen Eigenschaften, insbesondere voneinander verschiedenen Radialkräften. Dies kann durch die Kombination von Ringsegmenten mit unterschiedlichem Design und/oder aus unterschiedlichen Werkstoffen erfolgen.The functional adaptation of the stent according to the invention is achieved by combining ring segments with different properties, in particular radial forces that differ from one another. This can be achieved by combining ring segments with different designs and/or made of different materials.

Der vorgeschlagene Stent hat auch fertigungstechnische und ökonomische Vorteile. So kann die Ausschussrate insgesamt durch die Verwendung von kurzen einzelnen Ringsegmenten verringert werden. Ein einzelnes Ringsegment ist beispielsweise 20 mm lang. Ein kompletter Stent kann dann aus 6 einzelnen Ringsegmenten mit einer Gesamtlänge von 120 mm zusammengesetzt werden. Ist ein Ringsegment fehlerhaft, braucht nur dieses einzelne kurze Ringsegment ersetzt werden, wohingegen bei einem einstückig ausgebildeten Stützgerüst der gesamte Stent unbrauchbar wäre.The proposed stent also has manufacturing and economic advantages. For example, the overall rejection rate can be reduced by using short individual ring segments. For example, a single ring segment is 20 mm long. A complete stent can then be assembled from 6 individual ring segments with a total length of 120 mm. If a ring segment is defective, only this individual short ring segment needs to be replaced, whereas with a one-piece support structure the entire stent would be unusable.

Die Verbindung der Ringsegmente über die Koppelelemente ist formschlüssig, jedoch begrenzt gelenkig. Diese Maßnahme ist für die Kurvengängigkeit des Stents vorteilhaft.The connection of the ring segments via the coupling elements is positive, but has limited flexibility. This measure is beneficial for the stent's ability to navigate curves.

Die Ringsegmente werden über formschlüssig ineinander greifende Koppelelemente verbunden. Vorzugsweise sind die Koppelelemente als zueinander komplementäre Klauenverbinder ausgebildet, wie dies Schutzanspruch 2 vorsieht. Zweckmäßigerweise stehen beide Koppelelemente gegenüber den Ringsegmenten in Stentlängsachse axial vor (Schutzanspruch 3). Es ist aber auch denkbar, dass jeweils eines der Koppelelemente innerhalb des Ringsegments ausgebildet ist, so dass jeweils nur ein korrespondierendes Koppelelement in axialer Richtung des Stents vorsteht. In der Praxis kann es vorteilhaft sein, an den jeweiligen freien Enden eines erfindungsgemäßen Stents spezielle End-Ringsegmente anzuwenden, die nur auf einer Seite in Richtung zur Stentmitte Koppelelemente aufweisen.The ring segments are connected via interlocking coupling elements. The coupling elements are preferably designed as claw connectors that complement each other, as provided for in claim 2. Both coupling elements expediently protrude axially relative to the ring segments in the longitudinal axis of the stent (claim 3). However, it is also conceivable that one of the coupling elements is formed within the ring segment, so that only one corresponding coupling element protrudes in the axial direction of the stent. In practice, it can be advantageous to use special end ring segments at the respective free ends of a stent according to the invention, which only have coupling elements on one side in the direction of the stent center.

Über die Koppelelemente werden die Ringsegmente formschlüssig verbunden. Hierzu weisen die Koppelelemente zur Erzeugung einer stabilen VerbindungThe ring segments are connected in a form-fitting manner via the coupling elements. To achieve this, the coupling elements have

Hinterschneidungsflächen auf. Die Hinterschneidungsflächen können gekrümmt verlaufen (Schutzanspruch 4). Auch geradlinig verlaufende Hinterschneidungsflächen (Schutzanspruch 5) sind vorteilhaft. Möglich ist zudem eine Kombination von gekrümmt verlaufenden Hinterschneidungsflächen und geradlinig verlaufenden Hinterschneidungsflächen an den Koppelelementen. Mit den Hinterschneidungsflächen stützen sich die Koppelelemente aneinander ab, so dass eine zuverlässige formschlüssige Kopplung der Ringsegmente untereinander gewährleistet ist.Undercut surfaces. The undercut surfaces can be curved (protection claim 4). Straight undercut surfaces (protection claim 5) are also advantageous. A combination of curved undercut surfaces and straight undercut surfaces on the coupling elements is also possible. The coupling elements support each other with the undercut surfaces, so that a reliable, positive coupling of the ring segments to each other is guaranteed.

Zweckmäßigerweise können eine Anzahl von Ringsegmenten durch Verbinderstreben zu Stentabschnitten zusammengeschlossen sein, wie dies Schutzanspruch 6 vorsieht. Danach sind eine Anzahl von Ringsegmenten durch Verbinderstreben fest verbunden. Die einzelnen Abschnitte wiederum weisen Koppelelemente auf, die eine erfindungsgemäß vorgesehene formschlüssige Verbindung der Ringsegmente bzw. der Stentabschnitte untereinander ermöglichen.A number of ring segments can expediently be connected to form stent sections by connecting struts, as provided for in claim 6. A number of ring segments are then firmly connected by connecting struts. The individual sections in turn have coupling elements which enable the ring segments or stent sections to be connected to one another in a form-fitting manner as provided for in accordance with the invention.

Nach den Merkmalen von Schutzanspruch 7 sind die Ringsegmente aus sich wellenförmig endlos aneinander schließenden Streben gebildet. Bevorzugt ist ein erfindungsgemäßer Stent aus Metall gefertigt. Hierbei können alle verformbaren medizinisch möglichen Metalle bzw. Metalllegierungen zum Einsatz gelangen, z.B. Edelstahl, Kobaltlegierungen, Reineisen oder Nickel-Titan-Legierungen oder andere medizinische Implantatmaterialien.According to the features of claim 7, the ring segments are formed from struts that adjoin one another in a wave-like manner. A stent according to the invention is preferably made of metal. All deformable, medically possible metals or metal alloys can be used here, e.g. stainless steel, cobalt alloys, pure iron or nickel-titanium alloys or other medical implant materials.

Die Erfindung ist nachfolgend anhand von Ausführungsbeispielen näher beschrieben. Es zeigen:The invention is described in more detail below using exemplary embodiments. They show:

Figur 1 das Stentmuster eines erfindungsgemäßen Stents in einer Abwicklung;Figure 1 shows the stent pattern of a stent according to the invention in a developed view;

Figur 2 einen Ausschnitt aus dem Stentmuster gemäß der Figur 1;Figure 2 shows a section of the stent pattern according to Figure 1;

Figur 3 in vergrößerter Darstellung die Koppelelemente des Stents gemäß Figur 1 bzw. 2;Figure 3 shows an enlarged view of the coupling elements of the stent according to Figures 1 and 2;

Figur 4 einen Ausschnitt aus dem Stentmuster einer weiteren Ausführungsform eines Stents;Figure 4 shows a detail of the stent pattern of another embodiment of a stent;

Figur 5 in vergrößerter Darstellung die Koppelelements des Stents gemäß Figur 4;Figure 5 shows an enlarged view of the coupling element of the stent according to Figure 4;

Figur 6 einen Ausschnitt aus dem Stentmuster einer weiteren Ausführungsform eines Stents undFigure 6 shows a section of the stent pattern of another embodiment of a stent and

Figur 7 ebenfalls in vergrößerter Darstellung die Koppelelemente des Stents gemäß der Figur 6.Figure 7 also shows in an enlarged view the coupling elements of the stent according to Figure 6.

Figur 1 zeigt ein aus Metall gefertigten Stert 1 in der Abwicklung seines Stützgerüstes 2. In der Praxis ist das Stützgerüst 2 tubulär geformt. Es besteht aus mehreren hintereinander folgenden Ringjiegmenten 3-16. Die Ringsegmente 3-16 weisen eine wellenförmige Konfigi ration aus sich über Bogenabschnitten 17 endlos aneinander schließenden Sireben 18,19 auf.Figure 1 shows a star 1 made of metal in the development of its supporting framework 2. In practice, the supporting framework 2 is tubular in shape. It consists of several ring segments 3-16 arranged one behind the other. The ring segments 3-16 have a wave-shaped configuration of sirebes 18,19 which adjoin one another endlessly via arched sections 17.

Die einander benachbarten Ringsegmente 6 und 7 bzw. 12 und 13 sind durch formschlüssig ineinandergreifende Koppelelenrente 20, 21 verbunden. Ferner erkennt man, dass die Ringsegmente 3-6, 7-12 und 13-16 durch Verbinderstreben 22 zu Stentabschnitten 23, 24, 25 zusammengeschlossen sind. Die Verbinderstreben 22 weisen einen V-förmig konfigurierten Strebenabschnitt 26 auf, der jeweils in dem Raum zwischen zwei mit axialem Abstand benachbarten Ringsegmenten 3-6, 7-12 und 13-16 angeordne: ist.The adjacent ring segments 6 and 7 or 12 and 13 are connected by positively engaging coupling elements 20, 21. It can also be seen that the ring segments 3-6, 7-12 and 13-16 are connected to form stent sections 23, 24, 25 by connecting struts 22. The connecting struts 22 have a V-shaped strut section 26, which is arranged in the space between two axially spaced adjacent ring segments 3-6, 7-12 and 13-16.

Die Ausführungsformen der Stents, von deien in den Figuren 4 bis 7 Ausschnitte dargestellt sind, entsprechend vom grundsätzlichen Aufbau einem Stent 1, wie anhand der Figur 1 beschrieben. Die Stents unterscheiden sich in der Konfiguration ihrer Koppelelemente, durch die eine lösbare formschlüssige Verbindung zwischen den Ringsegmenten 6 und 7 bzw. 12 und 13 hergestellt wird.The embodiments of the stents, sections of which are shown in Figures 4 to 7, correspond to the basic structure of a stent 1, as described with reference to Figure 1. The stents differ in the configuration of their coupling elements, by means of which a detachable, positive connection is produced between the ring segments 6 and 7 or 12 and 13.

Die Koppelelemente 20, 21 bzw. 27, 28 und 29, 30 sind als zueinander komplementäre Klauenverbinder 31, 32 bzw. 33, 34 bzw. 35, 36 ausgebildet. Sie ergänzen sich gegenseitig so, dass eine formschlüssige Verbindung zwischen den Ringsegmenten 6 und 7 bzw. 12 und 13 und damit zwischen den Stentabschnitten 23, 24, 25 durch den gegenseitigen Eingriff erzeugt wird.The coupling elements 20, 21 or 27, 28 and 29, 30 are designed as mutually complementary claw connectors 31, 32 or 33, 34 or 35, 36. They complement each other in such a way that a positive connection between the ring segments 6 and 7 or 12 and 13 and thus between the stent sections 23, 24, 25 is created by the mutual engagement.

Die Koppelelemente 20, 21 in der Ausführung gemäß den Figuren 1 bis 3 sind als hakenartige Klauenverbinder 31, 32 ausgebildet mit geradlinig verlaufenden Hinterschneidungsflächen 37 und gekrümmt verlaufenden Hinterschneidungsflächen 38. Sowohl der Klauenverbinder 31 als auch der Klauenverbinder 32 weisen einen fingerförmigen Hakenabschnitt 39 auf, der eine Art Maul bildet, in dem ein zinkenartiger Widerlagerabschnitt 40 des jeweils anderen Klauenverbinders 31 bzw. 32 eingreift.The coupling elements 20, 21 in the embodiment according to Figures 1 to 3 are designed as hook-like claw connectors 31, 32 with straight undercut surfaces 37 and curved undercut surfaces 38. Both the claw connector 31 and the claw connector 32 have a finger-shaped hook section 39 which forms a kind of mouth in which a prong-like abutment section 40 of the other claw connector 31 or 32 engages.

Man erkennt ferner im Anschlussbereich 41 der Koppelelemente 20 eine Ausnehmung 42. Diese unterstützt die Flexibilität des Ringsegments 6 bzw. 13 im Anschlussbereich 41 und trägt zur Material- und Gewichtseinsparung bei.Furthermore, a recess 42 can be seen in the connection area 41 of the coupling elements 20. This supports the flexibility of the ring segment 6 or 13 in the connection area 41 and contributes to saving material and weight.

Des Weiteren ist zu erkennen, dass die Koppelelemente 21 über einen parallel zur Stentlängsachse L verlaufenden Longitudinalabschnitt 43 im Tiefsten am Bogenabschnitt 17 zwischen zwei Streben 18,19 angeschlossen sind.Furthermore, it can be seen that the coupling elements 21 are connected at the deepest point to the arch section 17 between two struts 18, 19 via a longitudinal section 43 running parallel to the stent longitudinal axis L.

Die Koppelelemente 27, 28, wie anhand der Figuren 4 und 5 beschrieben, sind ebenfalls als zueinander komplementäre Klauenverbinder 33, 34 ausgestaltet, wobei der in Bildebene linke Klauenverbinder 33 gabelförmig konfiguriert ist. In die Gabel 44 greift der rechte Klauenverbinder 34 mit seinem rund konfigurierten Widerlagerkopf 45 ein. Die an den Klauenverbindern 33, 34 ausgebildeten Hinterschneidungsflächen 46, 47 verlaufen gleichförmig gekrümmt.The coupling elements 27, 28, as described with reference to Figures 4 and 5, are also designed as claw connectors 33, 34 that complement each other, with the claw connector 33 on the left in the image plane being configured in a fork shape. The right claw connector 34 engages in the fork 44 with its round abutment head 45. The undercut surfaces 46, 47 formed on the claw connectors 33, 34 are uniformly curved.

Im Widerlagerkopf 45 ist eine kreisrunde Ausnehmung 48 vorgesehen. Die Ausnehmung 48 trägt zur Gewichtseinsparung bei, kann aber auch zur Aufnahme eines Markers genutzt werden, welcher zur Verbesserung der Indentifikation des Stents beim Implantationsvorgang oder danach dient.A circular recess 48 is provided in the abutment head 45. The recess 48 contributes to weight savings, but can also be used to accommodate a marker, which serves to improve the identification of the stent during the implantation process or thereafter.

Anhand der Figuren 6 und 7 ist eine weitere alternative Ausgestaltung von Koppelelementen 29, 30 dargestellt, über die eine lösbare formschlüssige Verbindung zwischen zwei benachbarten Ringsegmenten 6 und 7 bzw. 12 und 13 eines Stents 1 hergestellt werden kann.Figures 6 and 7 show a further alternative embodiment of coupling elements 29, 30, via which a detachable positive connection can be established between two adjacent ring segments 6 and 7 or 12 and 13 of a stent 1.

Auch die Koppelelemente 29, 30 weisen zwei zueinander komplementäre Klauenverbinder 35, 36 auf mit einer trapezförmigen Konfiguration. Der Klauenverbinder 35 besitzt zwei Fingerzinken 49, 50 mit geradlinig verlaufenden Hinterschneidungsflächen 51, 52, die eine maulartige Aussparung 53 für einen trapezförmig gestalteten Zinken 54 des Klauenverbinders 36 bilden. Der Zinken 54 kommt in der Aussparung 53 zum Eingriff und stützt sich hier mit seinen geradlinigen Hinterschneidungsflächen 55, 56 ab. Der Zinken 54 weist ferner einen verbreiterten Basisabschnitt 57 auf, der in einen Longitudinalabschnitt 58 übergeht zum Anschluss an einen Bogenabschnitt 17 zwischen zwei Streben 18,19.The coupling elements 29, 30 also have two mutually complementary claw connectors 35, 36 with a trapezoidal configuration. The claw connector 35 has two finger prongs 49, 50 with straight undercut surfaces 51, 52, which form a mouth-like recess 53 for a trapezoidal prong 54 of the claw connector 36. The prong 54 engages in the recess 53 and is supported here with its straight undercut surfaces 55, 56. The prong 54 also has a widened base section 57, which merges into a longitudinal section 58 for connection to an arched section 17 between two struts 18, 19.

BezugszeichenaufstellungReference symbol list

1 - Stent1 - Stents

2- Stützgerüst2- Support scaffolding

3 - Ringsegment3 - Ring segment

4- Ringsegment4- Ring segment

5- Ringsegment5- Ring segment

6 - Ringsegment6 - Ring segment

7 - Ringsegment7 - Ring segment

8 - Ringsegment 9- Ringsegment8 - ring segment 9- ring segment

10- Ringsegment10- ring segment

11 - Ringsegment11 - Ring segment

12 - Ringsegment 13- Ringsegment 14 - Ringsegment12 - ring segment 13- ring segment 14 - ring segment

15- Ringsegment15- Ring segment

16- Ringsegment16- Ring segment

17- Bogenabschnitt17- Arch section

18- Strebe18- Strut

19- Strebe19- Strut

20- Koppelelement 21 - Koppelelement20 - coupling element 21 - coupling element

22- Verbinderstrebe22- Connecting strut

23- Stentabschnitt23- Stent section

24- Stentabschnitt24- Stent section

25- Stentabschnitt25- Stent section

26 - Strebenabschnitt26 - Strut section

27 - Koppelelement27 - Coupling element

28 - Koppelelement28 - Coupling element

29 - Koppelelement29 - Coupling element

30- Koppelelement30- Coupling element

31 - Klauenverbinder31 - Claw connector

32 - Klauenverbinder 33- Klauenverbinder32 - Claw connector 33- Claw connector

34 - Klauenverbinder34 - Claw connector

35 - Klauenverbinder35 - Claw connector

36 - Klauenverbinder36 - Claw connector

37 - gerade Hinterschneidungsfläche37 - straight undercut surface

38 - gekrümmte Hinterschneidungsfläche38 - curved undercut surface

39 - Hakenabschnitt39 - Hook section

40 - Widerlagerabschnitt40 - Abutment section

41 - Anschlussbereich41 - Connection area

42 - Ausnehmung42 - Recess

43 - Longitudinalabschnitt 44- Gabel43 - Longitudinal section 44- Fork

45 - Widerlagerkopf45 - Abutment head

46 - Hinterschneidungsfläche46 - Undercut surface

47 - Hinterschneidungsfläche47 - Undercut surface

48 - Ausnehmung48 - Recess

49 - Fingerzinken49 - Finger joints

50 - Fingerzinken50 - Finger joints

51 - Hinterschneidungsfläche51 - Undercut surface

52 - Hinterschneidungsfläche52 - Undercut surface

53 - Aussparung53 - Recess

54 - Zinken54 - Tines

55 - Hinterschneidungsfläche55 - Undercut surface

56 - Hinterschneidungsfläche56 - Undercut surface

57 - Basisabschnitt57 - Base section

58 - Longitudinalabschnitt58 - Longitudinal section

L- StentlängsachseL- Stent longitudinal axis

Claims (7)

1. Stent mit einem tubulären Stützgerüst (2) aus axial aufeinander folgenden untereinander verbundenen Ringsegmenten (3-16), dadurch gekennzeichnet, dass zumindest zwei benachbarte Ringsegmente (6 und 7 bzw. 12 und 13) durch formschlüssig ineinandergreifende Koppelelemente (20, 21; 27, 28; 29, 30) verbunden sind. 1. Stent with a tubular support structure ( 2 ) made of axially successive, interconnected ring segments ( 3-16 ), characterized in that at least two adjacent ring segments ( 6 and 7 or 12 and 13 ) are connected by positively engaging coupling elements ( 20 , 21 ; 27 , 28 ; 29 , 30 ). 2. Stent nach Anspruch 1, dadurch gekennzeichnet, dass die Koppelelemente (20, 21; 27, 28; 29, 30) als zueinander komplementäre Klauenverbinder (31, 32; 33, 34; 35, 36) ausgebildete sind. 2. Stent according to claim 1, characterized in that the coupling elements ( 20 , 21 ; 27 , 28 ; 29 , 30 ) are designed as mutually complementary claw connectors ( 31 , 32 ; 33 , 34 ; 35 , 36 ). 3. Stent nach Anspruch 1 oder 2, dadurch gekennzeichnet, dass die Koppelelemente (20, 21; 27, 28; 29, 30) gegenüber den Ringsegmenten (6, 7; 12, 13) in Stentlängsachse (L) axial vorstehen. 3. Stent according to claim 1 or 2, characterized in that the coupling elements ( 20 , 21 ; 27 , 28 ; 29 , 30 ) protrude axially relative to the ring segments ( 6 , 7 ; 12 , 13 ) in the stent longitudinal axis (L). 4. Stent nach einem der Ansprüche 1 bis 3, dadurch gekennzeichnet, dass die Koppelelemente (20, 21; 27, 28) gekrümmt verlaufende Hinterschneidungsflächen (38, 46, 47) aufweisen. 4. Stent according to one of claims 1 to 3, characterized in that the coupling elements ( 20 , 21 ; 27 , 28 ) have curved undercut surfaces ( 38 , 46 , 47 ). 5. Stent nach einem der Ansprüche 1 bis 3, dadurch gekennzeichnet, dass die Koppelelemente (20, 21; 29, 30) geradlinig verlaufende Hinterschneidungsflächen (37, 51, 52, 55, 56) aufweisen. 5. Stent according to one of claims 1 to 3, characterized in that the coupling elements ( 20 , 21 ; 29 , 30 ) have rectilinear undercut surfaces ( 37 , 51 , 52 , 55 , 56 ). 6. Stent nach einem der Ansprüche 1 bis 5, dadurch gekennzeichnet, dass Ringsegmente (3-6; 7-12; 13-16) durch Verbinderstreben (22) zu Stentabschnitten (23, 24, 25) zusammengeschlossen sind. 6. Stent according to one of claims 1 to 5, characterized in that ring segments ( 3-6 ; 7-12 ; 13-16 ) are connected by connecting struts ( 22 ) to form stent sections ( 23 , 24 , 25 ). 7. Stent nach einem der Ansprüche 1 bis 6, dadurch gekennzeichnet, dass die Ringsegmente (3-16) aus sich wellenförmig endlos aneinanderschließenden Streben (18, 19) gebildet sind. 7. Stent according to one of claims 1 to 6, characterized in that the ring segments ( 3-16 ) are formed from struts ( 18 , 19 ) which adjoin one another in a wave-like, endless manner.
DE20308672U 2003-06-04 2003-06-04 Adjustable stent, assembled of several ring-shaped segments joined with particular elements Expired - Lifetime DE20308672U1 (en)

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2005089672A1 (en) * 2004-03-16 2005-09-29 Alveolus, Inc. Stent
WO2006089739A1 (en) * 2005-02-25 2006-08-31 Abbott Laboratories Vascular Enterprises Limited Modular vascular prosthesis having axially variable properties and improved flexibility and methods of use
WO2006116383A3 (en) * 2005-04-25 2007-01-11 Ev3 Inc Controlled fracture connections for stents
US8025694B2 (en) 2005-02-25 2011-09-27 Abbott Laboratories Vascular Enterprises Limited Modular vascular prosthesis and methods of use
US8262721B2 (en) 2005-05-13 2012-09-11 Merit Medical Systems, Inc. Drainage stent and associated method
EP3315100A1 (en) * 2016-10-27 2018-05-02 Cook Medical Technologies LLC Stent with segments capable of uncoupling during expansion

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2005089672A1 (en) * 2004-03-16 2005-09-29 Alveolus, Inc. Stent
AU2004317383B2 (en) * 2004-03-16 2009-05-14 Alveolus, Inc. Stent
US8652196B2 (en) 2004-03-16 2014-02-18 Merit Medical Systems, Inc. Stent
WO2006089739A1 (en) * 2005-02-25 2006-08-31 Abbott Laboratories Vascular Enterprises Limited Modular vascular prosthesis having axially variable properties and improved flexibility and methods of use
US8002818B2 (en) 2005-02-25 2011-08-23 Abbott Laboratories Vascular Enterprises Limited Modular vascular prosthesis having axially variable properties and improved flexibility and methods of use
US8025694B2 (en) 2005-02-25 2011-09-27 Abbott Laboratories Vascular Enterprises Limited Modular vascular prosthesis and methods of use
US8603154B2 (en) 2005-02-25 2013-12-10 Abbott Laboratories Vascular Enterprises Limited Modular vascular prosthesis and methods of use
WO2006116383A3 (en) * 2005-04-25 2007-01-11 Ev3 Inc Controlled fracture connections for stents
US8961585B2 (en) 2005-04-25 2015-02-24 Covidien Lp Controlled fracture connections for stents
US9603732B2 (en) 2005-04-25 2017-03-28 Covidien Lp Stent including sinusoidal struts
US8262721B2 (en) 2005-05-13 2012-09-11 Merit Medical Systems, Inc. Drainage stent and associated method
EP3315100A1 (en) * 2016-10-27 2018-05-02 Cook Medical Technologies LLC Stent with segments capable of uncoupling during expansion

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