Indwelling stent

- Wilson-Cook Medical, Inc.

An indwelling stent is disclosed which facilitates the drainage of fluids through a duct within the body, and which is easily removed when needed. The disclosed stent is a double wing stent and includes multiple flaps at each end for anchoring and has a continuously uninterrupted drainage tube therebetween. Constructed at the outflow end of the stent is a wick, which is made of an extended arcical section of the drainage tube of the stent and serves to enhance drainage by providing a "wicking" effect for fluid as it exits the stent's outflow end, while inhibiting reflux by allowing for the sphincter at the exit of the obstructed duct to function in a normal manner. The wick further serves to facilitate removal by providing a portion which is easily graspable by an instrument inserted into the body for retention and removal.

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Claims

1. A stent for facilitating the drainage of fluids through an obstructed duct within the body and through a sphincter at the exit of the obstructed duct while inhibiting reflux by allowing for the normal functioning of the sphincter, said stent comprising:

an inflow end portion, an outflow end portion, and a drainage tube therebetween, said inflow end portion defining inlet means for allowing fluid to enter into the inflow end of said drainage tube, said outflow end portion defining outlet means for allowing fluid to exit the outflow end of said drainage tube;
means for anchoring said stent in an obstructed duct with the inflow end of said drainage tube positioned within the duct; and
means for enhancing the drainage for fluid exiting said outlet means from within the duct while inhibiting reflux by allowing for the sphincter at the exit of the duct to function in a normal manner, said drainage enhancing/reflux inhibiting means including a wick extending from the outflow end of said drainage tube and comprising an extended arcical section of said drainage tube, whereby said wick enhances drainage by providing a wicking effect for fluid exiting said drainage tube while reducing the possible effect of reflux by allowing the sphincter at the exit of the duct to function in a normal manner.

2. The stent of claim 1 in which, when said stent has been implanted in a duct to be drained, said wick extends through the sphincter at the exit of the duct with said sphincter being allowed to function normally by closing about said wick, and further whereby said wick provides means for facilitating removal of said stent by providing an exposed portion of said stent which is easily graspable by an instrument inserted into the body for retention and removal.

3. The stent of claim 1 wherein the arcical cross-section of said wick is about 70.degree..

4. The stent of claim 1 in which said anchoring means includes radially extending flaps at each of said inflow end portion and said outflow end portion.

5. The stent of claim 2 in which said anchoring means includes radially extending flaps at each of said inflow end portion and said outflow end portion.

6. The stent of claim 2 in which said anchoring means includes multiple radially extending flaps at each of said inflow end portion and said outflow end portion.

7. The stent of claim 2 in which there are two rows of four equicircumferentially spaced radially extending flaps at said inflow end portion and one row of four equicircumferentially spaced radially extending flaps at said outflow end portion.

8. The stent of claim 1 wherein said drainage tube defines a continuously uninterrupted drainage lumen between said inflow end portion and said outflow end portion.

9. The stent of claim 2 wherein said drainage tube is defines a continuously uninterrupted drainage lumen between said inflow end portion and said outflow end portion..Iadd.

10. A stent for facilitating the drainage of fluids through an obstructed duct within the body, said stent comprising:

an inflow end portion, an outflow end portion, and a drainage tube therebetween, said inflow end portion defining inlet means for allowing fluid to enter into the inflow end of said drainage tube, said outflow end portion defining outlet means for allowing fluid to exit the outflow end of said drainage tube; and
means for anchoring said stent in an obstructed duct with the inflow end of said drainage tube positioned within the duct;
wherein said anchoring means comprise a plurality of radially extending flaps formed by slicing small longitudinal sections in said drainage tube and orienting said sliced sections radially, and wherein said sliced sections are made shallowly such that holes are not made in said drainage tube..Iaddend..Iadd.11. The stent of claim 10 wherein there are two rows of a first plurality of radially extending flaps at said inflow end portion and one row of a second plurality radially extending flaps at said outflow end portion..Iaddend..Iadd.12. The stent of claim 10 wherein there are two rows of four equicircumferentially spaced radially extending flaps at said inflow end portion and one row of four equicircumferentially spaced radially extending flaps at said outflow end portion..Iaddend..Iadd.13. A stent for facilitating the drainage of fluids through an obstructed duct within the body, said stent comprising:
an inflow end portion, an outflow end portion, and a drainage tube therebetween, said inflow end portion defining inlet means for allowing fluid to enter into the inflow end of said drainage tube, said outflow end portion defining outlet means for allowing fluid to exit the outflow end of said drainage tube; and
means for anchoring said stent in an obstructed duct with the inflow end of said drainage tube positioned within the duct;
wherein said anchoring means comprise a plurality of radially extending flaps formed by slicing small longitudinal sections in said drainage tube and orienting said sliced sections radially, and wherein said drainage tube defines a continuously uninterrupted drainage lumen between said

inflow end portion and said outflow end portion..Iaddend..Iadd.14. A stent for facilitating the drainage of fluids through an obstructed duct within the body, said stent comprising:

an inflow end portion, an outflow end portion, and a drainage tube therebetween, said inflow end portion defining inlet means for allowing fluid to enter into the inflow end of said drainage tube, said outflow end portion defining outlet means for allowing fluid to exit the outflow end of said drainage tube; and
means for anchoring said stent in an obstructed duct with the inflow end of said drainage tube positioned within the duct;
wherein said anchoring means comprise two rows of a first plurality of radially extending flaps at said inflow end portion and one row of a second plurality of radially extending flaps at said outflow end portion, and wherein said flaps are formed by slicing small longitudinal sections in said drainage tube such that one end of each flap is severed from drainage tube..Iaddend..Iadd.15. The stent of claim 14 wherein said flaps are formed by orienting said sliced sections radially..Iaddend..Iadd.16. A stent for facilitating the drainage of fluids through an obstructed duct within the body, said stent comprising:
an inflow end portion, an outflow end portion, and a drainage tube therebetween, said inflow end portion defining inlet means for allowing fluid to enter into the inflow end of said drainage tube, said outflow end portion defining outlet means for allowing fluid to exit the outflow end of said drainage tube; and
means for anchoring said stent in an obstructed duct with the inflow end of said drainage tube positioned within the duct;
wherein said anchoring means comprise two rows of a first plurality of radially extending flaps at said inflow end portion and one row of a second plurality of radially extending flaps at said outflow end portion;
wherein said flaps are formed by a small longitudinal sections in said drainage tube and orienting said sliced sections radially, and wherein said sliced sections are made shallowly such that holes are not made in

said drainage tube..Iaddend..Iadd.17. The stent of claim 14 wherein said first plurality of flaps comprise two rows of four equicircumferentially spaced flaps and said second plurality of flaps comprise one row of four equicircumferentially spaced flaps..Iaddend..Iadd.18. A stent for facilitating the drainage of fluids through an obstructed duct within the body, said stent comprising:

an inflow end portion, an outflow end portion, and a drainage tube therebetween, said inflow end portion defining inlet means for allowing fluid to enter into the inflow end of said drainage tube, said outflow end portion defining outlet means for allowing fluid to exit the outflow end of said drainage tube; and
means for anchoring said stent in an obstructed duct with the inflow end of said drainage tube positioned within the duct;
wherein said anchoring means comprise two rows of a first plurality of radially extending flaps at said inflow end portion and one row of a second plurality of radially extending flaps at said outflow end portion; and
wherein said drainage tube defines a continuously uninterrupted drainage lumen between said inflow end portion and said outflow end portion..Iaddend.
Referenced Cited
U.S. Patent Documents
3690323 September 1972 Wortman et al.
3938529 February 17, 1976 Gibbons
4382445 May 10, 1983 Sommers
4474569 October 2, 1984 Newkirk
4671795 June 9, 1987 Mulchin
4767400 August 30, 1988 Miller et al.
4913683 April 3, 1990 Gregory
4955859 September 11, 1990 Zilber
4973301 November 27, 1990 Nissenkorn
5019102 May 28, 1991 Hoene
5052998 October 1, 1991 Zimmon
5059169 October 22, 1991 Zilber
5167614 December 1, 1992 Tessman et al.
Patent History
Patent number: RE35849
Type: Grant
Filed: Dec 30, 1994
Date of Patent: Jul 14, 1998
Assignee: Wilson-Cook Medical, Inc. (Winston-Salem, NC)
Inventor: Nib Soehendra (Norderstedt)
Primary Examiner: Sam Rimell
Law Firm: Woodard, Emhardt, Naughton, Moriarty & McNett
Application Number: 8/367,801