Patent Application
20080300670
1. Field of the Invention
This invention relates to methods of fabricating a stent from a blow molded tube.
2. Description of the State of the Art
This invention relates to the fabrication of a stent, from an expanded tube. Stents function to hold open and sometimes expand a segment of a blood vessel or other anatomical lumen such as urinary tracts and bile ducts. Stents are often used in the treatment of atherosclerotic stenosis in blood vessels. A “lumen” refers to a cavity of a tubular organ such as a blood vessel.
A stent has a cylindrical shape and includes a pattern with a number of interconnecting structural elements or struts. Some stents are designed so that they may be radially compressed (crimped) and radially expanded (to allow deployment). A stent can be fabricated from a tube that has been laser cut to form a stent pattern.
The stent must be able to satisfy a number of mechanical requirements. First, the stent must withstand structural loads, namely radial compressive forces, imposed on the stent as it supports the walls of a vessel. Therefore, a stent must possess adequate radial strength. Radial strength, which is the ability of a stent to resist radial compressive forces, is due to strength and rigidity around a circumferential direction of the stent. Radial strength and rigidity, therefore, may also be described as, hoop or circumferential strength and rigidity. Once expanded, the stent must adequately maintain its size and shape throughout its service life despite the various forces that may come to bear on it, including cyclic loading, which is induced by a beating heart.
Various embodiments of the present invention include a method for fabricating a stent, the method comprising: positioning a polymeric tube inside a tubular mold, wherein a high thermally conductive element covers at least a portion of the outer surface of the mold, the high thermally conductive element having a thermal conductivity that is greater than that of the mold; heating at least a portion of the mold; allowing the tube to radially expand within the mold; and fabricating a stent from the radially expanded tube.
Further embodiments of the present invention include a method for fabricating a stent, the method comprising: positioning a polymeric tube inside a mold, the mold having an inner layer and an outer element, wherein the inner layer comprises a glass and the outer element comprises a high thermally conductive material having a thermal conductivity at least 100 times greater than the inner layer; heating at least a portion of the mold; radially expanding the tube against the mold; and fabricating a stent from the radially expanded tube.
a) depicts an axial, cross sectional view of a blow molding apparatus prior to radially expanding a polymeric tube.
b) depicts a radial, cross sectional view of the blow molding apparatus of
Various embodiments of the present invention may be applied to stents and, more generally, to implantable medical devices such as, but not limited to, self-expandable stents, balloon-expandable stents, stent-grafts, vascular grafts, or generally, tubular implantable medical devices.
A stent can have virtually any structural pattern that is compatible with a bodily lumen in which it is implanted. Typically, a stent is composed of a pattern or network of circumferential and longitudinally extending interconnecting structural elements or struts. In general, the struts are arranged in patterns, which are designed to contact the lumen walls of a vessel and to maintain vascular patency. A myriad of strut patterns are known in the art for achieving particular design goals. A few of the more important design characteristics of stents are radial or hoop strength, expansion ratio or coverage area, and longitudinal flexibility. The present invention is applicable to virtually any stent design and is, therefore, not limited to any particular stent design or pattern. One embodiment of a stent pattern may include cylindrical rings composed of struts. The cylindrical rings may be connected by connecting struts.
In some embodiments, a stent of the present invention may be formed from a tube by laser cutting the pattern of struts in the tube. The stent may also be formed by laser cutting a polymeric sheet, rolling the pattern into the shape of the cylindrical stent, and providing a longitudinal weld to form the stent. Other methods of forming stents are well known and include chemically etching a polymeric sheet and rolling and then welding it to form the stent.
As indicated above, it is important for a stent to have high radial strength so that once it is deployed from the crimped state, it can support a lumen. In general, deforming a polymer construct can strengthen the polymer of the construct along an axis of deformation. In some embodiments of fabricating a stent from a polymer tube, the polymer tube can be radially expanded and the stent can be fabricated from the polymer tube in its expanded state.
The embodiments disclosed herein relate to fabricating a polymeric stent as depicted in
In a blow molding process, a polymer tube is disposed within a mold having an outside diameter that may be a desired expanded diameter of the tube. A radial force is applied to the inside of the tube, typically by blowing a gas into the tube within the mold. A heating nozzle is positioned adjacent to the mold and directs a heated gas at one or more positions on the circumference of the tube. The heated gas flows around and heats the mold and the tube around the circumference. The polymer tube radially expands due the radial force and the heating.
Whether the mold is heated uniformly depends at least in part on the flow around the circumference and the rate of heat transfer around the circumference of the tube. Typically, a mold is made from a material having a relatively low thermal conductivity, such as glass. Thus, due to inadequate flow of the heated gas and low thermal conductivity, the heat transfer around the circumference of the tube may be inhomogenous or nonuniform which can cause localized hotspots on the tube. Such nonuniform heating can result in nonuniformity of expansion and a lowering of concentricity in the expanded polymeric tube. Concentricity can result in the variation in wall thickness of the expanded tube. Low concentricity and variation in wall thickness is undesirable since a stent requires highly uniform dimensions throughout.
Various embodiments of the present invention relate to methods of blow molding polymer tubes that allow more uniform heating around the circumference of a mold. As a result, the tube is deformed with greater uniformity. A tube that is more uniformly expanded during blow molding allows fabrication of a stent therefrom has more uniform mechanical properties
Certain embodiments of the present invention include blow molding with a mold having an inner region or layer and a high thermally conductive material above or over at least a portion of an outside surface of the inner region. The inner region of layer may be a material that is conventionally used in a mold for blow molding, such glass. The high thermally conductive material can have a thermal conductivity that is greater than that of the inner region or layer of the mold. The high thermally conductive material can be selected and positioned in a manner that allows for more uniform heating of the inner region of the mold and polymer tube disposed within during blow molding. The rate of heat transfer in the high thermally conductive material is higher than the inner region or layer of the mold, thereby increasing the rate by which the mold and tube are heated. As a result, localized hot spots in the polymeric tube are reduced or prevented.
In some embodiments, the inner region or layer of the mold can be composed of a material having a relatively low thermal conductivity (k) between 0.1-10 W/m-K. For example, the mold can be glass which as a thermal conductivity of about 1 W/m-K. The high thermally conductive material can have a thermal conductivity that is greater than the inner region or layer of the mold.
The high thermally conductive material may have a thermal conductivity greater than an inner region or layer of a mold. In particular, the high thermally conductive material can have a thermal conductivity that is 2, 20, 50, 100, 200, 300, or more than 400 times that of the inner region or layer of the mold. In exemplary embodiments, the thermal conductivity of the high thermally conductive material can be at least 20, 50, 100, 200, 300, or more than 400 W/m-K. In some embodiments, the high thermally conductive material can be a mold. Exemplary metals include, but are not limited to, aluminum, gold, copper, nickel, steel, stainless steel, oxides of such metals, and alloys and mixtures thereof.
a)-(b) and 4 depict an illustration of an exemplary blow molding apparatus and method of the present invention.
In one embodiment, mold 310 has an inner layer 370 and a high thermally conductive outer element 365. Inner layer 370 can be formed from a relatively low thermal conductivity material such as glass.
In one embodiment, mold 310 is a two-part mold having an inner layer 370 and an outer layer 365, such that inner layer 370 has good release properties, and the outer layer 365 has a high thermal conductivity. By “release properties”, it is meant that a polymer tub can be removed from the blow melody apparatus without substantially cracking the tube.
Outer element 365 can be formed from or include a high thermally conductive material described above that has a higher thermal conductivity than the inner region or layer. Although outer element 365 is shown to completely cover inner layer 370, outer element 365 can be made to only partially cover inner layer 370. As discussed in more detail below, outer element 365 can take the form of a layer, coating, tubular or non-tubular element, wrapping, or other suitable form.
b) depicts a radial cross-section of apparatus 300 showing polymer tube 302 positioned within mold 310, and heating nozzles 345a and 345b positioned adjacent mold 310. As depicted in
In a blow molding process illustrated in
Polymer tube 302 radially expands, as shown by arrow 340 in
The outer element 365 has a high thermal conductivity to allow outer element 365 to transfer heat much faster than inner layer 370 around the circumference of polymer tube 302. In particular, heat is transferred at a much higher rate to regions 355 that are away from the direct impact of heated fluid ports 345a and 345b. Thus, heat transferred to outer element 365 can then heat inner layer 370 and polymer tube 302. As a result, outer element 365 allows more uniform heating of inner layer 370 and polymer tube 302 around their circumference. High thermally conductive outer element 365 can reduce or eliminate hot spots that can occur in regions of a mold that are at or near the direct impact of a heated fluid gas stream 346a and 346b. As a result, high thermally conductive outer element 365 can result in a more concentric expanded polymer tube with a smaller variation in thickness around the circumference of the tube.
As discussed above, a mold without high thermally conductive outer element 365 may not be heated with sufficient uniformity by heated gas streams from fluid ports 345a and 345b if inner layer 370 has a relatively low thermal conductivity, for example, that of glass. For such conventional mold materials, the heating of the mold away from the direct impact of a heated gas stream from fluid ports 345a and 345b depends on the flow of heated gas around the circumference and conduction of heat around the circumference. Highly nonuniform heating can result in the formation of hot spots at and near the direct impact of a heated gas streams 346a and 346b.
The thermal conductivity of the high thermally conductive element can be selected to obtain a desired uniformity of heating around the circumference of the mold. In one embodiment, the degree or rate of heat transfer can further be controlled through a thickness of the high thermally conductive element.
Numerous variations of a high thermally conductive element can be used. In certain embodiments, the high thermally conductive element is composed of or includes a highly conductive material such as a metal. In one embodiment, a metal coating can be formed over a surface of a conventional mold. Such a metal coating can be formed by methods known to one of skill in the art such as electroplating, deposition, or thermal spray processing. In another embodiment, metallic particles can be coated, sprayed, or deposited onto the surface of a conventional mold. Other variations of a thermally conductive coating can include highly conductive particles, such as a metal, mixed or dispersed within a binder or adhesive which can be a polymer. Such a coating can be applied onto a surface of a conventional mold by spraying, dipping, or some other manner. The degree of heat transfer can be controlled through the thickness of the element and the concentration of particles in the layer. For example, the layer can have at least 50 wt %, 70 wt %, 90 wt %, or greater than 95 wt % of metal particles in the layer.
In other embodiments, the conductive element can be bonded onto the mold with an adhesive material. For example, a thermally conductive laminate, such as a thermally conductive tape or sticker can be bonded to the mold. The conductive element can also be formed of multiple layers of high thermally conductive material. The conductive layer(s) may be supplied from rolls.
The tubular element can have an inner diameter about the same or slightly larger than the outer diameter of the conventional mold. The tubular element can be composed of or include a highly conductive material. In one embodiment, the tubular element can be a metal tube. Additionally, the tubular element can include highly conductive particles such as a metal, dispersed within a binder. In additional embodiments, the conductive element can be a non-tubular metal sleeve or jacket that is capable of being fitted over a mold.
In some embodiments, the high thermally conductive outer element can be porous. The degree of porosity can be used to control the degree of heat transfer. In one embodiment, the high thermally conductive outer element can be made from a microcellular porous metal. The porosity can be varied, for example, from 0.3 to 1.0. The desired porosity is achievable by a variety of techniques including, but not limited to sintering, foaming, extrusion, thixomolding, semi-solid slurry casting and thermal spraying.
Additionally, the high thermally conductive outer element can be made from a tubular element of sand metal. The tubular element can be fit over a mold. Sand metal refers to metallic particles bound together through melting the metal particles. Microvoids in the sand metal allow high uniform heat transfer through the tubular element and the mold. Sand metal tubular elements can be formed by methods known in the art such as thermal spray processing. The porosity can be varied to obtain heat transfer properties.
In some embodiments, the high thermally conductive outer element can include two or more sublayers having different thermal conductivities, porosities, or densities. For example, the high thermally conductive outer element can be a metallic tube with metallic particles coated over the surface of the metallic tube.
In further embodiments, the high thermally conductive outer element can include a metallic mesh that is fitted over a conventional mold to increase the uniformity of expansion.
In some embodiments, the polymeric tube may be heat set after deformation from the blow molding process to relieve internal stresses within the polymer following deformation. “Heat setting” refers to allowing the polymer construct to equilibrate at a particular configuration at an elevated temperature. The pressure inside the tube, the tension along the cylindrical axis of the tube, and the temperature of the tube may be maintained above ambient levels for a period of time to allow the polymer tube to be heat set. The high thermally conductive element that surrounds the mold can facilitate more uniform heat setting of the tube which can provide more uniform properties through the polymer tube. This can be particularly advantageous for heat setting since wider nozzles can be used in heat setting.
Additionally, the mold having a high thermally conductive element can increase the cooling rate of an expanded polymer tube. Cooling the tube helps insure that the tube maintains the proper shape, size, and length following its formation. Upon cooling, the deformed tube retains the length and shape imposed by an inner surface of the mold. The tube can be cooled slowly or quickly, such as by quenching the tube.
Additionally, a medicated stent may be fabricated by coating the surface of either a metallic or polymeric scaffolding with a polymeric carrier that includes an active or bioactive agent or drug. A polymeric scaffolding may also serve as a carrier of an active agent or drug.
The polymeric tube that is expanded by blow molding can include a biostable biodegradable, or a combination thereof. Polymers can be biostable, bioabsorbable, biodegradable or bioerodable. Biostable refers to polymers that are not biodegradable. The terms biodegradable, bioabsorbable, and bioerodable are used interchangeably and refer to polymers that are capable of being completely degraded and/or eroded when exposed to bodily fluids such as blood and can be gradually resorbed, absorbed, and/or eliminated by the body. The processes of breaking down and eventual absorption and elimination of the polymer can be caused by, for example, hydrolysis, metabolic processes, bulk or surface erosion, and the like.
Representative examples of polymers that may be used to fabricate the polymeric tube and stents of the present invention include, but are not limited to, poly(N-acetylglucosamine) (Chitin), Chitosan, poly(3-hydroxyvalerate), poly(lactide-co-glycolide), poly(3-hydroxybutyrate), poly(4-hydroxybutyrate), poly(3-hydroxybutyrate-co-3-hydroxyvalerate), polyorthoester, polyanhydride, poly(glycolic acid), poly(glycolide), poly(L-lactic acid), poly(L-lactide), poly(D,L-lactic acid), poly(D,L-lactide), poly(L-lactide-co-D,L-lactide), poly(caprolactone), poly(L-lactide-co-caprolactone), poly(D,L-lactide-co-caprolactone), poly(glycolide-co-caprolactone), poly(trimethylene carbonate), polyester amide, poly(glycolic acid-co-trimethylene carbonate), co-poly(ether-esters) (e.g. PEO/PLA), polyphosphazenes, biomolecules (such as fibrin, fibrinogen, cellulose, starch, collagen, and hyaluronic acid), polyurethanes, silicones, polyesters, polyolefins, polyisobutylene and ethylene-alphaolefin copolymers, acrylic polymers and copolymers, vinyl halide polymers and copolymers (such as polyvinyl chloride), polyvinyl ethers (such as polyvinyl methyl ether), polyvinylidene halides (such as polyvinylidene chloride), polyacrylonitrile, polyvinyl ketones, polyvinyl aromatics (such as polystyrene), polyvinyl esters (such as polyvinyl acetate), acrylonitrile-styrene copolymers, ABS resins, polyamides (such as Nylon 66 and polycaprolactam), polycarbonates, polyoxymethylenes, polyimides, polyethers, polyurethanes, rayon, rayon-triacetate, cellulose acetate, cellulose butyrate, cellulose acetate butyrate, cellophane, cellulose nitrate, cellulose propionate, cellulose ethers, and carboxymethyl cellulose. Additional representative examples of polymers that may be especially well suited for use in fabricating embodiments of implantable medical devices disclosed herein include ethylene vinyl alcohol copolymer (commonly known by the generic name EVOH or by the trade name EVAL), poly(butyl methacrylate), poly(vinylidene fluoride-co-hexafluoropropene) (e.g., SOLEF 21508, available from Solvay Solexis PVDF, Thorofare, N.J.), polyvinylidene fluoride (otherwise known as KYNAR, available from ATOFINA Chemicals, Philadelphia, Pa.), ethylene-vinyl acetate copolymers, poly(vinyl acetate), styrene-isobutylene-styrene triblock copolymers, and polyethylene glycol.
While particular embodiments of the present invention have been shown and described, it will be obvious to those skilled in the art that changes and modifications can be made without departing from this invention in its broader aspects. Therefore, the appended claims are to encompass within their scope all such changes and modifications as fall within the true spirit and scope of this invention.
