DE10124107B4 - Gegabelter Stent mit verbesserter Seitenzweigöffnung und Verfahren zu seiner Herstellung - Google Patents
Gegabelter Stent mit verbesserter Seitenzweigöffnung und Verfahren zu seiner Herstellung Download PDFInfo
- Publication number
- DE10124107B4 DE10124107B4 DE10124107A DE10124107A DE10124107B4 DE 10124107 B4 DE10124107 B4 DE 10124107B4 DE 10124107 A DE10124107 A DE 10124107A DE 10124107 A DE10124107 A DE 10124107A DE 10124107 B4 DE10124107 B4 DE 10124107B4
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- stent
- longitudinal bore
- branch opening
- making
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
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- Health & Medical Sciences (AREA)
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- Pulmonology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
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Abstract
Ein
Stent (539), umfassend:
ein erstes rohrförmiges Element mit einer Längsbohrung gebildet aus einem „T"-förmigen Band (530) mit einer ersten Seite (531), einer zweiten Seite (532), einer dritten Seite (533), einer vierten Seite (534), einer fünften Seite (535), einer sechsten Seite (536), einer siebenten Seite (537) und einer achten Seite (538), wobei die zweite Seite (532) mit der achten Seite (538) verbunden ist, und die vierte Seite (534) mit der sechsten Seite (536) verbunden ist,
wobei die dritte Seite (533) und die siebte Seite (537), welche von gleicher Länge sind, eine Zweigöffnung definieren, die zwischen der ersten Seite (531) und der fünften Seite (535) angeordnet ist.
ein erstes rohrförmiges Element mit einer Längsbohrung gebildet aus einem „T"-förmigen Band (530) mit einer ersten Seite (531), einer zweiten Seite (532), einer dritten Seite (533), einer vierten Seite (534), einer fünften Seite (535), einer sechsten Seite (536), einer siebenten Seite (537) und einer achten Seite (538), wobei die zweite Seite (532) mit der achten Seite (538) verbunden ist, und die vierte Seite (534) mit der sechsten Seite (536) verbunden ist,
wobei die dritte Seite (533) und die siebte Seite (537), welche von gleicher Länge sind, eine Zweigöffnung definieren, die zwischen der ersten Seite (531) und der fünften Seite (535) angeordnet ist.
Description
- Hintergrund der Erfindung
- Die vorliegende Erfindung betrifft Stents und insbesondere gegabelte Stents und Verfahren zur Herstellung von gegabelten Stents zum Einführen in ein abzweigendes Gefäß.
- Stents sind im Stand der Technik gut bekannt. Sie sind normalerweise aus einem zylindrischen Metallnetz geformt, welches sich ausdehnen kann, wenn im Inneren Druck aufgebracht wird. Alternativ können sie aus Draht geformt sein, der in eine zylindrische Form gewickelt ist, oder aus Materialbahnen, die in eine zylindrische Form geformt sind.
- Stents sind Vorrichtungen, welche normalerweise innerhalb von Körperkanälen einschließlich des Gefäßsystems implantiert werden, um kollabierende, teilweise verstopfte, geschwächte oder anormal verdünnte Abschnitte des Blutgefäßes zu verstärken. Stents sind auch in anderen Bereichen, wie z. B. dem Harntrakt oder dem Gallenkanal erfolgreich implantiert worden, um solche Körperkanäle zu verstärken.
-
US-Patent 4,994,071 (MacGregor) offenbart einen ausdehnbaren gegabelten Stent mit einem zylindrischen Hauptgitter, das aus miteinander verbundenem flexiblem Draht geformt ist. Zwei zusätzliche zylindrische Gitter, die kleinere Durchmesser als das Hauptgitter aufweisen, sind ähnlich aufgebaut. Das Hauptgitter weist einen flexiblen Draht auf, welcher das Hauptgitter mit einem der zusätzlichen Gitter verbindet. Ein zweiter flexibler Draht verbindet das Hauptgitter mit dem anderen zusätzlichen Gitter. Die flexiblen Drähte bilden Rückgrate, die sich axial entlang der Länge des Hauptgitters und entlang jedes der zusätzlichen Gitter erstrecken. Ein Nachteil dieses sich gabelnden Stents ist die komplexe Natur der Verbindung der flexiblen Drähte, welche die Rückgrate bilden, mit der Schlaufenstruktur jedes Gitters. - Aus
DE 199 19 375 A1 ist ein gegabelter Stent mit verbesserter Seitenzweigöffnung und ein Verfahren zu seiner Herstellung bekannt. Bei einer erfindungsgemäßen Ausführungsform wird eine erste Bahn in ein erstes Bein, eine zweite Bahn in ein zweites Bein, eine dritte Bahn in einen Stamm geformt, und die beiden Beine werden an dem Stamm befestigt. - Zusammenfassung der Erfindung
- Die vorliegende Erfindung löst diese und andere Nachteile des Standes der Technik durch Stents gemäß Anspruch 1 und das Verfahren gemäß Anspruch 3. Vorteilhafte Weiterentwicklungen der Erfindung sind jeweils Gegenstand der Unteransprüche. Die Erfindung baut auf der Offenbarung der
DE 199 19 375 A1 auf, auf welche hiermit vollumfänglich Bezug genommen wird. -
1 zeigt eine Ausführungsform eines Bandes, das verwendet wird, um einen Stent gemäß der Erfindung zu bilden; -
2 zeigt einen Stent, der hergestellt ist unter Verwendung des Bandes nach1 ; und -
3 zeigt ein Band, das verwendet wird, um einen Stent gemäß der Erfindung zu bilden. - Detaillierte Beschreibung
-
1 zeigt eine erfindungsgemäße Ausführungsform des Bandes514 , das verwendet wird, um einen Stent gemäß der Erfindung des Anmelders herzustellen.1 zeigt ein Band514 mit einer longitudinalen Achse515 und einem ersten Abschnitt516 und einem zweiten Abschnitt517 . Der erste Abschnitt516 weist ein proximales Ende518 und ein distales Ende519 und eine erste laterale Seite520 und eine zweite laterale Seite521 auf. Die lateralen Seiten520 und521 des ersten Abschnitts516 sind im wesentlichen parallel zur longitudinalen Achse515 und sind voneinander mit einer Distanz d1522 beabstandet angeordnet. Der zweite Abschnitt517 weist ein proximales Ende523 und ein distales Ende524 und eine erste laterale Seite525 und eine zweite laterale Seite526 auf. Die lateralen Seiten525 und526 des zweiten Abschnittes517 sind im wesentlichen parallel zur longitudinalen Achse515 und sind voneinander mit einer zweiten Distanz d2527 beabstandet angeordnet, die geringer ist als die erste Distanz d1522 . Das proximale Ende523 des zweiten Abschnitts517 steht mit dem distalen Ende519 des ersten Abschnitts516 in Verbindung. Die Herstellung eines Stents unter Verwendung des Bandes von1 umfasst die Schritte von Verbinden der ersten lateralen Seite520 des ersten Abschnitts516 mit der zweiten lateralen Seite521 des ersten Abschnitts516 , und Verbinden der ersten lateralen Seiten525 des zweiten Abschnittes517 mit der zweiten lateralen Seite526 des zweiten Abschnittes517 , um ein erstes röhrenförmiges Element539 zu bilden mit einer Längsbohrung528 dadurch hindurch, wie in2 gezeigt. Ein Abschnitt des distalen Endes519 des ersten Abschnitts516 und ein Abschnitt des proximalen Endes523 des zweiten Abschnitts517 definieren eine Seitenzweigöffnung529 . Wenn es erwünscht ist, einen gegabelten Stent herzustellen, kann ein zweites röhrenförmiges Element mit einer Längsbohrung in die Zweigöffnung des ersten röhrenförmigen Elements angeordnet und befestigt werden, so dass die Längsbohrung des zweiten röhrenförmigen Elements mit der Längsbohrung des ersten röhrenförmigen Elements in fluider Verbindung steht, wie vorhergehend erläutert. Das Band von1 kann auch beschrieben werden als ein Band530 mit einer ersten Seite531 , einer zweiten Seite532 , einer dritten Seite533 , einer vierten Seite534 , einer fünften Seite535 , einer sechsten Seite536 , einer siebten Seiten537 und einer achten Seite538 , wie in3 gezeigt. Die Herstellung eines Stents539 unter Verwendung des in3 gezeigten Bandes umfasst die Schritte Verbinden der zweiten Seite532 mit der achten Seite538 , und Verbinden der vierten Seite534 mit der sechsten Seite536 , um einen Stent539 zu bilden mit einer Längsbohrung528 dadurch hindurch, und wobei die dritte Seite533 und die siebte Seite537 eine Zweigöffnung529 definieren, die zwischen der ersten Seite531 und er fünften Seite535 angeordnet ist, wie in2 gezeigt. Wenn es gewünscht ist, einen gegabelten Stent herzustellen, wird ein zweites röhrenförmiges Element mit einer Längsbohrung in der Zweigöffnung des ersten röhrenförmigen Elements angeordnet und befestigt, so dass die Längsbohrung des zweiten röhrenförmigen Elements mit der Längsbohrung des ersten röhrenförmigen Elements in fluider Verbindung steht.
Claims (4)
- Ein Stent (
539 ), umfassend: ein erstes rohrförmiges Element mit einer Längsbohrung gebildet aus einem „T"-förmigen Band (530 ) mit einer ersten Seite (531 ), einer zweiten Seite (532 ), einer dritten Seite (533 ), einer vierten Seite (534 ), einer fünften Seite (535 ), einer sechsten Seite (536 ), einer siebenten Seite (537 ) und einer achten Seite (538 ), wobei die zweite Seite (532 ) mit der achten Seite (538 ) verbunden ist, und die vierte Seite (534 ) mit der sechsten Seite (536 ) verbunden ist, wobei die dritte Seite (533 ) und die siebte Seite (537 ), welche von gleicher Länge sind, eine Zweigöffnung definieren, die zwischen der ersten Seite (531 ) und der fünften Seite (535 ) angeordnet ist. - Der Stent nach Anspruch 1, weiter umfassend ein zweites rohrförmiges Element mit einer Längsbohrung, wobei die Längsbohrung des zweiten rohrförmigen Elements mit der Längsbohrung des ersten rohrförmigen Elements in fluider Verbindung steht.
- Verfahren zum Herstellen eines Stents (
539 ), umfassend die Schritte: a) Vorbereiten einer „T"-förmigen Bahn (530 ) mit einer ersten Seite (531 ), einer zweiten Seite (532 ), einer dritten Seite (533 ), einer vierten Seite (534 ), einer fünften Seite (535 ), einer sechsten Seite (536 ), einer siebenten Seite (537 ) und einer achten Seite (538 ), wobei die dritte Seite (533 ) und die siebte Seite (537 ) von gleicher Länge sind, und b) Verbinden der zweiten Seite (532 ) mit der achten Seite (538 ) und Verbinden der vierten Seite (534 ) mit der sechsten Seite (536 ), so dass die dritte Seite (533 ) und die siebte Seite (537 ) eine Zweigöffnung definieren, die zwischen der ersten Seite (531 ) und der fünften Seite (535 ) angeordnet ist. - Verfahren nach Anspruch 3, weiter umfassend die Schritte: c) Anordnen und Befestigen eines zweiten rohrförmigen Elements mit einer Längsbohrung in der Seitenzweigöffnung des ersten rohrförmigen Elements, wobei die Längsbohrung des zweiten rohrförmigen Elements mit der Längsbohrung des ersten rohrförmigen Elements in fluider Verbindung steht.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US09/575,957 | 2000-05-23 | ||
US09/575,957 US6440165B1 (en) | 1996-05-03 | 2000-05-23 | Bifurcated stent with improved side branch aperture and method of making same |
Publications (2)
Publication Number | Publication Date |
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DE10124107A1 DE10124107A1 (de) | 2001-11-29 |
DE10124107B4 true DE10124107B4 (de) | 2009-04-02 |
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Application Number | Title | Priority Date | Filing Date |
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DE10124107A Expired - Fee Related DE10124107B4 (de) | 2000-05-23 | 2001-05-17 | Gegabelter Stent mit verbesserter Seitenzweigöffnung und Verfahren zu seiner Herstellung |
DE60112173T Expired - Lifetime DE60112173T2 (de) | 2000-05-23 | 2001-05-17 | Herstellungsverfahren für abzweigenden Stent mit verbesserter Nebenöffnung |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
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DE60112173T Expired - Lifetime DE60112173T2 (de) | 2000-05-23 | 2001-05-17 | Herstellungsverfahren für abzweigenden Stent mit verbesserter Nebenöffnung |
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EP (1) | EP1157674B1 (de) |
JP (1) | JP2002065861A (de) |
KR (1) | KR100404937B1 (de) |
CN (1) | CN1324602A (de) |
AR (1) | AR032336A1 (de) |
AT (1) | ATE300254T1 (de) |
AU (2) | AU780740B2 (de) |
BR (1) | BR0103205A (de) |
CA (1) | CA2348064C (de) |
CZ (1) | CZ20011790A3 (de) |
DE (2) | DE10124107B4 (de) |
EE (1) | EE200100273A (de) |
GB (2) | GB2365776B (de) |
HK (1) | HK1043038A1 (de) |
IL (1) | IL143315A (de) |
MX (1) | MXPA01005129A (de) |
NO (1) | NO20012505L (de) |
NZ (1) | NZ511783A (de) |
PL (1) | PL347683A1 (de) |
RU (1) | RU2222288C2 (de) |
SG (1) | SG88821A1 (de) |
SK (1) | SK6892001A3 (de) |
WO (1) | WO2001089409A2 (de) |
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