Extendible stent apparatus
The present invention concerns novel stent apparatuses for use in treating lesions at or near the bifurcation point in bifurcated cardiac, coronary, renal, peripheral vascular, gastrointestinal, pulmonary, urinary and neurovascular vessels and brain vessels. More particularly, the invention concerns a stent apparatus with at least one side opening which may further comprise an extendable stent portion laterally extending from the side opening and at least partly in registry with the wall of the side opening. Devices constructed in accordance with the invention include, singularly or in combination, a main expandable stent comprising at least one substantially circular side opening located between its proximal and distal end openings, which side opening may further comprise an expandable portion extending radially outward from the edges of the side opening; and a branch stent comprising proximal and distal end openings and which may further comprise a contacting portion at its proximal end, and which may optionally be constructed to form either a perpendicular branch or a non-perpendicular branch when inserted through a side opening of the main stent. The stents of the invention are marked with, or at least partially constructed of, a material which is imageable during intraluminal catheterization techniques, most preferably but not limited to ultrasound and x-ray.
1. A stent for placement in a bifurcated body lumen, the stent comprising:
a body defining a first substantially cylindrical volume when configured in a first collapsed position and a second substantially cylindrical volume when configured in a second expanded position, the second substantially cylindrical volume being greater than the first substantially cylindrical volume being greater than the first substantially cylindrical volume, the body including:
a first open end;
a second open end; and
a deflectable element having a first position when the body is in the first collapsed position and a second position when the body is in the second expanded position such that when the deflectable element is in the first position the deflectable element defines a first collapsed side access opening and is disposed in the first substantially cylindrical volume, and when the deflectable element is in the second position the deflectable element defines a second expanded side opening different in shape than the collapsed side opening and the deflectable element extends outside of the second substantially cylindrical volume, the deflectable element comprising a plurality of deflectable members, the plurality of deflectable members spaced about the perimeter of the side opening.
2. The stent according to claim 1 , wherein the deflectable members extend radially inwardly relative to the side opening when the deflectable members are in the first position.
3. The stent according to claim 2 , wherein the deflectable members extend perpendicular to the body when the deflectable members are in the second position.
4. The stent according to claim 3 , wherein the deflectable members are adapted to be attached to a second stent at a position adjacent to the side opening.
5. A stent for placement in a bifurcated body lumen, the stent comprising:
a body defining a first substantially cylindrical volume when configured in a first collapsed position and a second substantially cylindrical volume when configured in a second expanded position, the second substantially cylindrical volume being greater than the first substantially cylindrical volume being greater than the first substantially cylindrical volume, the body including:
a first open end;
a second open end;
a deflectable element having a first position when the body is in the first collapsed position and a second position when the body is in the second expanded position such that when the deflectable element is in the first position the deflectable element defines a first collapsed side access opening and is disposed in the first substantially cylindrical volume, and when the deflectable element is in the second position the deflectable element defines a second expanded side opening different in shape than the collpsed side opening and the deflectabie element extends outside of the second substantially cylindrical volume, the deflectable element comprises a single deflectable member;
wherein the body further comprises an axial spine;
wherein the single deflectable member is aligned with the axial spine when the single deflectable member is in the first position
wherein the body further comprises a pair of curved struts defining at least a portion of the side opening; and
the single deflectable member further comprises a pair of parallel struts extending parallel to the axial spine when the deflectable member is in the first position.
6. A stent for placement in a bifurcated body lumen, the stent comprising:
a body defining a first volume when configured in a first collapsed position and a second volume when configured in a second expanded position, the second volume being greater than the first volume, the body including:
a first open end;
a second open end; and
a side opening having a perimeter; and
a plurality of deflectable members attached to the body at positions about the perimeter of the side opening,
wherein each of the deflectable members has a first position when the body is in the first collapsed position and a second position when the body is in the second expanded position such that when the deflectable members are in the first position the deflectable members extend radially inwardly relative to the side opening and are disposed in the first volume and when the deflectable members are in the second position, the deflectable members extend substantially perpendicularly from the body and extend outside of the second volume.
7. A stent delivery system for treatment of a bifurcated body lumen, the stent delivery system comprising:
a first catheter;
a second catheter; and
a stent disposed on the first catheter and the second catheter, the stent comprising:
a body defining a first volume when configured in a first collapsed position and a second volume when configured in a second expanded position, the second volume being greater tan the first volume, the body including:
a first open end;
a second open end; and
a side opening adapted to receive the second catheter and having a perimeter; and
a deflectable element extending from the body adjacent the side opening being engageable by the second catheter when the body is in the second expanded position, the deflectable element comprising a plurality of deflectable members, the plurality of deflectable members spaced about the perimeter of the side opening,
wherein the deflectable element has a first position when the body is in the first collapsed position and a second position when the body is in the second expanded position and such that when the deflectable element is in the first position the deflectable element extends at the opening and is disposed in the first volume and when the deflectable element is in the second position, the deflectable element extends away from the opening and extends outside of the second volume after engagement with the second catheter.
8. The stent delivery system according to claim 7 , wherein the first catheter comprises a first balloon catheter.
9. The stent delivery system according to claim 8 , wherein the second catheter comprises a second balloon catheter.
10. The stent delivery system according to claim 7 , wherein the deflectable members extend radially inwardly relative to the side opening when the deflectable members are in the first position.
11. The stent delivery system according to claim 10 , wherein the deflectable members extend perpendicular to the body when the deflectable members are in the second position.
12. The stein delivery system according to claim 11 , wherein the deflectable members are adapted to anchor a second stent to the stent at a position adjacent to the side opening.
13. The stent delivery system according to claim 7 , wherein the second catheter extends through the side opening.
14. A stent delivery system for treatment of a bifurcated body lumen, the stent delivery system comprising:
a first catheter;
a second catheter; and
a stent disposed on the first catheter and the second catheter, the stent comprising:
a body defining a first volume when configured in a first collapsed position and a second volume when configured in a second expanded position, the second volume being greater than the first volume, the body including:
a first open end;
a second open end;
a side opening adapted to receive the second catheter and having a perimeter; and
a deflectable element extending from the body adjacent the side opening being engageable by the second catheter when the body is in the second expanded position, wherein the deflectable element has a first position when the body is in the first collapsed position and a second position when the body is in the second expanded position and such that when the deflectable element is in the first position the deflectable element extends at the opening and is disposed in the first volume and when the deflectable element is in the second position, the deflectable element extends away from the opening and extends outside of the second volume after engagement with the second catheter;
wherein the deflectable element comprises a single deflectable member;
wherein the body further comprises an axial spine and wherein the single deflectable member is aligned with the axial spine when the single deflectable member is in the first position;
wherein the body further comprises a pair of curved struts defining at least a portion of the side opening, and the single deflectable member further comprises a pair of parallel struts extending parallel to the axial spine when the deflectable member is in the first position.