CA2636450A1 - Device for rapid repair of body conduits - Google Patents

Device for rapid repair of body conduits Download PDF

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Publication number
CA2636450A1
CA2636450A1 CA002636450A CA2636450A CA2636450A1 CA 2636450 A1 CA2636450 A1 CA 2636450A1 CA 002636450 A CA002636450 A CA 002636450A CA 2636450 A CA2636450 A CA 2636450A CA 2636450 A1 CA2636450 A1 CA 2636450A1
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CA
Canada
Prior art keywords
intraluminal device
self
compacted
expanding stent
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
CA002636450A
Other languages
French (fr)
Other versions
CA2636450C (en
Inventor
Edward H. Cully
Jeffrey B. Duncan
Keith M. Flury
Paul D. Goodman
Wayne D. House
Vrad W. Levering
Philip P. Off
Daniel M. O'shea
Michael J. Vonesh
Jason M. Wiersdorf
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.)
Gore Enterprise Holdings Inc
Original Assignee
Gore Enterprise Holdings, Inc.
Edward H. Cully
Jeffrey B. Duncan
Keith M. Flury
Paul D. Goodman
Wayne D. House
Vrad W. Levering
Philip P. Off
Daniel M. O'shea
Michael J. Vonesh
Jason M. Wiersdorf
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 Gore Enterprise Holdings, Inc., Edward H. Cully, Jeffrey B. Duncan, Keith M. Flury, Paul D. Goodman, Wayne D. House, Vrad W. Levering, Philip P. Off, Daniel M. O'shea, Michael J. Vonesh, Jason M. Wiersdorf filed Critical Gore Enterprise Holdings, Inc.
Priority to CA2737161A priority Critical patent/CA2737161C/en
Priority to CA2737167A priority patent/CA2737167C/en
Publication of CA2636450A1 publication Critical patent/CA2636450A1/en
Application granted granted Critical
Publication of CA2636450C publication Critical patent/CA2636450C/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • 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
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/844—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents folded prior to deployment
    • 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
    • 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
    • A61F2/88—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 formed as helical or spiral coils
    • 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
    • A61F2/958—Inflatable balloons for placing stents or 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
    • A61F2/95—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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166—Sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1107—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels
    • 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
    • A61F2/02—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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30667—Features concerning an interaction with the environment or a particular use of the prosthesis
    • A61F2002/3071—Identification means; Administration of patients
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0075—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0091—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0085—Identification means; Administration of patients
    • A61F2250/0087—Identification means; Administration of patients colour-coded

Abstract

A self-expanding stent-graft provided in a diametrically compacted state for implantation and retained preferably by a constraining sheath, useful for the temporary or permanent repair of injured, partially or entirely transected body conduits including blood vessels. It may be used under direct visualization to quickly stop or substantially reduce loss of blood from such damaged vessels and to quickly re-establish perfusion distal to the injury site. The device would typically be implanted under emergency room conditions but also be used in field situations by trained medical technicians. After an end of the device is inserted into a blood vessel through the injury access, deployment preferably initiates from the device end in a direction moving toward the middle of the length of the device by directionally releasing the constraining sheath.

Claims (41)

1. An intraluminal device comprising a self-expanding stent having at least two ends, said device provided with a covering over at least a portion of the stent, said ends having a compacted state for insertion into a body conduit and an expanded state, each of said ends having a release filament individually operable by the application of tension to cause the end to deploy from the compacted state to the expanded state.
2. An intraluminal device according to claim 1 wherein at least one of said filaments extends from one end toward a middle length portion of said intraluminal device.
3. An intraluminal device according to claim 2 wherein at least one of said ends is retained in the compacted state by a constraining sheath.
4. An intraluminal device according to claim 3 wherein said constraining sheath is released from said at least one end by the application of tension to the filament.
5. An intraluminal device according to claim 4 wherein said constraining sheath is released in a direction beginning at said at least one end and progressing toward a middle length portion of said intraluminal device.
6. An intraluminal device according to claim 5 wherein said constraining sheath extends beyond said at least one end to form a pointed introducer tip of smaller diameter than a diameter of said end in said compacted state.
7. An intraluminal device according to claim 1 wherein at least one of said ends is retained in the compacted state by a constraining sheath.
8. An intraluminal device according to claim 7 wherein said constraining sheath is released from said at least one end by the application of tension to the filament.
9. An intraluminal device according to claim 8 wherein said constraining sheath is released in a direction beginning at said at least one end and progressing toward a middle length portion of said intraluminal device.
10. An intraluminal device according to claim 9 wherein said constraining sheath extends beyond said at least one end to form a pointed introducer tip of smaller diameter than a diameter of said end in said compacted state.
11. An intraluminal device according to claim 7 wherein said constraining sheath is released in a direction beginning at said at least one end and progressing toward a middle length portion of said intraluminal device.
12. An intraluminal device according to claim 7 wherein said constraining sheath extends beyond said at least one end to form a pointed introducer tip of smaller diameter than a diameter of said end in said compacted state.
13. An intraluminal device according to claim 7 wherein an axial stiffener extends axially along at least a portion of a length of said intraluminal device.
14. An intraluminal device according to claim 13 wherein said axial stiffener extends between said constraining sheath and said intraluminal device.
15. An intraluminal device according to claim 14 wherein said axial stiffener comprises a wire.
16. An intraluminal device according to claim 13 wherein said axial stiffener comprises a rod.
17. An intraluminal device according to claim 13 wherein said axial stiffener comprises a tube.
18. An intraluminal device according to claim 13 wherein said axial stiffener has variable stiffness along at least a portion of a length of said axial stiffener.
19. An intraluminal device according to claim 1 wherein said device is manually implantable under direct visualization.
20. An intraluminal device according to claim 1 wherein said self-expanding stent having a covering has a lumen extending between the ends and contains no other component within the lumen.
21. An intraluminal device according to claim 1 wherein said self-expanding stent having a covering has a lumen extending between the ends and contains an axial stiffening component within the lumen.
22. An intraluminal device according to claim 1 wherein said covering has a portion everted back over itself.
23. An intraluminal device according to claim 1 wherein said covering has at least one corrugated portion.
24. An intraluminal device according to claim 23 wherein said covering has a portion everted back over itself.
25. An intraluminal device comprising a self-expanding stent having first and second ends, said device provided with a covering over at least a portion of the stent, said first and second ends having a compacted state for insertion into a body conduit and an expanded state, said first end being retained in the compacted state by a first constraining sheath individually deployable from the compacted state to the expanded state by a first release filament configured to release said first constraining sheath, and said second end being retained in the compacted state by a second constraining sheath individually deployable from the compacted state to the expanded state by a second release filament configured to release said second constraining sheath, wherein deployment is initiated at the ends and proceeds toward a middle length portion of the device.
26. An intraluminal device according to claim 25 wherein said first constraining sheath is provided with an end portion that extends beyond said first end of said self-expanding stent wherein said end portion is a pointed introducer with a diameter smaller than the compacted state of the self-expanding stent.
27. An intraluminal device according to claim 25 wherein said self-expanding stent has a length and said intraluminal device incorporates an axial stiffening component along at least a portion of the length of said self-expanding stent.
28. An intraluminal device according to claim 25 wherein said intraluminal device is manually implantable under direct visualization.
29. An intraluminal device comprising a self-expanding stent having at least one end, said device provided with a covering over at least a portion of the stent, said at least one end having a compacted state for insertion into a body conduit and an expanded state, said at least one end being retained in the compacted state by a first constraining sheath wherein said constraining sheath extends beyond said first end to incorporate an introducer of diameter smaller than said compacted at least one end.
30. An intraluminal device according to claim 29 wherein said at least one end is deployable from the compacted state to the expanded state by a release filament configured to release the constraining sheath.
31. An intraluminal device according to claim 30 wherein said at least one end deploys in a direction extending generally from said first end toward a middle portion of said device.
32. An intraluminal device according to claim 29 wherein said intraluminal device is manually implantable under direct visualization.
33. A method of repairing a damaged blood vessel having proximal and distal portions comprising, a) by direct visualization inserting a compacted first end of a self-expanding stent-graft into the damaged blood vessel in a proximal direction;
b) deploying the first compacted end of the self-expanding stent-graft to an expanded state by pulling a release filament to create a passageway from the damaged proximal portion of the blood vessel into the expanded first end of the self-expanding stent-graft.
34. A method according to claim 30 wherein deploying the first compacted end results in substantially stopping loss of blood.
35. A method according to claim 34 comprising the additional steps of:
c) by direct visualization, inserting a compacted second end of the self-expanding stent-graft into the damaged blood vessel in a distal direction;
d) deploying the second compacted end of the self-expanding stent-graft to an expanded state by pulling a release filament to extend the passageway from the expanded second end of the self-expanding stent-graft into the damaged distal portion of the blood vessel.
36. A method according to claim 33 comprising the additional steps of:
c) by direct visualization, inserting a compacted second end of the self-expanding stent-graft into the damaged blood vessel in a distal direction;
d) deploying the second compacted end of the self-expanding stent-graft to an expanded state by pulling a release filament to extend the passageway from the expanded second end of the self-expanding stent-graft into the damaged distal portion of the blood vessel.
37. A method of repairing a damaged blood vessel having proximal and distal portions comprising, a) by direct visualization, inserting a compacted first end of a self-expanding stent-graft into the damaged blood vessel in a distal direction;
b) deploying the first compacted end of the self-expanding stent-graft to an expanded state by pulling a release filament to create a passageway from the damaged distal portion of the blood vessel into the expanded first end of the self-expanding stent-graft.
38. A method according to claim 34 wherein deploying the first compacted end results in substantially stopping loss of blood.
39. A method according to claim 38 comprising the additional steps of:
c) by direct visualization, inserting a compacted second end of the self-expanding stent-graft into the damaged blood vessel in a proximal direction;
d) deploying the second compacted end of the self-expanding stent-graft to an expanded state by pulling a release filament to extend the passageway from the expanded second end of the self-expanding stent-graft into the damaged distal portion of the blood vessel.
40. A method according to claim 37 comprising the additional steps of:
c) by direct visualization, inserting a compacted second end of the self-expanding stent-graft into the damaged blood vessel in a proximal direction;
d) deploying the second compacted end of the self-expanding stent-graft to an expanded state by pulling a release filament to extend the passageway from the expanded second end of the self-expanding stent-graft into the damaged distal portion of the blood vessel.
41. A method of repairing a damaged blood vessel comprising, a) by direct visualization, inserting a compacted first end of a self-expanding stent-graft into the damaged blood vessel; and b) deploying the first compacted end of the self-expanding stent-graft to an expanded state, thereby substantially occluding blood flow from said damaged blood vessel without recourse to pinching said stent-graft.
CA2636450A 2006-01-20 2007-01-19 Device for rapid repair of body conduits Active CA2636450C (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CA2737161A CA2737161C (en) 2006-01-20 2007-01-19 Device for rapid repair of body conduits
CA2737167A CA2737167C (en) 2006-01-20 2007-01-19 Device for rapid repair of body conduits

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US76059406P 2006-01-20 2006-01-20
US60/760,594 2006-01-20
US11/624,513 US9375215B2 (en) 2006-01-20 2007-01-18 Device for rapid repair of body conduits
US11/624,513 2007-01-18
PCT/US2007/001645 WO2007084762A2 (en) 2006-01-20 2007-01-19 Device for rapid repair of body conduits

Related Child Applications (2)

Application Number Title Priority Date Filing Date
CA2737167A Division CA2737167C (en) 2006-01-20 2007-01-19 Device for rapid repair of body conduits
CA2737161A Division CA2737161C (en) 2006-01-20 2007-01-19 Device for rapid repair of body conduits

Publications (2)

Publication Number Publication Date
CA2636450A1 true CA2636450A1 (en) 2007-07-26
CA2636450C CA2636450C (en) 2011-07-05

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