JPH03151983A - 関節接合型ステント - Google Patents

関節接合型ステント

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Publication number
JPH03151983A
JPH03151983A JP2263238A JP26323890A JPH03151983A JP H03151983 A JPH03151983 A JP H03151983A JP 2263238 A JP2263238 A JP 2263238A JP 26323890 A JP26323890 A JP 26323890A JP H03151983 A JPH03151983 A JP H03151983A
Authority
JP
Japan
Prior art keywords
stent
hinge
hinge portion
articulated
present
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP2263238A
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English (en)
Other versions
JP2905993B2 (ja
Inventor
Rodney G Wolff
ロドニー ジー.ウルッフ
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Medtronic Inc
Original Assignee
Medtronic Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Medtronic Inc filed Critical Medtronic Inc
Publication of JPH03151983A publication Critical patent/JPH03151983A/ja
Application granted granted Critical
Publication of JP2905993B2 publication Critical patent/JP2905993B2/ja
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/89Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2002/828Means for connecting a plurality of stents allowing flexibility of the whole structure

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。

Description

【発明の詳細な説明】 〈産業上の利用分野〉 本発明は、冠状動脈拡張術や、その他の部位の血管拡張
術として用いられる気球応用血管整形術を施した後に、
人間やその他の動物の冠状動脈や末梢動脈等の血管の開
通を維持するための血管内ステントに関するものである
。さらに詳しくは、従来のステントでは、これを使用す
ることが困難であった動脈中の屈曲部や直径が変化する
位置に用いるためのステントであって、−回の施術で取
り付けることができる一本のステントの適用範囲を拡張
することができるステントに関するものである。
〈従来の技術〉 冠状動脈拡張術やその他の部位の血管拡張術に関連して
ステントな使用することの有用性は広(知られている。
初期のステントは、移植後血管を支えるためのステント
な膨張させるために余計な作業が必要であった。
その後、本発明者らによる圧縮ステント及びその挿入シ
ステムに関する米国特許第4830003号等の技術改
良により、圧縮型弾性ステントを装填、保持したカテー
テルシステムであって、当該ステントを動脈内の所望の
位置に配置することができるものが開発されている。
〈発明が解決しようとする課題〉 この試みは、ステントの有用性を著しく改善し、作業の
効率を従前のものに比べてよくするものであったが、血
管の屈曲部においては、その曲がり具合や長さ、更に直
径の変化にあわせて血管を適度に支えるために複数のス
テントな使用する必要があった。また、この方法では、
ステントな正確な位置に隣接して配置することが困難で
あり、隣り合うステント同士の干渉によりステントの効
果が減少するおそれもあった。更に、この方法ではステ
ントな適正に配置するのに多(の時間が必要であった。
そこで、本発明は、動脈の屈曲や直径の変化に適応する
とともに、−回の施術で取付可能な単一のステントを提
供することを課題とする。
く課題を解決するための手段〉 上記課題を達成するために、本発明のステントは、少な
くとも2以上の金属性の管状ステント分節部と、当該ス
テント分節部同士を接合するための生体適応性材料より
なる柔軟なヒンジ部とを有するものである。
このヒンジ部は、まっすぐなワイヤーであっても、らせ
ん状のワイヤーであってもよい。
更に、このヒンジ部は、放射線非透過性材料で作られて
いるか、または放射線非透過性材料で被覆されているこ
とが望ましい。
また、当該ステント分節部は、複数個のワイヤーの各端
部を互いに溶着してなる管状のものであるが、この少な
くとも2以上の管状ステント分節部相互間を接合するの
に当該ワイヤーの一端部を延伸してヒンジ部としてもよ
い。
なお、このヒンジ部はステント分節部を構成するワイヤ
ーよりも小さな直径を有することが好ましい。
また、このヒンジ部はらせん状に巻かれていてもよく、
更に、放射線非透過性材料で作られているか、または被
覆されていることが望ましい。
〈実施例〉 本発明は、以下の非限定的実施例によってよりよく理解
されるであろう。
まず、本発明の第1の実施例を第1図を用いて説明する
と、本発明に係る関節接合型ステントlOは、3つのス
テント分節部12と2つのヒンジ部14とからなってい
る。それぞれのステント分節部12は、個々のワイヤー
がその両端部を溶接されて全体として管状を構成してい
る。この例では、ステント分節部12は管状であるが、
他の形でもよ(、また、その数も限定されるものではな
い。ヒンジ部14は、生体適応性の柔軟性材料で作られ
ており、ステント分節部12のワイヤーよりその直径は
小さくなっている。ヒンジ部14は、レーザー溶着か電
気溶着技術によって前後のステント分節部12のそれぞ
れの一端に溶着されている。
この実施例においては、2つのヒンジ部14は、3つの
ステント分節部I2の軸線に対して同じ側に設けられて
いる。これは、第1図に示すステントが、第2図に略示
するとおり一方向のみに屈曲する動脈16内に取り付け
られるものだからである。
ヒンジ部14は、全て屈曲部の外方に配置され、内方の
ステント分節部12の端部は、屈曲のため互いに接近し
ている。このヒンジ部14の配置によって、該ヒンジ部
14は2つの役割を果たしている。
その第1は、ステント分節部12をつなぐ橋として屈曲
部からみて外方の動脈壁を補強的に支える役割であり、
その第2は、ヒンジ部14と反対側の複数のステント分
節部12の端部を互いに近づける役割である。この第2
の役割により、屈曲部内方の動脈壁は補強的に支えられ
ることになる。
なお、これらのヒンジ部14は、蛍光透視鏡を用いて、
動脈内に挿入された関節接合型ステントの位置を監視し
、その方位を測定及び決定し得るように、放射線非透過
性材料で作られるか、または放射線非透過性物質を被覆
されている。
使用に際して本件発明に係る関節接合型ステントlOは
、第8図及び第9図に示す従来のステント挿入装置を用
いて動脈内の所定位置に挿入される。当該ステント挿入
装置には、ガイドカテーテル51と、ステントを圧縮保
持し、血管内の取り付は位置を定めるための外側カテー
テル52と、外側カテーテル52がステントな血管内に
取り付けるために後退する間、ステントな所望の位置に
保持するための内側カテーテル54と、任意のガイドワ
イヤー56とから概略構成されている。
もし、ステントの進入方向が誤っている場合には、蛍光
透視鏡による監視を行いつつ、外側カテーテル52をガ
イドカテーテル51の内側で回動して所望の進入方向を
得ることができる。
次に、本発明の第2の実施例を第3図を用いて説明する
第3図において、関節接合型ステント18は、2つのラ
ンプフィラメントのようならせん形状のヒンジ部22に
よって順次接合された3つのステント分節部20によっ
て構成されている。ヒンジ部22は隣り合ったステント
分節部20のそれぞれ1つのワイヤ一端部に溶着されて
いる。ヒンジ部22をらせん形状とすることで、ヒンジ
部の強度を維持しつつ、血管の屈曲に対する柔軟性を増
すことができる。
また、第4図及び第5図は、本発明の第4の実施例を示
すものである。
第4図において、関節接合型ステント28は、2つのヒ
ンジ部32によって順次溶着接合された3つのステント
分節部30によって構成されているが、当該ヒンジ部2
2は、前述の実施例のものとは異なり、ステント分節部
30を構成するワイヤーの一端部を延伸してなるもので
ある。当該ヒンジ部22の直径はヒンジ部における柔軟
性を増すために摩滅作業を施し、小さくしている。この
タイプのヒンジ部は、別個のヒンジ部材を溶着した場合
に比べてよりよ(求められるヒンジ機能を果たす。
また、動脈34の屈曲が第5図のようにジグザグ状であ
る場合には、前述の理由からヒンジ部22は、それぞれ
の屈曲の外方に位置するよう、ステントの軸線に対して
交互に反対側に位置することが効果的である。
第5図は、第4図に示す関節接合型ステント28が、動
脈34のジグザグ状の屈曲部に取り付けられた状態を示
している。
最後に本発明の第4の実施例について、第6図を用いて
説明する。
第6図において、関節接合型ステント36は、ヒンジ部
42で接合された直径の大きいステント分節部38と、
直径の小さいステント分節部40とから構成されている
0本実施例は、動脈の内径が変化する部位について動脈
壁を補強するための関節接合型ステントの構成を示すも
のである。
なお、第7図は、隣り合う2つのステント分節部46の
各端部に溶着されたヒンジ部44(第3実施例を除く)
の要部を拡大したものである。ヒンジ部44を構成する
部材としては、ワイヤーまたはこれと同等の柔軟性をも
った他の金属性部材であることが、ステント分節部46
を接合し、ヒンジ部としての機能を発揮するために望ま
しい。
ここに示したい(つかの関節接合型ステントは、極めて
多数の組み合わせが可能なステント分節部の代表的な例
示にすぎない。しかも、異なったタイプの金属性のステ
ント部材も、本発明の生体適合性のヒンジ部材によって
、ただ溶着接合されるだけで、関節接合型ステントとし
得るのであって、ヒンジ部もそのタイプ、長さ、あるい
は直径を問わない。
本発明の本質はこの関節接合型ステントが動脈の形状そ
の他の状態に適合するように自由にその構成を変えるこ
とができる点にある。
ステント分節部の形状、直径、長さ、強度、配置及びヒ
ンジ部の柔軟度(弾性)長さ及び接合位置を決定するた
めに、冠状動脈整形術等に先立って、支えられるべき動
脈壁は精密に解析される。
その結果に従って、上記の様々な要求を計算に入れて関
節接合型ステントは組み立てられる。
冠状動脈整形術等の後、まだガイドカテーテルが患部に
残っている間に、外側カテーテル、内側カテーテル、関
節接合型ステント及びガイドワイヤーは、ガイドカテー
テルの中で関節接合型ステントが取り付けられる位置に
配置される。
本発明は、上述の具体的実施例によって示されているけ
れども、これらの記述により本発明は限定的に解釈され
るべきではなく、上述の実施例についての変形実施例及
び本発明を具体化するその他の実施例が本発明に包含さ
れるものであることは明白である。
く効果〉 本発明の関節接合型ステントは、以上のように構成され
ているので次の特有の技術的効果を奏するものである。
(11直径の異なる複数のステント分節部を自由に組み
合わせて接合することができるので、動脈の分岐点等、
血管の直径が変化する部位についても所望の大きさのス
テントな1回の施術で取り付けることができる。
(2)動脈屈曲部において、ヒンジ部を血管の軸線に対
して、当該屈曲部と反対側とすることによって、当該屈
曲部の動脈壁を効果的に支えることができる。
【図面の簡単な説明】
第1図は本発明に係る関節接合型ステントの第1の実施
例を示す図、第2図は第1図のステントが動脈内に取り
付けられた状態を示す図、第3図は本発明の第2の実施
例を示す図、第4図は本発明の第3の実施例を示す図、
第5図は第4図のステントが動脈内に取り付けられた状
態を示す図、第6図は本発明の第4の実施例を示す図、
第7図はステントのヒンジ接合部の拡大図、第8図は本
発明に係る関節接合型ステントを装填したステント挿入
装置の要部を示す一部縦断面図、第9図は本発明を実施
するために用いるステント挿入用カテーテル及びガイド
ワイヤーを示す図である。 10.18.28・・・関節接合型ステント、12.2
0,30.36.38.46 ・・・ステント分節部、 14.22.32.42.44・・・ヒンジ部、16.
34・・・動脈

Claims (8)

    【特許請求の範囲】
  1. (1)少なくとも2以上の金属性の管状ステント分節部
    と、当該ステント分節部同士を接合するための生体適応
    性材料よりなる柔軟なヒンジ部とを有することを特徴と
    する関節接合型ステント。
  2. (2)前記ヒンジ部はまっすぐなワイヤーであることを
    特徴とする請求項1に記載の関節接合型ステント。
  3. (3)前記ヒンジ部は、らせん状のワイヤーであること
    を特徴とする請求項1に記載の関節接合型ステント。
  4. (4)前記ヒンジ部は、放射線非透過性材料で作られて
    いるか、または被覆されていることを特徴とする請求項
    1乃至3のいずれかに記載の関節接合型ステント。
  5. (5)複数個のワイヤーの各端部を互いに溶着してなる
    少なくとも2以上の管状ステント分節部と、当該ワイヤ
    ーの一端部を延伸してなる当該ステント分節部相互間を
    接合するためのヒンジ部とを有することを特徴とする関
    節接合型ステント。
  6. (6)前記ヒンジ部はステント分節部を構成するワイヤ
    ーよりも小さな直径を有することを特徴とする請求項5
    に記載の関節接合型ステント。
  7. (7)前記ヒンジ部は、らせん状に巻かれていることを
    特徴とする請求項5または6のいずれかに記載の関節接
    合型ステント。
  8. (8)前記ヒンジ部は放射線非透過性材料で作られてい
    るか、または被覆されていることを特徴とする請求項5
    乃至7のいずれかに記載の関節接合型ステント。
JP2263238A 1989-10-02 1990-10-02 関節接合型ステント Expired - Lifetime JP2905993B2 (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US41600089A 1989-10-02 1989-10-02
US416,000 1989-10-02

Publications (2)

Publication Number Publication Date
JPH03151983A true JPH03151983A (ja) 1991-06-28
JP2905993B2 JP2905993B2 (ja) 1999-06-14

Family

ID=23648111

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2263238A Expired - Lifetime JP2905993B2 (ja) 1989-10-02 1990-10-02 関節接合型ステント

Country Status (6)

Country Link
US (1) US5104404A (ja)
EP (1) EP0421729B1 (ja)
JP (1) JP2905993B2 (ja)
CA (1) CA2026604A1 (ja)
DE (1) DE69024901T2 (ja)
IE (1) IE73670B1 (ja)

Cited By (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0556109U (ja) * 1991-12-27 1993-07-27 泉工医科工業株式会社 気管の内径確保用器具及びその挿入用器具
JPH08126704A (ja) * 1994-04-25 1996-05-21 Advanced Cardeovascular Syst Inc ラジオパク・ステント・マーカ
JPH1052503A (ja) * 1996-06-11 1998-02-24 Robert E Fischell 異なる特性を持つセルを有するマルチセルステント
US6436132B1 (en) * 2000-03-30 2002-08-20 Advanced Cardiovascular Systems, Inc. Composite intraluminal prostheses
WO2003097155A1 (fr) * 2002-05-20 2003-11-27 Kawasumi Laboratories, Inc. Stent et greffe de stent
JP2004097382A (ja) * 2002-09-06 2004-04-02 Manii Kk ステント
US6875229B2 (en) 1997-08-13 2005-04-05 Advanced Cardiovascular Systems, Inc. Stent and catheter assembly and method for treating bifurcations
US6899729B1 (en) 2002-12-18 2005-05-31 Advanced Cardiovascular Systems, Inc. Stent for treating vulnerable plaque
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IE903508A1 (en) 1991-04-10
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JP2905993B2 (ja) 1999-06-14
DE69024901T2 (de) 1996-08-14
CA2026604A1 (en) 1991-04-03
US5104404A (en) 1992-04-14
IE73670B1 (en) 1997-07-02
DE69024901D1 (de) 1996-02-29
EP0421729B1 (en) 1996-01-17

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