Patent Application
20050015138
The invention concerns a stent to be implanted in a living body with an essentially tube-shaped wall made from a material of low radio-opaqueness and a weak radio-opaque material, which is constructed as a flexible wall structure through the shaping of holes. Furthermore, the invention concerns a process for the manufacturing of such a stent. This application claims priority to German patent application serial number 103 23 210.9 filed on May 22, 2003.
Stents are used in order to protect a lumen and channel of a living body, such as blood vessels, the oesophagus, the scapha and kidney channels, by means of expansion of the essentially tube-shaped wall structure of the stent in the interior of the channel against collapsing and closing. In addition, stents are used as carriers of medicine, which enable at least a local therapy in channel of the body. What's more, stents can be adopted as aneurism stent and endoprosthesis for intracelebral vascular aneurism or as intraluminal stent.
Stents of this type show a multitude of partition walls which are interconnected by means of cell connectors and nodal points. The partition walls are made of a flexible material, such as nitinol or stainless steel so that the entire stent features a flexible wall structure that can adjust itself to the curving and diameter of a lumen.
In the application of such stents, the problem arises that materials such as nitinol or stainless steel show an insufficient visibility when conducting x-ray research and, that is why, the position of the stents are very hard to determine in research of this nature.
In order to solve this problem, stents are available that feature an area of a larger surface or special markers of radio-opaque material at the endpoints of their wall structure. The markers are either fastened by means of a riveting procedure or welded onto the endpoints of the stents in the capacity of paddles.
The invention is based on the task of supplying a stent and a process for its manufacturing, which is easier to recognize in the case of research with x-radiation. Particularly, the exact position of the stent and its shape within the channel of the body should be recognizable.
The task is, according to the invention, is solved by means of a stent of the initially named type, where the material of higher radio-opaqueness and a strong radio-opaque material inside and at the flexible wall structure has been mounted. Furthermore, the task is solved by a manufacturing process of a stent with the step: affixing, providing and supplying a material of high radio-opaqueness within the flexible wall structure of the stent.
The flexible wall structure of a stent is subtly dissected and its partition walls, as well as cell connectors feature only a small surface. Consequently, the wall structure as such appears inappropriate to mount a material of high radio-opaqueness onto it. However, the invention is based on the perception that the overall area of a flexible wall structure of a stent is by all means sufficiently large, and, subsequently, the material that is mounted, provided and distributed at least range-wise and at least over a section of the surface of the wall structure, characterized with comparatively high radio-opaqueness in case of x-ray research, is sufficiently recognized.
It is particularly beneficial in the solution according to the invention that the essentially entire stent can be seen in x-ray research as such and not only its endpoints. For that reason, the exact position and moulding inside a channel of the body can be recognized in the case of a stent according to the invention.
Furthermore, an insufficiently or unequally widened wall structure can be detected in x-ray research in the case of a used stent, according to the invention, since the essentially entire flexible wall structure can be seen and, as a result, local compacting in comparison to local expansions of this flexible wall structure can become visible by means of the material of high radio-opaqueness mounted in the wall structure.
For this reason, the flexible wall structure is shaped with partition walls and/or cell connectors and the material of high radio-opaqueness is at least on one of the partition walls or cell connectors mounted in the case of a beneficial further education of the invention.
It is in addition beneficial when the partition wall and cell connectors, onto which the material of high radio-opaqueness is mounted, is shaped with a correspondingly increased base. The increased base facilitates the mounting of the material of high radio-opaqueness and offers, furthermore, itself a shielding against x-radiation.
The material of high radio-opaqueness is in addition beneficially set up inside or at the flexible wall structure in at least in an open area or antum. The material can, in this way, be embedded in the wall structure so that the flexible attitude of the wall structure does not change due to the inserted material. Hence, a new construction of the wall structure is not necessary, but on the other hand one can revert to known and proven structures.
The open area, according to a preferred embodiment of the invention, is beneficially punctiform or linear-shaped. The points or lines can be formed at the cell connectors and/or at the partition walls. The cell connectors and partition walls become in this way individually visible resulting in the fact that particularly clear conclusions can be drawn from the moulding and design of an inserted stent.
Furthermore, at least an open area is beneficially shaped as cavity or as passage opening. The material of high radio-opaqueness can be inserted particularly steadily through such a cavity or passage opening.
At least an open area should be formed by moulding of the raw material of the essentially cylindrical or tube-shaped wall and, subsequently, should be inserted into the open area in such a way that, following the succeeding shaping of the openings inside the flexible wall structure, sections of the material of high radio-opaqueness remain inside the flexible wall structure. The manufacturing cost for mounting the material of high radio-opaqueness can, in this way, be kept comparatively low.
In this procedure, the open area should at least area-wise be shaped as channel in circumference direction, axially and/or spirally on the raw material of the essentially tube-shaped wall. The material of high radio-opaqueness is equally distributed over the entire wall of a stent that is manufactured in such a manner, and, at the same time, the required manufacturing cost is comparatively speaking low.
The open area can be formed particularly cost-efficiently by means of laser cutting, laser ablation techniques, mechanical grinding, milling and/or eroding.
The material with high radio-opaqueness can be beneficially mounted on at least an open area by means of laser welding. In addition, it is beneficial when the surface of the material with high radio-opaqueness (in essence) succinctly secludes the tube-shaped wall structure through the surface. The external shape of such a stent corresponds with the well-known stents so that no further problems can emerge when inserting and shaping the stent in a channel of the body.
The material with high radio-opaqueness can be structured as bead-molding or flat ribbon in a particularly simple manner. The diameter, widths and densities of approx. 10 μm to approx. 200 μm can be determined as particularly beneficial dimensions for the points and lines of the material with high radio-opaqueness mounted according to the invention.
The flexible wall structure of the stent is preferably formed from nitinol or a nitinol alloy according to the invention.
The material with high radio-opaqueness preferably comprises tantalum, niobium, gold, platinum, wolfram or an alloy thereof.
In the following section, embodiments of a stent according to the invention are clarified on the basis of the enclosed schematic drawings. It shows:
a a side view on the stent according to
b a detailed view of the section 1b, according to
c a detailed view of the section 1c, according to
d a detailed view of the section 1d, according to
a the side view on the stent, according to
a the side view on the stent, according to
A first embodiment of a stent 10 is illustrated in
The partition walls 16 and the cell connectors 18 are preferably made from nitinol, a material that shows only a low radio-opaqueness (that is, a comparatively high permeability for x-rays). In order to make the stent 10 and particularly its entire wall structure 20 better visible during x-ray research, a material 22 with high radio-opaqueness is mounted on the partition walls 16 and the cell connectors 18 inside the flexible wall structure 20.
In order to insert the material 22 with high radio-opaqueness, areas 24 with increased base have been formed on the partition walls 16 and the cell connectors 18, respectively, in which drillings and grooves were shaped as open areas 26 in the wall structure 20, according to the embodiment of
The open areas 26 of the stent 10 of the first embodiment have been formed as passage openings when creating the openings 14 by means of a laser welding process. Subsequently, the material 22 with high radio-opaqueness was affixed in the open areas 26 by means of a laser welding process. It is preferable that this laser welding process of a tube takes place, which is for example interfused by a fluid (e.g. a cooled liquidity), so that a laser beam going through the tube wall is refracted on the inside of the tube and/or that the tube is cooled by means of the fluid that is flowing through. Furthermore, the stent 10 can be made of flat wire or wire, respectively, whereby a netting is preferably formed.
An embodiment of the stent 10 is illustrated in the
In a connecting manufacturing process that is not illustrated, the openings 14 are cut out or shaped, respectively, in the wall 12. In this manner, individual sections of the material 22 with high radio-opaqueness can be shaped at least partially in the remaining partition walls 16 and cell connectors 18.
An embodiment of a stent 10 is illustrated in
In all displayed embodiments, the surface of the material 22 with high radio-opaqueness is flush or near flush with the surface of the essentially tube-shaped wall structure 20.
According to the present invention, the stents 10 can be manufactured from stainless steel or cobalt-chrome tantalum alloy. In this way, the stents are preferably widened through a widening installation such as the balloon catheter. It is preferable that the invention or a preferred embodiment thereof is used in the case of balloon-expanded stents made of stainless steel, tantalum, niobium or cobalt alloys. It is possible that stents made of other materials, such as polymers, self-degradable materials (e.g. lactic acid or derivatives), as well as stents made of nitinol (nickel-titanium alloys) and/or of other self-expandable materials and (preferably temperature-dependent) shape-memory materials, are used.
| Number | Date | Country | Kind |
|---|---|---|---|
| 103 23 210.9-43 | May 2003 | DE | national |
