It is well known to employ various intravascular endoprostheses delivered percutaneously for the treatment of diseases of various body vessels. These types of endoprostheses are commonly referred to as stents. A stent is generally a tubular device formed of a biocompatible material such as nitinol. The fabrication of stents from nitinol tubes that are cut by such methods as laser cutting, water jet cutting, electrical discharge maching, and chemical milling is commonly known. Nitinol is considered a shape memory alloy (SMA). Nitinol also has a shape setting temperature, defined as any temperature within the temperature range at which a shape memory alloy (SMA) article, when exposed to for a period of time in a constrained shape, will substantially maintain the constrained shape when the article is subsequently unconstrained.
The manufacturing of nitinol tubes is expensive. The larger the diameter of the nitinol tube the more expensive it becomes. The cost constraints of large diameter nitinol tubing have resulted in the practice of cutting patterns (such as stent patterns) into small diameter nitinol tubes and then incrementally expanding and shape setting these tubes to attain larger diameter nitinol tubes (and/or nitinol stents).
One general method of shape setting nitinol involves deforming and constraining the nitinol in a desired shape at room temperature (usually about 20° C.) or at below room temperature. The nitinol is then exposed to an elevated temperature (usually about 500° C.) while constrained in a desired shape, in a furnace for example, for a period of time (usually about 5 to 20 minutes). The nitinol is then cooled to room temperature by either water quenching or allowing the nitinol to air cool. This shape setting process imparts a new shape to the nitinol. The new shape is a result of the specific prior deformation and constraining of the cut tube.
In the case of expansion of a cut nitinol tube, a series of incremental expansion and shape setting steps are commonly used. The traditional method for nitinol stent device manufacturing is described by Poncin et. al. (SMST-2000 Conference Proceedings, pp 477-486) which states “[t]he device is expanded to its final size by a succession of progressive, shape-setting steps involving heat treatments.” Using a series of incremental expansion steps reduces the incidence of fracture or cracking of the cut nitinol tube during shape setting.
In one example, a stent pattern can be laser cut into a nitinol tube having an outer diameter of about 4 mm. In order to expand this 4 mm cut tube to a 24 mm cut tube, a series of incremental expansion steps would be taken. For example: the cut nitinol tube would be expanded from a 4 mm diameter to an 8 mm diameter and then shape set; next, the cut nitinol tube would then be expanded from 8 mm to 12 mm diameter and then shape set; and so on until the desired 24 mm diameter cut tube is attained.
It is common practice to utilize a series of expansion steps in stent forming to avoid stent fracture during the shape setting process. The above example utilized five expansion steps to attain the desired stent diameter of 24 mm. Omitting even one of these expansion steps, expanding from 4 mm to 12 mm and shape setting for example, can result in the stent fracturing during shape setting. This process of forming nitinol incrementally through a series of shape setting steps is costly and time consuming.
It is also common practice for those skilled in the art to cool nitinol stents, forming thermally induced martensite prior to the expansion of a nitinol tube. Nitinol tubes that are primarily austenite at room temperature will be easier to deform and diametrically expand if they are first cooled to form thermally induced martensite. Because martensitic nitinol is easier to deform than austenitic nitinol, it has been assumed that forming thermally induced martensite prior to expanding a nitinol tube will minimize crack formation in the stent. In spite of this practice of thermally inducing martensite prior to nitinol tube expansion, crack formation during expansion of nitinol tubes is a problem. The practice of thermally inducing martensite prior to nitinol tube expansion has not eliminated the need for incremental expansion steps required to diametrically expand and shape set nitinol tube.
Therefore, there has been a need to have a nitinol medical device forming process that overcomes the disadvantages of the prior art. The present invention provides such a solution.
In accordance with the present invention, there is provided a method of forming nitinol. In one embodiment, nitinol is exposed to a shape setting temperature of at least 300° C. to about 650° C. in an unstrained or minimally strained condition. The nitinol is then substantially deformed in shape while at this elevated temperature. After deformation, the nitinol is retained at the elevated temperature while constrained in the desired shape for a time to shape set the material. In another embodiment, the nitinol may be deformed once or more than once while at the elevated temperature. The nitinol is then returned to approximately room temperature (about 20° C.), by means of water quenching and/or air cooling for example while still being constrained.
Thus, one embodiment of the invention comprises a method of forming a shape memory alloy (SMA) article, comprising, providing a SMA article having an initial shape, said SMA having a shape setting temperature, heating the SMA article to about said shape setting temperature, deforming the SMA article while at about its shape setting temperature to a final shape, and cooling the SMA article while being constrained thereby substantially retaining said final shape. In one embodiment, after deforming said SMA article while at about its shape setting temperature, allowing said deformed SMA article to dwell while at about its shape setting temperature. In another embodiment, said shape setting temperature is about 300° C. to about 650° C. In another embodiment, said SMA is nitinol. In another embodiment, deforming said SMA article into said final shape is accomplished by application of an internal force. In another embodiment, deforming said SMA article into said final shape is accomplished by application of an external force. In another embodiment, said deforming SMA article into said final shape is accomplished by use of a tapered mandrel. In another embodiment, said SMA article is shaped into a medical device. In another embodiment, said medical device is an implantable device. In another embodiment, said implantable device is selected from the group consisting of a stent, cardiac occluder, valve, and an intraluminal filter. In another embodiment, said SMA initial shape was formed by machining. In another embodiment, said machining comprises laser cutting, water jet cutting, electrical discharge machining, and/or chemical etching.
Another embodiment of the invention comprises a method of forming a stent, comprising, providing a machined shape memory alloy (SMA) tube, wherein said machined SMA tube comprises: a stent pattern, a first (smaller) diameter, and a shape setting temperature, heating said machined SMA tube to about said shape setting temperature, deforming said machined SMA tube while at about its shape setting temperature to a second (larger) diameter and cooling the SMA article while being constrained thereby substantially retaining said second diameter. In one embodiment, said machining comprises laser cutting, water jet cutting, electrical discharge machining and/or chemical etching. In another embodiment, said stent pattern comprises a sinusoidal shape, a diamond shape, a U shape, a V shape or an ovaloid shape. In another embodiment, said SMA tube has a circular cross-section. In another embodiment, after deforming said SMA tube while at about its shape setting temperature, allowing said deformed SMA tube to dwell. In another embodiment, said shape setting temperature is about 300° C. to about 650° C. In another embodiment, deforming said SMA tube into said second shape is accomplished by application of an internal force. In another embodiment, deforming said SMA tube into said second shape is accomplished by application of an external force. In another embodiment, said deforming SMA tube into said second shape is accomplished by use of a tapered mandrel. In another embodiment, the ratio of the second (larger) diameter shape to the first (smaller) diameter shape is greater than about 1.25:1 In another embodiment, the ratio of the second (larger) diameter shape to the first (smaller) diameter shape is greater than about 1.5:1. In another embodiment, the ratio of the second (larger) diameter shape to the first (smaller) diameter shape is greater than about 2:1. In another embodiment, the ratio of the second (larger) diameter shape to the first (smaller) diameter shape is greater than about 3:1. In another embodiment, the ratio of the second (larger) diameter shape to the first (smaller) diameter shape is greater than about 4:1.
In another embodiment, the invention comprises a medical device, comprising a shape memory alloy (SMA) article tailored to transition between a first, second and third state, wherein said SMA comprises a shape setting temperature, wherein, the article in a first state comprises a first circumferential perimeter, the article in a second state comprises multiple circumferential perimeters, the article in a third state comprises a third circumferential perimeter, wherein each of said second state circumferential perimeters are larger than the first state circumferential perimeter and smaller than the third state circumferential perimeter and wherein the shape memory alloy (SMA) article is kept at said shape setting temperature while transitioning between the first, second and third states.
Another embodiment of the invention comprises a device for deforming a SMA article, comprising a slotted elongated tube comprising; i. a longitudinal axis and a first outer perimeter, ii. the tube having a length, a through lumen and a wall, iii. the lumen defining a first inner perimeter, iv. the tube having at least two slots through the wall, v. the slots being oriented essentially parallel to the tube longitudinal axis, vi. the slots extending partially along the tube length; an expansion mandrel comprising, i. a first portion with an essentially constant first perimeter, ii. a second tapered portion, iii. the second tapered portion having a varying perimeter transitioning from the mandrel first perimeter to a larger second perimeter, iv. the mandrel first portion perimeter being dimensioned to be inserted into the lumen first inner perimeter of said slotted elongated tube; and a shape memory alloy article surrounding at least a portion of said slotted elongated tube. In one embodiment, said SMA is nitinol. In another embodiment, said SMA article is a medical device. In another embodiment, said medical device is selected from the group consisting of a stent, cardiac occluder, valve, and an intraluminal filter.
Another embodiment of the invention comprises a device for deforming a SMA article, comprising a slotted elongated tube comprising, i. a longitudinal axis and a first outer perimeter, ii. the tube having a length, a through lumen and a wall, iii. the lumen defining a first inner perimeter, iv. the tube having at least two slots through the wall, v. the slots being oriented essentially parallel to the tube longitudinal axis, vi. the slots extending partially along the tube length; an expansion mandrel comprising, i. a first portion with an essentially constant first perimeter, ii. a second tapered portion, iii. the second tapered portion having a varying perimeter transitioning from the mandrel first perimeter to a larger second perimeter, iv. the mandrel first portion perimeter being dimensioned to be inserted into the lumen first inner perimeter of said slotted elongated tube; wherein the slotted elongated tube surrounds at least a portion of the expansion mandrel and a SMA article surrounding at least a portion of said slotted elongated tube. In one embodiment, the slotted elongated tube surrounds at least a portion of the expansion mandrel first portion. In another embodiment, the slotted elongated tube surrounds at least a portion of the expansion mandrel second tapered portion. In another embodiment, the expansion mandrel further comprises a third portion having an essentially constant second perimeter. In another embodiment, the slotted elongated tube surrounds at least a portion of the expansion mandrel third portion.
Another embodiment of the invention comprises a device for deforming a shape memory alloy (SMA) article, comprising, a slotted elongated tube comprising, i. a longitudinal axis and a first outer perimeter, ii. the tube having a length, a through lumen and a wall, iii. the lumen defining a first inner perimeter, iv. the tube having at least two slots through the wall, v. the slots being oriented essentially parallel to the tube longitudinal axis, vi. the slots extending partially along the tube length, vii. the tube having a first portion with an essentially constant first perimeter, viii. the tube having a second tapered portion, ix. the second tapered portion having a varying perimeter transitioning from the tube first perimeter to a larger second perimeter; and a translating device comprising, i. a rod sized to extend and slide through the slotted elongate tube through lumen, ii. the rod having at least two fins sized to extend and slide through said slots through the wall of the slotted elongated tube, a SMA article surrounding at least a portion of said slotted elongated tube.
Thus, in accordance with the methods of present invention, a nitinol tube (e.g. a stent) can be expanded to a much larger diameter (e.g. 6× or more) in a single processing step.
The exemplary embodiments of the present invention will be described in conjunction with the accompanying drawings in which, where appropriate, like numerals denote like elements and are offset by 100. The accompanying drawings are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention.
As currently known in the art, nitinol tubes having various diameters and wall thicknesses can be cut to form a desired pattern, such as a stent pattern. The cut tube may be placed onto an expansion fixture and expanded by about 20% while at ambient temperature. The cut tube and the expansion fixture may be then heated to an elevated temperature and after an appropriate dwell time, the cut tube and fixture can be quenched to return the cut tube to an ambient temperature. This process may be repeated with each cycle expanding the tube an additional about 20% resulting in a desired diameter (i.e. 100% expansion).
Shown in
The tube 300a can have diameters ranging from about 0.5 mm to about 100 mm with a preferred range of about 2 mm to about 40 mm. The tube 300a can have a wall thickness ranging from about 0.05 mm to about 10 mm with a preferred range of about 0.1 mm to about 0.5 mm. The length of tube 300a can range from about 1 mm to about 250 mm. The length of tube 300a can be configured in accordance with any specific application.
Shown in
The expansion fixture 400 further comprises an expander die 412 having a series of fins 414, as shown in
As further shown in
A collar portion 422 of the slotted mandrel 402 is configured to affix the slotted mandrel to a heating source (not shown). The slotted mandrel 402 and expander die 412 are positioned within the heating source. The heating source is configured to allow the end of the pull rod 424 (opposite the expander die) to protrude out of the heating source.
Thus, another embodiment of the invention comprises a device for deforming a shape memory alloy (SMA) article, comprising a slotted elongated tube comprising; i. a longitudinal axis and a first outer perimeter, ii. the tube having a length, a through lumen and a wall, iii. the lumen defining a first inner perimeter, iv. the tube having at least two slots through the wall, v. the slots being oriented essentially parallel to the tube longitudinal axis, vi. the slots extending partially along the tube length; an expansion mandrel comprising, i. a first portion with an essentially constant first perimeter, ii. a second tapered portion, iii. the second tapered portion having a varying perimeter transitioning from the mandrel first perimeter to a larger second perimeter, iv. the mandrel first portion perimeter being dimensioned to be inserted into the lumen first inner perimeter of said slotted elongated tube; and a shape memory alloy article surrounding at least a portion of said slotted elongated tube. In one embodiment, said SMA is nitinol. In another embodiment, said SMA article is a medical device. In another embodiment, said medical device is selected from the group consisting of a stent, cardiac occluder, and an intraluminal filter.
Another embodiment of the invention comprises a device for deforming a shape memory alloy (SMA) article, comprising a slotted elongated tube comprising, i. a longitudinal axis and a first outer perimeter, ii. the tube having a length, a through lumen and a wall, iii. the lumen defining a first inner perimeter, iv. the tube having at least two slots through the wall, v. the slots being oriented essentially parallel to the tube longitudinal axis, vi. the slots extending partially along the tube length; an expansion mandrel comprising, i. a first portion with an essentially constant first perimeter, ii. a second tapered portion, iii. the second tapered portion having a varying perimeter transitioning from the mandrel first perimeter to a larger second perimeter, iv. the mandrel first portion perimeter being dimensioned to be inserted into the lumen first inner perimeter of said slotted elongated tube; wherein the slotted elongated tube surrounds at least a portion of the expansion mandrel and a shape memory alloy article surrounding at least a portion of said slotted elongated tube. In one embodiment, the slotted elongated tube surrounds at least a portion of the expansion mandrel first portion. In another embodiment, the slotted elongated tube surrounds at least a portion of the expansion mandrel second tapered portion. In another embodiment, the expansion mandrel further comprises a third portion having an essentially constant second perimeter. In another embodiment, the slotted elongated tube surrounds at least a portion of the expansion mandrel third portion.
Another embodiment of the invention comprises a device for deforming a shape memory alloy (SMA) article, comprising, a slotted elongated tube comprising, i. a longitudinal axis and a first outer perimeter, ii. the tube having a length, a through lumen and a wall, iii. the lumen defining a first inner perimeter, iv. the tube having at least two slots through the wall, v. the slots being oriented essentially parallel to the tube longitudinal axis, vi. the slots extending partially along the tube length, vii. the tube having a first portion with an essentially constant first perimeter, viii. the tube having a second tapered portion, ix. the second tapered portion having a varying perimeter transitioning from the tube first perimeter to a larger second perimeter; and a translating device comprising, i. a rod sized to extend and slide through the slotted elongate tube through lumen, ii. the rod having at least two fins sized to extend and slide through said slots through the wall of the slotted elongated tube, a SMA article surrounding at least a portion of said slotted elongated tube.
Any suitable heating source can be used to heat the expansion fixture 400, including fluidized baths, salt baths, high temperature liquids, high temperature gasses, radiant heating, inductive heating, convection heating, electrical resistance heating, radio frequency heating, conduction heating or by combinations of different energy sources.
Thus, one embodiment of the invention comprises a process for expanding a cut tube, comprising the steps of: cutting a metallic tube to form a desired cut pattern; placing the cut metallic tube onto a small diameter portion of a slotted tapered mandrel; inserting a pull rod with an attached expander die through a center bore of the slotted tapered mandrel; engaging a series of fins (integral to the expander die) into the slots of the tapered mandrel; placing the cut tube, the slotted tapered mandrel and the expander die into a heating source, so that an end of the pull rod extends out of the heating source; heating the cut tube, the slotted tapered mandrel and the expander die to an elevated temperature (shape setting temperature); translating the pull rod (while maintaining the shape setting temperature of the cut tube, the slotted tapered mandrel and the expander die) to force the expander die to slide over the small diameter portion, a tapered portion and a larger diameter portion of the slotted tapered mandrel, wherein the fins of the expander die engage the cut SMA tube and force the cut SMA tube over the small diameter portion, the tapered portion and the larger diameter portion of the slotted tapered mandrel as the pull rod is translated.
One process for expanding a cut SMA tube according to the present invention is outlined in
A cut tube 524a having an initial small diameter is placed over the small diameter portion 508 of the slotted mandrel 502.
An expander die 512 having a series of fins (414 of
As shown in
The expansion fixture with the cut tube is then put onto a heating chamber (not shown) so that the collar portion 522 and the protruding pull rod 518 are outside of the heated chamber (indicated by direction arrow 526), while the remaining portions of the slotted mandrel 502, expander die 512 and cut tube 524a are exposed to the heated area of the heating chamber (indicated by direction arrow 525). The temperature of the heating chamber is then be elevated to the desired temperature. If a salt bath or similar heat transfer medium is used, the medium can be pre-heated or fully heated to the desired elevated temperature.
As shown in
As shown in
The expansion fixture 500 with the fully expanded cut tube 524c is then removed from the heating chamber. The pull rod 518 and expander die 512 are withdrawn from the slotted mandrel 502. The slotted mandrel 502 and fully expanded cut tube 524c are then quenched in an ambient temperature water bath. After reaching ambient temperature, the fully expanded cut tube 524c can be removed from the slotted mandrel 502.
Although the
The process describe in
Another embodiment, expansion of a cut SMA tube accomplished by application of an external force, pulling the tube open. Hooks or clamps that grab specific areas of the tube can pull the tube open to expand the tube.
While particular embodiments of the present invention have been illustrated and described herein, the present invention should not be limited to such illustrations and descriptions. It should be apparent that changes and modifications may be incorporated and embodied as part of the present invention within the scope of the following claims. The following examples are further offered to illustrate the present invention.
A nitinol stent ring 524a as illustrated in
As shown in
The expander die 412 was designed in such a way that the fins 414 of the die engaged with the slots 410 of the slotted mandrel 402 allowing the expander die 412 to slide through the slotted mandrel 402.
The expander die 412 is attached by such means as laser welding for example to the pull rod 418. The pull rod 418 has a diameter of about 2 mm, a length of about 60 cm, and is fabricated from a suitable high temperature steel. A fluidized bath (Techne Fluidized Bath Model FB-08) used for heat treating parts was obtained.
As shown in
The assembly of the slotted mandrel 502, stent ring 524a, expander die 512, and pull rod 518 were then submerged into the fluidized bath, pre-heated to a temperature of about 550° C., and allowed to dwell for about three minutes. After about 3 minutes the pull rod 518 was pulled up from the position illustrated in
Referring to
It will be evident to those skilled in the art that various modifications may be made to the present invention. For example, the slotted mandrel 402 as illustrated in
Referring to
The assembly of the slotted mandrel 502, stent ring 524c, expander die 512, and pull rod 518 were then removed from the fluidized bath and water quenched. The resulting nitinol stent ring was fractured, having a complete discontinuity in the stent ring.
An alternate expansion fixture is shown in
As shown in
A nitinol stent 624 as illustrated in
A fluidized bath used for heat treating parts was obtained (Techne Fluidized Bath Model FB-08).
The assembly of the slotted tube 610, stent 624, and tapered mandrel 618 as illustrated in
After about 15 minutes of dwell time in the pre-heated fluidized bath the assembly of the expanded slotted tube 628, expanded stent 626, and tapered mandrel 618 as illustrated in
It should be apparent to those skilled in the art that additional fixtures can be used to interface the stent expanding hardware illustrated in
It will be evident to those skilled in the art that various modifications may be made to the present invention. For example, the slotted tube 610 as illustrated in
Using the methods and materials of Example 3, a nitinol stent 624 was loaded onto the slotted tube 610. The stent 624 was then expanded at about room temperature (20° C.) by pulling the tapered mandrel 618 in the direction illustrated in
In addition to being directed to the embodiments described above and claimed below, the present invention is further directed to embodiments having different combinations of the features described above and claimed below. As such, the invention is also directed to other embodiments having any other possible combination of the dependent features claimed below.
Numerous characteristics and advantages of the present invention have been set forth in the preceding description, including preferred and alternate embodiments together with details of the structure and function of the invention. The disclosure is intended as illustrative only and as such is not intended to be exhaustive. It will be evident to those skilled in the art that various modifications may be made, especially in matters of structure, materials, elements, components, shape, size and arrangement of parts within the principals of the invention, to the full extent indicated by the broad, general meaning of the terms in which the appended claims are expressed. To the extent that these various modifications do not depart from the spirit and scope of the appended claims, they are intended to be encompassed therein.
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Poncin et al. Nitinol self-expanding tubular devices: A tool to select the proper tubing size for the needs of the application. SMST 2000 Conference Proceedings, pp. 477-486. |
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