BIFURCATED STENT WITH DRUG WELLS
FOR SPECIFIC OSTIAL, CARINA, AND SIDE
CROSS-REFERENCE TO RELATED
STATEMENT REGARDING FEDERALLY
BACKGROUND OF THE INVENTION
The art referred to and/or described above is not intended to constitute an admission that any patent, publication or other information referred to herein is "prior art" with respect to this invention. In addition, this section should not be construed to mean that a search has been made or that no other pertinent information as defined in 37 C.F.R. § 1.56(a) exists.
All US patents and applications and all other published documents mentioned anywhere in this application are incorporated herein by reference in their entirety.
Without limiting the scope of the invention a brief summary of some of the claimed embodiments of the invention is set forth below. Additional details of the summarized embodiments of the invention and/or additional embodiments of the invention may be found in the Detailed Description of the Invention below.
1. Field of the Invention
In some embodiments this invention relates to implantable medical devices, their manufacture, and methods of use. Some embodiments are directed to delivery systems, such as catheter systems of all types, which are utilized in the delivery of such devices.
2. Description of the Related Art
A stent is a medical device introduced to a body lumen and is well known in the art. Typically, a stent is implanted in a blood vessel at the site of a stenosis or aneurysm endoluminally, i.e. by so-called "minimally invasive techniques" in which the stent in a radially reduced configuration, optionally restrained in a radially compressed configuration by a sheath and/or catheter, is delivered by a stent delivery system or "introducer" to the site where it is required. The introducer may enter the body from an access location outside the body, such as through the patient's skin, or by a "cut down" technique in which the entry blood vessel is exposed by minor surgical means.
Stents, grafts, stent-grafts, vena cava filters, expandable frameworks, and similar implantable medical devices, collectively referred to hereinafter as stents, are radially expandable endoprostheses which are typically intravascular implants capable of being implanted transluminally and enlarged radially after being introduced percutaneously. Stents may be implanted in a variety of body lumens or vessels such as within the vascular system, urinary tracts, bile ducts, fallopian tubes, coronary vessels, secondary vessels, etc. They may be self-expanding, expanded by an internal radial force, such as when mounted on a balloon, or a combination of self-expanding and balloon expandable (hybrid expandable).
Stents may be created by methods including cutting or etching a design from a tubular stock, from a flat sheet which is cut or etched and which is subsequently rolled or from one or more interwoven wires or braids.
Within the vasculature, it is not uncommon for stenoses to form at a vessel bifurcation. A bifurcation is an area of the vasculature or other portion of the body where a first (or parent) vessel is bifurcated into two or more branch vessels. Where a stenotic lesion or lesions form at such a bifurcation, the lesion(s) can affect only one of the vessels (i.e., either of the branch vessels or the parent vessel) two of the vessels, or all three vessels. Thus stenoses at bifurcations can be classified based on the location of the stenoses relative to the bifurcation, as is done in the ICPS Plaque Distribution Classification and the Duke Plaque Distribution Classification. Many prior art stents however are not wholly satisfactory for use where the site of desired application of the stent is juxtaposed or extends across a bifurcation in an artery or vein such, for example, as the bifurcation in the mammalian aortic artery into the common iliac arteries.
BRIEF SUMMARY OF THE INVENTION
In at least one embodiment, the invention is directed to a stent that elutes different volumes of at least one therapeutic agent from different regions of the stent. In at least one embodiment, a region of the stent elutes a therapeutic agent with a different concentration than a therapeutic agent eluted from at least one other region of the stent. In at least one embodiment, a region of the stent elutes a therapeutic agent at a different rate than at least one other region of the stent.
These and other embodiments which characterize the invention are pointed out with particularity in the claims annexed hereto and forming a part hereof. However, for further understanding of the invention, its advantages and objectives obtained by its use, reference can be made to the drawings which form a further part hereof and the accompanying descriptive matter, in which there is illustrated and described an embodiments of the invention.
BRIEF DESCRIPTION OF THE SEVERAL
VIEWS OF THE DRAWING(S)
A detailed description of the invention is hereafter described with specific reference being made to the drawings.
FIG. 1 is a perspective view of a stent comprising a plurality of members.
FIG. 2 is an enlarged view of one of the plurality of members of FIG. 1.
FIG. 3 is a flat view of a bifurcated stent comprising a plurality of members and coating retainers.
FIG. 4 is a flat view of a bifurcated stent with regions that elute different volumes of therapeutic agent.
FIG. 5 is a flat view of another bifurcated stent with regions that elute different volumes of therapeutic agent.
FIG. 6 is a flat view of another bifurcated stent with regions that elute different volumes of therapeutic agent.
FIG. 7 is a side view of a bifurcated stent in an expanded state, with the side branch at an oblique angle to the main body of the stent.
DETAILED DESCRIPTION OF THE INVENTION
While this invention may be embodied in many different forms, there are described in detail herein specific embodiments of the invention. This description is an exemplification of the principles of the invention and is not intended to limit the invention to the particular embodiments illustrated.
For the purposes of this disclosure, like reference numerals in the figures shall refer to like features unless otherwise indicated.