Source: http://www.google.com/patents/US20050192662?ie=ISO-8859-1&dq=4,923,986
Timestamp: 2014-11-27 01:46:54
Document Index: 264447397

Matched Legal Cases: ['arts 16', 'arts 26', 'arts 26', 'arts 16', 'arts 16', 'arts 16', 'arts 16']

Patent US20050192662 - Stent with differently coated inside and outside surfaces - Google PatentsSearch Images Maps Play YouTube News Gmail Drive More »Sign inAdvanced Patent SearchPatentsA medical device, e.g., a stent, is provided with different coatings on different surfaces, or with a coating on only one of the inside or outside surface. In accordance with certain embodiments, two different stent members are provided, one to fit inside of the other. When the two stent members are...http://www.google.com/patents/US20050192662?utm_source=gb-gplus-sharePatent US20050192662 - Stent with differently coated inside and outside surfacesAdvanced Patent SearchPublication numberUS20050192662 A1Publication typeApplicationApplication numberUS 10/786,022Publication dateSep 1, 2005Filing dateFeb 26, 2004Priority dateFeb 26, 2004Also published asEP1727494A1, US7294145, WO2005092242A1Publication number10786022, 786022, US 2005/0192662 A1, US 2005/192662 A1, US 20050192662 A1, US 20050192662A1, US 2005192662 A1, US 2005192662A1, US-A1-20050192662, US-A1-2005192662, US2005/0192662A1, US2005/192662A1, US20050192662 A1, US20050192662A1, US2005192662 A1, US2005192662A1InventorsLiam WardOriginal AssigneeLiam WardExport CitationBiBTeX, EndNote, RefManReferenced by (16), Classifications (14), Legal Events (4) External Links: USPTO, USPTO Assignment, EspacenetStent with differently coated inside and outside surfacesUS 20050192662 A1Abstract A medical device, e.g., a stent, is provided with different coatings on different surfaces, or with a coating on only one of the inside or outside surface. In accordance with certain embodiments, two different stent members are provided, one to fit inside of the other. When the two stent members are separate, both stent members are coated, each with a different composition, or only one stent member is coated. Then, one stent member is placed inside the other to form the final stent. The resulting stent has one composition on its outside surface and a different composition on its inside surface, or coating only on either the inside or outside surface. Images(4) Claims(20)
DETAILED DESCRIPTION FIG. 1 illustrates a first stent member 10 and a second stent member 20. Each stent member 10, 20 may have any of a number of suitable geometries and characteristics. For example, each stent member 10, 20 may have a geometry similar to any of a number of stent designs known in the art, or variations thereof. The geometry is typically that of a patterned structure formed in a generally tubular shape, as shown generically in FIG. 1. The patterned structure of stent member 10 may be generally the same as the patterned structure of stent member 20. Alternatively, the patterned structure of stent member 10 may be different from the patterned structure of stent member 20. In the embodiment illustrated, the patterned structure of stent member 10 is similar to the patterned structure of stent member 20, in that the stent parts 16 of stent member 10 are similar to the stent parts 26 of stent member 20. If desired, one stent member may have more stent parts than the other. One stent member may be longer than the other. The stent members 10, 20 may be expandable in accordance with expansion mechanism known in the art. For example, they may be balloon-expandable or self-expanding. The stent members 10, 20 may be made of any of a number of suitable materials. For example, they may be made of suitable stainless steel, tantalum, platinum or nitinol alloys. The stent members 10, 20 are to receive a coating, for example a coating of a therapeutic material. The coating of the stent members 10, 20 may be accomplished in any of a number of ways. For example, the stent members 10, 20 may be coated using any of a number of coating methods known in the art, or variations thereof. Depending on the desired configuration, either or both of stent members 10, 20 may be coated, and each may be coated with a different coating. Then, the stent members 10, 20 are assembled together. Stent member 10 is designed to fit inside stent member 20. As shown by the arrow in FIG. 1, stent member 10 is inserted longitudinally into the internal space defined by stent member 20. FIG. 2 shows a stent 30 formed by the two stent members 10, 20. After stent member 10 is placed inside of stent member 20, the two may be affixed, bonded or mechanically joined together, if desired. For example, the stent members 10, 20 may be welded at various points or joined by a suitable adhesive. In the assembled embodiment shown in FIG. 2, stent parts 26 of stent member 20 lie directly over stent parts 16 of stent member 10. Thus the assembled stent has a number of adjacent, paired parts (e.g., parts 16, 26). The illustration shows the inner stent member 10 slightly shifted in order that its parts are visible in the drawing (for clarity in this description). It will be appreciated that the stent parts 16, 26 may be entirely overlapping when the stent 30 is assembled, such that stent parts 16 are not easily visible from outside the stent. FIG. 3 shows an end view of the stent 30. It should be appreciated that in many embodiments there will be no gap between stent member 10 and stent member 20 once assembled, but FIG. 3 shows a gap between the two (again, for clarity in this description). As can be seen in FIG. 3, the inside surface 12 of stent member 10 forms the inside surface of stent 30, and the outside surface 24 of stent member 20 forms the outside surface of stent 30. The resulting stent 30 has differences in coatings between the inside surface 12 and the outside surface 24. For example, the inside surface 12 and the outside surface 24 may be coated with different materials or therapeutic agents. Alternatively, only one of the inside surface 12 and the outside surface 24 may be coated. It will be appreciated that a stent in accordance with embodiments of the invention has numerous advantages. For example, the stent 30 may release two different therapeutic agents simultaneously or at different times, depending on the properties of the coatings used. Differences in the geometries of the first and second stent members may be chosen for particular uses. For example, one stent member may be longer than the other in order to target delivery of therapeutic at the ends of the stent, to help prevent restenosis at the ends of the stent. With regard to the coatings discussed above, the term �therapeutic agent� as used herein includes one or more �therapeutic agents� or �drugs.� The terms �therapeutic agents� and �drugs� are used interchangeably herein. The therapeutic agent may be any pharmaceutically acceptable agent such as a non-genetic therapeutic agent, a biomolecule, a small molecule, or cells. Exemplary non-genetic therapeutic agents include anti-thrombogenic agents such heparin, heparin derivatives, prostaglandin (including micellar prostaglandin E1), urokinase, and PPack (dextrophenylalanine proline arginine chloromethylketone); anti-proliferative agents such as enoxaprin, angiopeptin, sirolimus (rapamycin), tacrolimus, everolimus, monoclonal antibodies capable of blocking smooth muscle cell proliferation, hirudin, and acetylsalicylic acid; anti-inflammatory agents such as dexamethasone, rosiglitazone, prednisolone, corticosterone, budesonide, estrogen, estrodiol, sulfasalazine, acetylsalicylic acid, mycophenolic acid, and mesalamine; anti-neoplastic/anti-proliferative/anti-mitotic agents such as paclitaxel, cladribine, 5-fluorouracil, methotrexate, doxorubicin, daunorubicin, cyclosporine, cisplatin, vinblastine, vincristine, epothilones, endostatin, trapidil, and angiostatin; anti-cancer agents such as antisense inhibitors of c-myc oncogene; anti-microbial agents such as triclosan, cephalosporins, aminoglycosides, nitrofurantoin, silver ions, compounds, or salts; biofilm synthesis inhibitors such as non-steroidal anti-inflammatory agents and chelating agents such as ethylenediaminetetraacetic acid, O,O′-bis (2-aminoethyl)ethyleneglycol-N,N,N′,N′-tetraacetic acid and mixtures thereof; antibiotics such as gentamycin, rifampin, minocyclin, and ciprofolxacin; antibodies including chimeric antibodies and antibody fragments; anesthetic agents such as lidocaine, bupivacaine, and ropivacaine; nitric oxide; nitric oxide (NO) donors such as lisidomine, molsidomine, L-arginine, NO-carbohydrate adducts, polymeric or oligomeric NO adducts; anti-coagulants such as D-Phe-Pro-Arg chloromethyl ketone, an RGD peptide-containing compound, heparin, antithrombin compounds, platelet receptor antagonists, anti-thrombin antibodies, anti-platelet receptor antibodies, enoxaparin, hirudin, Warafin sodium, Dicumarol, aspirin, prostaglandin inhibitors, platelet inhibitors and tick antiplatelet factors; vascular cell growth promotors such as growth factors, transcriptional activators, and translational promotors; vascular cell growth inhibitors such as growth factor inhibitors, growth factor receptor antagonists, transcriptional repressors, translational repressors, replication inhibitors, inhibitory antibodies, antibodies directed against growth factors, bifunctional molecules consisting of a growth factor and a cytotoxin, bifunctional molecules consisting of an antibody and a cytotoxin; cholesterol-lowering agents; vasodilating agents; agents which interfere with endogeneus vascoactive mechanisms; and any combinations and prodrugs of the above. Exemplary biomolecules include peptides, polypeptides and proteins; oligonucleotides; nucleic acids such as double or single stranded DNA (including naked and cDNA), RNA, antisense nucleic acids such as antisense DNA and RNA, small interfering RNA (siRNA), and ribozymes; genes; carbohydrates; angiogenic factors including growth factors; cell cycle inhibitors; and anti-restenosis agents. Nucleic acids may be incorporated into delivery systems such as, for example, vectors (including viral vectors), plasmids or liposomes. Non-limiting examples of proteins include monocyte chemoattractant proteins (�MCP-1) and bone morphogenic proteins (�BMP's�), such as, for example, BMP-2, BMP-3, BMP-4, BMP-5, BMP-6 (Vgr-1), BMP-7 (OP-1), BMP-8, BMP-9, BMP-10, BMP-11, BMP-12, BMP-13, BMP-14, BMP-15. Preferred BMPS are any of BMP-2, BMP-3, BMP-4, BMP-5, BMP-6, and BMP-7. These BMPs can be provided as homdimers, heterodimers, or combinations thereof, alone or together with other molecules. Alternatively, or in addition, molecules capable of inducing an upstream or downstream effect of a BMP can be provided. Such molecules include any of the �hedghog� proteins, or the DNA's encoding them. Non-limiting examples of genes include survival genes that protect against cell death, such as anti-apoptotic Bcl-2 family factors and Akt kinase and combinations thereof. Non-limiting examples of angiogenic factors include acidic and basic fibroblast growth factors, vascular endothelial growth factor, epidermal growth factor, transforming growth factor α and β, platelet-derived endothelial growth factor, platelet-derived growth factor, tumor necrosis factor α, hepatocyte growth factor, and insulin like growth factor. A non-limiting example of a cell cycle inhibitor is a cathespin D (CD) inhibitor. Non-limiting examples of anti-restenosis agents include p15, p16, p18, p19, p21, p27, p53, p57, Rb, nFkB and E2F decoys, thymidine kinase (�TK�) and combinations thereof and other agents useful for interfering with cell proliferation. Exemplary small molecules include hormones, nucleotides, amino acids, sugars, and lipids and compounds have a molecular weight of less than 100 kD. Exemplary cells include stem cells, progenitor cells, endothelial cells, adult cardiomyocytes, and smooth muscle cells. Cells can be of human origin (autologous or allogenic) or from an animal source (xenogenic), or genetically engineered. Any of the therapeutic agents may be combined to the extent such combination is biologically compatible. Any of the above mentioned therapeutic agents may be incorporated into a polymeric coating on the medical device or applied onto a polymeric coating on a medical device. With respect to the type of polymers that may be used in the coating according to the present invention, such polymers may be biodegradable or non-biodegradable. Non-limiting examples of suitable non-biodegradable polymers include polyvinylpyrrolidone including cross-linked polyvinylpyrrolidone; polyvinyl alcohols, copolymers of vinyl monomers such as EVA; polyvinyl ethers; polyvinyl aromatics; polyethylene oxides; polyesters including polyethylene terephthalate; polyamides; polyacrylamides; polyethers including polyether sulfone; polyalkylenes including polypropylene, polyethylene and high molecular weight polyethylene; polyurethanes; polycarbonates, silicones; siloxane polymers; polymer dispersions such as polyurethane dispersions (BAYHDROL�); squalene emulsions; and mixtures and copolymers of any of the foregoing. Non-limiting examples of suitable biodegradable polymers include polycarboxylic acid, polyanhydrides including maleic anhydride polymers; polyorthoesters; poly-amino acids; polyethylene oxide; polyphosphazenes; polylactic acid, polyglycolic acid and copolymers and mixtures thereof such as poly(L-lactic acid) (PLLA), poly(D,L,-lactide), poly(lactic acid-co-glycolic acid), 50/50 (DL-lactide-co-glycolide); polydioxanone; polypropylene fumarate; polydepsipeptides; polycaprolactone and co-polymers and mixtures thereof such as poly(D,L-lactide-co-caprolactone) and polycaprolactone co-butylacrylate; polyhydroxybutyrate valerate and blends; polycarbonates such as tyrosine-derived polycarbonates and arylates, polyiminocarbonates, and polydimethyltrimethylcarbonates; cyanoacrylate; calcium phosphates; polyglycosaminoglycans; macromolecules such as polysaccharides (including hyaluronic acid; cellulosic polymers such as cellulose, cellulose acetate, and hydroxypropylmethyl cellulose; gelatin; starches; dextrans; alginates and derivatives thereof), proteins and polypeptides; and mixtures and copolymers of any of the foregoing. The biodegradable polymer may also be a surface erodable polymer such as polyhydroxybutyrate and its copolymers, polycaprolactone, polyanhydrides (both crystalline and amorphous), polyorthoesters, maleic anhydride copolymers, and zinc-calcium phosphate. In a preferred embodiment, the polymer is polyacrylic acid available as HYDROPLUS� (Boston Scientific Corporation, Natick, Mass.), and described in U.S. Pat. No. 5,091,205, the disclosure of which is incorporated by reference herein. In a more preferred embodiment, the polymer is a co-polymer of polylactic acid and polycaprolactone. Such coatings used with the present invention may be formed by any method known to one in the art. For example, an initial polymer/solvent mixture can be formed and then the therapeutic agent added to the polymer/solvent mixture. Alternatively, the polymer, solvent, and therapeutic agent can be added simultaneously to form the mixture. The polymer/solvent mixture may be a dispersion, suspension or a solution. The therapeutic agent may also be mixed with the polymer in the absence of a solvent. The therapeutic agent may be dissolved in the polymer/solvent mixture or in the polymer to be in a true solution with the mixture or polymer, dispersed into fine or micronized particles in the mixture or polymer, suspended in the mixture or polymer based on its solubility profile, or combined with micelle-forming compounds such as surfactants or adsorbed onto small carrier particles to create a suspension in the mixture or polymer. The coating may comprise multiple polymers and/or multiple therapeutic agents. The coating can be applied to the medical device by any known method in the art including dipping, spraying, rolling, brushing, electrostatic plating or spinning, vapor deposition, air spraying including atomized spray coating, and spray coating using an ultrasonic nozzle. The coating is typically from about 1 to about 50 microns thick. In the case of balloon catheters, the thickness is preferably from about 1 to about 10 microns, and more preferably from about 2 to about 5 microns. Very thin polymer coatings, such as about 0.2-0.3 microns and much thicker coatings, such as more than 10 microns, are also possible. It is also within the scope of the present invention to apply multiple layers of polymer coatings onto the medical device. Such multiple layers may contain the same or different therapeutic agents and/or the same or different polymers. Methods of choosing the type, thickness and other properties of the polymer and/or therapeutic agent to create different release kinetics are well known to one in the art. The medical device may also contain a radio-opacifying agent within its structure to facilitate viewing the medical device during insertion and at any point while the device is implanted. Non-limiting examples of radio-opacifying agents are bismuth subcarbonate, bismuth oxychloride, bismuth trioxide, barium sulfate, tungsten, and mixtures thereof. While the present invention has been described with reference to what are presently considered to be preferred embodiments thereof, it is to be understood that the present invention is not limited to the disclosed embodiments or constructions. On the contrary, the present invention is intended to cover various modifications and equivalent arrangements. In addition, while the various elements of the disclosed invention are described and/or shown in various combinations and configurations, which are exemplary, other combinations and configurations, including more, less or only a single embodiment, are also within the spirit and scope of the present invention. Referenced byCiting PatentFiling datePublication dateApplicantTitleUS7758635Feb 13, 2007Jul 20, 2010Boston Scientific Scimed, Inc.Medical device including cylindrical micellesUS7799078 *Nov 12, 2004Sep 21, 2010Warsaw Orthopedic, Inc.Implantable vertebral liftUS7806919Apr 1, 2008Oct 5, 2010Medtronic Vascular, Inc.Double-walled stent systemUS7815673Apr 1, 2008Oct 19, 2010Medtronic Vascular, Inc.Double-walled stent systemUS8114466Jan 3, 2008Feb 14, 2012Boston Scientific Scimed, Inc.Methods of applying coating to the inside surface of a stentUS8496697 *May 18, 2009Jul 30, 2013Abbott Laboratories Vascular Enterprises LimitedStent graftUS8590128Dec 3, 2010Nov 26, 2013Advanced Cardiovascular Systems, Inc.Selectively coating luminal surfaces of stentsUS8709071 *Sep 28, 2007Apr 29, 2014Abbott Cardiovascular Systems Inc.Stent with preferential coatingUS20110093002 *Oct 20, 2009Apr 21, 2011Wilson-Cook Medical Inc.Stent-within-stent arrangementsUS20110213455 *May 18, 2009Sep 1, 2011Milisav ObradovicStent graftWO2007040485A1 *Sep 22, 2005Apr 12, 2007Novovascular IncStent covered by a layer having a layer openingWO2008100709A1 *Jan 30, 2008Aug 21, 2008Boston Scient Scimed IncMedical device including cylindrical micellesWO2009123852A1 *Mar 17, 2009Oct 8, 2009Medtronic Vascular Inc.Double-walled stent systemWO2009123859A1 *Mar 18, 2009Oct 8, 2009Medtronic Vascular Inc.Double-walled stent systemWO2011049823A1Oct 15, 2010Apr 28, 2011Wilson-Cook Medical Inc.Stent-within-stent arrangementsWO2014105873A1 *Dec 23, 2013Jul 3, 2014Stryker CorporationMultilayer stent* Cited by examinerClassifications U.S. Classification623/1.16, 623/1.46International ClassificationA61F2/06, A61F2/00, A61F2/90Cooperative ClassificationA61F2/852, A61F2250/0063, A61F2002/91558, A61F2250/0067, A61F2/915, A61F2002/91541, A61F2/91European ClassificationA61F2/915, A61F2/91Legal EventsDateCodeEventDescriptionApr 22, 2011FPAYFee paymentYear of fee payment: 4Nov 6, 2006ASAssignmentOwner name: BOSTON SCIENTIFIC SCIMED, INC., MINNESOTAFree format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;REEL/FRAME:018505/0868Effective date: 20050101Owner name: BOSTON SCIENTIFIC SCIMED, INC.,MINNESOTAFree format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;US-ASSIGNMENT DATABASE UPDATED:20100203;REEL/FRAME:18505/868Free format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;US-ASSIGNMENT DATABASE UPDATED:20100209;REEL/FRAME:18505/868Free format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;US-ASSIGNMENT DATABASE UPDATED:20100216;REEL/FRAME:18505/868Free format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;US-ASSIGNMENT DATABASE UPDATED:20100223;REEL/FRAME:18505/868Free format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;US-ASSIGNMENT DATABASE UPDATED:20100302;REEL/FRAME:18505/868Free format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;US-ASSIGNMENT DATABASE UPDATED:20100309;REEL/FRAME:18505/868Free format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;US-ASSIGNMENT DATABASE UPDATED:20100316;REEL/FRAME:18505/868Free format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;US-ASSIGNMENT DATABASE UPDATED:20100323;REEL/FRAME:18505/868Free format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;US-ASSIGNMENT DATABASE UPDATED:20100330;REEL/FRAME:18505/868Free format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;US-ASSIGNMENT DATABASE UPDATED:20100406;REEL/FRAME:18505/868Free format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;US-ASSIGNMENT DATABASE UPDATED:20100413;REEL/FRAME:18505/868Free format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;US-ASSIGNMENT DATABASE UPDATED:20100420;REEL/FRAME:18505/868Free format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;US-ASSIGNMENT DATABASE UPDATED:20100504;REEL/FRAME:18505/868Free format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;US-ASSIGNMENT DATABASE UPDATED:20100511;REEL/FRAME:18505/868Free format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;US-ASSIGNMENT DATABASE UPDATED:20100518;REEL/FRAME:18505/868Free format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;US-ASSIGNMENT DATABASE UPDATED:20100525;REEL/FRAME:18505/868Free format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;REEL/FRAME:18505/868Aug 15, 2006ASAssignmentOwner name: BOSTON SCIENTIFIC SCIMED, INC., MINNESOTAFree format text: CHANGE OF NAME;ASSIGNOR:SCIMED LIFE SYSTEMS, INC.;REEL/FRAME:018173/0890Effective date: 20041222Feb 26, 2004ASAssignmentOwner name: SCIMED LIFE SYSTEMS, INC., MINNESOTAFree format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:WARD, LIAM;REEL/FRAME:015023/0120Effective date: 20040202RotateOriginal ImageGoogle Home - Sitemap - USPTO Bulk Downloads - Privacy Policy - Terms of Service - About Google Patents - Send FeedbackData provided by IFI CLAIMS Patent Services©2012 Google