The present invention relates generally to medical stents, and particularly to a stent manufacturing assembly used in a method of manufacturing stents.
In various medical procedures such as, for example, coronary angioplasty, a balloon is inflated within the lumen of a narrowed blood vessel in order to widen the vessel for improved blood flow. A stent, generally tubular in shape, is then inserted to permanently hold open and support the vessel. The stent is initially inserted in its relatively small, crimped state on the end of a medical catheter, and the catheter directs the stent through the lumen of a vessel to the intended implantation site. After reaching its intended implantation site, the stent is expanded to its larger diameter.
Although stents can be manufactured by several methods, one method is to cut a pattern into a metal tube using a laser. In this method, portions of a wall of a tube made of biocompatible metal are cut away such that the remaining material forms a mesh-like tube. The method requires that the pattern be cut into each tube individually. One of the disadvantages of this method is the inefficiency of individually cutting a pattern into each tube. Another disadvantage is that the interior surface of the resulting stent cannot be adequately inspected, and defects on this surface are incorporated into the final stent. Such defects compromise the integrity of the stent.
In another method of stent manufacturing, a mandrel is employed in order to fold a sheet of metal, for example, into a tubular shape. In this method, a sheet having a plurality of stent patterns is laser-cut in a single step. The individual stent patterns can be easily inspected on both sides of the sheet before folding the sheet into a stent. Each pattern is then deformed around a cylindrical mandrel such that each pattern is forced to take on the shape of the mandrel. The edges of the pattern are then brought together and welded, the mandrel is removed, and a tubular stent having the pattern that provides the desired strength and flexibility is the resulting product. The method employing a mandrel is superior to other methods, because (1) a pattern can be easily cut into a flat sheet, (2) both sides of the patterned sheet can be inspected prior to deformation, and (3) the method is highly efficient.
However, one problem with the method employing a mandrel is that the contact between the mandrel and the internal surface of the patterned sheet (the stent), during removal of the mandrel, can result in damage to the internal surface of the sheet. In addition, stents are often coated with a special polymer, a drug, or a combination thereof. Deformation of the sheet and removal of the mandrel can cause damage to the integrity of the coated surface material by the contact, friction, and/or pressure between the mandrel and the inner surface of the stent. Although an attempted solution to such a problem may involve providing a soft coating on the mandrel to minimize the friction and pressure, this fails to effectively solve the problem because, e.g., the soft coating may melt during the welding process, causing the coating to adhere to the coated stent.
In light of the foregoing, one object of the invention is to provide an apparatus and method for protecting the internal surface of the stent during its manufacturing process. Another object is to provide a mandrel surface that will not damage or compromise the integrity of the interior surface of the stent.
The present invention is directed to a stent manufacturing assembly and a method by which the assembly can be employed in manufacturing a stent. In particular, the present invention provides a method and apparatus for assembling a stent from a flat sheet wherein the stent manufacturing assembly includes a mandrel surrounded by a removable sleeve. The sleeve adheres to the inside of the patterned metal sheet as the sheet is deformed around the assembly to form a stent. The adherence allows the sleeve to remain in position during mandrel removal. The sleeve may comprise a flexible material stable at high temperatures and may also have a variable inner diameter, e.g., contractable or expandable. The mandrel is made of metal and has a rigid and substantially cylindrical external surface. As the mandrel is slidably removed from the sleeve, the sleeve resorts from a working diameter to a resting diameter and is radially collapsed from the stent, thereby causing minimal shear stress on the stent's inner surface and preventing or minimizing friction and pressure between the sleeve and the stent.
The invention also relates to a method of manufacturing a stent using the stent manufacturing assembly to allow a sheet of material to be formed into a stent. In an embodiment of the invention, the method may comprise, for example, contacting a sleeve with a mandrel such that the sleeve is secured on the mandrel; contacting the sleeve with a patterned metal sheet; and folding or wrapping the sheet around the assembly by a method such as, for example, the method identified in U.S. Pat. No. 7,208,009. The method may further comprise welding the edges of the patterned sheet to form a stent around the assembly, and slidably removing the mandrel from the sleeve, for example, by pushing or pulling the mandrel longitudinally. After the mandrel has been removed from the sleeve, the method further comprises separating the sleeve from the stent, for example, by compression of the sleeve to its resting diameter.
The present invention is directed to a stent manufacturing assembly and a method of forming a stent using the stent manufacturing assembly.
The stent manufacturing assembly of the invention comprises a mandrel with a rigid and substantially cylindrical external surface and a tubular sleeve surrounding the mandrel and conforming to its shape. The sleeve provides a buffer between the surface of the mandrel and the surface of the sheet as the patterned sheet is formed into a stent. The sleeve is cylindrical or partially cylindrical in shape and is defined by an inner diameter that may vary between a resting diameter and a working diameter, that is, a contractable inner diameter.
As used herein, the term “resting diameter” refers to the diameter of the sleeve when no force is applied to it, for example, before the sleeve is placed over the mandrel. In contrast, the term “working diameter” refers to the diameter of the sleeve after force is exerted thereon, for example, when the sleeve is placed over the cylindrical surface of the mandrel and the patterned metal sheet has been wrapped around the mandrel. In one embodiment of the invention, the resting diameter of the sleeve is smaller than the working diameter of the sleeve. In this embodiment, the sleeve is expanded when positioned on the mandrel. The variability of the inner diameter of the sleeve provides the advantage of separating the sleeve from the stent without damaging the interior surface of the stent. The separation of the sleeve from the interior stent surface preferably occurs after the mandrel is longitudinally removed from the sleeve.
The mandrel can be made of any rigid material possessing a high melting point, a high strength and hardness, and/or high thermal conductivity, for example, any of the suitable metals. Non-limiting examples of such metals include silver, copper and stainless steel. The thermal conductivity of the mandrel may range from about 8 W/m°K (stainless steel) to approximately 420 W/m°K (Copper, Silver), for example. The diameter of the mandrel may vary depending on the type of stent being manufactured. Certain stents require, for example, a mandrel having a diameter in the range from 0.5 mm to 3.0 mm. The length of the mandrel may be approximately 1.8 mm, for example. The diameter and length of the mandrel are determined by the desired diameter of the stent to be manufactured. One of ordinary skill in the relevant art will recognize that other diameter and length specifications may be utilized without departing from the spirit and scope of the invention.
The sleeve can be made of any flexible, rigid, or semi-rigid polymer. Examples of such polymers include polypropylene, polyethylene, polytetrafluoroethylene (PTFE), expanded polytetrafluoroethylene (ePTFE), perfluoroalkoxy polymer resin (PFA), and fluorinated ethylene-propylene (FEP). The sleeve may also be made of shape memory polymers or heat shrinkable polymers. It should also be noted that the sleeve thickness will vary depending on the material employed and the process manufacturing steps used. For example, the sleeve may be 0.1 mm thick in one embodiment. The thickness of the sleeve may, for example, range from 0.05 mm to 0.3 mm or more. Preferred sleeve thickness is 0.1 mm. The length of the sleeve varies depending on the type of stent being manufactured. For example, the length may vary from about 0.5 mm for certain coronary stents to about 30 mm for certain peripheral stents. Preferred lengths include, for example, 1.3 mm and 1.8 mm. However, one of ordinary skill in the relevant art will recognize that other sleeve dimensions may be utilized without departing from the spirit and scope of the invention.
The stent manufacturing assembly facilitates formation of a stent from a patterned metal sheet according to various known methods, such as, for example, the method described in U.S. Pat. No. 7,208,009. In such a method, after the patterned sheet is formed into a tube by wrapping the sheet around the stent manufacturing assembly, the edges of the patterned sheet are welded, thereby forming a stent. In one embodiment, the sleeve physically adheres to the interior surface of the stent due to surface contact (e.g., surface tackiness) and friction, for example, after stent formation, which causes the sleeve to remain on the stent as the mandrel is removed. Once the mandrel has been removed, the internal tension of the sleeve is released and the sleeve returns to its smaller resting diameter, thereby allowing the sleeve to be separated from the stent.
In one embodiment, the sleeve contains a longitudinal cut that allows the sleeve to be expanded from its smaller resting diameter to its larger working diameter. As used herein, the term “longitudinal cut” refers to space between the lengthwise edges of a tubular sleeve. The lengthwise edges may contact each other, for example, when the sleeve is in its resting diameter and may be separated such that they do not contact one another when the sleeve is in its working diameter. In this embodiment, the longitudinal cut may align with the joined edges of the patterned metal sheet after the patterned metal sheet has been folded around the mandrel. The edges may then be welded in alignment along the longitudinal cut such that these edges do not contact the sleeve. In an alternative embodiment of the invention, the edges of the sleeve may also contact each other when the sleeve is in its working diameter after having expanded from a resting diameter in which the edges overlap, for example. In yet another embodiment, the sleeve is an elastic, tubular sleeve without a cut. In such an embodiment, the elasticity allows the sleeve to expand as necessary from its resting diameter to its working diameter. Elastic sleeves may comprise, for example, polychloroprene, silicone rubber, or PTFE-coated rubber.
In another alternative embodiment, the sleeve may have a longitudinal cut, and the mandrel may have an embossed longitudinal subsection that projects from the surface of the mandrel to the outer diameter of the sleeve. That is, the surface of the embossed longitudinal subsection is substantially level with the outer surface of the sleeve. The embossed longitudinal subsection of the mandrel may occupy the space between the edges of the sleeve. The surface of the embossed longitudinal subsection provides a solid surface on which to weld the edges of the patterned metal sheet after the sheet is folded into the stent.
The aforementioned embodiments, as well as other embodiments, are discussed and explained below with reference to the accompanying drawings. Note that the drawings are provided as an exemplary understanding of the invention and to schematically illustrate particular embodiments of the invention. The skilled person will readily recognize other similar examples are equally within the scope of the invention. The drawings are not intended to limit the scope of the invention defined in the appended claims.
Alternatively, if the edges overlap before the sleeve is fitted onto the mandrel, the overlap will be reduced or eliminated when the sleeve is fitted on the mandrel. In these embodiments, if the edges are not in contact before the sleeve is fitted onto the mandrel, the distance between the edges may be increased upon insertion of the mandrel.
In general, the sleeve's actual resting and working diameters will be determined based upon the diameter of the mandrel. In one embodiment, the sleeve 12 adheres to the inside surface of the stent during stent formation. For example, the sleeve can physically adhere to the inside surface of the stent due to contact and friction. After the patterned sheet is deformed around the stent manufacturing assembly and the edges are welded, a stent is formed. Then, the mandrel 11 is slidably removed from the sleeve 12 while the sleeve is manually held in place, causing the sleeve to stay in place relative to the stent. At this point, the sleeve radially collapses: That is, at this point, internal tension of the sleeve 12 is released as the working diameter of the sleeve 12 resorts to the resting diameter of the sleeve 12. The removal of the mandrel and the radial collapsing motion of the sleeve 12 apply minimal shear stress on the stent's inner surface. This feature of the invention minimizes and/or prevents problems involved in prior stent manufacturing methods, such as friction and pressure between the mandrel and the inner surface of the stent.
Further, the mandrel 42 shown in
In this embodiment, the length of the sleeve 12 is shorter than the mandrel 11, and the patterned metal sheet 51 is shorter than the sleeve 12. That is, the edges 52 and 53 are shorter than the long axis of the sleeve 12. As such, while the sleeve is held in place, longitudinal force can be applied to the mandrel to remove the mandrel from the sleeve, thereby allowing the sleeve to remain adhered to the stent. This feature allows the inner surface of the sleeve to absorb the friction caused by the removal of the mandrel.
The invention also relates to a method of manufacturing a stent using a stent manufacturing assembly. In this embodiment of the invention, the method may comprise, for example, contacting a sleeve 12 with a mandrel 11 such that the sleeve is secured on the mandrel; contacting the sleeve with a patterned metal sheet; and folding or wrapping the sheet around the assembly by a method, one such example method is identified in U.S. Pat. No. 7,208,009. Securement of the sleeve to the mandrel may be accomplished by the elasticity of the sleeve material, shape memory materials, mechanical force applied to the sleeve, or the like. The method further comprises welding the edges of the patterned sheet to form a stent (e.g., 61 in
While various embodiments of the present invention have been described above, it should be understood that they have been presented by way of example only, and not by way of limitation. Accordingly, it will be apparent to persons skilled in the relevant art that various changes in form and detail can be made therein without departing from the spirit and scope of the invention. Thus, the breadth and scope of the present invention should not be limited by any of the above-described exemplary embodiments, but should be defined only in accordance with the following claims and their equivalents.