CA2415972A1 - Supra-renal prosthesis and renal artery bypass - Google Patents

Supra-renal prosthesis and renal artery bypass Download PDF

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Publication number
CA2415972A1
CA2415972A1 CA002415972A CA2415972A CA2415972A1 CA 2415972 A1 CA2415972 A1 CA 2415972A1 CA 002415972 A CA002415972 A CA 002415972A CA 2415972 A CA2415972 A CA 2415972A CA 2415972 A1 CA2415972 A1 CA 2415972A1
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CA
Canada
Prior art keywords
prosthesis
artery
aneurysm
stent
fluid flow
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002415972A
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French (fr)
Other versions
CA2415972C (en
Inventor
George D. Landau
Robert P. Letendre
Kenneth S. Solovay
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Cordis Corp
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Cordis Corp
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Publication of CA2415972A1 publication Critical patent/CA2415972A1/en
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Publication of CA2415972C publication Critical patent/CA2415972C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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    • AHUMAN NECESSITIES
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    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028Shapes in the form of latin or greek characters
    • A61F2230/005Rosette-shaped, e.g. star-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes
    • A61F2230/0067Three-dimensional shapes conical
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes
    • A61F2230/0073Quadric-shaped
    • A61F2230/0078Quadric-shaped hyperboloidal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/006Additional features; Implant or prostheses properties not otherwise provided for modular
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0069Sealing means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0071Additional features; Implant or prostheses properties not otherwise provided for breakable or frangible

Abstract

The present invention is a system, apparatus, and method for treating, repairing, and/or replacing an aneurysm, preferably an aortic aneurysm;
and most preferably, an abdominal aortic aneurysm. The systems, devices, and methods of the present invention include a first prosthesis or stent gasket, and at least one second prosthesis for bypassing the aneurysm, and at least one third prosthesis for establishing a fluid flow channel from the abdominal aorta into another artery, such as a renal artery.

Claims (19)

1. A system for bypassing an aneurysm comprising a first prosthesis and at least one second prosthesis communicating with the first prosthesis, and at least one third prosthesis communicating with the first prosthesis; said first prosthesis comprising a proximal end configured to engage a section of artery upstream of a junction between a first artery and a second artery, said second prosthesis being configured to bypass the aneurysm, and said third prosthesis being configured to provide a fluid flow channel from the first artery into the second artery.
2. The system of claim 1 wherein the first prosthesis comprises a stent and a gasket material communicating with the stent.
3. The system of claim 2 wherein said stent and gasket material seal the system in an artery.
4. The system of claim 1 wherein said first prosthesis comprises a proximal end comprising a first matrix comprising proximally extending struts.
5. The system of claim 4 wherein the struts form at least one geometric shape.
6. The system of claim 4 wherein said first matrix is configured to receive at least one second prosthesis.
7. The system of claim 6 wherein said first matrix is configured to receive two second prostheses.
8. The system of claim 4 wherein the first matrix is configured to anchor the prosthesis in an artery.
9. The system of claim 1 wherein the second prosthesis comprises a stent and a graft material communicating with the stent.
10. The system of claim 9 wherein said stent and graft material defines a fluid flow path through the prosthesis.
11. The system of claim 10 wherein the fluid flow path is a channel that bypasses the aneurysm.
12. The system of claim 1 wherein the third prosthesis comprises a stent and a graft material communicating with the stent.
13. The system of claim 12 wherein said stent and graft material defines a fluid flow path through the prosthesis.
14. The system of claim 11 wherein the fluid flow path is a channel from a proximal end of the first prosthesis into the second artery.
15. A system for bypassing an aneurysm comprising a first prosthesis, at least two second prostheses communicating with the first prosthesis, and at least two third prosthesis communicating with the first prosthesis; said first prosthesis comprising a proximal end configured to engage a section of artery upstream of a junction between a first artery and a second artery, said second prosthesis being configured to bypass the aneurysm and anchor in an artery downstream of the aneurysm, and said third prosthesis being configured to provide a fluid flow channel from the first artery into the second artery.
16. A method for bypassing an aneurysm downstream of a junction between a first artery and a second artery comprising positioning a first prosthesis in a first section of the first artery; engaging at least one second prosthesis with the first prosthesis, said second prosthesis forming a fluid flow path that bypasses the aneurysm; and engaging at least one third prosthesis with the first prosthesis, said third prosthesis forming a fluid flow path into the second artery.
17. The method of claim 13 further comprising anchoring a distal end of the second prosthesis in an artery downstream of the aneurysm.
18. The method of claim 13 further comprising anchoring a distal end of the third prosthesis in the second artery.
19. A method for bypassing an aneurysm comprising anchoring a first portion of a first prosthesis upstream of a branch artery, seating a second portion of the first prosthesis downstream of the branch artery, and engaging a second prosthesis to the second portion of the first prosthesis.
CA2415972A 2002-01-08 2003-01-07 Supra-renal prosthesis and renal artery bypass Expired - Fee Related CA2415972C (en)

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US10/041,401 US6942692B2 (en) 2000-11-16 2002-01-08 Supra-renal prosthesis and renal artery bypass

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JP2003230577A (en) 2003-08-19

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