LONGITUDINALLY AND RADIALLY FLEXIBLE ANASTOMOSIS STENT
An anastomosis stent includes an elongated body of a tubular configuration having a length and diameter dimensions extending in axial and radial directions of the elongated body and in a transverse relationship to each other. The elongated body is formed by multiple rings stacked adjacent one another in a direction parallel to the length dimension. Each ring is a single strand of wire bent in a repetitive pattern of sine waves. Each sine wave defines an alternating peak and valley divided by a length dimension extending orthogonal to the length dimension of the elongated body. The rings are fused together at locations on selected pairs of adjacent peaks and valleys of the rings with the fused locations arranged in parallel rows. The elongated body includes main and end portion and a safety mark about the elongated body at the juncture therebetween.
This application is a Continuation of U.S. patent application Ser. No. 15/805,243 (now U.S. Pat. No. 10,792,144) filed on Nov. 7, 2017, the entire contents of which are incorporated-by-reference herein.
FIELD OF THE INVENTIONThe present invention generally relates to a surgical anastomosis arterial bypass procedure and, more particularly, is concerned with a longitudinally and radially flexible anastomosis stent.
BACKGROUND OF THE INVENTIONCoronary artery disease, commonly known as CAD, is the most common form of heart disease and is the leading cause of death in the United States for both men and woman. CAD occurs when the arteries that supply blood to the heart muscle become hardened and narrowed. The hardening and narrowing of the blood vessel typical occur due to the buildup in cholesterol (i.e. a waxy, fat-like substance that occurs naturally in the body), and other substances, referred to as plaque, on the arteries' interior wall. The build-up of plaque is commonly referred to as atherosclerosis. As the atherosclerosis occurs (i.e. plaque build-up), less blood is able to flow through the arteries. As a result, the heart muscle isn't able to get enough blood or oxygen needed for it to properly function. The lack of blood and oxygen generally leads to chest pain, referred to as angina, or in worst cases a heart attack. A heart attack typically occurs when a blood clot is so large that it cuts off the blood supply to the heart, causing permanent heart damage.
To combat heart disease many doctors turn to dietary restrictions and prescribe supervised physical activities. However, for some patients a life style change in their diet and activity regime isn't enough to reverse the effects of CAD. Therefore, doctors and surgeons alike have turned to alternative surgical methods to overcome the diminishment of blood and oxygen being supplied to the heart because of atherosclerosis.
One solution that has proven to be successful is coronary artery bypass surgery. The general summary of the procedure includes creating a new path for blood to flow into the heart. This is carried out by a surgeon taking a healthy piece of vein from the leg or artery from the chest or wrist. The surgeon then attaches the dissected portion of the vein and attaches it to the coronary artery, just above and below the narrowed area or blockage. This allows blood to bypass (i.e. get around) the blockage and restore a good blood flow and oxygen flow to the heart. In some instances, multiple bypasses are needed to restore the appropriate amount of blood flow to the heart to stabilize the patient.
Although bypass surgery is a viable option to restore positive blood and oxygen flow to the heart, it may not be the best suitable option for patients who are healthy enough to seek alternative doctor-recommended procedures. For example, the insertion of a balloon angioplasty. Angioplasty and coronary stent placement is the insertion of a stent inside of the coronary artery to help keep the artery way open. To place the stent, a small incision can be made in the groin area to reach an artery, such as the femoral artery. A catheter is then guided through the artery into an area of where the coronary artery is blocked. Once reached, the stent along with a balloon catheter is introduced and expanded, expanding the stent radially outward towards the interior walls of the artery. The stent is then left in the artery to help keep the artery open so that a healthy supply of blood may flow to the heart.
However, both options have their disadvantages and risk. For instance, as with any open-heart surgery, heart bypass surgery carries the risk of complications due to infection, blood clots, heart attack, and stroke to name a few. Likewise, angioplasty risks include, but are not limited to, re-narrowing of the artery (i.e. restenosis), blood clots, and bleeding. Further still, neither of these options may be available to a number of patients because of their current health status and/or medical history.
Therefore, there is a long-felt but, as-of-yet, unmet need in the art for an innovation that will overcome any deficiency and risk of past approaches and any problems that may still be unsolved.
SUMMARY OF THE INVENTIONThe present invention is directed to an innovation providing a longitudinally and radially flexible anastomosis stent that overcomes the deficiencies of the known art and the problems that remain unsolved.
In one aspect of the present invention, an anaston sis stent includes:
-
- an elongated body of a tubular configuration and having a length dimension extending in an axial (longitudinal) direction of the elongated body and a diameter dimension extending in a radial direction of the elongated body being in a transverse relationship to the axial direction of the elongated body;
- the elongated body being formed by a multiplicity of rings stacked adjacent to one another in a direction parallel to the length dimension of the elongated body; each of the rings being formed by a single strand of wire bent in a repetitive pattern of sine waves;
- each of the sine waves defining an alternating peak and valley divided by a length dimension extending orthogonal to the length dimension of the elongated body; and
- the multiplicity of rings being fused to one another at locations on selected pairs of adjacent peaks and valleys of the rings so as to provide flexibility of the rings in the radial direction relative to the axial direction of the elongated body.
In another aspect of the present invention, the single wire of each of the rings is made of a nitinol alloy.
In another aspect of the present invention, the alternating peaks and valleys of the repetitive sine waves of the single strand of wire of a given ring are reversed in adjacent ones of the rings extending along opposite upper and lower sides of the given ring. The fused locations on selected pairs of adjacent peaks and valleys of the rings are displaced circumferentially from each other. The fused locations are displaced from each other through a distance equal to one-half of the length dimension of each sine wave in the single strand of wire of each ring.
In another aspect of the present invention, the fused locations are aligned in a plurality of rows that each intersects the length dimension of the elongated body at an acute angle. The rows of fused locations intersect the length dimension of the elongated body at the same acute angle such that the rows extend parallel to each other. The elongated body also has opposite front and rear sides respectively disposed distally and proximally of a clot in an occluded vessel after implanting the elongated body within a bypass graft in an anastomosis procedure. The plurality of rows of fused locations pass about the rear side of the elongated body at a height above where the plurality of rows of fused locations pass about the front side of the elongated body.
In another aspect of the present invention, an anastomosis stent includes;
-
- an elongated body of a tubular configuration and having a length dimension extending in an axial direction of the elongated body and a diameter dimension extending in a radial direction of the elongated body being in a transverse relationship to the axial direction of the elongated body;
- the elongated body being formed by a multiplicity of rings stacked adjacent to one another in a direction parallel to the length dimension of the elongated body, each of the rings being formed by a single strand of wire bent in a repetitive pattern of sine waves, the alternating sine wave peaks and valleys of the single strand of wire of a given ring being reversed in adjacent ones of the rings extending along opposite upper and lower sides of the given ring;
- the multiplicity of rings being fused to one another at locations on selected pairs of adjacent peaks and valleys of the sine waves in the single strand of wire of each of the rings, the fused locations being displaced circumferentially from each other so as to provide flexibility of the rings in the radial direction relative to the axial direction of the elongated body; and
- the elongated body includes
- a main portion including a majority of the multiplicity of rings each being a continuous strand of the single wire moveable between collapsed and expanded conditions along the length dimensions of the sine waves of the continuous strands of the single wires,
- an end portion including a minority of the multiplicity of rings at least some being continuous strands and others being discontinuous strands such that the minority of the multiplicity of rings are moveable between parallel and flared relationships to the length dimension of the elongated body, and
- a safety mark in the form of a band of an adhesive composition encompassing the elongated body at a juncture of the main and end portions together, the safety mark used to guide accurate implanting of the elongated body.
In another aspect of the present invention, an anastomosis stent includes:
-
- an elongated body of a tubular configuration and having a length dimension extending in an axial direction of the elongated body and a diameter dimension extending in a radial direction of the elongated body being in a transverse relationship to the axial direction of the elongated body;
- the elongated body also having opposite front and rear sides respectively disposed distally and proximally of a clot in an occluded vessel when the elongated body is implanted in an anastomosis procedure, the elongated body being formed by a multiplicity of rings stacked adjacent to one another in a direction parallel to the length dimension of the elongated body, each of the rings being formed by a single strand of wire bent in a repetitive pattern of sine waves, each of the sine waves defining an alternating peak and valley divided by a length dimension extending orthogonal to the length dimension of the elongated body, the alternating sine wave peaks and valleys of the single strand of wire of a given ring being reversed in adjacent ones of the rings extending along opposite upper and lower sides of the given ring;
- the multiplicity of rings being fused to one another at locations on selected pairs of adjacent peaks and valleys of the rings being displaced circumferentially from each other so as to provide flexibility of the rings in the radial direction relative to the axial direction of the elongated body, the plurality of rows of fused locations extending parallel to each other and passing about the rear side of the elongated body at a height above where the plurality of rows of fused locations pass about the front side of the elongated body; and
- the elongated body includes
- a main portion including a majority of the multiplicity of rings each being a continuous strand of the single wire moveable between collapsed and expanded conditions along the length dimensions of the sine waves of the continuous strands of the single wires, each of the rings of the main portion also moveable between symmetric and asymmetric configurations relative to the length dimension of the elongated body extending in the axial direction,
- an end portion including a minority of the multiplicity of rings at least some being continuous strands and others being discontinuous strands such that the minority of the multiplicity of rings are moveable between parallel and flared relationships to the length dimension of the elongated body, and
- a safety mark in the form of a band of an adhesive composition encompassing the elongated body at a juncture of the main and end portions together, the safety mark distinguishing between the opposite front and rear sides of the elongated body and used to guide accurate implanting of the elongated body.
These and other aspects, features, and advantages of the present invention will become more readily apparent from the attached drawings and the detailed description of the preferred embodiments, which follow.
The preferred embodiments of the invention will hereinafter be described in conjunction with the appended drawings provided to illustrate and not to limit the invention, in which:
Like reference numerals refer to like parts throughout the several views of the drawings.
DETAILED DESCRIPTIONThe following detailed description is merely exemplary in nature and is not intended to limit the described embodiments or the application and uses of the described embodiments. As used herein, the word “exemplary” or “illustrative” means “serving as an example, instance, or illustration.” Any implementation described herein as “exemplary” or “illustrative” is not necessarily to be construed as preferred or advantageous over other implementations. All of the implementations described below are exemplary implementations provided to enable persons skilled in the art to make or use the embodiments of the disclosure and are not intended to limit the scope of the disclosure, which is defined by the claims. For purposes of description herein, the terms “upper”, “lower”, “left”, “rear”, “right”, “front”, “vertical”, “horizontal”, and derivatives thereof shall relate to the invention as oriented in
Referring now to
More particularly, the elongated body 102 of the stent 100 is formed by a multiplicity of rings 110 being stacked adjacent to one another in a direction parallel to the length dimension 104 of the elongated body. Each ring 110 is formed by a single strand of wire 112 bent into a repetitive pattern of sine waves 114. Each sine wave 114 defines an alternating peak 116 and valley 118 divided by a length dimension 120 of the sine wave extending orthogonal to the length dimension 104 of the elongated body 102. The alternating sine wave peaks 116 and valleys 118 of the sine waves 114 of the single strand of wire 112 of a given ring 110 are reversed in adjacent ones of the rings 110 extending along opposite upper and lower sides of the given ring.
The multiplicity of rings 110 of the stent elongated body 102 are fused to one another at locations 122 on selected pairs of adjacent peaks 116 and valleys 118 of the sine waves 114 of the single strand of wires 112 of the adjacent rings 110. The fused locations 122 of the selected pairs of adjacent peaks and valleys are displaced circumferentially from each other through a distance equal to one-half of the length dimension 118 of the sine wave 112 of the single strand of wire 112 of each ring 110, The fused locations 122 are thus provided in a plurality of rows 124 thereof that intersect the length dimension 104 of the elongated body 102 at an acute angle that is the same for each row. The plurality of rows 124 of the fused locations 122 extend parallel to each other and pass about the rear side 108 of the elongated body 102 at a height above where the plurality of rows of fused locations pass about the front side 106 of the elongated body so as to provide flexibility of said rings in said radial direction relative to said axial direction of said elongated body.
Furthermore, the elongated body 102 includes a main portion 126, an end portion 128 and a safety mark 130. The main portion 126 of the elongated body 102 incorporates a majority of the multiplicity of rings 110. Each of the rings 110 of the main portion 126 of the elongated body 102 is a continuous strand of the single wire 112. The rings 110 of the main portion 126 are radially moveable, (when self-expanding), from a collapsed condition, as seen in
The end portion 128 of the elongated body 102 incorporates a minority of the multiplicity of rings 110. Some of the rings 110 are continuous strands of single wires 112 while at least some rings are non-continuous strands of single wires. The minority of the multiplicity of rings 110 are moveable (when self-expanding) from a parallel relationship, as seen in
The rings 110 of the main and end portions 126, 128 of the elongated body 102 of the stent 100, by way of example but not limitation, may be formed by rolling the strands of the single wire 112 over a mandrel in a repetitive pattern of the sine wave 114 and subsequently fusing or connecting them at two or three locations 122 for each ring by use of a laser. The stent 100 may be manufactured using nitinol alloy, and may be supplied in different lengths of about 6-8 mm and diameters of about 2-4 mm. Once manufactured, the stent 100 may be coated with an antibacterial and/or immunosuppressant solution, by way of example, but not be limited to, Zotarolimus and BioLinx® polymer. It will be apparent to those skilled in the art that the type of antibacterial and/or polymer used to coat the stent 100 may vary depending on the patient's needs. For example, an article describing the advantages and disadvantages of applying non-biodegradable polymers to the stent 100 is provided at http://circinterventions.ahajournals.org/content/9/6/e002943, the entire contents of which are incorporated-by-reference herein. Once the stent 100 is coated with a polymer and/or antibacterial solution, a coating of polytetrafluoroethylene (PTFE) is applied to reduce the percentage of thrombosis (i.e. the formation of blood clots inside of the blood vessel). The main and end portions 126, 128 may include deposits of tantalum in the form of visual indicators (e.g. nodes) 134 at opposite ends of the elongated body 102 and at the safety mark 130 thereof to enable the physician to identify the correct orientation of the stent 100 via fluoroscopy. The main portion 126 of the elongated body 102 of the stent 100 resembles a crown of a hat, whereas the end portion 128 of the elongated body of the stent resembles a brim or wings of the hat. As the crown, which is cylindrical, expands in the radial direction, the wings open.
Turning now to
More particularly, in
As is shown in
Once the stent 100 has been fully inserted through the incision 212 and the coronary artery 206 up to the safety mark 130, the stent 100 is considered to be in the ideal position for anastomosis and the stent delivery apparatus may be fully retracted, as is shown in
As is shown in
The above-described embodiments are merely exemplary illustrations of implementations set forth for a clear understanding of the principles of the invention. Many variations, combinations, modifications or equivalents may be substituted for elements thereof without departing from the scope of the invention. Therefore, it is intended that the invention not be limited to the particular embodiments disclosed as the best mode contemplated for carrying out this invention, but that the invention will include all the embodiments falling within the scope of the appended claims.
Claims
1. An anastomosis stent, comprising:
- an elongated body of a tubular configuration and having a length dimension extending in an axial direction of said elongated body and a diameter dimension extending in a radial direction of said elongated body being in a transverse relationship to said axial direction of said elongated body;
- said elongated body being formed by a multiplicity of rings stacked adjacent to one another in a direction parallel to said length dimension of said elongated body, each of said rings being formed by a single strand of wire bent in a repetitive pattern of sine waves;
- each of said sine waves defining an alternating peak and valley divided by a length dimension extending orthogonal to said length dimension of said elongated body; and
- said multiplicity of rings being fused to one another at locations on selected pairs of adjacent peaks and valleys of said sine waves in said single strand of wire of each of said rings so as to provide flexibility of said rings in said radial direction relative to said axial direction of said elongated body.
2. The anastomosis stent of claim 1 wherein said single wire of each of said rings is made of a nitinol alloy that is coated with an antibacterial and polymeric substance.
3. The anastomosis stent of claim 1 wherein said alternating peaks and valleys of said repetitive sine waves of said single strand of wire of a given ring being reversed in adjacent ones of said rings extending along opposite upper and lower sides of said given ring.
4. The anastomosis stent of claim 3 wherein said fused locations on said selected pairs of adjacent peaks and valleys of the rings are displaced circumferentially from each other.
5. The anastomosis stent of claim 4 wherein said fused locations are displaced from each other through a distance equal to one-half of said length dimension of each sine wave in said single strand of wire of each ring.
6. The anastomosis stent of claim 1 wherein said fused locations are aligned in a plurality of rows that each intersects said length dimension of said elongated body at an acute angle.
7. The anastomosis stent of claim 6 wherein said plurality of rows of fused locations intersect said length dimension of said elongated body at the same acute angle such that said plurality of rows extend parallel to each other.
8. The anastomosis stent of claim 7 wherein said elongated body also has opposite front and rear sides respectively disposed distally and proximally of a clot in an occluded vessel after implanting said elongated body within a bypass graft in an anastomosis procedure.
9. The anastomosis stent of claim 8 wherein the plurality of rows of fused locations pass about said rear side of said elongated body at a height above where said plurality of rows of fused locations pass about said front side of said elongated body.
Type: Application
Filed: Oct 6, 2020
Publication Date: Feb 4, 2021
Inventor: Nelson Rene Torales (Formosa)
Application Number: 17/064,244