Stent with a crush-resistant zone

Patent metadata

Field	Value
Publication number	US-10357386-B2
Application number	US-201615008631-A
Country	US
Kind code	B2
Filing date	Jan 28, 2016
Priority date	Jun 6, 2006
Publication date	Jul 23, 2019
Grant date	Jul 23, 2019

Abstract

An endoluminal prosthesis system for a branched body lumen comprises a branch vessel prosthesis. The branch vessel prosthesis is deployable within a branch vessel body lumen and comprises a stent having a generally tubular body portion, a flareable proximal end portion, and a coupling portion disposed intermediate the body portion and the flareable portion. The coupling portion is more crush-resistant than the body portion. The flareable proximal end may be disposed within a fenestrated stent graft wit with coupling portion disposed in the fenestration of the fenestrated stent graft.

First claim

The invention claimed is:

1. An endoluminal prosthesis comprising:
a stent having a generally tubular body portion, a flareable proximal end portion, and a coupling portion disposed intermediate the body portion and the flareable portion, where the coupling portion is more crush-resistant than the body portion, whereby the coupling portion is more resistant to plastic deformation and bending than the body portion.

2. The endoluminal prosthesis of claim 1 , wherein the stent comprises a plurality of interconnected struts.

3. The endoluminal prosthesis of claim 2 , wherein the plurality of struts comprises struts in the coupling portion and in the body portion and wherein the struts in the coupling portion are circumferentially thicker than the struts in the body portion, radially thicker than the struts in the body portion, or both.

4. The endoluminal prosthesis of claim 2 , wherein the interconnected struts comprise an interconnection frequency and the interconnection frequency of the struts in the coupling portion is greater than the interconnection frequency of the struts in the body portion.

5. The endoluminal prosthesis of claim 2 , wherein the stent has a proximal end and a distal end and the interconnected struts comprise an interconnection frequency, and
wherein the interconnection frequency decreases distally away from the coupling portion.

6. The endoluminal prosthesis of claim 1 , wherein the body portion is greater in length than the body of the coupling portion and the flareable end portion.

7. The endoluminal prosthesis of claim 1 , wherein the stent comprises a plurality of cells interconnected by connection members.

8. The endoluminal prosthesis of claim 7 , wherein the connection members interconnect between a peak of a cell in the body portion and a valley of an adjacent cell in the body portion.

9. The endoluminal prosthesis of claim 7 , wherein the connection members have a longitudinally variable thickness.

10. The endoluminal prosthesis of claim 7 , wherein the connection members each have a medial portion and an end portion wherein the medial portions are thicker than the end portions.

11. The endoluminal prosthesis of claim 7 , wherein the connections between the plurality of cells have an interconnection frequency and the interconnection frequency is greater in the coupling portion than in the body portion.

12. An endoluminal prosthesis comprising:
a stent having a generally tubular body portion, a flareable proximal end portion, and a bending portion connecting the body portion and the flareable portion, where the stiffness of the flareable portion increases in the direction of the bending portion to form a coupling portion intermediate the flareable portion and the body portion, the coupling portion having a higher crush-resistance than the body portion, whereby the coupling portion is more resistant to plastic deformation and bending than the body portion.

13. The endoluminal prosthesis of claim 12 , wherein the stent comprises a plurality of interconnected struts.

14. The endoluminal prosthesis of claim 13 , wherein the interconnected struts comprise an interconnection frequency and the interconnection frequency of the struts in the coupling portion is greater than the interconnection frequency of the struts in the body portion.

15. The endoluminal prosthesis of claim 13 , wherein the stent has a proximal end and a distal end and the interconnected struts comprise an interconnection frequency, and
wherein the interconnection frequency decreases distally away from the coupling portion.

16. The endoluminal prosthesis of claim 12 , wherein the plurality of struts comprises struts in the coupling portion and in the body portion and wherein the struts in the coupling portion are circumferentially thicker than the struts in the body portion, radially thicker than the struts in the body portion, or both.

17. The endoluminal prosthesis of claim 12 , wherein the body portion is greater in length than the body of the coupling portion and the flareable end portion.

18. The endoluminal prosthesis of claim 12 , wherein the stent comprises a plurality of cells interconnected by connection members.

19. The endoluminal prosthesis of claim 18 , wherein the connection members interconnect between a peak of a cell in the body portion and a valley of an adjacent cell in the body portion.

20. A method of repairing a body lumen at an intersection between a main vessel and a branch vessel, the method comprising the steps of:
inserting a branch vessel prosthesis into the branch vessel and through a fenestration in the sidewall of a main vessel prosthesis disposed within the main vessel, the branch vessel prosthesis comprising a stent having a generally tubular body portion, a flareable proximal end portion, and a coupling portion disposed intermediate the body portion and the flareable portion and having a higher crush-resistance than the body portion, whereby the coupling portion is more resistant to plastic deformation and bending than the body portion;
positioning the branch vessel prosthesis so that the coupling portion is aligned with the fenestration; and
expanding the branch vessel prosthesis so that the distal end of the branch vessel prosthesis engages the lumen of the branch vessel, the flareable portion flares within the lumen of the main vessel prosthesis, and the coupling portion engages the main body prosthesis at the fenestration.

Assignees

• Cook Medical Technologies Llc

Inventors

• Schaeffer Darin G
• Boatman Scott E
• Dittman Jay A
• Hartley David Ernest

Classifications

• A61F2002/072

  Encapsulated stents, e.g. wire or whole stent embedded in lining · CPC title

• A61F2002/91566

  connected trough to trough · CPC title

• A61F2220/0075

  sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable · CPC title

• A61F2/954

  for placing stents or stent-grafts in a bifurcation · CPC title

• A61F2/91

  made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes · CPC title