A flexible expandable stent

Abstract: There is disclosed a stent for implanting in the body. The stent is formed of a tube having a patterned shape which has first and second meander patterns having axes extending in first and second directions. The first meander patterns can be formed into even and odd first meander patterns. The even and odd first meander patterns are 180° out of phase with each other and the odd patterns occur between every two even patterns. The second meander patterns are intertwined with the first meander patterns. The first and second directions can be orthogonal to each other. The second meander patterns can also be formed of even and odd patterns.

Description: FIELD OF THE INVENTION The present invention relates generally to stents for implanting into a living body. BACKGROUND OF THE INVENTION Various stents are known in the art wherein, for the present application, the term "stent" indicates a device, made of body-compatible material, which is utilized to widen a blood vessel, or other orifice in the body, and to maintain the resultant size of the lumen. Typically, the stent is delivered to the desired location in the body with an inflatable balloon and, when the balloon is inflated, the stent expands, thereby widening the orifice. Other mechanical devices which cause expansion of the stent are also utilized. Exemplary patents in the field of stents formed of wire are: U.S. 5,019,090 to Pinchuk, U.S. 5,161,547 to Tower, U.S. 4,950,227 to Savin, et al., U.S. 5,314,472 to Fontaine, U.S. 4,886,062 and U.S. 4,969,458 to Wiktor and U.S. 4,356,516 to Hillstead. Stents formed of cut stock metal are described in: U.S. 4,733,665 to Palmaz, U.S. 4,762,128 to Rosenbluth, U.S. 5,102,417 to Palmaz and Schatz, U.S. 5,195,984 to Schatz and WO 91 FR013820 to Meadox. The stents described in U.S. 5,102,417 to Palmaz and Schatz have expandable tubular grafts connected together with a flexible connector. The grafts are formed of a plurality of slots disposed parallel to the longitudinal axis of the tube. The flexible connectors are helical connectors. Since the tubular grafts are relatively rigid, the flexible connectors are needed so that the stents can bend when being fed through a curved blood vessel. When the stents of U.S. 5,102,417 expand, the grafts expand radially and, consequently, shrink longitudinally. However, at the same time, the helical connectors twist. The twisting motion is most probably harmful to the blood vessel. U.S. 5,195,984 to Schatz describes a similar stent but with one straight connector, parallel to the longitudinal axis of the tubular grafts, between tubular grafts. The straight member removes the twisting motion; however, it is not a very strong connector. EP-A-335 341 and WO-A-95/31945 being a document under Art. 54(3) EPC disclose a stent having a patterned shape comprising in the non-expanded form closed slots with a substantially rectangular configuration, the slots assuming in the expanded form a substantially hexagonal or diamond configuration depending on the width of the slots. EP-A-669 114 being a document under Art. 54(3) EPC discloses a stent with circular rings in the fully expanded or deployed form intended for its use. EP-A-0 378 151 discloses a stent which has a wire construction depicting in an expanded state a series of tight bends or convolutions. The essence of the structure is based on a wire which is looped over itself. US-5,104,404 discloses a stent made of stent segments connected by hinges welded in place to provide articulation between the stent segments. SUMMARY OF THE PRESENT INVENTION It is therefore an object of the present invention to provide a flexible stent which minimally shrinks, in the longitudinal direction, during expansion. This object is achieved according to the invention by a stent as defined in claim 1. Advantageous embodiments of the invention are defined in dependent claims 2 to 9. BRIEF DESCRIPTION OF THE DRAWINGS The present invention will be understood and appreciated more fully from the following detailed description taken in conjunction with the drawings in which: Fig. 1 is an illustration of a patterned stent, constructed and operative in accordance with a first preferred embodiment of the present invention; Fig. 2 is an illustration of the pattern of the stent of Fig. 1; Fig. 3 is an illustration of the stent of Fig. 1 in a bent position; Fig. 4 is an illustration of the stent of Fig. 1 in an expanded format; Figs. 5A and 5B are illustrations of the changes in the patterns of the stent of Fig. 1 due to expansion; Fig. 6 is a schematic illustration of a second embodiment of the pattern for a stent; Fig. 7 is an illustration of a third embodiment of the pattern for the stent; and Fig. 8 is an illustration of the pattern of Fig. 7 in an expanded format. DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS Reference is now made to Figs. 1 - 4 which illustrate a first embodiment of a stent, constructed and operative in accordance with the principles of the present invention. Fig. 1 illustrates the stent in its non-expanded form, Fig. 2 illustrates the pattern of the stent, Fig. 3 illustrates it in a partially bent position and Fig. 4 illustrates it in an expanded form. According to a preferred embodiment, the stent of the present invention is a tube whose sides are formed into a plurality of each of two orthogonal meander patterns which patterns are intertwined with each other. The term "meander pattern" is taken herein to describe a periodic pattern about a center line and "orthogonal meander patterns" are patterns whose center lines are orthogonal to each other. In the stent of Figs. 1 - 4, the two meander patterns are labeled 11 and 12 and they are most easily seen in Fig. 2. Meander pattern 11 is a vertical sinusoid having a vertical center line 9. Meander pattern 11 has two loops 14 and 16 per period wherein loops 14 open to the right while loops 16 open to the left. Loops 14 and 16 share common members 15 and 17, where member 17 connects from one loop 14 to its following loop 16 and member 15 connects from one loop 16 to its following loop 14. Meander pattern 12 is an horizontal pattern having an horizontal center line 13. Meander pattern 12 also has loops, labeled 18 and 20, but between loops of a period is an extended straight section labeled 22. Loops 18 open downwards and loops 20 open upwards. Vertical meander pattern 11 is provided in odd and, even (o and e) versions which are 180° out of phase with each other. Thus, each left opening loop 16 of meander pattern 11o faces a right opening loop 14 of meander pattern lie and a right opening loop 14 of meander pattern 11o faces a left opening loop 16 of meander pattern 11e. Horizontal meander pattern 12 is also provided in odd and even forms. The straight sections 22 of horizontal meander pattern 12e intersect with every third common member 17 of vertical meander pattern 11e. The straight sections 22 of horizontal meander pattern 120 intersect with every third common member 15 of vertical meander pattern 11e. beginning with the common member 15 two after an intersected common member 17. The result is a full loop 14 between meander patterns 12e and 12o and a full loop 16 between meander patterns 12o and 12e. Returning to Fig. 1, the pattern of Fig. 2 is formed into a tube 30 of an easily deformable material, such as a metal. Due to the two meander patterns, the stent of Fig. 1, when attached over a catheter balloon, is flexible and can therefore be easily dragged through curved blood vessels. An example of the way in which the stent of Fig. 1 bends is illustrated in Fig. 3. In Fig. 3, the stent begins to bend at the point marked A in the direction marked by arrow 40. As the stent begins to curve, the section marked I becomes the inside of the curve while the section marked O becomes the outside of the curve. The inside of the curve I is shortened vis-a-vis the outside of the curve O. During bending, the loops 14 - 20 to the right of the point A change shape in order to compensate for the differences in length between the inside and outside curves. For example, loops 18i and 20i near the inside of the curve are closer together than loops 13 o and 20 o on the outside of the curve, which expand. Loops 14i and 16i near the inside I are compressed while the loops 14o and 16o closer to the outside O of the curve are expanded. As can be seen, both meander patterns 11 and 12 are involved in the bending. Although not shown, it will be appreciated that the stent of Figs. 1 - 4 can bend in any direction and in more than one direction at any time. Fig. 4 illustrates the stent of Fig. 1 in its expanded form. When the stent expands, both meander patterns 11 and 12 expand (i.e. all loops 14 - 20 open up). As can be seen, the expanded stent has two types of enclosed spaces, a large space 42 between meander patterns 12o and 12e and a small space 44 between meander patterns 12e and 12o. As can also be seen, each large space 42 has two loops 14 on its left side and two loops 16 on its right side. The large spaces between vertical meander patterns 11e and 11o, which are labeled 42a, have loops 18 at their tops and bottoms while the large spaces between vertical meander patterns 11o and 11e, which are labeled 42b, have loops 20 at their tops and bottoms. Similarly for small spaces 44a and 44b. It is noted that, due to the orthogonal meander patterns 11 and 12, the stent of Fig. 1 does not significantly shrink during expansion. This is illustrated in detail in Figs. 5A and 5B to which reference is now made. Fig. 5A illustrates the movement, during expansion, of one vertical meander pattern 11 and Fig. 53 illustrates the movement, during expansion, of one horizontal meander pattern 12. The original patterns are shown with solid lines and the expanded patterns are shown with dashed lines. The vertical meander pattern 11 of Fig. 5A expands by widening its loops 14 and 16. As a result, the vertical meander pattern 11 grows vertically by an amount 2*h 1 , per loop. However, it also shrinks horizontally, by an amount 2*d 1 . Similarly, the horizontal meander pattern 12 of Fig. 5B expands by widening its loops 18 and 20. As a result, the horizontal meander pattern 12 grows horizontally by an amount 2*d 2 per loop. However, it also shrinks vertically, by an amount h 2 . Thus, the vertical growth of the vertical meander pattern 11 compensates, at least partially, for the vertical shrinkage of the horizontal meander pattern 12, and vice versa. It is noted that the end portions of any stent are only partially compensated and therefore, may shrink somewhat. It will be appreciated that the two orthogonal meander patterns 11 and 12 and the compensation they provide to each other provides flexibility to the unexpanded stent of Fig. 1. However, when the stent is expanded, the changes in each of loops 14 and 16 provide rigidity to the resultant stent and thus, enable the stent to maintain a blood vessel at a desired inner diameter. The stent of the present invention can be manufactured from flat metal which is etched into the pattern of Fig. 2. The etched natal is then bent to form the tube 30. It will be appreciated that the stent of.the present invention is made from metal. Additionally, it can be plated with a protective material, embedded with a medicine, and/or covered with a material which can fill in the spaces 42 and 44. It will be appreciated that the present invention encompasses all stents manufactured with a pattern formed of two meander patterns, orthogonal or otherwise. Another exemplary pattern, also with orthogonal meander patterns, is provided herein wherein Fig. 6 is a schematic version and Fig. 7 is a more rounded version. Fig. 8 shows the pattern of Fig. 7 in an expanded format. The pattern of Figs. 6 and 7 is similar to that shown in Fig. 2 except that it has more horizontal meander patterns 12 and they are of one kind, rather than being even and odd as in Fig. 2. As can be seen in both Figs. 6 and 7, there are two types of vertical meander patterns lie and llo which are 180° out of phase with each other. The horizontal meander patterns 12 connect with every line 15 of vertical meander pattern 11e. Fig. 8 illustrates the pattern of Fig. 7 in an expanded format. Since there are no even and odd horizontal meander patterns, in the expanded format of Fig. 8, there are no large and small spaces. Instead, all spaces are of the same size.

Claims: A stent formed of a flat metal tube (30) having in a non-expanded and in an expanded form a patterned shape, the patterned shape comprising first meander patterns (11) having axes extending in a first direction and second meander patterns (12) having axes extending in a second direction, different from the first direction, wherein the second meander patterns (12) are intertwined with the first meander patterns (11), excluding a patterned shape comprising in the non-expanded form closed slots with a substantially rectangular configuration, the slots assuming in the expanded form a substantially hexagonal or diamond configuration depending on the width of the slots, and excluding a patterned shape comprising in the expanded form circular rings. The stent according to claim 1, wherein the meander patterns (11, 12) comprise a periodic pattern about a center line in their corresponding direction. The stent according to claim 1 or 2, wherein the second meander patterns (12) intersect with the first meander patterns (11) at common members (15, 17, 22). The stent according to any one of the preceding claims, wherein the stent has one type of spaces of the same size enclosed by the meander patterns (11, 12). The stent according to any one of claims 1 to 3, wherein the stent has two types of spaces (42, 44) of different size, respectively, enclosed by the meander patterns (11, 12). The stent according to any one of the preceding claims, wherein the first meander patterns (11) comprise odd and even meander patterns (11o, 11e) 180° out of phase. The stent according to any one of the preceding claims, wherein the first direction is orthogonal to the second direction. The stent according to any one of the preceding claims, wherein the first direction is the circumferential direction and the second direction is the longitudinal direction of the tubular stent. The stent according to any one of the preceding claims, wherein the stent is plated with a protective material or embedded with medicine or covered with a material.

Inventors: ISRAEL HENRY M, PINCHASIK GREGORY, ISRAEL, HENRY M., PINCHASIK, GREGORY
Applicants: MEDINOL LTD, MEDINOL LIMITED
Application year: 1995
Main classification: A61F2
IPC codes: A61F2