CA2615535A1 - Stent/graft device and method for open surgical placement - Google Patents

Stent/graft device and method for open surgical placement Download PDF

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Publication number
CA2615535A1
CA2615535A1 CA002615535A CA2615535A CA2615535A1 CA 2615535 A1 CA2615535 A1 CA 2615535A1 CA 002615535 A CA002615535 A CA 002615535A CA 2615535 A CA2615535 A CA 2615535A CA 2615535 A1 CA2615535 A1 CA 2615535A1
Authority
CA
Canada
Prior art keywords
vessel
stent
stents
diameter
graft
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
CA002615535A
Other languages
French (fr)
Other versions
CA2615535C (en
Inventor
Demetrios Demetriades
Bruce Gingles
James B. Hunt
Charles L. Mcintosh
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Cook Medical Technologies LLC
Original Assignee
Cook Critical Care Incorporated
Demetrios Demetriades
Bruce Gingles
James B. Hunt
Charles L. Mcintosh
Cook Medical Technologies Llc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Cook Critical Care Incorporated, Demetrios Demetriades, Bruce Gingles, James B. Hunt, Charles L. Mcintosh, Cook Medical Technologies Llc filed Critical Cook Critical Care Incorporated
Priority to CA2829353A priority Critical patent/CA2829353C/en
Publication of CA2615535A1 publication Critical patent/CA2615535A1/en
Application granted granted Critical
Publication of CA2615535C publication Critical patent/CA2615535C/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/07—Stent-grafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
    • A61F2/97—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve the outer sleeve being splittable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/064—Blood vessels with special features to facilitate anastomotic coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/07—Stent-grafts
    • A61F2002/075—Stent-grafts the stent being loosely attached to the graft material, e.g. by stitching
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/848—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs
    • A61F2002/8483—Barbs
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S623/00—Prosthesis, i.e. artificial body members, parts thereof, or aids and accessories therefor
    • Y10S623/902—Method of implanting
    • Y10S623/903—Blood vessel

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Transplantation (AREA)
  • Cardiology (AREA)
  • Veterinary Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pulmonology (AREA)
  • Prostheses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

A stent/graft device for intraoperative repair of a damaged portion of a body-vessel, comprising a generally cylindrical body having a passageway therethrough; and a connector positioned at least at one axial end of said body, an axial end of said connector extending into said passageway and another axial end of said connector extending from said body, said axial end extending into said passageway having a diameter such that said end is snugly received in said body, said axial end extending from said body including a mechanism for effecting engagement with said vessel and wherein said device comprises a connector positioned at each axial end thereof, aech of said connectors including a portion adapted for fixed engagement with said vessel via one or more sutures .

Claims (21)

1. A method for intraoperative repair of a damaged portion of a body vessel, comprising:

providing a stent/graft device, said stent/graft device having a length at least as long as a length of said damaged vessel portion undergoing said intraoperative repair;

positioning said stent/graft device within said vessel such that said device at least spans said damaged vessel portion length; and engaging said stent/graft device with said vessel at said vessel damaged portion in a manner such that migration of said stent/graft device in said vessel is inhibited.
2. The method of claim 1, wherein said stent/graft device includes a connector at at least one axial end thereof, and stent/graft device is fixedly engaged with said vessel at said connector.
3. The method of claim 2, wherein said connector is fixedly engaged with said vessel by one or more sutures.
4. The method of claim 3, wherein said connector comprises at least one recessed portion, said connector fixedly engaged with said vessel at said recessed portion.
5. The method of claim 1, wherein said stent/graft device includes a connector at each axial end thereof, and each of said connectors includes at least one recessed portion, each said connector fixedly engaged with said vessel at said recessed portion via one or more sutures.
6. The method of claim 1, wherein said stent/graft device comprises an elongated generally cylindrical stent and a graft material covering at least a portion of said stent, said device being expandable from a compressed condition having a diameter less than a diameter of the vessel to an expanded condition having a diameter at least as large as the diameter of the vessel, said device positioned within said vessel in said compressed condition and engaged with said vessel in said expanded condition.
7. The method of claim 6, wherein said stent/graft device includes an anchoring mechanism for anchoring said device to said vessel.
8. The method of claim 6, further comprising a sheath for said stent/graft device, said sheath substantially enclosing said device when said device is positioned within said vessel in said compressed condition.
9. The method of claim 8, wherein said sheath includes a mechanism for selectively splitting said sheath for effecting expansion of said device.
10. The method of claim 1, wherein said stent/graft device comprises a plurality of axially spaced stents, and a graft material spanning axially adjacent stents and covering at least a portion of said stents, said stents being expandable from a compressed condition having a diameter less than a diameter of the vessel to an expanded condition having a diameter at least as large as the diameter of the vessel, said device positioned within said vessel when said stents are in said compressed condition and engaged with said vessel when said stents expand to said expanded condition.
11. The method of claim 10, wherein said stent/graft device includes an anchoring mechanism for anchoring said device to said vessel.
12. The method of claim 10, wherein a sheath is provided for said stent/graft device, said sheath substantially enclosing said device when said stents are in said compressed condition.
13. The method of claim 12, wherein said sheath includes a mechanism for selectively splitting said sheath for effecting expansion of said stents.
14. The method of claim 10, wherein said plurality of axially spaced stents comprises a pair of stents, said stents spaced such that one of said stents is positioned at each axial end of said stent/graft device.
15. The method of claim 14, wherein a respective sheath is provided for each of said stents, each sheath enclosing a separate one of said stents when said stent is in a compressed condition, each said sheath being selectively removable for effecting expansion of said stent.
16. A stent/graft device for intraoperative repair of a damaged portion of a body vessel, comprising:

an elongated generally cylindrical stent body and a graft material covering at least a portion of said stent body, said device being expandable from a compressed condition having a diameter less than a diameter of the vessel to an expanded condition having a diameter at least as large as the diameter of the vessel, said device positionable within said vessel in said compressed condition and engageable with said vessel in said expanded condition.
17. The device of claim 16, wherein said stent body has a length at least as long as a length of said damaged vessel portion undergoing said intraoperative repair.
18. The device of claim 16, wherein said stent body comprises a plurality of axially spaced stents, and said graft material covers said stents, said stents being expandable from a compressed condition having a diameter less than a diameter of the vessel to an expanded condition having a diameter at least as large as the diameter of the vessel.
19. The device of claim 16, wherein said stent/graft device includes an anchoring mechanism for anchoring said device to said vessel.
20. A stent/graft device for intraoperative repair of a damaged portion of a body vessel, comprising:
a generally cylindrical body having a passageway therethrough; and a connector positioned at least one axial end of said body, an axial end of said connector extending into said passageway and another axial end of said connector extending from said body, said axial end extending into said passageway having a diameter such that said end is snugly received in said body, said axial end extending from said body including a mechanism for effecting engagement with said vessel.
21. The device of claim 20, wherein said device comprises a connector positioned at each axial end thereof, each of said connectors including a portion adapted for fixed engagement with said vessel via one or more sutures.
CA2615535A 2005-07-27 2006-07-26 Stent/graft device and method for open surgical placement Active CA2615535C (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CA2829353A CA2829353C (en) 2005-07-27 2006-07-26 Stent/graft device and method for open surgical placement

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US70292405P 2005-07-27 2005-07-27
US60/702,924 2005-07-27
PCT/US2006/029046 WO2007016166A2 (en) 2005-07-27 2006-07-26 Stent/graft device and method for open surgical placement

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CA2829353A Division CA2829353C (en) 2005-07-27 2006-07-26 Stent/graft device and method for open surgical placement

Publications (2)

Publication Number Publication Date
CA2615535A1 true CA2615535A1 (en) 2007-02-08
CA2615535C CA2615535C (en) 2013-12-24

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ID=37307603

Family Applications (2)

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CA2829353A Active CA2829353C (en) 2005-07-27 2006-07-26 Stent/graft device and method for open surgical placement
CA2615535A Active CA2615535C (en) 2005-07-27 2006-07-26 Stent/graft device and method for open surgical placement

Family Applications Before (1)

Application Number Title Priority Date Filing Date
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Country Status (6)

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US (2) US8202311B2 (en)
EP (1) EP1906879B1 (en)
JP (1) JP5203192B2 (en)
AU (1) AU2006275881B2 (en)
CA (2) CA2829353C (en)
WO (1) WO2007016166A2 (en)

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AU2006275881B2 (en) 2012-04-12
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US8821565B2 (en) 2014-09-02
CA2829353C (en) 2016-03-15
US8202311B2 (en) 2012-06-19
AU2006275881A1 (en) 2007-02-08
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CA2829353A1 (en) 2007-02-08
CA2615535C (en) 2013-12-24
JP5203192B2 (en) 2013-06-05

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