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WO2011034795A1 - Procédés de formation d'une extrémité orthogonale sur une endoprothèse hélicoïdale - Google Patents

Procédés de formation d'une extrémité orthogonale sur une endoprothèse hélicoïdale Download PDF

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Publication number
WO2011034795A1
WO2011034795A1 PCT/US2010/048488 US2010048488W WO2011034795A1 WO 2011034795 A1 WO2011034795 A1 WO 2011034795A1 US 2010048488 W US2010048488 W US 2010048488W WO 2011034795 A1 WO2011034795 A1 WO 2011034795A1
Authority
WO
WIPO (PCT)
Prior art keywords
wave form
stent
longitudinal axis
pitch angle
turns
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.)
Ceased
Application number
PCT/US2010/048488
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English (en)
Inventor
Erik Griswold
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.)
Medtronic Vascular Inc
Original Assignee
Medtronic Vascular 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 Medtronic Vascular Inc filed Critical Medtronic Vascular Inc
Publication of WO2011034795A1 publication Critical patent/WO2011034795A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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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
    • A61F2/88—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements formed as helical or spiral coils
    • 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
    • A61F2/88—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements formed as helical or spiral coils
    • A61F2/885—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements formed as helical or spiral coils comprising a coil including a plurality of spiral or helical sections with alternate directions around a central axis
    • 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 sheets or tubes, e.g. perforated by laser cuts or etched holes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets 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 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
    • 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 sheets 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 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
    • A61F2002/91508—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 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 difference in amplitude 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 sheets 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 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
    • A61F2002/91525—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 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
    • 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 sheets 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 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
    • A61F2002/9155—Adjacent bands being connected to each other
    • A61F2002/91558—Adjacent bands being connected to each other connected peak to peak

Definitions

  • the present invention is generally related to a method of manufacturing a helical stent having an orthogonal end relative to a longitudinal axis of the stent, as well as to a helical stent having an end that is orthogonal to the longitudinal axis of the stent.
  • a stent is typically a hollow, generally cylindrical device that is deployed in a body lumen from a radially contracted configuration into a radially expanded configuration, which allows it to contact and support a vessel wall.
  • a plastically deformable stent can be implanted during an angioplasty procedure by using a delivery system that includes a balloon catheter bearing a compressed or "crimped" stent, which has been loaded onto the balloon. The stent radially expands as the balloon is inflated, forcing the stent into contact with the body lumen, thereby forming a support for the vessel wall. Deployment is effected after the stent has been introduced percutaneously, transported transluminal ⁇ , and positioned at a desired location by means of the balloon catheter.
  • Stents may be formed from wire(s), may be cut from a tube, or may be cut from a sheet of material and then rolled into a tube-like structure. While some stents may include a plurality of connected rings that are substantially parallel to each other and are oriented substantially perpendicular to a longitudinal axis of the stent, others may include a helical coil that is wrapped around the longitudinal axis at a non-perpendicular angle.
  • Helical stents tend to have ends that are not perpendicular to the longitudinal axis due to the pitch of the helix.
  • Other helical stents have transitions near the ends of the stent to compensate for the helical center portion of the stent, yet provide ends that are orthogonal to the longitudinal axis. Because both ends of the stent are modified from the remaining pattern of the stent, it may be difficult to design a stent that has the same flexibility along the length of the stent, as well as uniform radial expansion properties.
  • the method includes forming a wave form having a plurality of struts and a plurality of crowns. Each crown connects two adjacent struts.
  • the wave form has a center and two portions extending from opposite sides of the center.
  • the method also includes wrapping a first portion of the wave form about a longitudinal axis in a first direction along the longitudinal axis at a first pitch angle, starting at the center of the wave form, to define at least one turn oriented at the first pitch angle.
  • the method also includes wrapping a second portion of the wave form about the longitudinal axis in a second direction along the longitudinal axis that is opposite the first direction at a second pitch angle, starting at the center of the wave form, to define at least one turn oriented at the second pitch angle.
  • the first pitch angle and the second pitch angle are substantially opposite to each other.
  • a stent that includes a wave form comprising a plurality of struts and a plurality of crowns.
  • Each crown connects two adjacent struts within the wave form, the wave form being wrapped around a longitudinal axis to define a plurality of turns.
  • At least one of the turns defines a first helix oriented at a first pitch angle, and at least one of the turns defines a second helix oriented at a second pitch angle.
  • the first pitch angle and the second pitch angle are oriented substantially opposite to each other.
  • Figure 2 schematically illustrates an embodiment of a helical stent of the prior art
  • Figure 3 schematically illustrates a method of manufacturing the helical stent of Figure 1 ;
  • Figure 4 schematically illustrates a method of manufacturing a helical stent in accordance with an embodiment of the present invention.
  • Figure 5 schematically illustrates an embodiment of a helical stent manufactured by the method of Figure 4.
  • FIG 1 illustrates an embodiment of a helical stent 10 known in the prior art.
  • the stent 10 is generally cylindrical in shape and has a longitudinal axis LA extending through the center of the stent 10.
  • the stent 10 includes a continuous wave form 20 that includes a plurality of turns 22 that are created when the wave form 20 is wrapped around the longitudinal axis LA during manufacturing of the stent 10.
  • a mandrel 40 or rod that is aligned with the longitudinal axis LA may be used to support the wave form 20 as the wave form 20 is wrapped around the longitudinal axis LA, as shown in Figure 3 and described in further detail below.
  • the wave form 20 includes a plurality of struts 30 and a plurality of crowns 32.
  • Each crown 32 is a curved portion or turn within the wave form 20 that connects adjacent struts 30 to define the continuous wave form 20.
  • the struts 30 are substantially straight portions of the wave form 20 and have substantially the same length. In other embodiments, the struts 30 may be slightly bent or have other shapes, such as a sinusoidal wave, for example.
  • the wave form 20 is wrapped around the longitudinal axis LA at a constant pitch so that the wave form 20 generally defines a helical coil a constant helical angle, or pitch angle a.
  • the ends of the stent 10 are not orthogonal to the longitudinal axis LA and are angled relative to what would be orthogonal to define an angle ⁇ , which is equal to 90° minus a. It is desirable for the ends of the stent to be orthogonal to the longitudinal axis, i.e. for ⁇ to equal zero.
  • FIG 2 illustrates an embodiment of a stent 1 10 known in the prior art.
  • the stent 1 10 is generally a helical stent that includes a continuous wave form 120 that includes a plurality of turns 122 that are created when the wave form 120 is wrapped around the longitudinal axis LA during manufacturing of the stent 1 10.
  • the wave form 120 includes a plurality of struts 130 and a plurality of crowns 132.
  • Each crown 132 is a curved portion or turn within the wave form 120 that connects adjacent struts 130 to define the continuous wave form 120.
  • the struts 130 are substantially straight portions of the wave form 120.
  • the wave form 120 is wrapped around the longitudinal axis LA at a constant pitch so that the wave form 120 generally defines a helical coil a constant helical angle, or pitch angle a.
  • the struts 130 of all but end turns 124, 126 have substantially the same length.
  • the end turns 124, 126 each include struts of different lengths, including struts 130a that are shorter than the length of the struts 130 of the turns 122.
  • the shorter struts 130a of the end turns 124, 126 are designed to allow the ends of the stent 110 to be orthogonal to the longitudinal axis LA, when the end turns 124, 126 are wrapped at the pitch angle a.
  • the end turns 124, 126 of the stent 110 are not mirror images of each other, i.e., the shorter struts 130a are located on opposite sides of the longitudinal axis LA, which may create non-uniform tracking and expansion behavior along the length of the stent 1 10.
  • Figure 3 illustrates a method of manufacturing the stent 10 of Figure 1.
  • the stent of Figure 2 may also be manufactured using the same method, as understood by one of ordinary skill in the art.
  • one end 24 of the wave form 20 is pressed against the mandrel 40 with a pressing member 50 that is attached to the mandrel 40 so that it rotates and translates with the mandrel 40.
  • the other end 26 of the wave form 20 may be held with a suitable structure 60 that is configured to hold the other end 26 of the wave form 20 as the wave form 20 is wrapped around the mandrel 40 so that the helical angle a stays substantially constant.
  • the mandrel 40 may be rotated and translated, as indicated by arrows 42 and 44, respectively, at a suitable speed so that the wave form 20 wraps around the mandrel 40, and the longitudinal axis LA, to create the turns 22.
  • the number of revolutions of the mandrel 40 determines the number of turns 22 in the stent 10.
  • the wave form may be varied so that the end turns of the stent are substantially orthogonal or perpendicular to the longitudinal axis, such as the end turns 124, 126 of the stent 1 10 illustrated in Figure 2.
  • Figure 4 illustrates a method of manufacturing a stent 210 according to an embodiment of the present invention.
  • An embodiment of the stent 210 manufactured by the method illustrated in Figure 4 is shown in Figure 5.
  • the stent 210 is generally cylindrical in shape and has a longitudinal axis LA extending through the center of the stent 210.
  • the stent 210 includes a continuous wave form 220 that includes a plurality of turns 222 that are created when the wave form 220 is wrapped around the longitudinal axis LA during manufacturing of the stent 210.
  • a mandrel 240 or rod that is aligned with the longitudinal axis LA may be used to support the wave form 220 as the wave form 220 is wrapped around the longitudinal axis LA, as shown in Figure 4.
  • the wave form 220 includes a plurality of struts 230 and a plurality of crowns 232.
  • Each crown 232 is a curved portion or turn within the wave form 220 that connects adjacent struts 230 to define the continuous wave form 220.
  • the struts 230 are substantially straight portions of the wave form 220.
  • the struts 230 may be slightly bent or have other shapes, such as a sinusoidal wave, for example.
  • a first portion 250 which may be about one-half, of the wave form 220 is wrapped around the longitudinal axis LA at a constant helical or pitch angle ⁇ so that the portion 250 of the wave form 220 generally defines a helical coil at the constant pitch angle cp, relative to the longitudinal axis.
  • a second portion 252, which may be about one-half, of the wave form 220 is wrapped around the longitudinal axis LA at a constant helical or pitch angle ⁇ so that the second portion 252 of the wave form 220 generally defines a helical coil at the constant pitch angle ⁇ , relative to the longitudinal axis.
  • the pitch angles ⁇ and ⁇ have substantially the same magnitude, but are positive and negative, respectively, in the x-y coordinate system depicted in Figure 4, and may therefore be considered to be substantially opposite to each other with respect to a centerline CL of the stent 210.
  • the first and second portions 250, 252 of the wave form 220 are on opposite side of the centerline CL of the stent 210, as illustrated in Figure 4, and are connected to each other via the material that is used to form the wave form 220.
  • the part of the wave form 220 that is used to create the first turns 254, 256 of the first and second portions 250, 252, which may be the center part of the wave form 220, may include struts 230a that are shorter than the struts 230 used in the other turns 222 of the stent 210. This may allow the crowns 232 of the first turn 254 of the first portion 250 that face the centerline CL to substantially align with the centerline CL.
  • the wave form 220 may be configured so that the first turns 254, 256 of each portion 250, 252 of the stent 210 provide transitions from the orthogonal centerline CL to the respective pitch angles ⁇ and ⁇ .
  • a center 258 of the wave form 220 is fixed to the mandrel 240 by any suitable means, such as a clamp. Opposing ends of the wave form 220 may be held and guided by suitable structures 262, 264 that are configured to translate the first and second portions 250, 252 of the wave form 220 in opposing directions, represented by arrows 244, 246, respectively, as the mandrel is rotated, as represented by arrow 242.
  • suitable structures 262, 264 that are configured to translate the first and second portions 250, 252 of the wave form 220 in opposing directions, represented by arrows 244, 246, respectively, as the mandrel is rotated, as represented by arrow 242.
  • the stent 210 is created from the center outward.
  • the wave form 220 may also be configured to provide end turns 224, 226 that provide ends of the stent 210 that are substantially orthogonal to the longitudinal axis LA. This may be done by having shorter struts 230a in the
  • the wave form 220 may include a plurality of transitional turns near the ends of the stent that are configured to gradually transition the pitch angles of the turns of the first and second portions 250, 252, i.e., the pitch angles ⁇ and ⁇ , to the end turns 224, 226 that allow for the ends of the stent to be substantially perpendicular to the longitudinal axis LA.
  • a plurality of turns like the end turns 224, 226 may be used instead of having one turn at each end of the stent that provides the entire transition from the pitch angles ⁇ and ⁇ to the substantially orthogonal ends of the stent.
  • the lengths of the struts in such turns may be more gradually shortened in each of the transitioning turns.
  • the pitch angles ⁇ and ⁇ may not be constant for the first and second portions 250, 252, but instead may be gradually increased in magnitude so that by the last turn 222 of the mandrel 250 to form the end turns 224, 226, the pitch angles ⁇ and ⁇ have increased to about 90°.
  • the end turns 224, 226 of the stent 210 may be separate pieces that may be connected to the wave form 220 after the turns 222 of the stent 210 have been created with the rotation of the mandrel 250.
  • the illustrated embodiments described herein should not be considered to be limiting in any way.
  • the stent 210 may include a plurality of connections 250 that connect selected crowns 232 of adjacent turns 222.
  • the connections 250 may be created by fusing the selected crowns 232 together.
  • "fusing” is defined as heating the target portions of materials to be fused together, without adding any additional material, to a level where the material in the target portions flow together, intermix with one another, and form a fusion when the materials cool down to, for example, room
  • a suitable laser may be used to create the fusion.
  • connections 250 may be created by welding or soldering the selected crowns 232 together.
  • welding and “soldering” are defined as heating an additional material that is separate from the selected crowns and applying the heated additional material to the selected crowns 232 so that when the additional material cools, the selected crowns 232 are welded or soldered together.
  • connections 250 may be created by fusing, welding, or soldering an additional piece of material (not shown) that extends between selected crowns 232.
  • the additional piece of material may resemble a strut or a portion of a strut, and may be sized to provide spacing between the selected crowns of two adjacent turns, if desired.
  • the illustrated embodiments are not intended to be limiting in any way.
  • the size of the connections 250 may also be varied according to the desired flexibility and rate of expansion for a given area of the stent 210.
  • the larger the connection 250 i.e. the larger the fusion or weld, the greater the stiffness, and the slower the rate of expansion of the stent in the area of the larger connections.
  • the embodiments of the stents discussed above may be formed from a wire or a strip of suitable material.
  • the stents may be formed, i.e., etched or cut, from a thin tube of suitable material, or from a thin plate of suitable material and rolled into a tube.
  • Suitable materials for the stent include but are not limited to stainless steel, iridium, platinum, gold, tungsten, tantalum, palladium, silver, niobium, zirconium, aluminum, copper, indium, ruthenium, molybdenum, niobium, tin, cobalt, nickel, zinc, iron, gallium, manganese, chromium, titanium, aluminum, vanadium, and carbon, as well as combinations, alloys, and/or laminations thereof.
  • the stent may be formed from a cobalt alloy, such as L605 or MP35N ® , Nitinol (nickel-titanium shape memory alloy), ABI (palladium-silver alloy), Elgiloy ® (cobalt-chromium-nickel alloy), etc. It is also contemplated that the stent may be formed from two or more materials that are laminated together, such as tantalum that is laminated with MP35N ® . The stents may also be formed from wires having concentric layers of different metals, alloys, or other materials.
  • Embodiments of the stent may also be formed from hollow tubes, or tubes that have been filled with other materials.
  • the aforementioned materials and laminations are intended to be examples and are not intended to be limiting in any way.

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

La présente invention concerne un procédé de fabrication d'une endoprothèse (210), qui comprend la formation d'une forme d'onde (220) dotée d'une pluralité d'entretoises (230) et d'une pluralité de couronnes (232). Chaque couronne est reliée à deux entretoises adjacentes. Ladite forme d'onde possède un centre (258) et deux parties (250,252) s'étendant depuis des côtés opposés du centre. Ledit procédé comprend les enroulements suivants : enroulement d'une première partie de la forme d'onde autour d'un axe longitudinal dans une première direction (244) selon un premier angle de pas, en commençant au centre de la forme d'onde, pour définir au moins une spire orientée selon le premier angle de pas ; et enroulement d'une seconde partie de la forme d'onde autour de l'axe longitudinal dans une seconde direction (246) opposée à la première direction selon un second angle de pas, en commençant au centre de la forme d'onde, pour définir au moins une spire orientée selon le second angle de pas. Le premier angle de pas est opposé au second angle de pas.
PCT/US2010/048488 2009-09-18 2010-09-10 Procédés de formation d'une extrémité orthogonale sur une endoprothèse hélicoïdale Ceased WO2011034795A1 (fr)

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US61/243,600 2009-09-18

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2537491A1 (fr) * 2011-06-24 2012-12-26 Cook Medical Technologies LLC Stent hélicoïdal
WO2018082278A1 (fr) * 2016-11-04 2018-05-11 先健科技(深圳)有限公司 Endoprothèse vasculaire
WO2022020691A1 (fr) * 2020-07-24 2022-01-27 Medtronic Vascular, Inc. Stent avec couronnes intermédiaires
WO2024067402A1 (fr) * 2022-09-30 2024-04-04 深圳市先健纬康科技有限公司 Endoprothèse vasculaire
US11998464B2 (en) 2020-07-24 2024-06-04 Medtronic Vascular, Inc. Stent with angled struts and crowns

Citations (2)

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Publication number Priority date Publication date Assignee Title
FR2793673A1 (fr) * 1999-05-18 2000-11-24 Jean Marie Lefebvre Endoprothese du type stent tubulaire a faible resistance a l'ecrasement
US20080319529A1 (en) * 2007-06-22 2008-12-25 Medtronic Vascular, Inc. Stent With Improved Mechanical Properties

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2793673A1 (fr) * 1999-05-18 2000-11-24 Jean Marie Lefebvre Endoprothese du type stent tubulaire a faible resistance a l'ecrasement
US20080319529A1 (en) * 2007-06-22 2008-12-25 Medtronic Vascular, Inc. Stent With Improved Mechanical Properties

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2537491A1 (fr) * 2011-06-24 2012-12-26 Cook Medical Technologies LLC Stent hélicoïdal
JP2013006029A (ja) * 2011-06-24 2013-01-10 Cook Medical Technologies Llc らせん状ステント
AU2012203620B2 (en) * 2011-06-24 2014-09-11 Cook Medical Technologies Llc Helical Stent
EP3023080A1 (fr) * 2011-06-24 2016-05-25 Cook Medical Technologies LLC Greffe d'endoprothèse
US10271974B2 (en) 2011-06-24 2019-04-30 Cook Medical Technologies Llc Helical stent
WO2018082278A1 (fr) * 2016-11-04 2018-05-11 先健科技(深圳)有限公司 Endoprothèse vasculaire
US11497636B2 (en) 2016-11-04 2022-11-15 Lifetech Scientific (Shenzhen) Co. Ltd. Vascular stent
WO2022020691A1 (fr) * 2020-07-24 2022-01-27 Medtronic Vascular, Inc. Stent avec couronnes intermédiaires
US11986408B2 (en) 2020-07-24 2024-05-21 Medtronic Vascular, Inc. Stent with mid-crowns
US11998464B2 (en) 2020-07-24 2024-06-04 Medtronic Vascular, Inc. Stent with angled struts and crowns
WO2024067402A1 (fr) * 2022-09-30 2024-04-04 深圳市先健纬康科技有限公司 Endoprothèse vasculaire

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