CA2383297A1 - Bifurcation stent system and method - Google Patents

Bifurcation stent system and method Download PDF

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Publication number
CA2383297A1
CA2383297A1 CA002383297A CA2383297A CA2383297A1 CA 2383297 A1 CA2383297 A1 CA 2383297A1 CA 002383297 A CA002383297 A CA 002383297A CA 2383297 A CA2383297 A CA 2383297A CA 2383297 A1 CA2383297 A1 CA 2383297A1
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CA
Canada
Prior art keywords
stent
portions
cell density
stent body
side hole
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.)
Granted
Application number
CA002383297A
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French (fr)
Other versions
CA2383297C (en
Inventor
Charles J. Davidson
Gil M. Vardi
Eric Williams
Stephen Kao
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.)
Advanced Stent Technologies Inc
Original Assignee
Advanced Stent Technologies, Inc.
Charles J. Davidson
Gil M. Vardi
Eric Williams
Stephen Kao
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Publication of CA2383297A1 publication Critical patent/CA2383297A1/en
Application granted granted Critical
Publication of CA2383297C publication Critical patent/CA2383297C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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    • 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
    • AHUMAN NECESSITIES
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    • 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
    • A61F2/852Two or more distinct overlapping stents
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    • 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
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    • A61F2/856Single tubular stent with a side portal passage
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    • 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
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    • A61F2250/006Additional features; Implant or prostheses properties not otherwise provided for modular

Abstract

Methods and apparatus for deploying a stent (20) in a bifurcated body lumen (10). The stent comprises a tubular body defining a lumen therethrough and having a side hole. The tubular body has a first portion (28) with a first wall mass and a second portion (26) with a second wall mass. The first wall mass is less than the second wall mass. When deployed, first portions of two stents overlap in a bifurcated body lumen. The side holes of the two stents are aligned with ostium of branch vessels (14, 16) at a bifurcated body lume n.

Claims (20)

1 A stent for placement in a bifurcated body lumen, said stent comprising:

a tubular body defining a lumen therethrough and having a side hole, said body having a first portion with a first wall mass and a second portion with a second wall mass, wherein said first wall mass is less than said second wall mass.
2. The stent as in claim 1 wherein said first wall mass is about one-half said second wall mass.
3. The stent as in claim 1 wherein said first portion has a first cell density and said second portion has a second cell density, wherein said first cell density is less than said second cell density.
4. The stem as in claim 3 wherein said first cell density is about one-half said second cell density.
5. The stent as in claim 1 wherein said first portion comprises a first plurality of struts and said second portion comprises a second plurality of struts, at least some of said first plurality of struts having a smaller cross-sectional area than said second plurality of struts.
6. The stent as in claim 1 wherein said first portion comprises a first plurality of struts and said second portion comprises a second plurality of struts, said second plurality of struts defining a greater cell density than said first plurality of struts.
7. The stent as in claim 1 wherein said first portion comprises said side hole.
8. The stent as in claim 1 wherein said first portion and said second portion have first and second wall thickness, respectively, said first wall thickness being less than said second wall thickness.
9. The stent as in claim 8 wherein said first wall thickness is about one-half said second wall thickness.
10. A stent system for placement in a bifurcated body lumen having a main vessel and first and second branch vessels, said system comprising:
a first tubular stent body having a first portion and a second portion, said first stent body having a side hole; and a second tubular stent body having a first portion and a second portion, said second stent body having a side hole;
wherein said first stent body first portion is disposed within and generally coaxially aligned with said second stent body first portion, and said first stent body second portion extends through said side hole of said second stent body.
11. The stent system as in claim 10 wherein said combined first portions comprise about a same mass as one of said second portions.
12. The stent system as in claim 10 wherein said combined first portions comprise a cell density that is about equal to a cell density of one of said second portions.
13. The stent system as in claim 10 wherein said combined first portions have a wall thickness that is about equal to a wall thickness of one of said second portions.
14. The stent system as in claim 10 wherein said combined first portions are adapted to be positioned in said main vessel, said first stent body second portion is adapted to be positioned in said first branch vessel and said second stent body second portion is adapted to be positioned in said second branch vessel.
15. A method for deploying a stent in a bifurcated body lumen having a main vessel and first and second branch vessels, said method comprising:
providing first and second tubular stent bodies each having a first portion, a second portion, and a side hole;
positioning said first stent body within said bifurcated lumen so that said first portion is positioned within said main vessel and said second portion is positioned within said first branch vessel, said positioning further comprising alignment of said first stent body side hole with an ostium of said second branch vessel;
expanding said first stent body.
16 positioning said second stent body so that said first portion is generally aligned with and within said first stent body first portion in said main vessel, and said second portion extends through said first stent body side hole and into said second branch vessel, said positioning further comprising alignment of said second stent body side hole with an ostium of said first branch vessel; and expanding said second stent body.

16. The method of claim 15 wherein said expanding said first stent body is performed prior to said positioning said second stent body.
17. The method of claim 15 wherein said combined first portions have about a same mass as one of said second portions.
18. The method of claim 15 wherein said combined first portions have about a same cell density as one of said second portions.
19. The method of claim 15 wherein said first and second stent bodies comprise a metal.
20. A kit comprising:
a stent as in claim 1; and instructions for use setting forth a method for positioning said stent in a bifurcated body lumen having a main vessel and first and second branch vessels.
CA2383297A 1999-09-23 2000-09-25 Bifurcation stent system and method Expired - Fee Related CA2383297C (en)

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US20030195606A1 (en) 2003-10-16
CA2383297C (en) 2010-04-13
WO2001021095A9 (en) 2002-12-12
WO2001021095A2 (en) 2001-03-29
CN1409622A (en) 2003-04-09
EP1229859A2 (en) 2002-08-14
IL148658A0 (en) 2002-09-12
AU7714500A (en) 2001-04-24
HK1046844A1 (en) 2003-01-30
WO2001021095A3 (en) 2002-01-31
JP2003532446A (en) 2003-11-05

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