CN101484090B - 双分叉支架移植物 - Google Patents
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Abstract
支架移植物(40)具有带有第一分叉(54)的管状体,其中:第一和第二腿(50,52)从该分叉延伸。该腿(52)之一具有限定侧臂的另一分叉(62)。该支架移植物能够被布置在患者的脉管系统内,其中该管状体在患者的大动脉中;第一腿沿髂骨动脉向下延伸;第二腿指向对侧髂骨动脉;和侧臂指向髂骨动脉之一的内动脉。腿之一可包括阀孔,以使得能够将留置导管放置在其中。
Description
技术领域
本发明涉及一种医疗设备,更具体地说,本发明涉及一种设备,其通过血管内部装置而被布置到患者的脉管系统中。
相关申请
在下述描述中涉及下述同时待审的专利申请:
-2004年10月12日申请的第10/962,763号的题为″Introducer for Iliac Side Branch Device″,并在2005年8月15日发布为美国专利发布第US-2005-0182476-A1号的美国专利申请;
-题为″A Prosthesis and a Method of Deploying aProsthesis″的PCT专利发布第WO 98/53761号;
-2006年11月16日申请的题为″Stent Graft Introducer″的序号第11/600,655号的美国专利申请;
-2005年9月21日申请的序号第11/231,621号的题为″SideBranch Stent Graft″,并在2006年5月4日发布为美国专利发布第US-2006-0095118-A1号的美国专利申请;
这些申请中的每一个的全部内容将参照于此。
背景技术
已提出能够布置在脉管系统中的分叉脉管内部设备,尤其在大动脉分叉的区域内,使得:通过脉管系统内设备的放置能够桥接大动脉中的动脉瘤,其近端部密封入邻近肾动脉的大动脉的非动脉瘤部,其第一腿沿一条髂骨动脉向下延伸到髂骨动脉的非动脉瘤部,并且腿延长物可被放置在其中的另一短腿用以延伸进入对侧髂骨动脉的非动脉瘤部。
然而,存在大动脉的动脉瘤向下延伸进入髂骨动脉的一个或是另一个的问题。每个普通髂骨动脉分叉到内部和外部髂骨动脉中,并且在这种情况下,血流通路需要能够经过脉管内部支架移值物导入这些动脉中的每一个。
本发明的目的在于提供可解决这个问题的单个脉管内部布置的医疗设备或者至少为医疗人员提供一种有用的选择方案。
US 2002/169497A1公开了一种支架移植物,包括:限定穿过其中的主内腔的生物适合的移植物材料的管状体;在管状体中限定开窗的孔;和防止流体流经孔的阀装置。
在整个说明书中,关于大动脉、布置设备或假体的一部分的术语“远端”意味沿离开心脏的血流方向更远的大动脉、布置设备或假体的端部;并且术语“近端”意味着最接近心脏的大动脉、布置设备的部分或修复物的端部。当应用于其它血管时,应该理解诸如尾部和头部的类似术语。
发明内容
因此,在一种形式中,本发明属于一种支架移植物,包括:限定穿过其中的主内腔的生物适合的移植物材料的管状体;在其一端处的管状体中的分叉;和从分叉延伸的第一和第二腿,该第一腿为长腿并且第二腿为短腿,该第一腿和第二腿分别具有穿过其中的第一和第二内腔,并且该第一和第二内腔与主内腔流体连通,其特征在于:该第一长腿包括具有穿过其中的侧臂内腔的侧臂,并且该侧臂内腔与第一腿内腔流体连通,从而该支架移植物能够被布置在患者的脉管系统内,其中:该管状体在患者的大动脉中;该第一腿沿大动脉向下延伸;该第二腿指向对侧髂骨动脉;并且在第一腿上的侧臂指向髂骨动脉的内动脉。
在一个优选实施例中,该侧臂包括波纹状生物适合的移植物材料的管,并且该管部分地螺旋围绕第一腿延伸。
在可选实施例中,该侧臂包括:生物适合的移植物材料的管,和在生物适合的移植物材料的管上的至少一个自膨胀支架。题为″Side BranchStent Graft″的序号第11/231,621号的共同未决美国专利申请公开了适合用于本发明的侧臂管。
优选地,第一腿包括:侧臂近端的孔或开窗;和防止流体经孔从腿的内部流到腿的外部的阀装置。
优选地,该孔包括围绕孔的弹性加强环。
该阀装置可包括:第一腿内的生物适合的移植物材料的套管;和套管内的自膨胀支架,该套管在其近端被紧固到孔近端的第一腿;和自膨胀支架被紧固到套管,从而:自膨胀支架强制套管围绕孔靠着第一腿的内表面,以防止流体从腿的内部经孔流到腿的外部。
在一个优选实施例中,生物适合的移植物材料的套管包括圆柱形状。在可选实施例中,生物适合的移植物材料的套管包括半圆柱形状。
可选地,该阀能够由生物适合的移植物材料的一部分圆柱部沿自膨胀支架的间隔开支柱缝合到其上的自膨胀支架形成。这两个部件一起能够形成可缝合在支架移植物的较长腿中的阀组件。
该阀组件还可包括围绕形成阀部件的生物适合的移植物材料的部分圆柱部的远端的半圆形弹性丝。通过确保阀部件的远端保持靠着支架移植物的较长第一腿的壁的内部,围绕生物适合的移植物材料的部分圆柱部的远端的这种半圆形弹性丝将有助于封闭开窗。
该生物适合的移植物材料可包括:聚四氟乙烯(polytetrafluoroethylene);达可纶(Dacron);聚酰胺(polyamide);或任何其它适合的生物适合的移植物材料。
虽然达可纶、可扩张聚四氟乙烯(ePTFE)或其它合成生物适合的材料能够用于支架移植物的管状移植材料,诸如胶原质的天然出现的生物材料高度期望,特别是地称作细胞外的基体(ECM)的特殊得出胶原质材料,诸如小肠黏膜下层(SIS)。除了SIS,ECM’s的实例包括心包膜、胃黏膜下层、肝基膜、膀胱黏膜下层、组织黏膜和硬脑(脊)膜。
SIS特别有用,并且能够采用Badylak等人美国专利4,902,508;授予Carr的美国专利5,733,337中和17Nature Biotechnology1083(Nov.1999)中描述的Intestinal Collagen Layer;Cook等人于1998年5月28日注明的WIPO发布WO 98/22158,其发布为申请PCT/US97/14855中描述方式制成,它们的教授通过参考并入这里。不考虑材料的来源(合成对天然),该材料能够通过制作多层结构变得更厚,例如在美国专利5,968,096;5,955,110;5,885,619;和5,711,969中描述的SIS结构。除了异种特征材料,诸如SIS,同样可以取得自体同源的组织,用于形成管状移植物材料。另外,弹性蛋白(Elastin)或类弹性蛋白Polypetides(ELPs)和相类似物提供潜力,作为制成管状移植物材料的材料,以形成具有异常生物适合性的设备。
SIS可从Cook Biotech,West Lafayette,Indiana,USA获得。
将看到:利用这个发明,提供了一种支架移植物,具有主分叉,以允许进入髂骨动脉的每个,和从分支延伸的脚之一;具有能够进入内髂骨动脉的另一分叉或分支。存在具有双分叉支架移植物的一些优点。
如上所述,优选地具有分叉支架移植物的髂骨腿的侧臂或侧分支近端的阀装置。在布置时,该阀使留置导管设备穿过髂骨动脉中的侧臂,以有助于将腿延伸部布置进入内髂骨动脉。
题为″Introducer for Iliac Side Branch Device″的美国专利申请序号10/962,763公开了使用留置导管以接近内髂骨动脉的装置,并且这个说明书的教授整体加入这里。
在这种情况中,留置导管能够被延伸,并且其导线从对侧动脉圈套,并且在腿延伸部放置入髂骨动脉前,腿延伸部放置在内髂骨动脉中。
在另一种形式中,本发明属于一种支架移植物,包括:限定穿过其中的主内腔的生物适合的移植物材料的管状体;在管状体中限定开窗的孔;和防止流体流经孔的阀装置。
优选地,该孔包括围绕孔的弹性加强环。
优选地,该阀装置包括:管状体内的生物适合的移植物材料的套管;和套管内的自膨胀支架,该套管在其近端被紧固到孔近端的第一腿;和自膨胀支架被紧固到套管,从而:所述自膨胀支架强制套管围绕孔靠着管状体的内表面,以防止流体流经孔。
生物适合的移植物材料的套管包括圆柱形状或半圆柱形状。
在一个实施例中,该阀装置包括阀组件,包括生物适合的移植物材料的一部分圆柱部沿自膨胀支架的间隔开支柱缝合到其上的自膨胀支架。
该阀组件还可包括围绕形成阀部件的生物适合的移植物材料的部分圆柱部的远端的半圆形弹性丝。
这概略地描述了本发明,但有助于理解将参照显示本发明其它实施例的附图进行的参考。
附图说明
其中
图1显示了在髂骨侧分叉放置前,当其将被布置在脉管中时,根据本发明的支架移值物的第一实施例;
图2显示了图1的实施例,其中侧分叉安装入内部髂骨动脉,和腿延长物被安装在对侧髂骨动脉中;
图3显示了本发明的支架移植物的部分腿的示意图,特别地显示了阀装置的一个实施例;
图4显示了图3中显示的实施例的横断面图;
图5显示了与图4相同的视图,除了延伸穿过波纹侧臂和阀的留置导管;
图6显示了布置入具有侧臂的可选装置的示意脉管系统中的支架移植物的可选实施例;
图7显示了图6的实施例,在其中留置导管已被捕获并拉下对侧动脉并且留置导管已用于将延伸件布置进入内髂骨动脉的阶段;
图8显示了适用于图6和7中所示的支架移植物的实施例的阀装置的可选实施例;
图9显示了穿过图8中的阀装置的横断面;
图10显示了图8和9的阀布置,其中留置导管延伸穿过它;
图11显示了适用于图6和7中所示的支架移植物的实施例的阀装置的可选实施例;
图12显示了图11的阀装置的细节,显示了其中阀部件装配在其上的自膨胀支架;
图13显示了穿过图11中的阀装置的横断面;
图14显示了的图11和13的阀装置,其中留置导管延伸穿过它;
图15A到15M显示了布置根据本发明的一个实施例的支架移植物的多个阶段;和
图16A到16K显示了布置根据本发明的另一个实施例的支架移植物的多个阶段。
具体实施方式
更接近地观看附图并且尤其图1和2,将看到显示患者的部分脉管装置的示意图,加入了根据本发明的支架移植物。
该脉管系统包括在肾动脉12和大动脉分叉14之间的区域中的大动脉10。普通髂骨动脉16和18从大动脉分叉14向下延伸。大动脉10具有动脉瘤20,其向下延伸进入普通髂骨动脉18直到内髂骨动脉24与外髂骨动脉26之间的分叉22。
为了横过动脉瘤20,根据本发明的一个实施例的双分叉大动脉支架移植物40已被布置入大动脉10中。在这个附图中,为了清晰起见,省略了用于将支架移植物布置入脉管中的引导设备。在我们较早的题为″A prosthesis and a method deploying a prosthesis″的PCT专利发布第WO 98/53761号的专利申请中,公开了适合与本发明一起使用的支架移植物的引导器。分叉支架移植物40的近端42被结合入刚好在肾动脉12远端的大动脉10的非动脉瘤部28中。在这个实施例中,支架移植物40具有近端延伸的肾上方曝露支架44,其中倒刺46结合肾动脉的近端的大动脉壁,以提供紧固位置以防止支架移植物的移动。该支架移植物40具有从支架分叉54延伸的短腿50和长腿52。该较长腿52在其远端处具有密封表面26,结合入外髂骨动脉26的非动脉瘤部。
该较长腿52具有侧臂60,其在这个实施例中采用波纹管形式,从在开窗62处的其连接采用部分螺旋方式延伸进入较长腿52该侧臂60沿远端方向延伸,并部分地螺旋围绕较长腿52,并具有远离与较长腿52的其连接的远端61,邻近内髂骨动脉24敞开。
开窗64被放置在较长腿52中,接近进入较长腿52中的侧臂60的连接处。如将参照图3到5讨论,该开窗64具有设置在其内用以关闭其的阀装置。
在将支架移植物布置入患者的脉管系统中期间,留置导管66延伸经过侧臂60,并伸出通过阀开窗64。该留置导管包括导线68。
图2显示了图1的实施例,但在将延伸件70布置入波纹侧壁60并且腿延伸部72布置入密封入髂骨动脉16的非动脉瘤部的分叉支架移植物40的短腿50中后。题为″Introducer for Iliac Side BranchDevice″的美国专利申请序号10/962,763公开了使用留置导管接近内髂骨动脉的装置。在这个阶段,该留置导管已被收回并且开窗64由阀装置关闭。
该延伸件70密封到内髂骨动脉24的非动脉瘤部中。
以下将参照图15A到15M讨论根据本发明的这个实施例的支架移植物的布置过程。
图3,4和5显示了适用于本发明的阀装置的第一实施例。
在这个实施例中,图1中所示的分叉支架移植物40的较长腿52具有由缝合进入较长腿52的管的周围弹性环80限定的开窗64。在较长腿内部是生物适合的移植物材料82的半圆形部和弹性自膨胀之字型支架85,其与半圆形生物适合的移植物材料82结合并将其结合靠着较长腿52的内壁并且特别在开窗64上。利用这种布置,开窗64被保持关闭配置。该半圆形件82在其近端处通过缝线83缝合到较长腿52的内壁。
实质上与管状较长脚52中的开窗64相反,侧臂60从管状较长腿52中的开窗62延伸。
图5显示了图4中所示的实施例,除了:留置导管66和经留置导管的导线68延伸经过侧臂60并且经过开窗64,并且这抑制了弹性自膨胀支架85的恢复力,升高阀82离开开窗64。
图6和7显示了患者的脉管中根据本发明的分叉支架移植物的可选实施例。该脉管和分叉支架移植物类似于图1和2中所示的较早实施例,并且相同标号用于相应的项目。
该脉管系统包括在肾动脉12和大动脉分叉14之间的区域中的大动脉10。普通髂骨动脉16和18从大动脉分叉14向下延伸。该大动脉10具有动脉瘤20,其向下延伸进入普通髂骨动脉18直到内髂骨动脉24与外髂骨动脉26之间分叉22。
为了穿过动脉瘤20,分叉大动脉支架移植物40已被布置入大动脉10中。分叉支架移植物40的近端42被结合入刚好在肾动脉12远端的大动脉10的非动脉瘤部28中。在这个实施例中,支架移植物40具有近端延伸肾上曝露支架44,具有结合最接近肾动脉的大动脉壁的倒刺46,以提供稳固位置以防止支架移植物的移动。该支架移植物40具有从支架分叉54延伸的短腿50和长腿52。该较长腿52在其远端处具有密封表面56,其结合入外髂骨动脉26的非动脉瘤部。
该较长腿52具有侧臂90,其在这个实施例中采用支架管形式,从较长腿52中的开窗62延伸。该侧臂90沿远端方向延伸,并具有远离其与较长腿52的连接的远端94,其邻近内髂骨动脉24敞开。
开窗64被放置入侧臂90进入较长腿52中的连接处近端的较长腿52内。如将参照图8到10讨论,该开窗64具有其内关闭其的阀装置。
在将支架移植物布置入患者的脉管中期间,留置导管66延伸经过侧臂90,并经有阀开窗64出去。该留置导管包括穿过其中的导线68。
图7显示了图6的实施例,但在将延伸件70布置入侧臂90后。题为″Introducer for Iliac Side Branch Device″的美国专利申请序号10/962,763公开了使用留置导管以接近内髂骨动脉的装置。在这个阶段,该留置导管已被收回并且开窗64由阀装置关闭。该延伸件70密封入内髂骨动脉24的非动脉瘤部。
图8,9和10显示了适用于本发明的阀装置的可选实施例。
在这个实施例中,如图6所示的分叉支架移植物40的较长腿52具有由缝合进入较长腿52的管壁的周围弹性环80限定的开窗64。在较长腿内是生物适合的移植物材料96的圆柱部和自膨胀之字型支架98,其与圆柱生物适合的移植物材料96结合并将其结合靠着较长腿52的内壁并且特别地在开窗64上。利用这种装置,开窗64被保持关闭配置。该生物适合的移植物材料96的圆柱部通过缝合99缝合在较长腿52的内壁的近端处。
图10显示了图9中显示的实施例,除了:留置导管66和经导管的导线68延伸经过侧臂60并且经过开窗64,并且这升高了开窗64的阀96。
图11到14还显示了适用于本发明的阀装置的另一实施例。
在这个实施例中,分叉支架移植物40的较长腿200(图1)具有缝合入较长腿200的管的周围弹性环204限定的开窗202。在较长腿内是具有多个支柱208和弯曲210的自膨胀支架206。
图12中显示了自膨胀支架206。该自膨胀支架206具有阀部件212,其由缝合在间隔开的支柱208上的一片生物适合的移植物材料形成,以在自膨胀支架206上提供一部分圆柱表面以形成阀组件214。
在阀部件212的下部周围是通过缝线215保持的一部分弹性线213,以有助于保持阀部件的部分圆形形状,以靠着较长腿200的管状体的内表面支持良好密封性。
该阀组件在弯曲210处通过缝线216被缝合入较长腿200的管状体中,使得:阀部件位于开窗202下面,并关闭从较长腿内部到外部流经其中的开窗。图13显示了这个阶段的阀的横断面。
侧臂218实质与管状较长脚200中的开窗202相反,其从管状较长腿200中的开窗220延伸。该侧臂218在这个实施例中由波纹状的移植物材料形成。
图14显示了图13中显示的实施例,除了:留置导管66和穿过留置导管的导线68延伸经过侧臂218并且经过开窗202,并且它抑制弹性自膨胀支架206的恢复力升高阀212离开开窗202。
图15A到15M显示了布置根据本发明的一个实施例的支架移植物的多个阶段。
图15A显示了装载在传送设备上的根据本发明的支架移植物的一个实施例的示意版本。为了方便,传送设备的鞘已收回以显示其内部的组件。该传送设备100在其近端处具有头锥扩张器102,并且根据本发明一个实施例的支架移植物104被装配在布置设备上。支架移植物104的这个实施例在支架移植物104的较长脚108上具有螺旋侧臂106。留置导管110从布置设备100经螺旋侧臂106延伸,在阀孔112处出来,并延伸到支架移植物104外部的头锥扩张器102中的槽114。该留置导管110具有柔韧弯曲近端116。
图15B中显示了管状侧臂106和阀装置112的细节。该管状侧臂106从开窗107围绕较长腿108延伸,并且留置导管110延伸进入管状侧壁并经阀孔112出来。该阀孔112在其内部具有瓣阀113,以确保当留置导管被去除时,孔被关闭。该瓣阀实际上与图3到6中所示的结构相同。
图15C显示了患者的示意脉管系统,包括大动脉10、肾动脉12和大动脉分叉14。髂骨动脉16和18从大动脉分叉延伸。该大动脉具有沿髂骨动脉向下延伸到内髂骨动脉24的位置的动脉瘤20。该髂骨分叉22限定了在内髂骨动脉24和外部髂骨动脉26之间的分叉。
如图15C所示,该布置设备100已布置在导线140上,使得:其头锥102向上延伸进入动脉瘤20,并且头锥102的远端实质邻近大动脉分叉14。如图15C详细显示,留置导管并且特别地其弯曲尖部116已被鞘122压缩进入头锥扩张器中的槽114。
如图15D所示,布置设备的鞘122已被略微收回以释放留置导管110的弯曲尖部116,并且已延伸了自留置导管110的留置导线124。因为留置导管的弯曲端部,留置导线124已沿对侧髂骨动脉16向下延伸。圈套导管128已被布置入对侧普通髂骨动脉内,并且圈套导管128的圈套130已延伸以抓住导线124。该导线124经圈套导管128抽出,使得:它成为through-and-through导线。在这个阶段,很重要地确保在大动脉分叉处在导线中保持的松弛,以防止对大动脉分叉的损坏。图15E中显示了这个位置。
在题为’Stent Graft Introducer’的美国专利申请序号第11/600,655号中教授了使用具有有利于从对侧髂骨动脉圈套的弯曲尖部的留置导管,并且教授的整体并入这里。
如图15F所示,然后布置设备100前进,使得:头锥扩张器102接近肾动脉12。这同样拉上留置导线124进入大动脉10。
然后,该布置设备100的鞘122收回以释放支架移植物104的较短脚109。图15G中显示了这个阶段。
如图15H所示,留置导管向下缩回进入对侧髂骨动脉16,并且鞘122收回,使得:它是侧臂106的远端的远部,同时仍保持较长腿108的远端。
如图15I所示,扩张器和鞘引导器130前进经过对侧髂骨动脉16中的导线124,并且留置导管110和延伸臂布置设备沿导线124而行,使得:鞘引导器的头锥132进入阀孔112,并且如图15J所示,循导线124而行进入侧臂106,直到它从侧臂134的远端出来。该鞘引导器头锥132然后缩回,留下鞘130。在这个阶段,该留置导线124仍在through-and-through位置中。如图15K所示,另一导线136被引导穿过鞘130,并且从鞘130延伸进入内髂骨动脉24。
如图15L所示,侧臂布置设备布置在导线136上进入内髂骨动脉24中,使得:气球可扩张覆盖支架140从侧臂106延伸进入内髂骨动脉24。如图15M所示,然后,该留置导线124被去除,并且较长腿108的远端的位置被设置进入外髂骨动脉26中,并且气球可扩张覆盖支架140膨胀。该鞘130然后收回并且阀112自动关闭。然后,腿延伸部144被放置在支架104的短腿107中。该支架移植物的近端146也从布置设备100释放,使得:一部分叉架密封入肾动脉12远端的大动脉10的非动脉瘤部,同时无盖肾上腺支架148延伸经过肾动脉以提供紧固的固定。
图16A到16K显示了根据本发明的支架移植物的可选实施例,和将这种支架移植物布置在患者的脉管中的过程。
在这个实施例中的支架移植物包括具有近部150和远部152的两件体,当结合在一起进入患者的脉管中时,其提供合成支架移植物。该近端部150具有近部延伸肾上腺支架154,并且远端部152利用较短腿156和较长腿158分叉。该较长腿158具有螺旋侧臂160和留置导管164延伸经过的阀孔162。
这个实施例的支架移植物的布置过程实质类似于图15C到15M中所示的,除了:如图16C所示,作为第一阶段,近端部150被布置和释放进入大动脉。随后,具有留置导管164的分开设备170被引导运送远端部152,并且如图16D到16J所示的圈套留置导线、释放主支架移植物和将侧臂延伸部布置在内髂骨动脉中实质与图15C到15L中所示的相同。两件支架移植物的布置的如图16K所示的最后阶段包括:远端部152在近端部150内释放;和腿延伸部172布置在短腿156中;并且释放较短腿158的远端。
应该认识到:利用臂方法可以布置入内髂骨动脉的可选实施例,并且在这种情况中,在侧臂中的留置导管可延伸穿过支架移植物的主内腔,并且阀孔在这个实施例可能并不需要。
在说明书全文中,关于本发明的范围已给出多种指示,但本发明并不局限于这些实施方式中的任何一种,并可存在于这些组合在一起的两个或多个实施方式中。实例仅用于说明而不是用于限制。
Claims (17)
1.一种支架移植物(40),包括生物适合的移植物材料的管状体(52,200),其限定穿过其中的内腔并具有在管状体中限定开窗(64)的孔;所述开窗具有阀装置(82),其特征在于:所述阀装置被布置以防止流体经孔从管状体的内部流到管状体的外部。
2.根据权利要求1所述的支架移植物(40),其中:所述孔包括围绕所述孔的弹性加强环(80)。
3.根据权利要求1所述的支架移植物(40),其中:所述阀装置包括:该管状体内的生物适合的移植物材料的套管(82,96);和套管内的自膨胀支架(85,98),所述套管在其近端被紧固到所述孔近端的管状体(52),且所述自膨胀支架被紧固到套管,从而所述自膨胀支架强制套管围绕该孔抵靠管状体的内表面,以防止流体流经孔。
4.根据权利要求3所述的支架移植物(40),其中:生物适合的移植物材料的套管(96)包括圆柱形形状。
5.根据权利要求3所述的支架移植物(40),其中:生物适合的移植物材料的套管(82)包括半圆柱形形状。
6.根据权利要求1所述的支架移植物(40),其中:所述阀装置包括阀组件,该阀组件包括自膨胀支架(206),生物适合的移植物材料的一部分圆柱部(212)沿自膨胀支架的间隔开支柱(208)缝合到自膨胀支架(206)。
7.根据权利要求6所述的支架移植物(40),其中:所述阀组件还包括半圆形弹性丝(213),所述半圆形弹性丝围绕生物适合的移植物材料的部分圆柱部(212)的远端。
8.根据任何一个前述权利要求所述的支架移植物(40),其中:所述支架移植物包括限定穿过其中的主内腔的主管状体,并具有:在其一端处的分叉(54);和从该分叉延伸的第一腿(52,200)和第二腿(50),所述第一腿构成所述首先提及的管状体并为长腿,并且第二腿为短腿,所述第一和第二腿分别具有穿过其中的第一和第二内腔,并且所述第一和第二内腔与主内腔流体连通,并且所述第一腿包括具有穿过其中的侧臂内腔的侧臂(60),并且所述侧臂内腔与第一腿内腔流体连通,其中:所述开窗(64)被设置在所述侧臂(60)近端的第一腿中。
9.一种支架移植物(40),包括:限定穿过其中的主内腔的生物适合的移植物材料的管状体;在其一端处的管状体中的分叉(54);和从该分叉延伸的第一腿(52,200)和第二腿(50),所述第一腿为长腿,并且第二腿为短腿,所述第一和第二腿分别具有穿过其中的第一和第二内腔,并且所述第一和第二内腔与主内腔流体连通,并且所述第一长腿包括具有穿过其中的侧臂内腔的侧臂(60),并且所述侧臂内腔与第一腿内腔流体连通,从而所述支架移植物被布置在患者的脉管系统内,其中所述管状体在患者的大动脉(10)中;所述第一腿沿髂骨主动脉(18)向下延伸;所述第二腿被引导向对侧髂骨主动脉(16);和在所述第一腿上的侧臂被引导朝向髂骨动脉的内髂骨动脉(24),其特征在于所述第一长腿包括:侧臂近端的孔(64);和被布置以防止流体经孔从腿的内部流到腿的外部的阀装置(82)。
10.根据权利要求9所述的支架移植物(40),其中:侧臂(60)包括波纹状生物适合的移植物材料的管,并且所述管部分地螺旋围绕第一腿(52)延伸。
11.根据权利要求9所述的支架移植物(40),其中所述侧臂(60)包括:生物适合的移植物材料的管;和在生物适合的移植物材料的管上的至少一个自膨胀支架。
12.根据权利要求9到11中任一项所述的支架移植物(40),其中:所述孔(64)包括围绕所述孔的弹性加强环(80)。
13.根据权利要求9到11中任一项所述的支架移植物(40),其中所述阀装置(82)包括:该第一腿内的生物适合的移植物材料的套管(82,96);和该套管内的自膨胀支架(85,98),所述套管在其近端被紧固到该孔近端的第一腿,且所述自膨胀支架被紧固到套管。
14.根据权利要求13所述的支架移植物(40),其中:生物适合的移植物材料的套管(96)包括圆柱形形状。
15.根据权利要求13所述的支架移植物(40),其中:生物适合的移植物材料的套管(82)包括半圆柱形形状。
16.根据权利要求9到11中任一项所述的支架移植物(40),其中:所述阀装置包括阀组件,该阀组件包括生物适合的移植物材料的一部分圆柱部(212)沿自膨胀支架的间隔开支柱(208)缝合到自膨胀支架(206)。
17.根据权利要求16所述的支架移植物(40),其中:所述阀组件还包括半圆形弹性丝(213),围绕生物适合的移植物材料的部分圆柱部(212)的远端。
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PCT/US2007/009665 WO2007124053A1 (en) | 2006-04-19 | 2007-04-19 | Twin bifurcated stent graft |
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Families Citing this family (96)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7147661B2 (en) | 2001-12-20 | 2006-12-12 | Boston Scientific Santa Rosa Corp. | Radially expandable stent |
US8308797B2 (en) | 2002-01-04 | 2012-11-13 | Colibri Heart Valve, LLC | Percutaneously implantable replacement heart valve device and method of making same |
US9125733B2 (en) * | 2003-01-14 | 2015-09-08 | The Cleveland Clinic Foundation | Branched vessel endoluminal device |
EP1895941A1 (en) * | 2005-05-20 | 2008-03-12 | The Cleveland Clinic Foundation | Apparatus and methods for repairing the function of a diseased valve and method for making same |
US9707113B2 (en) * | 2006-04-19 | 2017-07-18 | Cook Medical Technologies Llc | Twin bifurcated stent graft |
JP5109194B2 (ja) | 2006-11-07 | 2012-12-26 | ウィリアム・エイ・クック・オーストラリア・プロプライエタリー・リミテッド | ステントグラフト |
WO2009062264A1 (en) * | 2007-11-15 | 2009-05-22 | Endogad Research Pty Limited | Hybrid intraluminal device |
GB0803302D0 (en) * | 2008-02-22 | 2008-04-02 | Barts & London Nhs Trust | Blood vessel prosthesis and delivery apparatus |
WO2010150208A2 (en) | 2009-06-23 | 2010-12-29 | Endospan Ltd. | Vascular prostheses for treating aneurysms |
US8979892B2 (en) | 2009-07-09 | 2015-03-17 | Endospan Ltd. | Apparatus for closure of a lumen and methods of using the same |
EP2387374B1 (en) | 2009-10-13 | 2016-03-16 | Cook Medical Technologies LLC | Paraplegia prevention stent graft |
US9095456B2 (en) | 2009-10-13 | 2015-08-04 | Cook Medical Technologies Llc | Paraplegia prevention stent graft |
CN102740807B (zh) | 2009-11-30 | 2015-11-25 | 恩多斯潘有限公司 | 用于植入到具有多个分支的血管中的多部件覆膜支架系统 |
WO2011070576A1 (en) | 2009-12-08 | 2011-06-16 | Endospan Ltd. | Endovascular stent-graft system with fenestrated and crossing stent-grafts |
WO2011095979A1 (en) | 2010-02-08 | 2011-08-11 | Endospan Ltd. | Thermal energy application for prevention and management of endoleaks in stent-grafts |
US20110208289A1 (en) * | 2010-02-25 | 2011-08-25 | Endospan Ltd. | Flexible Stent-Grafts |
ES2766450T3 (es) * | 2010-03-04 | 2020-06-12 | Terumo Corp | Vaso sanguíneo artificial |
US8579964B2 (en) | 2010-05-05 | 2013-11-12 | Neovasc Inc. | Transcatheter mitral valve prosthesis |
AU2011276503B2 (en) | 2010-06-28 | 2015-09-17 | Colibri Heart Value LLC | Method and apparatus for the endoluminal delivery of intravascular devices |
WO2012065625A1 (en) | 2010-11-15 | 2012-05-24 | Endovascular Development AB | An assembly with a guide wire and a fixator for attaching to a blood vessel |
US8535371B2 (en) | 2010-11-15 | 2013-09-17 | Endovascular Development AB | Method of positioning a tubular element in a blood vessel of a person |
SG10201601962WA (en) | 2010-12-14 | 2016-04-28 | Colibri Heart Valve Llc | Percutaneously deliverable heart valve including folded membrane cusps with integral leaflets |
EP2579810A4 (en) | 2011-02-03 | 2014-07-30 | Endospan Ltd | IMPLANTABLE MEDICAL DEVICES MANUFACTURED FROM A FORMAT MATERIAL |
US9855046B2 (en) | 2011-02-17 | 2018-01-02 | Endospan Ltd. | Vascular bands and delivery systems therefor |
AU2011200858B1 (en) | 2011-02-28 | 2012-04-05 | Cook Medical Technologies Llc | Stent graft with valve arrangement |
EP2680788A4 (en) | 2011-03-02 | 2014-12-10 | Endospan Ltd | OUTER RING WITH REDUCED VOLTAGE FOR THE TREATMENT OF AORTIC ANATOMY |
US9308087B2 (en) | 2011-04-28 | 2016-04-12 | Neovasc Tiara Inc. | Sequentially deployed transcatheter mitral valve prosthesis |
EP2517671B1 (en) | 2011-04-28 | 2016-05-11 | Cook Medical Technologies LLC | Apparatus for facilitating deployment of an endoluminal prosthesis |
US9554897B2 (en) | 2011-04-28 | 2017-01-31 | Neovasc Tiara Inc. | Methods and apparatus for engaging a valve prosthesis with tissue |
AU2011202120B1 (en) * | 2011-05-09 | 2012-09-13 | Cook Medical Technologies Llc | Paraplegia prevention valve for stent grafts |
US8574287B2 (en) | 2011-06-14 | 2013-11-05 | Endospan Ltd. | Stents incorporating a plurality of strain-distribution locations |
ES2568377T3 (es) | 2011-06-21 | 2016-04-28 | Endospan Ltd | Sistema endovascular con endoprótesis que solapan circunferencialmente |
EP2729095B1 (en) | 2011-07-07 | 2016-10-26 | Endospan Ltd. | Stent fixation with reduced plastic deformation |
US9839510B2 (en) | 2011-08-28 | 2017-12-12 | Endospan Ltd. | Stent-grafts with post-deployment variable radial displacement |
US11185403B2 (en) * | 2011-08-31 | 2021-11-30 | Cook Medical Technologies Llc | Endoluminal prosthesis assembly |
US9265599B2 (en) * | 2011-08-31 | 2016-02-23 | Cleveland Clinic Foundation | Retention system for an endoluminal device |
WO2013065040A1 (en) | 2011-10-30 | 2013-05-10 | Endospan Ltd. | Triple-collar stent-graft |
US8728148B2 (en) | 2011-11-09 | 2014-05-20 | Cook Medical Technologies Llc | Diameter reducing tie arrangement for endoluminal prosthesis |
EP2785277B1 (en) | 2011-12-04 | 2017-04-05 | Endospan Ltd. | Branched stent-graft system |
US8968389B2 (en) | 2011-12-28 | 2015-03-03 | The Cleveland Clinic Foundation | Endoluminal prosthesis with a valve arrangement |
AU2012200735C1 (en) | 2012-02-08 | 2013-01-24 | Cook Medical Technologies Llc | Orientation markers for endovascular delivery system |
US9173752B2 (en) * | 2012-05-21 | 2015-11-03 | Manli International Ltd. | Coil bioabsorbable bifurcation stent |
EP2836160B1 (en) * | 2012-04-12 | 2019-07-24 | Sanford Health | Debranching visceral stent graft |
US10357353B2 (en) | 2012-04-12 | 2019-07-23 | Sanford Health | Combination double-barreled and debranching stent grafts and methods for use |
US8702791B2 (en) | 2012-04-12 | 2014-04-22 | Sanford Health | Debranching visceral stent graft and methods for use |
US20130289701A1 (en) * | 2012-04-27 | 2013-10-31 | Medtronic Vascular, Inc. | Stent-graft prosthesis for placement in the abdominal aorta |
US9770350B2 (en) | 2012-05-15 | 2017-09-26 | Endospan Ltd. | Stent-graft with fixation elements that are radially confined for delivery |
US9345573B2 (en) | 2012-05-30 | 2016-05-24 | Neovasc Tiara Inc. | Methods and apparatus for loading a prosthesis onto a delivery system |
US9308107B2 (en) | 2012-08-27 | 2016-04-12 | Cook Medical Technologies Llc | Endoluminal prosthesis and delivery device |
AU2012258394B1 (en) | 2012-11-27 | 2013-03-07 | Cook Medical Technologies Llc | Stent graft having a closeable fenestration |
MX360302B (es) | 2012-12-14 | 2018-10-29 | Sanford Health | Combinacion de doble barril e injerto de estent desramificante y métodos para su uso. |
GB201222854D0 (en) | 2012-12-18 | 2013-01-30 | Vascutek Ltd | Graft with Leg |
GB201222852D0 (en) | 2012-12-18 | 2013-01-30 | Vascutek Ltd | Modular Fenestrated Assembly |
EP2749253B1 (en) * | 2012-12-26 | 2017-12-13 | Cook Medical Technologies LLC | Endoluminal prosthesis having modular branches |
EP2749252B1 (en) * | 2012-12-26 | 2017-02-01 | Cook Medical Technologies LLC | Prosthesis system |
US9861466B2 (en) | 2012-12-31 | 2018-01-09 | Cook Medical Technologies Llc | Endoluminal prosthesis |
WO2014108895A2 (en) | 2013-01-08 | 2014-07-17 | Endospan Ltd. | Minimization of stent-graft migration during implantation |
US9220614B2 (en) * | 2013-03-11 | 2015-12-29 | Cook Medical Technologies Llc | Endovascular grafts for treating the iliac arteries and methods of delivery and deployment thereof |
US9668892B2 (en) | 2013-03-11 | 2017-06-06 | Endospan Ltd. | Multi-component stent-graft system for aortic dissections |
US10130501B2 (en) | 2013-03-12 | 2018-11-20 | Cook Medical Technologies Llc | Delivery device with an extension sheath and methods of using the same |
US9439793B2 (en) * | 2013-03-12 | 2016-09-13 | Cook Medical Technologies Llc | Extension for iliac branch delivery device and methods of using the same |
US9545324B2 (en) | 2013-03-13 | 2017-01-17 | Cook Medical Technologies Llc | Pre-loaded iliac branch device and methods of deployment |
US9572665B2 (en) | 2013-04-04 | 2017-02-21 | Neovasc Tiara Inc. | Methods and apparatus for delivering a prosthetic valve to a beating heart |
AU2013206465B1 (en) | 2013-06-18 | 2014-01-16 | Cook Medical Technologies Llc | Endovascular graft with an expanded lumen at a bifurcation |
AU2013206712B1 (en) * | 2013-07-03 | 2013-11-28 | Cook Medical Technologies Llc | Endovascular graft having a cannulation pocket |
AU2013254913B1 (en) | 2013-11-04 | 2014-09-25 | Cook Medical Technologies Llc | Stent graft with valve arrangement |
WO2015075708A1 (en) | 2013-11-19 | 2015-05-28 | Endospan Ltd. | Stent system with radial-expansion locking |
US9974675B2 (en) * | 2014-04-04 | 2018-05-22 | W. L. Gore & Associates, Inc. | Delivery and deployment systems for bifurcated stent grafts |
PL2929860T3 (pl) * | 2014-04-07 | 2018-01-31 | Nvt Ag | Urządzenie do wszczepiania w serce ssaka |
EP3068339B1 (en) | 2014-12-18 | 2017-11-01 | Endospan Ltd. | Endovascular stent-graft with fatigue-resistant lateral tube |
CN104546221B (zh) * | 2014-12-30 | 2017-01-11 | 胡锡祥 | 腹主动脉覆膜支架 |
CN107427377B (zh) | 2015-01-12 | 2019-09-03 | 微仙美国有限公司 | 支架 |
US10779976B2 (en) * | 2015-10-30 | 2020-09-22 | Ram Medical Innovations, Llc | Apparatus and method for stabilization of procedural catheter in tortuous vessels |
WO2017117068A1 (en) * | 2015-12-31 | 2017-07-06 | Endologix, Inc. | Systems and methods with fenestrated graft and filling structure |
US10433952B2 (en) | 2016-01-29 | 2019-10-08 | Neovasc Tiara Inc. | Prosthetic valve for avoiding obstruction of outflow |
ES2808000T3 (es) * | 2016-02-08 | 2021-02-25 | Innoventric Ltd | Tratamiento de la insuficiencia tricuspídea |
US9987122B2 (en) | 2016-04-13 | 2018-06-05 | Medtronic Vascular, Inc. | Iliac branch device and method |
KR101709601B1 (ko) * | 2016-05-30 | 2017-02-23 | 주식회사 에스앤지바이오텍 | 고정부가 형성된 가이드부재를 포함하는 스텐트 삽입장치 |
CN107625562B (zh) * | 2016-07-13 | 2020-02-04 | 先健科技(深圳)有限公司 | 分支型覆膜支架 |
FR3058046B1 (fr) * | 2016-10-27 | 2021-07-16 | Bs Medical Tech Ind | Lanceurs et ensemble pour la pose d'implants connectables |
AU2017361296B2 (en) | 2016-11-21 | 2022-09-29 | Neovasc Tiara Inc. | Methods and systems for rapid retraction of a transcatheter heart valve delivery system |
US10874501B2 (en) | 2016-12-28 | 2020-12-29 | Cook Medical Technologies Llc | Low profile stent graft having a check valve |
US20200281711A1 (en) * | 2017-02-01 | 2020-09-10 | Endologix, Inc. | Longitudinally extendable stent graft systems and methods |
US10856984B2 (en) | 2017-08-25 | 2020-12-08 | Neovasc Tiara Inc. | Sequentially deployed transcatheter mitral valve prosthesis |
WO2019051476A1 (en) | 2017-09-11 | 2019-03-14 | Incubar, LLC | SEALING DEVICE FOR USE AS A VASCULAR DUCT IMPLANT FOR REDUCING ENDOFUCTION |
CA3118599A1 (en) | 2018-11-08 | 2020-05-14 | Neovasc Tiara Inc. | Ventricular deployment of a transcatheter mitral valve prosthesis |
JP2022525788A (ja) | 2019-03-20 | 2022-05-19 | インキュベート メディカル テクノロジーズ、 エルエルシー | 大動脈解離インプラント |
US11116650B2 (en) * | 2019-03-28 | 2021-09-14 | Medtronic Vascular, Inc. | Supra aortic access modular stent assembly and method |
US11083605B2 (en) | 2019-03-28 | 2021-08-10 | Medtronic Vascular, Inc. | Femoral aortic access modular stent assembly and method |
US11602429B2 (en) | 2019-04-01 | 2023-03-14 | Neovasc Tiara Inc. | Controllably deployable prosthetic valve |
AU2020271896B2 (en) | 2019-04-10 | 2022-10-13 | Neovasc Tiara Inc. | Prosthetic valve with natural blood flow |
EP3972673A4 (en) | 2019-05-20 | 2023-06-07 | Neovasc Tiara Inc. | INTRODUCER DEVICE WITH HEMOSTASIS MECHANISM |
WO2020257643A1 (en) | 2019-06-20 | 2020-12-24 | Neovasc Tiara Inc. | Low profile prosthetic mitral valve |
US11826226B2 (en) | 2019-07-31 | 2023-11-28 | Medtronic Vascular, Inc. | Modular multibranch stent assembly and method |
RU2742451C1 (ru) * | 2020-03-04 | 2021-02-05 | Заза Александрович Кавтеладзе | Система бифуркационного стент-графта для лечения аневризмы брюшной аорты и способ лечения аневризмы брюшной аорты с ее использованием |
US11324583B1 (en) | 2021-07-06 | 2022-05-10 | Archo Medical LTDA | Multi-lumen stent-graft and related surgical methods |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2004064686A1 (en) * | 2003-01-14 | 2004-08-05 | The Cleveland Clinic Foundation | Branched vessel endoluminal device |
Family Cites Families (145)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4501263A (en) * | 1982-03-31 | 1985-02-26 | Harbuck Stanley C | Method for reducing hypertension of a liver |
US4592754A (en) * | 1983-09-09 | 1986-06-03 | Gupte Pradeep M | Surgical prosthetic vessel graft and catheter combination and method |
US4762130A (en) * | 1987-01-15 | 1988-08-09 | Thomas J. Fogarty | Catheter with corkscrew-like balloon |
US4902508A (en) * | 1988-07-11 | 1990-02-20 | Purdue Research Foundation | Tissue graft composition |
US5413601A (en) * | 1990-03-26 | 1995-05-09 | Keshelava; Viktor V. | Tubular organ prosthesis |
US5360443A (en) | 1990-06-11 | 1994-11-01 | Barone Hector D | Aortic graft for repairing an abdominal aortic aneurysm |
EP0461791B1 (en) | 1990-06-11 | 1997-01-02 | Hector D. Barone | Aortic graft and apparatus for repairing an abdominal aortic aneurysm |
US5578071A (en) | 1990-06-11 | 1996-11-26 | Parodi; Juan C. | Aortic graft |
US5129910A (en) * | 1991-07-26 | 1992-07-14 | The Regents Of The University Of California | Stone expulsion stent |
US5197976A (en) * | 1991-09-16 | 1993-03-30 | Atrium Medical Corporation | Manually separable multi-lumen vascular graft |
JP2839127B2 (ja) | 1993-06-22 | 1998-12-16 | 宇部興産株式会社 | 枝分かれ人工血管 |
US6039754A (en) * | 1993-10-01 | 2000-03-21 | Imperial College Of Science Technology & Medicine | Vascular prostheses |
DE9319267U1 (de) * | 1993-12-15 | 1994-02-24 | Vorwerk Dierk Dr | Aortenendoprothese |
US5609627A (en) | 1994-02-09 | 1997-03-11 | Boston Scientific Technology, Inc. | Method for delivering a bifurcated endoluminal prosthesis |
US5552880A (en) * | 1994-03-17 | 1996-09-03 | A R T Group Inc | Optical radiation probe |
US5653743A (en) * | 1994-09-09 | 1997-08-05 | Martin; Eric C. | Hypogastric artery bifurcation graft and method of implantation |
US5683449A (en) | 1995-02-24 | 1997-11-04 | Marcade; Jean Paul | Modular bifurcated intraluminal grafts and methods for delivering and assembling same |
US5711969A (en) | 1995-04-07 | 1998-01-27 | Purdue Research Foundation | Large area submucosal tissue graft constructs |
US5733337A (en) * | 1995-04-07 | 1998-03-31 | Organogenesis, Inc. | Tissue repair fabric |
US6099558A (en) * | 1995-10-10 | 2000-08-08 | Edwards Lifesciences Corp. | Intraluminal grafting of a bifuricated artery |
US5591195A (en) * | 1995-10-30 | 1997-01-07 | Taheri; Syde | Apparatus and method for engrafting a blood vessel |
US6287315B1 (en) * | 1995-10-30 | 2001-09-11 | World Medical Manufacturing Corporation | Apparatus for delivering an endoluminal prosthesis |
US5824040A (en) * | 1995-12-01 | 1998-10-20 | Medtronic, Inc. | Endoluminal prostheses and therapies for highly variable body lumens |
US6576009B2 (en) | 1995-12-01 | 2003-06-10 | Medtronic Ave, Inc. | Bifurcated intraluminal prostheses construction and methods |
WO1997033532A2 (en) | 1996-03-13 | 1997-09-18 | Medtronic, Inc. | Endoluminal prostheses and therapies for multiple-branch body lumen systems |
US5755791A (en) | 1996-04-05 | 1998-05-26 | Purdue Research Foundation | Perforated submucosal tissue graft constructs |
US5800514A (en) * | 1996-05-24 | 1998-09-01 | Meadox Medicals, Inc. | Shaped woven tubular soft-tissue prostheses and methods of manufacturing |
US5617878A (en) * | 1996-05-31 | 1997-04-08 | Taheri; Syde A. | Stent and method for treatment of aortic occlusive disease |
NL1007739C2 (nl) * | 1997-12-08 | 1999-06-09 | Hoogovens Staal Bv | Werkwijze en inrichting voor het vervaardigen van een stalen band met hoge sterkte. |
US6325819B1 (en) | 1996-08-19 | 2001-12-04 | Cook Incorporated | Endovascular prosthetic device, an endovascular graft prothesis with such a device, and a method for repairing an abdominal aortic aneurysm |
ES2208974T3 (es) * | 1996-08-23 | 2004-06-16 | Cook Biotech, Inc. | Protesis de injertos, materiales y metodos. |
US5755778A (en) * | 1996-10-16 | 1998-05-26 | Nitinol Medical Technologies, Inc. | Anastomosis device |
AU4896797A (en) * | 1996-11-04 | 1998-05-29 | Davidson, Charles | Extendible stent apparatus and method for deploying the same |
US7220275B2 (en) * | 1996-11-04 | 2007-05-22 | Advanced Stent Technologies, Inc. | Stent with protruding branch portion for bifurcated vessels |
US6325826B1 (en) * | 1998-01-14 | 2001-12-04 | Advanced Stent Technologies, Inc. | Extendible stent apparatus |
JP4084420B2 (ja) * | 1996-12-10 | 2008-04-30 | パーデュー・リサーチ・ファウンデーション | 管状粘膜下組織移植片構成物 |
US6152956A (en) | 1997-01-28 | 2000-11-28 | Pierce; George E. | Prosthesis for endovascular repair of abdominal aortic aneurysms |
US6048360A (en) | 1997-03-18 | 2000-04-11 | Endotex Interventional Systems, Inc. | Methods of making and using coiled sheet graft for single and bifurcated lumens |
AU744343B2 (en) * | 1997-04-11 | 2002-02-21 | Transvascular, Inc. | Methods and apparatus for transmyocardial direct coronary revascularization |
AUPO700897A0 (en) | 1997-05-26 | 1997-06-19 | William A Cook Australia Pty Ltd | A method and means of deploying a graft |
GB9710905D0 (en) * | 1997-05-27 | 1997-07-23 | Imperial College | Stent for blood vessel |
CA2235911C (en) * | 1997-05-27 | 2003-07-29 | Schneider (Usa) Inc. | Stent and stent-graft for treating branched vessels |
US6165195A (en) * | 1997-08-13 | 2000-12-26 | Advanced Cardiovascylar Systems, Inc. | Stent and catheter assembly and method for treating bifurcations |
US6221090B1 (en) * | 1997-08-13 | 2001-04-24 | Advanced Cardiovascular Systems, Inc. | Stent delivery assembly |
US6361544B1 (en) * | 1997-08-13 | 2002-03-26 | Advanced Cardiovascular Systems, Inc. | Stent and catheter assembly and method for treating bifurcations |
US6187033B1 (en) * | 1997-09-04 | 2001-02-13 | Meadox Medicals, Inc. | Aortic arch prosthetic graft |
US5984955A (en) | 1997-09-11 | 1999-11-16 | Wisselink; Willem | System and method for endoluminal grafting of bifurcated or branched vessels |
US6520988B1 (en) * | 1997-09-24 | 2003-02-18 | Medtronic Ave, Inc. | Endolumenal prosthesis and method of use in bifurcation regions of body lumens |
US6030414A (en) * | 1997-11-13 | 2000-02-29 | Taheri; Syde A. | Variable stent and method for treatment of arterial disease |
AUPP083597A0 (en) * | 1997-12-10 | 1998-01-08 | William A Cook Australia Pty Ltd | Endoluminal aortic stents |
US6395018B1 (en) * | 1998-02-09 | 2002-05-28 | Wilfrido R. Castaneda | Endovascular graft and process for bridging a defect in a main vessel near one of more branch vessels |
US20020144696A1 (en) | 1998-02-13 | 2002-10-10 | A. Adam Sharkawy | Conduits for use in placing a target vessel in fluid communication with a source of blood |
FR2775182B1 (fr) * | 1998-02-25 | 2000-07-28 | Legona Anstalt | Dispositif formant andoprothese intracorporelle endoluminale, en particulier aortique abdominale |
US6077296A (en) * | 1998-03-04 | 2000-06-20 | Endologix, Inc. | Endoluminal vascular prosthesis |
US6887268B2 (en) * | 1998-03-30 | 2005-05-03 | Cordis Corporation | Extension prosthesis for an arterial repair |
US6290731B1 (en) * | 1998-03-30 | 2001-09-18 | Cordis Corporation | Aortic graft having a precursor gasket for repairing an abdominal aortic aneurysm |
US6093203A (en) * | 1998-05-13 | 2000-07-25 | Uflacker; Renan | Stent or graft support structure for treating bifurcated vessels having different diameter portions and methods of use and implantation |
US6361559B1 (en) * | 1998-06-10 | 2002-03-26 | Converge Medical, Inc. | Thermal securing anastomosis systems |
US5868765A (en) * | 1998-06-10 | 1999-02-09 | Surgical Innovations, Llc | Device and method for the surgical anastomasis of tubular structures |
GB2344053A (en) | 1998-11-30 | 2000-05-31 | Imperial College | Stents for blood vessels |
US6733523B2 (en) * | 1998-12-11 | 2004-05-11 | Endologix, Inc. | Implantable vascular graft |
US6059824A (en) * | 1998-12-23 | 2000-05-09 | Taheri; Syde A. | Mated main and collateral stent and method for treatment of arterial disease |
AU772868C (en) * | 1999-02-01 | 2005-08-11 | Board Of Regents, The University Of Texas System | Woven bifurcated and trifurcated stents and methods for making the same |
US20030225453A1 (en) | 1999-03-03 | 2003-12-04 | Trivascular, Inc. | Inflatable intraluminal graft |
JP4138144B2 (ja) * | 1999-03-31 | 2008-08-20 | テルモ株式会社 | 管腔内留置物 |
DE19938377A1 (de) * | 1999-08-06 | 2001-03-01 | Biotronik Mess & Therapieg | Stent für Gefässverzweigungen |
US6409757B1 (en) * | 1999-09-15 | 2002-06-25 | Eva Corporation | Method and apparatus for supporting a graft assembly |
US6344056B1 (en) * | 1999-12-29 | 2002-02-05 | Edwards Lifesciences Corp. | Vascular grafts for bridging a vessel side branch |
US20020198585A1 (en) | 1999-10-05 | 2002-12-26 | Willem Wisselink | System and method for edoluminal grafting of bifurcated or branched vessels |
US6585758B1 (en) * | 1999-11-16 | 2003-07-01 | Scimed Life Systems, Inc. | Multi-section filamentary endoluminal stent |
US6652567B1 (en) | 1999-11-18 | 2003-11-25 | David H. Deaton | Fenestrated endovascular graft |
US6361555B1 (en) * | 1999-12-15 | 2002-03-26 | Advanced Cardiovascular Systems, Inc. | Stent and stent delivery assembly and method of use |
US6663667B2 (en) * | 1999-12-29 | 2003-12-16 | Edwards Lifesciences Corporation | Towel graft means for enhancing tissue ingrowth in vascular grafts |
US6409756B1 (en) * | 2000-01-24 | 2002-06-25 | Edward G. Murphy | Endovascular aortic graft |
US6398807B1 (en) * | 2000-01-31 | 2002-06-04 | Scimed Life Systems, Inc. | Braided branching stent, method for treating a lumen therewith, and process for manufacture therefor |
NL1014559C2 (nl) * | 2000-02-11 | 2001-08-14 | Surgical Innovations Vof | Umbrella-stent. |
ATE255860T1 (de) | 2000-03-03 | 2003-12-15 | Cook Inc | Endovaskuläre vorrichtung mit stent |
US6695875B2 (en) | 2000-03-14 | 2004-02-24 | Cook Incorporated | Endovascular stent graft |
US6361556B1 (en) * | 2000-04-27 | 2002-03-26 | Endovascular Tech Inc | System and method for endovascular aneurysm repair in conjuction with vascular stabilization |
US20020082684A1 (en) * | 2000-09-25 | 2002-06-27 | David Mishaly | Intravascular prosthetic and method |
US6695833B1 (en) | 2000-09-27 | 2004-02-24 | Nellix, Inc. | Vascular stent-graft apparatus and forming method |
WO2002030329A2 (en) * | 2000-10-13 | 2002-04-18 | Rex Medical, L.P. | Covered stents with side branch |
US6582394B1 (en) * | 2000-11-14 | 2003-06-24 | Advanced Cardiovascular Systems, Inc. | Stent and catheter assembly and method for treating bifurcated vessels |
ES2280421T3 (es) * | 2000-11-15 | 2007-09-16 | Mcmurray Fabrics Incorporated | Protesis tubulares en tejido suave con transiciones cosidas. |
US7314483B2 (en) * | 2000-11-16 | 2008-01-01 | Cordis Corp. | Stent graft with branch leg |
US6942692B2 (en) * | 2000-11-16 | 2005-09-13 | Cordis Corporation | Supra-renal prosthesis and renal artery bypass |
US7267685B2 (en) * | 2000-11-16 | 2007-09-11 | Cordis Corporation | Bilateral extension prosthesis and method of delivery |
US20040106972A1 (en) * | 2000-11-20 | 2004-06-03 | Deaton David H. | Fenestrated endovascular graft |
US6645242B1 (en) | 2000-12-11 | 2003-11-11 | Stephen F. Quinn | Bifurcated side-access intravascular stent graft |
US20020169497A1 (en) | 2001-01-02 | 2002-11-14 | Petra Wholey | Endovascular stent system and method of providing aneurysm embolization |
WO2002056799A2 (en) | 2001-01-19 | 2002-07-25 | Boston Scientific Limited | Introducer for deployment of branched prosthesis |
WO2002067815A1 (en) | 2001-02-26 | 2002-09-06 | Scimed Life Systems, Inc. | Bifurcated stent |
FR2822370B1 (fr) | 2001-03-23 | 2004-03-05 | Perouse Lab | Endoprothese tubulaire comportant une bague deformable et necessaire d'intervention pour son implantation |
ATE272369T1 (de) * | 2001-03-27 | 2004-08-15 | Cook William Europ | Gefässtransplantat für die aorta |
US20040073288A1 (en) * | 2001-07-06 | 2004-04-15 | Andrew Kerr | Stent/graft assembly |
US20030009212A1 (en) * | 2001-07-06 | 2003-01-09 | Andrew Kerr | Axially-connected stent/graft assembly |
US7175651B2 (en) * | 2001-07-06 | 2007-02-13 | Andrew Kerr | Stent/graft assembly |
US7105017B2 (en) | 2001-04-11 | 2006-09-12 | Andrew Kerr | Axially-connected stent/graft assembly |
AU2002316254A1 (en) | 2001-06-18 | 2003-01-02 | Eva Corporation | Prosthetic graft assembly and method of use |
AUPR847201A0 (en) * | 2001-10-26 | 2001-11-15 | Cook Incorporated | Endoluminal graft |
US6641606B2 (en) | 2001-12-20 | 2003-11-04 | Cleveland Clinic Foundation | Delivery system and method for deploying an endovascular prosthesis |
US7014653B2 (en) * | 2001-12-20 | 2006-03-21 | Cleveland Clinic Foundation | Furcated endovascular prosthesis |
US20030130720A1 (en) * | 2002-01-08 | 2003-07-10 | Depalma Donald F. | Modular aneurysm repair system |
US7326237B2 (en) * | 2002-01-08 | 2008-02-05 | Cordis Corporation | Supra-renal anchoring prosthesis |
US6723116B2 (en) * | 2002-01-14 | 2004-04-20 | Syde A. Taheri | Exclusion of ascending/descending aorta and/or aortic arch aneurysm |
US6949121B1 (en) | 2002-02-07 | 2005-09-27 | Sentient Engineering & Technology, Llc | Apparatus and methods for conduits and materials |
WO2003071929A2 (en) | 2002-02-26 | 2003-09-04 | Endovascular Technologies, Inc. | Endovascular grafting device |
WO2003082153A2 (en) | 2002-03-25 | 2003-10-09 | Cook Incorporated | Branched vessel prothesis |
US7131991B2 (en) | 2002-04-24 | 2006-11-07 | Medtronic Vascular, Inc. | Endoluminal prosthetic assembly and extension method |
US6676699B2 (en) * | 2002-04-26 | 2004-01-13 | Medtronic Ave, Inc | Stent graft with integrated valve device and method |
US7887575B2 (en) | 2002-05-22 | 2011-02-15 | Boston Scientific Scimed, Inc. | Stent with segmented graft |
CA2487131C (en) * | 2002-06-28 | 2011-04-26 | Cook Incorporated | Thoracic stent graft introducer |
US20040034406A1 (en) * | 2002-08-19 | 2004-02-19 | Thramann Jeffrey J. | Vascular stent grafts |
US7550004B2 (en) | 2002-08-20 | 2009-06-23 | Cook Biotech Incorporated | Endoluminal device with extracellular matrix material and methods |
US6777514B2 (en) * | 2002-08-27 | 2004-08-17 | Exxonmobil Research And Engineering Company | Geminally disubstituted olefin-carbon monoxide-ethylene polymer useful as a polyvinyl chloride plasticizer and a method of making same |
US20040059406A1 (en) * | 2002-09-20 | 2004-03-25 | Cully Edward H. | Medical device amenable to fenestration |
US9125733B2 (en) * | 2003-01-14 | 2015-09-08 | The Cleveland Clinic Foundation | Branched vessel endoluminal device |
US7407509B2 (en) * | 2003-01-14 | 2008-08-05 | The Cleveland Clinic Foundation | Branched vessel endoluminal device with fenestration |
WO2004093746A1 (en) * | 2003-03-26 | 2004-11-04 | The Foundry Inc. | Devices and methods for treatment of abdominal aortic aneurysm |
EP1608293B1 (en) | 2003-04-03 | 2015-06-03 | Cook Medical Technologies LLC | Deployment system for a branched stent graft |
US20050059923A1 (en) * | 2003-09-17 | 2005-03-17 | Ricardo Gamboa | Fenestration with intrinsic means of selective closure incorporated to a tubular body and used in interventional cardiovascular procedures |
US8043357B2 (en) * | 2003-10-10 | 2011-10-25 | Cook Medical Technologies Llc | Ring stent |
DE602004015486D1 (de) * | 2003-10-10 | 2008-09-11 | Cook Inc | Dehnbares prothesenfenster |
WO2005034809A1 (en) * | 2003-10-10 | 2005-04-21 | William A. Cook Australia Pty. Ltd. | Stent graft fenestration |
WO2005034807A1 (en) * | 2003-10-10 | 2005-04-21 | William A. Cook Australia Pty. Ltd | Composite stent graft |
WO2005034808A1 (en) * | 2003-10-10 | 2005-04-21 | William A. Cook Australia Pty. Ltd. | Fenestrated stent grafts |
EP1691719B1 (en) * | 2003-10-14 | 2016-09-14 | Cook Medical Technologies LLC | Introducer for an iliac side branch device |
US7998186B2 (en) * | 2003-10-14 | 2011-08-16 | William A. Cook Australia Pty. Ltd. | Introducer for a side branch device |
CA2573889C (en) * | 2004-06-16 | 2014-02-04 | Cook Incorporated | Thoracic deployment device and stent graft |
WO2006034276A1 (en) * | 2004-09-21 | 2006-03-30 | William A. Cook Austrialia Pty. Ltd. | Side branch stent graft |
US8864819B2 (en) * | 2004-12-17 | 2014-10-21 | Cook Medical Technologies Llc | Stented side branch graft |
AU2006280948B2 (en) * | 2005-08-18 | 2011-10-27 | Cook Incorporated | Assembly of stent grafts |
US20070055346A1 (en) * | 2005-09-02 | 2007-03-08 | Medtronic Vascular, Inc. | Method and apparatus for delivery of a treatment element in a blood vessel |
US8845708B2 (en) | 2005-11-16 | 2014-09-30 | The Cleveland Clinic Foundation | Stent graft introducer |
US9707113B2 (en) * | 2006-04-19 | 2017-07-18 | Cook Medical Technologies Llc | Twin bifurcated stent graft |
CA2653996A1 (en) * | 2006-06-02 | 2007-12-13 | William Cook Europe Aps | Multi-port delivery device |
JP4171032B2 (ja) * | 2006-06-16 | 2008-10-22 | 株式会社東芝 | 半導体装置及びその製造方法 |
WO2008042270A1 (en) * | 2006-09-28 | 2008-04-10 | Med Institute, Inc. | Endovascular delivery device |
US8353943B2 (en) * | 2008-08-29 | 2013-01-15 | Cook Medical Technologies Llc | Variable weave graft with metal strand reinforcement for in situ fenestration |
AU2009200350B1 (en) * | 2009-02-02 | 2009-07-16 | Cook Incorporated | Preloaded stent graft delivery device |
AU2010202487B1 (en) * | 2010-06-15 | 2011-07-28 | Cook Incorporated | Pre-loaded multiport delivery device |
AU2011200858B1 (en) * | 2011-02-28 | 2012-04-05 | Cook Medical Technologies Llc | Stent graft with valve arrangement |
AU2012258394B1 (en) * | 2012-11-27 | 2013-03-07 | Cook Medical Technologies Llc | Stent graft having a closeable fenestration |
US9220614B2 (en) * | 2013-03-11 | 2015-12-29 | Cook Medical Technologies Llc | Endovascular grafts for treating the iliac arteries and methods of delivery and deployment thereof |
AU2013206465B1 (en) * | 2013-06-18 | 2014-01-16 | Cook Medical Technologies Llc | Endovascular graft with an expanded lumen at a bifurcation |
-
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- 2007-04-19 US US11/788,285 patent/US9707113B2/en active Active
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Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2004064686A1 (en) * | 2003-01-14 | 2004-08-05 | The Cleveland Clinic Foundation | Branched vessel endoluminal device |
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CN101484090A (zh) | 2009-07-15 |
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