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US6132471A Expired / Lapsed US ⏱️ 0.0 years remaining

Stent for draining the pancreatic and biliary ducts and instrumentation for the placement thereof

Assignee: Cook Medical Technologies LLC
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Filing: 1998-12-14
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Granted: 2000-10-17
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Expires: 2018-12-14
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Abstract

Abstract A stent is disclosed for placement within the pancreatic or biliary duct to facilitate drainage therethough, and related instrumentation which facilitates the atraumatic placement of the stent within the duct. The stent is atraumatically placed by means of an instrumentation system which draws or pulls the stent into position and wedges the distal end portion of the stent into the terminating portion of the duct to maintain the stent in place within the duct. As described herein, the stent is made of a soft biocompatible material which is resiliently compliant so as to allow the stent to readily conform to the curvature of the ductal passageway in which it has been placed. When placed, the stent extends along the length of the duct, with the proximal end extending into the duodenum. Perforations in the stent further faciliate drainage along the length of the stent.

Inventors

  • 👤 Frederick C. Johlin, Jr.

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 20:23
CPC Classifications
A; A61; A61M; A61M27/00; A61M27/002; A61M27/008; A61F; A61F2/00; A61F2/02; A61F2/04; A61M25/00; A61M25/01; A61M2025/018

Claims Analysis

Total Claims: 42
Claim 1
Independent Claim 323 words
A stent for placement in a desired duct in a patient, the duct including a proximal end and a terminating distal end portion, and an introduction system for the placement of said stent into the desired duct, comprising a wire guide, said wire guide being sized and shaped for advancement to the terminating distal end portion of the duct; a stent made of a biocompatible material, said stent being formed in a generally tubular shape and having a proximal end portion with an open proximal end thereat, and a distal end portion with an open distal end thereat, and having an internal lumen with an inner diameter greater than the diameter of said wire guide; said internal lumen extending along the length of said stent from said open proximal end to said open distal end, said stent being deployable onto said wire guide with said distal end of said stent towards the duct with said wire guide passing through said internal lumen of said stent, said stent further defining an interior shoulder with the distal end portion thereof; an introducer catheter, said introducer catheter defining an inner lumen therethrough sized to receive said wire guide, said introducer catheter having a distal end portion with a terminating distal end thereof, said distal end portion of said introducer catheter being sized to be received into the internal lumen of said stent with the terminating distal end thereof abutting against the interior shoulder with the distal end portion of said stent; and wherein said introducer catheter is advanceable to press the terminating distal end thereof against the interior shoulder of the distal end portion of said stent and to thereby wedge the distal end portion of said stent into the terminating distal end portion of the duct, and whereby the stable placement of said stent into the duct is effectively accomplished; and, wherein said stent includes perforations along said stent in communication with said internal lumen.
Claim 2
Dependent Claim 323 words
A stent for placement in a desired duct in a patient, the duct including a proximal end and a terminating distal end portion, and an introduction system for the placement of said stent into the desired duct, comprising a wire guide, said wire guide being sized and shaped for advancement to the terminating distal end portion of the duct; a stent made of a biocompatible material, said stent being formed in a generally tubular shape and having a proximal end portion with an open proximal end thereat, and a distal end portion with an open distal end thereat, and having an internal lumen with an inner diameter greater than the diameter of said wire guide; said internal lumen extending along the length of said stent from said open proximal end to said open distal end, said stent being deployable onto said wire guide with said distal end of said stent towards the duct with said wire guide passing through said internal lumen of said stent, said stent further defining an interior shoulder with the distal end portion thereof; an introducer catheter, said introducer catheter defining an inner lumen therethrough sized to receive said wire guide, said introducer catheter having a distal end portion with a terminating distal end thereof, said distal end portion of said introducer catheter being sized to be received into the internal lumen of said stent with the terminating distal end thereof abutting against the interior shoulder with the distal end portion of said stent; and wherein said introducer catheter is advanceable to press the terminating distal end thereof against the interior shoulder of the distal end portion of said stent and to thereby wedge the distal end portion of said stent into the terminating distal end portion of the duct, and whereby the stable placement of said stent into the duct is effectively accomplished; and, wherein said stent includes perforations along said stent in communication with said internal lumen.
Claim 3
Dependent Claim 20 words
The stent and introduction system of claim 1 wherein said distal end portion of said stent has a tapered shape.
Claim 4
Dependent Claim 15 words
The stent and introduction system of claim 2 wherein said biocompatible material is silicon rubber.
Claim 5
Dependent Claim 23 words
The stent and introduction system of claim 2 wherein the proximal end portion of said stent is sized to extend beyond the duct.
Claim 6
Dependent Claim 17 words
The stent and introduction system of claim 2 wherein the duct is the pancreatic or biliary duct.
Claim 7
Dependent Claim 104 words
A kit for treating a duct of a patient, the duct including a terminating distal end portion, said kit comprising: an introduction apparatus; and, a stent having a proximal end portion defining a proximal opening and a distal end portion defining a distal opening, said stent being sized and shaped for advancement to the terminating distal end portion of the duct, said stent defining an internal lumen extending along said stent from said proximal opening to said distal opening; and, an interior shoulder defined with said internal lumen, said introduction apparatus being operable to engage said shoulder to advance said stent along said duct.
Claim 8
Dependent Claim 104 words
A kit for treating a duct of a patient, the duct including a terminating distal end portion, said kit comprising: an introduction apparatus; and, a stent having a proximal end portion defining a proximal opening and a distal end portion defining a distal opening, said stent being sized and shaped for advancement to the terminating distal end portion of the duct, said stent defining an internal lumen extending along said stent from said proximal opening to said distal opening; and, an interior shoulder defined with said internal lumen, said introduction apparatus being operable to engage said shoulder to advance said stent along said duct.
Claim 9
Dependent Claim 32 words
The kit of claim 6 wherein the distal end portion of said stent is sized to wedge into the terminating distal end portion of the duct to form a compression fit therein.
Claim 10
Dependent Claim 28 words
The kit of claim 7 wherein said distal end portion of said stent has a tapered shape, and said interior shoulder is defined within said distal end portion.
Claim 11
Dependent Claim 20 words
The kit of claim 8 wherein said proximal end portion of said stent is sized to extend beyond the duct.
Claim 12
Dependent Claim 14 words
The kit of claim 7 wherein said stent has a substantially smooth outer surface.
Claim 13
Dependent Claim 21 words
The kit of claim 7 wherein perforations are defined in said stent, said perforations being in communication with said internal lumen.
Claim 14
Dependent Claim 47 words
The kit of claim 11 wherein said stent is made from a biocompatible material and said material is a resiliently compliant material which will conform to the curvature of the duct while having sufficient hoop strength to substantially maintain said internal lumen when placed in the duct.
Claim 15
Dependent Claim 12 words
The kit of claim 12 wherein said biocompatible material is silicon rubber.
Claim 16
Dependent Claim 14 words
The kit of claim 12 wherein the duct is the pancreatic or biliary duct.
Claim 17
Dependent Claim 51 words
The kit of claim 12 wherein said introduction apparatus comprises an introducer catheter having a distal end portion sized and shaped to be received within the internal lumen of said stent and wherein said distal end portion of said catheter engages said shoulder within the distal end portion of said stent.
Claim 18
Dependent Claim 95 words
A stent for placement in a duct of a patient, the duct including a terminating distal end portion, comprising: a proximal end portion defining a proximal opening; a distal end portion defining a distal opening; said stent being sized and shaped for advancement to the terminating distal end portion of the duct; said stent having an internal lumen extending along said stent from said proximal opening to said distal opening, said lumen having a first inner diameter and a second inner diameter smaller than said first inner diameter defining an interior shoulder within said stent.
Claim 19
Dependent Claim 95 words
A stent for placement in a duct of a patient, the duct including a terminating distal end portion, comprising: a proximal end portion defining a proximal opening; a distal end portion defining a distal opening; said stent being sized and shaped for advancement to the terminating distal end portion of the duct; said stent having an internal lumen extending along said stent from said proximal opening to said distal opening, said lumen having a first inner diameter and a second inner diameter smaller than said first inner diameter defining an interior shoulder within said stent.
Claim 20
Dependent Claim 32 words
The stent of claim 16 wherein the distal end portion of said stent is sized to wedge into the terminating distal end portion of the duct to form a compression fit therein.
Claim 21
Dependent Claim 28 words
The stent of claim 17 wherein said distal end portion of said stent has a tapered shape, and said interior shoulder is defined within said distal end portion.
Claim 22
Dependent Claim 20 words
The stent of claim 18 wherein said proximal end portion of said stent is sized to extend beyond the duct.
Claim 23
Dependent Claim 14 words
The stent of claim 17 wherein said stent has a substantially smooth outer surface.
Claim 24
Dependent Claim 21 words
The stent of claim 17 wherein perforations are defined in said stent, said perforations being in communication with said internal lumen.
Claim 25
Dependent Claim 47 words
The stent of claim 21 wherein said stent is made from a biocompatible material and said material is a resiliently compliant material which will conform to the curvature of the duct while having sufficient hoop strength to substantially maintain said internal lumen when placed in the duct.
Claim 26
Dependent Claim 12 words
The stent of claim 22 wherein said biocompatible material is silicon rubber.
Claim 27
Dependent Claim 126 words
A stent for placement in a duct of a patient, the duct including a proximal end and a terminating distal end portion, said stent comprising: a proximal end portion defining a proximal opening and a distal end portion defining a distal opening; an internal lumen extending along said stent from said proximal opening to said distal opening; wherein said stent is made from a biocompatible, resiliently compliant material which will conform to the curvature of the duct while having sufficient hoop strength to substantially maintain an internal diameter of said internal lumen when said stent is positioned in the duct; and, wherein said distal end portion of said stent is sized and shaped to form a compression fit with the distal end portion of the duct.
Claim 28
Dependent Claim 126 words
A stent for placement in a duct of a patient, the duct including a proximal end and a terminating distal end portion, said stent comprising: a proximal end portion defining a proximal opening and a distal end portion defining a distal opening; an internal lumen extending along said stent from said proximal opening to said distal opening; wherein said stent is made from a biocompatible, resiliently compliant material which will conform to the curvature of the duct while having sufficient hoop strength to substantially maintain an internal diameter of said internal lumen when said stent is positioned in the duct; and, wherein said distal end portion of said stent is sized and shaped to form a compression fit with the distal end portion of the duct.
Claim 29
Dependent Claim 14 words
The stent of claim 24 wherein said stent has a substantially smooth outer surface.
Claim 30
Dependent Claim 17 words
The stent of claim 25 wherein the proximal end portion of said stent extends beyond the duct.
Claim 31
Dependent Claim 21 words
The stent of claim 26 wherein perforations are defined in said stent, said perforations being in communication with said internal lumen.
Claim 32
Dependent Claim 17 words
The stent of claim 26 wherein said distal end portion of said stent has a tapered shape.
Claim 33
Dependent Claim 32 words
The stent of claim 28 wherein said lumen has a first inner diameter and a second inner diameter smaller than said first inner diameter defining to an interior shoulder within said stent.
Claim 34
Independent Claim 61 words
A method, comprising: introducing a stent into a duct of a patient's body, the stent defining a lumen extending from a proximal end portion having a proximal opening to a distal end portion having distal opening, the stent defining an interior shoulder along said lumen; and, engaging the interior shoulder with an introducer catheter to advance the stent along the duct.
Claim 35
Independent Claim 61 words
A method, comprising: introducing a stent into a duct of a patient's body, the stent defining a lumen extending from a proximal end portion having a proximal opening to a distal end portion having distal opening, the stent defining an interior shoulder along said lumen; and, engaging the interior shoulder with an introducer catheter to advance the stent along the duct.
Claim 36
Dependent Claim 35 words
The method of claim 30 further comprising: introducing a wire guide into the terminating distal portion of the duct; and, deploying said stent onto said wire guide wherein said wire guide passes through said lumen.
Claim 37
Dependent Claim 76 words
The method of claim 31 wherein said introducer catheter has an inner lumen sized to receive said wire guide, said introducer catheter has a distal end portion with a terminating distal end, and said distal end portion of said introducer catheter is sized to be received into the internal lumen of said stent with said terminating distal end portion of said introducer catheter abutting against said interior shoulder within the distal end portion of said stent.
Claim 38
Dependent Claim 24 words
The method of claim 32 further comprising wedging the distal end portion of said stent into the terminating distal end portion of the duct.
Claim 39
Dependent Claim 15 words
The method of claim 33 wherein the distal end portion of said stent is tapered.
Claim 40
Dependent Claim 18 words
The method of claim 33 further comprising introducing an endoscope having a distal end along said wire guide.
Claim 41
Dependent Claim 27 words
The method of claim 35 wherein said endoscope is introduced along said wire guide with said introducer catheter to be adjacent a proximal end of the duct.
Claim 42
Dependent Claim 33 words
The method of claim 36 wherein said endoscope is introduced along said wire guide to be adjacent a proximal end of the duct prior to advancing said introducer catheter along said wire guide.

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USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2003-10-17 2004-04-17 2004-10-17 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2007-10-17 2008-04-17 2008-10-17 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2011-10-17 2012-04-17 2012-10-17 $7700.00 Window Closed / Lapsed

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