US3657744A - Method for fixing prosthetic implants in a living body - Google Patents
Method for fixing prosthetic implants in a living body Download PDFInfo
- Publication number
- US3657744A US3657744A US35815A US3657744DA US3657744A US 3657744 A US3657744 A US 3657744A US 35815 A US35815 A US 35815A US 3657744D A US3657744D A US 3657744DA US 3657744 A US3657744 A US 3657744A
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- US
- United States
- Prior art keywords
- sleeve
- valve
- prosthetic device
- prosthetic
- graft
- Prior art date
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- Expired - Lifetime
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Classifications
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- 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
- A61F2/82—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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/9517—Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies therefor
-
- 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
- A61F2/954—Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
-
- 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
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2412—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body with soft flexible valve members, e.g. tissue valves shaped like natural valves
-
- 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
- A61F2/856—Single tubular stent with a side portal passage
-
- 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
- A61F2/02—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
- A61F2002/061—Blood vessels provided with means for allowing access to secondary lumens
-
- 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
- A61F2002/065—Y-shaped 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
- A61F2/02—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
- 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
-
- 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
Definitions
- ABSTRACT A device and method for facilitating the rapid positive fixation of implanted prosthetic members in a living body.
- the device comprises a tubular sleeve of deformable material to which the prosthetic member is secured and which is capable of being expanded radially into intimate engagement with surrounding'tissue.
- the assembly may be rapidly introduced into the transplant situs during surgery and secured in place by expansion of the deformable sleeve by use of an expansion tool.
- This invention relates to a device and method for the rapid positive fixation of implanted prosthetic members in a living being. Many thousands of implants of prosthetic members,
- artificial heart valves are installed by the careful placing of a plurality of stitches around the rim of tissue that will house the valve. These'stitches are passed through a suture ring aroundthe outside of the heart valve.
- the valve to be implanted is held outside of the heart 6 or 8 inches and each stitch is brought up through the suture ring while the valve is still so held.
- the valve stands some distance above the heart and has 20 or sutures going down to the tissue where it will finally rest.
- the sutures are held tight and the heart valve is slid down them into place and each suture is then individually tied. This process takes 30 to 45 minutes in the best hands and from an hour to an hour and one-half in the less then best.
- the device of the present invention permits instant and positive fixation of heart valves, vessel grafts and other prosthetic members.
- the valve or other prosthetic member is prepared for implantation by attachment to the openwork sleeve.
- the valve and its skirt composed of the sleeve is assembled on an expanding tool device. This assembly can be quickly and easily forced into place and the tubular sleeve expanded to hold the valve or other member in place. This is done in a small fraction of the time required for other transplants so that in many instances use of the heart-lung machine is not required.
- the fixation sleeve expands so that a snug fit is assured regardless of the size, shape or consistency of the tissue wall at the implantation situs. Since the sleeve becomes incorporated into the tissue wall, no foreign material is left in contact with the blood, as opposed to prior art devices.
- FIG. I is a schematic view showing three stages of the grafting of an artificial bifurcation vessel graft utilizing the fixation device according to the present invention
- FIG. 2 is a perspective schematic view of one modified form of prosthetic fixation device
- FIG. 3 is aperspective view of another modification
- FIG. 4 is a'perspective view of a furthermodification
- FIG. 5 is a schematic representation of a portion of the perimeter of any one of the devices of the preceding FIGS., as seen in transverse section;
- FIG. 6 is an elevation of one form of expanding tool which may be utilized with the fixation device
- FIG. 7 is a fragmentary elevation of the operating end of the expanding tool showing the tool in expanded condition
- FIG. 8 is a perspective elevational'view with the upper half of the fixation device in section, and showing the fixation device with a heart valve attached for implantation; and
- FIG. 9 is a top plan view of the assembly of FIG. 8.
- FIG. 1 there is shown schematically one manner in which the prosthesis fixation device according to the present invention is used. This use is illustratedwith respect to the implantation of an artificial bifurcated aortic Dacron graft,indicated generally at 10, between the severed aorta 11, shown with a Satinsky clamp Ipreventing flow,-and the common iliac arteries 13 and '14.
- an artificial bifurcated aortic Dacron graft indicated generally at 10 between the severed aorta 11, shown with a Satinsky clamp Ipreventing flow,-and the common iliac arteries 13 and '14.
- An expandable sleeve fixation device 16 is shown extending from the end of the artificial vessel graft 10 with about half of its length engaging the inside wall of the graft.
- the sleeve When in place, with the ends of aorta 11 and graft 10' butting, the sleeve is expanded by operation of the expanding tool to force the fenestrations of the sleeve into the wall of the aorta to achieve a leak-proof union and forcing the walls of the sleeve into tighter engagement with the inside wall of the graft).
- sleeve 16 is inserted into the lumen of the artery 14 and the slit 20 is clamped shut and clamp 12 is removed to permit resumption of blood flow.'The entire transplant can be made in a matter of a very few minutes to the point of restoration of the blood supply. The longitudinal slit in the graft may then be sewn closed at leisure in confidence that the blood is being supplied distal to the graft site. i
- the tubular sleeve 16 is made of deformable material such panded metal sheeting which is produced by forming a series of staggered parallel slits in an impervious metal sheet and then stretching the sheet in a direction perpendicular to the slits to open the slits into apertures and expand the metal sheet in that direction 'while contracting it slightly in the opposite direction.
- the stretching operation by which the metal sheet is expanded imparts a twist or bend to the undulating flat ribbonlike portions 22 of the metal sheet separating the diamondshaped apertures 23 which are generally uniformly sized and distributed. This twisting or bending of the metal members 22 between adjacent apertures imparts an angle or direction to the apertures themselves and to the ribbon-like members.
- the expanded metal sheeting is desirably not flattened prior to forming into a sleeve.
- the result as seen schematically in FIG. 5, is that the ribbon-like portions 22 of the sleeve extend angularly relative to the perimeter of the sleeve providing a multitude of narrow projecting edges which embed themselves into the tissue wall upon expansion of the sleeve.
- the sleeve is desirably spot welded to form a longitudinal seam.
- the tubular sleeve may be circular, oval, or polygonal (hexagonal, octagonal or the like) in cross-section.
- the cross-sectional area may be uniform along the length of the sleeve or it may vary, giving the sleeve generally a barrel shape or that of a truncated cone.
- the edges may be cuffed if desired or simply smoothed to facilitate entry.
- the sleeve may easily be expanded by about 50 percent beyond its original diameter.
- the sleeves are formed to be a size appropriate for the implant being made.
- the strands 22 and apertures 23 are sized proportionately.
- the tubular fixation sleeve may be formed from other natural or synthetic materials having the requisite properties andcharacteristics permitting the sleeve to be ex panded into secure attachment with surrounding tissue.
- the material is one which is capable of being absorbed over an extended period of time by the tissue to which the sleeve is attached. A number of such absorbable materials are known.
- sleeve 16A is provided with a plurality of circular holes 24 (which are of larger area than apertures 23) punched through the openwork wall around the sleeve adjacent one end to allow for the ostia of the coronary arteries.
- a modified form of sleeve 16B is provided with a plurality of relatively large rectangular openings 25 extending longitudinally to permit exposure of wide areas around the coronary artery ostia.
- This form of fixation device is intended for the implantation of heart valves. The valve is hung with its commissures secured along the upper and lower ring portions 26 and 27, respectively, whose widths are about one-eighth to one-fourth the length of the sleeve.
- the fixation device includes a plurality of longitudinal wire struts 28 separating two expandable and relatively narrow metal mesh ring sections 29 and 30.
- a three-pronged commissure valve is inserted in the upper expandable ring section 29 and secured to the bottom mesh ring 30 circumferentially.
- FIG. 6 A variety of expanding devices may be used to set the fixation devices in place.
- the device includes a pistol-grip handle 31 and a trigger-like operating lever 32 pivoted therein.
- An elongated tubular barrel 19 extends out from the handle means.
- a concentric rod 33 extends through the handle 31 and barrel 19 terminating in a fitting 34 beyond the muzzle end of barrel 19 at its forward tip.
- Expansion means comprised of a pair of resilient rings 35,
- force may be exerted simply by rotation of knob 38 and adjustment of the atrest force exerted upon the expansion rings may be made.
- One, two or more expandable rings 35 may be used. The pattern of expansion can be predetermined as desired by selection of appropriate spacing between those rings.
- the fixation sleeve When used for the installation of artificial vessel grafts made of Dacron, Teflon or similar artificial materials, the fixation sleeve is attached to the vessel graft some time prior to surgery and a longitudinal slit is made in the middle of the graft for the introduction of the expansion tool.
- the ends of the vessel to be grafted are secured through simple stay stitches or small clamps so that the fixation sleeve can be introduced thereto.
- the expander tool is in place in one of the sleeves at the time of introduction.
- This sleeve is then expanded in situ and the expander tool is removed through the longitudinal slit, turned around and used to expand the fixation sleeve at the other end and again removed.
- the longitudinal slit is clamped and the clamps or stitches securing the vessels to be grafted are removed to restore the blood flow. Very rapid fixation of vessel grafts is thus possible.
- FIG. 8 there is shown an aortic heart valve 45 in place in a fixation sleeve 16.
- the rim of valve 45 adjacent the cusps 46 is attached by sutures 47 to the sleeve near one end.
- a segment of the donor aorta 48 is attached by sutures 49 near the other end of sleeve 16.
- the opening 50 in the aorta wall for a coronary artery can be matched with the corresponding opening in the wall of the donee aorta.
- the valve When used for the fixation of heart valves, whether a transplant or artificial, the valve is secured within the fixation sleeve prior to surgery and the sleeve is assembled in the expansion tool. Then, at the time of surgery, the sleeve is rapidly expanded into place and the tool withdrawn.
- a total introduction time of only a few minutes is necessary. This means that an aortic valve may be placed without use of a heart-lung machine. Inflow of blood into the heart is occluded by placing clamps across the appropriate vessels. A longitudinal slit (aortotomy) is placed in the aorta just a few centimeters above where it begins.
- the new valve housed in the expandable sleeve is then placed in position and the sleeve is expanded in one stroke of the expanding tool.
- the expansion tool is then removed through the aortic slit and a clamp placed over it, thus allowing the restoration of blood flow so that only a few minutes total introduction time is required.
- the aortotomy can then be repaired at leisure after the heart has taken over its pumping function.
- a method for rapidly and positively fixing an inplanted prosthetic device in a living body which comprises:
- a method according to claim 1 further characterized in that:
- said prosthetic device to be implanted is a vessel graft
- said graft is provided with a longitudinal opening to receive a sleeve expanding tool
- said prosthetic device and sleeves are joined to the host vessels to be grafted by introduction of the exposed portions of said sleeves into the severed host vessels, and
- the sleeves are expanded radially outwardly into intimate engagement with the walls of said vessels and said graft.
- a method according to claim 1 further characterized in that:
- said prosthetic device to be implanted is a heart valve
- said sleeve and valve are introduced into the situs of the defective valve to be replaced, and
- said sleeve is expanded into engagement with the surrounding tissue.
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Gastroenterology & Hepatology (AREA)
- Pulmonology (AREA)
- Prostheses (AREA)
Abstract
Description
Claims (3)
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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US3581570A | 1970-05-08 | 1970-05-08 |
Publications (1)
Publication Number | Publication Date |
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US3657744A true US3657744A (en) | 1972-04-25 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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US35815A Expired - Lifetime US3657744A (en) | 1970-05-08 | 1970-05-08 | Method for fixing prosthetic implants in a living body |
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US (1) | US3657744A (en) |
Cited By (1070)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4065817A (en) * | 1975-04-22 | 1978-01-03 | Per Ingvar Branemark | Bone prosthesis and method of forming a bone joint |
US4214587A (en) * | 1979-02-12 | 1980-07-29 | Sakura Chester Y Jr | Anastomosis device and method |
US4313231A (en) * | 1980-06-16 | 1982-02-02 | Kabushiki Kaisha Tatebe Seishudo | Vascular prosthesis |
FR2512678A1 (en) * | 1981-09-16 | 1983-03-18 | Wallsten Hans | DEVICE IMPLANTABLE IN BLOOD VESSELS OR OTHER DIFFICULT ACCESS LOCATIONS AND METHOD OF USE |
US4503569A (en) * | 1983-03-03 | 1985-03-12 | Dotter Charles T | Transluminally placed expandable graft prosthesis |
US4592754A (en) * | 1983-09-09 | 1986-06-03 | Gupte Pradeep M | Surgical prosthetic vessel graft and catheter combination and method |
WO1988006026A2 (en) * | 1987-02-17 | 1988-08-25 | Alberto Arpesani | Internal prosthesis for the substitution of a part of the human body particularly in vascular surgery |
EP0335341A1 (en) * | 1988-03-28 | 1989-10-04 | EXPANDABLE GRAFTS PARTNERSHIP a Texas General Partnership | Expandable intraluminal graft and apparatus for implanting an expandable intraluminal graft |
US4878906A (en) * | 1986-03-25 | 1989-11-07 | Servetus Partnership | Endoprosthesis for repairing a damaged vessel |
US4893623A (en) * | 1986-12-09 | 1990-01-16 | Advanced Surgical Intervention, Inc. | Method and apparatus for treating hypertrophy of the prostate gland |
EP0364787A1 (en) * | 1988-10-04 | 1990-04-25 | EXPANDABLE GRAFTS PARTNERSHIP a Texas General Partnership | Expandable intraluminal graft |
US5059211A (en) * | 1987-06-25 | 1991-10-22 | Duke University | Absorbable vascular stent |
EP0461791A1 (en) * | 1990-06-11 | 1991-12-18 | Hector D. Barone | Aortic graft and apparatus for repairing an abdominal aortic aneurysm |
US5078726A (en) * | 1989-02-01 | 1992-01-07 | Kreamer Jeffry W | Graft stent and method of repairing blood vessels |
EP0481365A1 (en) * | 1990-10-13 | 1992-04-22 | Angiomed Ag | Device for expanding a stenosis in a body duct |
US5122154A (en) * | 1990-08-15 | 1992-06-16 | Rhodes Valentine J | Endovascular bypass graft |
DE3342798C2 (en) * | 1982-04-30 | 1992-10-08 | Hans Ivar Wallsten | |
EP0508473A2 (en) * | 1991-04-11 | 1992-10-14 | Endovascular Technologies, Inc. | Endovascular graft having bifurcation and apparatus and method for deploying the same |
US5211658A (en) * | 1991-11-05 | 1993-05-18 | New England Deaconess Hospital Corporation | Method and device for performing endovascular repair of aneurysms |
US5219355A (en) * | 1990-10-03 | 1993-06-15 | Parodi Juan C | Balloon device for implanting an aortic intraluminal prosthesis for repairing aneurysms |
EP0551179A1 (en) * | 1992-01-08 | 1993-07-14 | Expandable Grafts Partnership | Method and apparatus for bilateral intra-aortic bypass |
US5242399A (en) * | 1990-04-25 | 1993-09-07 | Advanced Cardiovascular Systems, Inc. | Method and system for stent delivery |
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