WO2008140796A1 - Stent grafts for the thoracic aorta - Google Patents
Stent grafts for the thoracic aorta Download PDFInfo
- Publication number
- WO2008140796A1 WO2008140796A1 PCT/US2008/006025 US2008006025W WO2008140796A1 WO 2008140796 A1 WO2008140796 A1 WO 2008140796A1 US 2008006025 W US2008006025 W US 2008006025W WO 2008140796 A1 WO2008140796 A1 WO 2008140796A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- graft
- graft material
- stent graft
- material tube
- release wire
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of 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
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—Stent-grafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—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
- A61F2/82—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
- A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
-
- 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
- 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2002/9505—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
- A61F2002/9511—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument the retaining means being filaments or wires
-
- 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
- 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
- A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
- A61F2250/001—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting a diameter
Definitions
- This invention relates to a medical device and more particularly to a stent graft for mounting onto a deployment device for endovascular introduction.
- This invention will be particularly discussed in relation to stent grafts for placement into the thoracoabdominal aorta for the treatment of aneurysms and more specifically in relation to placement in a curved portion of the aorta such as the thoracic arch.
- the invention is not so restricted and may be applied to stent grafts for placement in any lumen of the human or animal body.
- a stent graft particularly for the thoracic arch may have one or more fenestrations or a scallop at the proximal end to prevent occlusion of one or more of the major arteries which extend from the thoracic arch.
- a stent graft is in a constricted form when it is delivered by endoluminal techniques to a deployment site within such a curved lumen and in that condition it is difficult for a physician to determine whether the fenestrations or scallop are correctly aligned to be positioned upon release by withdrawal of a covering sheath.
- diameter reducing arrangements for stent grafts so that there is a partial release stage of the stent graft after the covering sheath has been withdrawn.
- the stent graft has expanded in diameter to such an extent that the physician can visualise using radiographic techniques the position of the fenestrations or scallop while at the same time the stent graft can still be rotated and move longitudinally to position the fenestrations or scallop correctly.
- the diameter reducing arrangements can be subsequently released to allow the stent graft to fully expand engage the wall of the vessel to form an alternative flow path through the vessel to bypass an aneurysm, for instance.
- the problem with a curved lumen with significant continuing blood flow and such a staged release arrangement is that the proximal or leading edge of the stent graft particularly at the inner side of the curved lumen may not engage against the wall of the lumen and may fold in thereby blocking the desired flow path and allowing bypass to continue into the aneurysm. It is an object of this invention to provide a diameter reducing arrangement so that this problem can be reduced or to at least to provide a physician with an alternative arrangement.
- distal with respect to a portion of the aorta, a deployment device or a prosthesis means the end of the aorta, deployment device or prosthesis further away in the direction of blood flow away from the heart and the term proximal means the portion of the aorta, deployment device or end of the prosthesis nearer to the heart.
- proximal means the portion of the aorta, deployment device or end of the prosthesis nearer to the heart.
- the invention is said to reside in a temporary diameter reduction constraint arrangement for a stent graft, the stent graft comprising a biocompatible graft material tube of a selected diameter and having a first end and a second end and a plurality of self expanding stents fastened thereto, the constraint arrangement comprising at least one release wire extending part helically along the graft material tube from substantially one side of the graft material tube at the first end of the graft material tube to substantially the opposite side of the graft material tube at the second end of the graft material tube and a plurality of circumferential threads spaced apart at positions along the graft material tube and engaged around the release wire and a portion of the stent graft circumferentially spaced a selected distance away from the release wire and drawn tight and tied to reduce the circumference and hence the overall diameter of the stent graft.
- the stent graft can be mounted onto a deployment device such that at the proximal end of the stent graft the diameter reducing ties are at the inner side of what would be the curve of the deployment device to fit the curved lumen and at the distal end they are on the outer side of the curved lumen.
- This has a number of advantages. A first is that upon partial release the outer side of the curve at the proximal end expands more fully while at the same time still being manoeuvrable which allows the fenestration or scallops to be more opened and hence easier to visualise and position correctly.
- a second advantage is that when the diameter reducing ties are released by withdrawing the release wire there is a certain degree of friction between the release wire and the graft material through which it is stitched and pulling the release wire actually pulls the inner curve side of the proximal end of the stent graft towards the inner curve of the lumen thereby assisting the inner curve side of the proximal end of the stent graft to correctly engage with the wall of the lumen.
- a third advantage is that when the stent graft is in its curved and partially released configuration the release wire is substantially straighter between the ends of the graft thereby reducing the chance that the release wire will buckle and be difficult to withdraw when required.
- the circumferential thread extends circumferentially in each direction from the release wire at each of the positions.
- the stents are zig-zag stents comprising struts and bends therebetween and the engagement of the flexible thread into the graft material includes the engagement of the thread around a strut of the self expanding stent.
- the selected distance may be reduced by from 50 to 75%.
- the two release wires may extend from substantially the corresponding circumferential position at one end of the stent graft helically in opposite directions to substantially the corresponding circumferential position at the other end of the stent graft.
- a method of temporarily reducing the diameter of a stent graft at a plurality of positions along the stent graft comprising a tubular body of a biocompatible graft material and having a first end and a second end and a plurality of self expanding stents, the method comprising the steps of; a) extending a release wire part helically along the graft material tube from substantially one side of the graft material tube at the first end of the graft material tube to substantially the opposite side of the graft material tube at the second end of the graft material tube along the stent graft and stitching the release wire into the graft material tube; b) at each of a plurality
- the method can further comprise the steps of; e) passing a second flexible thread around the release wire or the first flexible thread and extending the second flexible thread laterally around the circumference of the stent graft in the opposite direction to the first flexible thread to a position a selected distance from the release wire at each of the plurality positions along the length of the release wire; f) engaging the second flexible thread into the graft material and/or a stent strut, and g) drawing the ends of the second thread together and tying ends of the thread, whereby the selected distance is reduced thereby reducing the overall diameter of the stent graft.
- the method can further comprise the steps of; j) extending a second release wire along the stent graft on an opposite side of the graft material tube from substantially one side of the graft material tube at the first end of the graft material tube to substantially the opposite side of the graft material tube at the second end of the graft material tube along the stent graft and stitching the release wire into the graft material tube; k) looping a third flexible thread around the second release wire and extending the third flexible thread laterally around the circumference of the stent graft to a position a selected distance from the second release wire; I) engaging the third flexible thread into the graft material and/or a stent strut, and m) drawing the ends of the thread together and tying ends of the thread, n) passing a fourth flexible thread around the release wire or around the third flexible thread and extending the fourth flexible thread laterally around the circumference of the stent graft in the opposite direction to the third flexible thread to a position
- a temporary diameter reduction and constraint arrangement for a stent graft comprising a biocompatible graft material tube of a selected diameter and a plurality of self expanding stents fastened thereto, the stents comprising zig-zag stents comprising struts and bends therebetween, the temporary diameter reduction and constraint arrangement comprising two release wires extending longitudinally and helically in opposite directions along the graft material tube from substantially one side of the graft material tube at the first end of the graft material tube to substantially the opposite side of the graft material tube at the second end of the graft material tube, the release wires being stitched into the graft material tube, at a plurality of positions along each release wire two threads engaged around each release wire and a selected strut of a stent and portion of the stent graft circumferentially spaced a selected distance away from each release wire in each circumfer
- Figure 1 A shows a schematic view of a stent graft with a helical diameter reducing tie arrangement and stylised cross sectional views at various stages along the length of the stent graft according to one embodiment of the present invention
- Figures 1 B to 1 F show schematic cross sections along the length of the stent graft shown in Figure 1A;
- Figure 2 shows a schematic view of the stent graft of Figure 1 with the stent graft curved as it would be upon partial release within a curved lumen of the body;
- Figure 3 shows a schematic view of the thoracic arch of the aorta of a patient with an aneurysm and with a stent graft at the partially released stage positioned in the aorta;
- Figure 4 shows the view of Figure 3 with the diameter reducing ties withdrawn and the stent graft expanded to the walls of the thoracic arch;
- Figures 5A and 5B show detail of a diameter reducing arrangement useful for the present invention.
- Figure 6 shows a schematic view of a stent graft with a diagonal or helical diameter reducing tie arrangement mounted onto a delivery device and including a proximal retention arrangement according to an alternative embodiment of the present invention.
- a stent graft 10 is a tubular body of a suitable graft material and has a proximal end 12 and a distal end 14.
- a scallop 13 is provided in the stent graft at the proximal end 12. The scallop would allow the stent graft to be deployed further around the thoracic arch of a patient thereby providing a larger landing zone for the stent graft without occluding the left subclavian artery.
- Stents on the stent graft are omitted in Figures 1 and 2 for the sake of clarity.
- the stent graft is schematically depicted in a diameter reduced state by the use of a diameter reducing arrangement generally shown as 16.
- the diameter reducing arrangement includes release wires 18 and 20 which extend down each side of the stent graft in a part helical manner in opposite directions from the distal end 14 to the proximal end 12.
- the release wire 18 is stitched in and out of the graft material along the length of the stent graft to maintain it in position.
- the release wire 20 is in a similar configuration on the other side of the stent graft.
- FIG. 1 A The cross sectional views Figures 1 B to 1 F at various stages along the length of the stent graft shown in Figure 1 A illustrate in a stylised manner how the diameter reducing ties 22, 24 progress circumferentially around the sides of the stent graft from one end to the other and are tied to the release wires 18 and 20.
- FIG. 1 B shows a schematic view of the stent graft 10 of Figure 1 with the stent graft curved as it would be upon partial release within a curved lumen of the body.
- the deployment device upon which the stent graft is carried is not shown for purposes of clarity.
- the release wires 18 and 20 are pulled to release the diameter reducing ties 22 and 24 then the friction between the release wires and the threads and the graft material will cause the inner curved side 15 of the end 12 to be pulled in a direction shown by the arrow 26 thereby encouraging the inner curved side 15 of the end 12 to correctly engage against the wall of a lumen as it is released from it's temporary diameter constraint.
- Figure 3 shows a schematic view of the thoracic arch of the aorta of a patient with an aneurysm and with a stent graft at the partially released stage positioned in the aorta and
- Figure 4 shows the view of Figure 3 with the diameter reducing ties withdrawn and the stent graft expanded to the walls of the thoracic arch.
- the thoracic arch portion of the aorta comprises an ascending aorta 30 which receives blood from the heart (not shown) though an aortic valve 32.
- an aortic valve 32 At the upper end of the ascending aorta there are branches for the innominate artery 33, the left common carotid artery 34 and the left subclavian artery 35.
- the aorta after these is referred to as the descending aorta 36 and it is in this region that an aortic aneurysm can occur.
- the wall of the aorta expands out to form a bulge 38 to leave an aneurysmal sac 39 which in serious cases can rupture with potentially fatal consequences.
- the aim of endovascular deployment of a stent graft is to isolate the aneurysmal sac by bypassing it with a stent graft.
- An important feature of placement of a stent graft in this region is that there is enough landing zone in the region 37 adjacent to the left subclavian artery 35 for the proximal end of the stent graft to adequately seal against a non-aneurysed portion of the thoracic arch.
- the stent graft 10 can be provided with a scallop 13 which, when the stent graft is deployed will allow placement of the stent graft further up in the thoracic arch without occlusion of the subclavian artery 35.
- the stent graft has been introduced on a deployment device 42 and at the stage shown in Figure 3 the sheath 44 has been withdrawn so that the stent graft 10 has partially expanded. At this stage the stent graft can still be moved on the introduction device to its desired position.
- the temporary diameter reducing arrangement 16 on the stent graft 10 extends from the outside of the curve 46 at the distal end 14 of the stent graft to the inside of the curve 48 at the proximal end 12 of the stent graft.
- the stent graft expands to the wall of the vessel as is shown in Figure 4. It will be noted that the diameter reducing threads 22 and 24 remain in the graft after removal of the release wires but as they are on the outside of the stent graft they do not occlude blood flow through the graft or provide points for formation of thromboses.
- a first is that upon partial release the outer side of the curve at the proximal end expands more fully while at the same time still being manoeuvrable which allows the scallop 13 to be more opened and hence easier to visualise and position correctly.
- a second advantage is that when the diameter reducing ties are released by withdrawing the release wire they actually pull the inner curve side 15 of the proximal end 12 towards the inner curve of the lumen 48 thereby assisting the inner side of the proximal end of the stent graft 10 to correctly engage with the wall of the lumen.
- a further advantage is that when the stent graft 10 is in its curved and partially released configuration as shown in Figure 3 the release wires 18 and 20 of the diameter reducing arrangement are substantially straighter between the ends 14 and 12 of the stent graft thereby reducing the chance that the release wire will buckle and be difficult to withdraw when required.
- the delivery device tends to be positioned at the outside of the curve of the stent graft.
- the region at the distal end where the release wires 18 and 20 exit the stent graft is also on the outside of the curve of the stent graft and hence the wires can easily enter the delivery device 42 again reducing the chance that the release wire will buckle and be difficult to withdraw when required.
- Figures 5A and 5B show schematically one embodiment of diameter reducing tie arrangement useful for the present invention.
- a portion of the graft material of a stent graft is shown and only a portion of a self expanding stent is shown fastened to it and stretched out flat.
- a self expanding stent 70 which would extend around the tubular body of a stent graft and be stitched by stitches 75 to the graft material 72 of the stent graft is shown.
- a release wire 18 is stitched longitudinally along the graft material of the stent graft as was seen in Figure 1 with a stitch 18a of the release wire being exposed to the outside of the stent graft in the region of the self expanding stent 70.
- a first suture thread 22 of a flexible material is passed around the release wire 18 and extended out to one side of the release wire over the struts 76 of the stent graft to pass over two or three struts and to be looped around a third or fourth strut and into the graft material 72.
- the suture thread 22 is then pulled tight and knotted as shown in Figure 5B with a knot 78 so that the struts between the release wire 18 and the knot 78 are pulled closer together against the resilient force of the self expanding stent 70.
- a similar action is carried out to the other side of the release wire with a second suture thread 24 of a flexible material.
- the thread 24 can either pass around the release wire 18 or be passed underneath the two strands of the thread 22 and over the release wire 18 and then it can be passed over two or three struts and then looped around a third or fourth strut and into the graft material 72 and pulled tight and knotted at 82.
- the reduction in distance between the release wire 18 and the knot 78 may be from 50 to 75 percent. For instance if the distance x in Figure 5A is 15 millimetres around the circumference of the stent graft from the release wire 18 to the strut at which the knot 78 is placed then this can be reduced to 5 millimetres as shown by the dimension y in Figure 5B. With two diameter reducing ties, one to each side of the release wire 72, therefore a total circumference reduction of 20 millimetres can be achieved which will change the diameter of a 36 millimetre stent graft to approximately 28 millimetres.
- Figure 6 shows a schematic view of a stent graft with a diagonal or helical diameter reducing tie arrangement mounted onto a delivery device and including a proximal retention arrangement according to an alternative embodiment of the present invention.
- the embodiment is similar to that shown in Figure 1 and the same reference numerals are used for corresponding items.
- a stent graft 10 has a proximal end 12 and a distal end 14.
- a scallop 13 is provided in the stent graft at the proximal end 12. The scallop would allow the stent graft to be deployed further around the thoracic arch of a patient to fit around the left subclavian artery, for instance, thereby providing a larger landing zone for the stent graft without occluding the left subclavian artery.
- Stents 17 on the stent graft are of the zig zag or Z stent type and are shown dotted in Figure 6 for the sake of clarity.
- the stent graft is schematically depicted in a diameter reduced state by the use of a diameter reducing arrangement generally shown as 16.
- the diameter reducing arrangement includes release wires 18 extending down each side of the stent graft in a helical manner in opposite directions from a distal end 14 to the proximal end 12.
- the release wire 18 is stitched in and out of the graft material of the stent graft to maintain it in position.
- a further release wire is in a similar configuration on the other side of the stent graft.
- the stent graft is retained onto a delivery device 42 at its proximal end 12 just distal of a nose cone dilator 50 on a guide wire catheter 52 which passes through the stent graft 10. Retention is by fastening struts of the proximal most stent to a trigger wire (not shown) by means of a suture 54 as is explained in PCT Patent Publication WO 03/101518 entitled “Trigger Wire System for a Prosthesis Deployment Device" the teaching of which is incorporated herein in its entirety.
- the diameter reducing ties at the proximal end 12 do not meet at the bottom of the graft but are positioned slightly up the respective sides of the graft and the distal end is held up to the guide wire catheter by the retention arrangement such that the proximal end of the stent graft is of a size which enables it to be positioned in the ascending aorta or the thoracic arch as necessary before final release.
Abstract
Description
Claims
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2010507483A JP5424063B2 (en) | 2007-05-11 | 2008-05-12 | Restraint structure and method for temporarily reducing stent graft diameter |
AU2008251804A AU2008251804B2 (en) | 2007-05-11 | 2008-05-12 | Stent grafts for the thoracic aorta |
EP08754352.6A EP2146669B1 (en) | 2007-05-11 | 2008-05-12 | Stent grafts for the thoracic aorta |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US92873107P | 2007-05-11 | 2007-05-11 | |
US60/928,731 | 2007-05-11 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2008140796A1 true WO2008140796A1 (en) | 2008-11-20 |
Family
ID=39592901
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2008/006025 WO2008140796A1 (en) | 2007-05-11 | 2008-05-12 | Stent grafts for the thoracic aorta |
Country Status (5)
Country | Link |
---|---|
US (3) | US8377113B2 (en) |
EP (1) | EP2146669B1 (en) |
JP (1) | JP5424063B2 (en) |
AU (1) | AU2008251804B2 (en) |
WO (1) | WO2008140796A1 (en) |
Cited By (41)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2009128939A1 (en) * | 2008-04-17 | 2009-10-22 | Gore Enterprise Holdings, Inc. | Device delivery catheter having a curved distal tip |
AU2010201676B1 (en) * | 2010-04-23 | 2010-07-22 | Cook Medical Technologies Llc | Curve forming stent graft |
WO2011064782A2 (en) | 2009-11-30 | 2011-06-03 | Endospan Ltd. | Multi-component stent-graft system for implantation in a blood vessel with multiple branches |
US8317856B2 (en) | 2007-03-05 | 2012-11-27 | Endospan Ltd. | Multi-component expandable supportive bifurcated endoluminal grafts and methods for using same |
WO2013059776A1 (en) | 2011-10-21 | 2013-04-25 | Syntheon Cardiology, Llc | Actively controllable stent, stent graft, heart valve and method of controlling same |
US8486131B2 (en) | 2007-12-15 | 2013-07-16 | Endospan Ltd. | Extra-vascular wrapping for treating aneurysmatic aorta in conjunction with endovascular stent-graft and methods thereof |
WO2012068257A3 (en) * | 2010-11-16 | 2013-08-15 | W. L. Gore & Associates, Inc. | Apposition fiber for use in endoluminal deployment of expandable devices in tortuous anatomies |
US8574287B2 (en) | 2011-06-14 | 2013-11-05 | Endospan Ltd. | Stents incorporating a plurality of strain-distribution locations |
EP2735283A1 (en) * | 2012-11-27 | 2014-05-28 | Cook Medical Technologies LLC | Assembly of stent grafts with diameter reducing ties |
EP2740440A3 (en) * | 2012-11-27 | 2014-08-27 | Cook Medical Technologies LLC | Stent graft having a closeable fenestration |
EP2777609A1 (en) * | 2013-03-12 | 2014-09-17 | Cook Medical Technologies LLC | Device for treating vascular dissections |
US8870938B2 (en) | 2009-06-23 | 2014-10-28 | Endospan Ltd. | Vascular prostheses for treating aneurysms |
US8951298B2 (en) | 2011-06-21 | 2015-02-10 | Endospan Ltd. | Endovascular system with circumferentially-overlapping stent-grafts |
US8956397B2 (en) | 2009-12-31 | 2015-02-17 | Endospan Ltd. | Endovascular flow direction indicator |
US8979892B2 (en) | 2009-07-09 | 2015-03-17 | Endospan Ltd. | Apparatus for closure of a lumen and methods of using the same |
US9060894B2 (en) | 2008-12-03 | 2015-06-23 | C. R. Bard, Inc. | Catheter sheath for implant delivery |
US9101457B2 (en) | 2009-12-08 | 2015-08-11 | Endospan Ltd. | Endovascular stent-graft system with fenestrated and crossing stent-grafts |
US9138335B2 (en) | 2006-07-31 | 2015-09-22 | Syntheon Cardiology, Llc | Surgical implant devices and methods for their manufacture and use |
US9254209B2 (en) | 2011-07-07 | 2016-02-09 | Endospan Ltd. | Stent fixation with reduced plastic deformation |
EP3040056A1 (en) * | 2014-12-29 | 2016-07-06 | Cook Medical Technologies LLC | Prosthesis deployment system |
US9408607B2 (en) | 2009-07-02 | 2016-08-09 | Edwards Lifesciences Cardiaq Llc | Surgical implant devices and methods for their manufacture and use |
US9427339B2 (en) | 2011-10-30 | 2016-08-30 | Endospan Ltd. | Triple-collar stent-graft |
US9468517B2 (en) | 2010-02-08 | 2016-10-18 | Endospan Ltd. | Thermal energy application for prevention and management of endoleaks in stent-grafts |
US9486341B2 (en) | 2011-03-02 | 2016-11-08 | Endospan Ltd. | Reduced-strain extra-vascular ring for treating aortic aneurysm |
US9526638B2 (en) | 2011-02-03 | 2016-12-27 | Endospan Ltd. | Implantable medical devices constructed of shape memory material |
US9585743B2 (en) | 2006-07-31 | 2017-03-07 | Edwards Lifesciences Cardiaq Llc | Surgical implant devices and methods for their manufacture and use |
US9597204B2 (en) | 2011-12-04 | 2017-03-21 | Endospan Ltd. | Branched stent-graft system |
US9668892B2 (en) | 2013-03-11 | 2017-06-06 | Endospan Ltd. | Multi-component stent-graft system for aortic dissections |
EP3187155A1 (en) * | 2015-12-30 | 2017-07-05 | Cook Medical Technologies LLC | Prosthesis delivery system |
US9770350B2 (en) | 2012-05-15 | 2017-09-26 | Endospan Ltd. | Stent-graft with fixation elements that are radially confined for delivery |
US9814611B2 (en) | 2007-07-31 | 2017-11-14 | Edwards Lifesciences Cardiaq Llc | Actively controllable stent, stent graft, heart valve and method of controlling same |
US9827093B2 (en) | 2011-10-21 | 2017-11-28 | Edwards Lifesciences Cardiaq Llc | Actively controllable stent, stent graft, heart valve and method of controlling same |
US9839510B2 (en) | 2011-08-28 | 2017-12-12 | Endospan Ltd. | Stent-grafts with post-deployment variable radial displacement |
US9855046B2 (en) | 2011-02-17 | 2018-01-02 | Endospan Ltd. | Vascular bands and delivery systems therefor |
US9993360B2 (en) | 2013-01-08 | 2018-06-12 | Endospan Ltd. | Minimization of stent-graft migration during implantation |
US10111680B2 (en) | 2002-08-02 | 2018-10-30 | Flowcardia, Inc. | Therapeutic ultrasound system |
US10238514B2 (en) | 2011-10-21 | 2019-03-26 | Edwards Lifesciences Cardiaq Llc | Actively controllable stent, stent graft, heart valve and method of controlling same |
US10285719B2 (en) | 2005-01-20 | 2019-05-14 | Flowcardia, Inc. | Vibrational catheter devices and methods for making same |
US10485684B2 (en) | 2014-12-18 | 2019-11-26 | Endospan Ltd. | Endovascular stent-graft with fatigue-resistant lateral tube |
US10603197B2 (en) | 2013-11-19 | 2020-03-31 | Endospan Ltd. | Stent system with radial-expansion locking |
US10905540B2 (en) | 2015-11-12 | 2021-02-02 | Endospan Ltd. | Stent-grafts systems with skirt |
Families Citing this family (86)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8172895B2 (en) * | 2005-08-18 | 2012-05-08 | Cook Medical Technologies Llc | Design and assembly of fenestrated stent grafts |
AU2009236062A1 (en) * | 2008-04-18 | 2009-10-22 | Cook Medical Technologies Llc | Branched vessel prosthesis |
US20100076470A1 (en) | 2008-09-22 | 2010-03-25 | Tyco Healthcare Group Lp | Methods and Devices for Sheath Compression |
US8137398B2 (en) * | 2008-10-13 | 2012-03-20 | Medtronic Ventor Technologies Ltd | Prosthetic valve having tapered tip when compressed for delivery |
GB2470041B (en) * | 2009-05-06 | 2011-05-18 | Cook William Europ | Stent graft |
US8870950B2 (en) | 2009-12-08 | 2014-10-28 | Mitral Tech Ltd. | Rotation-based anchoring of an implant |
WO2011111047A2 (en) | 2010-03-10 | 2011-09-15 | Mitraltech Ltd. | Prosthetic mitral valve with tissue anchors |
US9763657B2 (en) | 2010-07-21 | 2017-09-19 | Mitraltech Ltd. | Techniques for percutaneous mitral valve replacement and sealing |
US11653910B2 (en) | 2010-07-21 | 2023-05-23 | Cardiovalve Ltd. | Helical anchor implantation |
US9101455B2 (en) | 2010-08-13 | 2015-08-11 | Cook Medical Technologies Llc | Preloaded wire for endoluminal device |
CA2747610C (en) | 2010-08-13 | 2014-09-16 | Cook Medical Technologies Llc | Precannulated fenestration |
AU2010254599B1 (en) * | 2010-12-15 | 2011-02-17 | Cook Incorporated | Hybrid Type A dissection device |
US9198787B2 (en) * | 2010-12-31 | 2015-12-01 | Cook Medical Technologies Llc | Conformable prosthesis delivery system and method for deployment thereof |
US9028540B2 (en) | 2011-03-25 | 2015-05-12 | Covidien Lp | Vascular stent with improved vessel wall apposition |
EP3583916B1 (en) | 2011-04-28 | 2023-12-06 | Cook Medical Technologies LLC | Apparatus for facilitating deployment of an endoluminal prosthesis |
EP2535025A1 (en) | 2011-06-17 | 2012-12-19 | Cook Medical Technologies LLC | Trigger wire release mechanism |
EP2739214B1 (en) | 2011-08-05 | 2018-10-10 | Cardiovalve Ltd | Percutaneous mitral valve replacement and sealing |
US8852272B2 (en) | 2011-08-05 | 2014-10-07 | Mitraltech Ltd. | Techniques for percutaneous mitral valve replacement and sealing |
WO2013021374A2 (en) | 2011-08-05 | 2013-02-14 | Mitraltech Ltd. | Techniques for percutaneous mitral valve replacement and sealing |
US20140324164A1 (en) * | 2011-08-05 | 2014-10-30 | Mitraltech Ltd. | Techniques for percutaneous mitral valve replacement and sealing |
US9662196B2 (en) | 2011-09-27 | 2017-05-30 | Cook Medical Technologies Llc | Endoluminal prosthesis with steerable branch |
US8728148B2 (en) | 2011-11-09 | 2014-05-20 | Cook Medical Technologies Llc | Diameter reducing tie arrangement for endoluminal prosthesis |
US9782282B2 (en) | 2011-11-14 | 2017-10-10 | W. L. Gore & Associates, Inc. | External steerable fiber for use in endoluminal deployment of expandable devices |
US9877858B2 (en) | 2011-11-14 | 2018-01-30 | W. L. Gore & Associates, Inc. | External steerable fiber for use in endoluminal deployment of expandable devices |
JP6129867B2 (en) | 2011-12-06 | 2017-05-17 | エイオールティック イノベーションズ エルエルシーAortic Innovations Llc | Intravascular aortic repair device and method of use thereof |
EP2606851B1 (en) | 2011-12-22 | 2015-11-04 | Cook Medical Technologies LLC | Preloaded wire for endoluminal device |
US20130166015A1 (en) | 2011-12-22 | 2013-06-27 | Cook Medical Technologies Llc | Hybrid aortic arch replacement |
US9375308B2 (en) * | 2012-03-13 | 2016-06-28 | W. L. Gore & Associates, Inc. | External steerable fiber for use in endoluminal deployment of expandable devices |
US9452069B2 (en) | 2012-04-27 | 2016-09-27 | Medtronic Vascular, Inc. | Reconfigurable stent-graft delivery system and method of use |
US9737394B2 (en) | 2012-04-27 | 2017-08-22 | Medtronic Vascular, Inc. | Stent-graft prosthesis for placement in the abdominal aorta |
US8968384B2 (en) | 2012-04-27 | 2015-03-03 | Medtronic Vascular, Inc. | Circumferentially constraining sutures for a stent-graft |
US9393140B2 (en) | 2012-04-27 | 2016-07-19 | Medtronic Vascular, Inc. | Reconfigurable stent-graft delivery system and method of use |
US10098767B2 (en) | 2012-04-27 | 2018-10-16 | Medtronic Vascular, Inc. | Reconfigurable stent-graft delivery system and method of use |
US9254205B2 (en) | 2012-09-27 | 2016-02-09 | Covidien Lp | Vascular stent with improved vessel wall apposition |
US8628571B1 (en) | 2012-11-13 | 2014-01-14 | Mitraltech Ltd. | Percutaneously-deliverable mechanical valve |
EP2745813A1 (en) | 2012-12-18 | 2014-06-25 | Cook Medical Technologies LLC | Preloaded wire for endoluminal device |
US10350096B2 (en) | 2012-12-26 | 2019-07-16 | Cook Medical Technologies Llc | Expandable stent-graft system having diameter reducing connectors |
ES2934670T3 (en) | 2013-01-24 | 2023-02-23 | Cardiovalve Ltd | Ventricularly Anchored Prosthetic Valves |
KR101498584B1 (en) * | 2013-05-15 | 2015-03-04 | 주식회사 스텐다드싸이텍 | Stent to prevent migration |
EP3174502B1 (en) | 2014-07-30 | 2022-04-06 | Cardiovalve Ltd | Apparatus for implantation of an articulatable prosthetic valve |
US9808363B2 (en) | 2014-09-10 | 2017-11-07 | The Cleveland Clinic Foundation | Frame structures, stent grafts incorporating the same, and methods for extended aortic repair |
US10092428B2 (en) | 2014-12-30 | 2018-10-09 | Cook Medical Technologies Llc | Low profile prosthesis delivery device |
JP6718455B2 (en) | 2015-01-11 | 2020-07-08 | アサイラス メディカル,エルエルシー | Surgical aortic repair hybrid device configured to fit organs with different anatomical characteristics and method of using the same |
EP3250157A4 (en) * | 2015-01-28 | 2018-10-24 | Aortic Innovations, LLC | Modular endo-aortic device and method of using the same |
US9974651B2 (en) | 2015-02-05 | 2018-05-22 | Mitral Tech Ltd. | Prosthetic valve with axially-sliding frames |
CN110141399B (en) | 2015-02-05 | 2021-07-27 | 卡迪尔维尔福股份有限公司 | Prosthetic valve with axially sliding frame |
EP3310305B1 (en) | 2015-06-18 | 2022-05-25 | Ascyrus Medical, LLC | Branched aortic graft |
US10531866B2 (en) | 2016-02-16 | 2020-01-14 | Cardiovalve Ltd. | Techniques for providing a replacement valve and transseptal communication |
US10610393B2 (en) | 2016-03-24 | 2020-04-07 | Cook Medical Technologies Llc | Wire retention and release mechanisms |
EP3468505B1 (en) | 2016-06-13 | 2021-02-24 | Aortica Corporation | Systems and devices for marking and/or reinforcing fenestrations in prosthetic implants |
US10433991B2 (en) * | 2016-07-18 | 2019-10-08 | Cook Medical Technologies Llc | Controlled expansion stent graft delivery system |
AU2017306141A1 (en) | 2016-08-02 | 2019-03-07 | Aortica Corporation | Systems, devices, and methods for coupling a prosthetic implant to a fenestrated body |
USD800908S1 (en) | 2016-08-10 | 2017-10-24 | Mitraltech Ltd. | Prosthetic valve element |
CA3031187A1 (en) | 2016-08-10 | 2018-02-15 | Cardiovalve Ltd. | Prosthetic valve with concentric frames |
US10772751B2 (en) | 2016-09-09 | 2020-09-15 | Cook Medical Technologies Llc | Fenestrated endoluminal prosthesis and system and method of deployment thereof |
US11259788B2 (en) * | 2016-09-26 | 2022-03-01 | St. Jude Medical, Cardiology Division, Inc. | Percutaneous catheter directed intravascular occlusion devices with retractable stabilizing wires |
US11191632B2 (en) * | 2016-11-10 | 2021-12-07 | Cook Medical Technologies Llc | Temporary diameter reduction constraint arrangement for a stent graft in combination with a stent graft |
AU2016256777B1 (en) * | 2016-11-10 | 2017-04-20 | Cook Medical Technologies Llc | Temporary diameter reduction constraint arrangement for a stent graft in combination with a stent graft |
US10463517B2 (en) | 2017-01-16 | 2019-11-05 | Cook Medical Technologies Llc | Controlled expansion stent graft delivery system |
ES2954897T3 (en) | 2017-02-24 | 2023-11-27 | Bolton Medical Inc | Constrained Wrap Stent Graft Delivery System |
EP3585306B1 (en) | 2017-02-24 | 2021-01-27 | Bolton Medical, Inc. | System to radially constrict a stent graft |
ES2859485T3 (en) | 2017-02-24 | 2021-10-04 | Bolton Medical Inc | Radially Adjustable Stent Graft Delivery System |
WO2018156851A1 (en) | 2017-02-24 | 2018-08-30 | Bolton Medical, Inc. | Vascular prosthesis with moveable fenestration |
WO2018156848A1 (en) | 2017-02-24 | 2018-08-30 | Bolton Medical, Inc. | Vascular prosthesis with crimped adapter and methods of use |
WO2018156840A1 (en) | 2017-02-24 | 2018-08-30 | Bolton Medical, Inc. | Constrainable stent graft, delivery system and methods of use |
WO2018156849A1 (en) | 2017-02-24 | 2018-08-30 | Bolton Medical, Inc. | Vascular prosthesis with fenestration ring and methods of use |
WO2018156847A1 (en) | 2017-02-24 | 2018-08-30 | Bolton Medical, Inc. | Delivery system and method to radially constrict a stent graft |
ES2935516T3 (en) | 2017-02-24 | 2023-03-07 | Bolton Medical Inc | Delivery system for radially constraining a stent graft |
CN110392558B (en) * | 2017-03-09 | 2022-02-01 | 美敦力公司 | Stented prosthesis delivery device with steering capability and method |
WO2018175048A1 (en) | 2017-03-24 | 2018-09-27 | Ascyrus Medical, Llc | Multi-spiral self-expanding stent and methods of making and using the same |
US10709541B2 (en) | 2017-04-28 | 2020-07-14 | Cook Medical Technologies Llc | Systems and methods for adjusting the diameter of an endoluminal prosthesis and an endoluminal prosthesis configured for the same |
US10888421B2 (en) | 2017-09-19 | 2021-01-12 | Cardiovalve Ltd. | Prosthetic heart valve with pouch |
US11793633B2 (en) | 2017-08-03 | 2023-10-24 | Cardiovalve Ltd. | Prosthetic heart valve |
US10537426B2 (en) | 2017-08-03 | 2020-01-21 | Cardiovalve Ltd. | Prosthetic heart valve |
US11246704B2 (en) | 2017-08-03 | 2022-02-15 | Cardiovalve Ltd. | Prosthetic heart valve |
US10575948B2 (en) | 2017-08-03 | 2020-03-03 | Cardiovalve Ltd. | Prosthetic heart valve |
JP7271510B2 (en) | 2017-09-25 | 2023-05-11 | ボルトン メディカル インコーポレイテッド | Systems, devices and methods for coupling prosthetic implants to fenestrated bodies |
WO2019071268A1 (en) * | 2017-10-07 | 2019-04-11 | The Cleveland Clinic Foundation | Endovascular grafts and methods for extended aortic repair |
EP4049633A1 (en) | 2017-10-31 | 2022-08-31 | Bolton Medical, Inc. | Distal torque component, delivery system and method of using same |
GB201720803D0 (en) | 2017-12-13 | 2018-01-24 | Mitraltech Ltd | Prosthetic Valve and delivery tool therefor |
GB201800399D0 (en) | 2018-01-10 | 2018-02-21 | Mitraltech Ltd | Temperature-control during crimping of an implant |
WO2019232155A1 (en) | 2018-05-31 | 2019-12-05 | Endologix, Inc. | Stent graft systems with restraints in channels and methods thereof |
US20220023073A1 (en) * | 2018-12-13 | 2022-01-27 | Kawasumi Laboratories, Inc. | Gastrointestinal stent |
CA3133857A1 (en) | 2019-03-20 | 2020-09-24 | inQB8 Medical Technologies, LLC | Aortic dissection implant |
GB2605559B (en) | 2021-01-07 | 2023-04-05 | Cook Medical Technologies Llc | Stent graft |
CN115869105A (en) * | 2021-08-24 | 2023-03-31 | 先健科技(深圳)有限公司 | Lumen stent |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2006007389A1 (en) * | 2004-06-16 | 2006-01-19 | Cook Incorprated | Thoracic deployment device and stent graft |
WO2007022495A1 (en) | 2005-08-18 | 2007-02-22 | William A. Cook Australia Pty. Ltd. | Design and assembly of fenestrated stent grafts |
Family Cites Families (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5035706A (en) | 1989-10-17 | 1991-07-30 | Cook Incorporated | Percutaneous stent and method for retrieval thereof |
US5405378A (en) * | 1992-05-20 | 1995-04-11 | Strecker; Ernst P. | Device with a prosthesis implantable in the body of a patient |
WO1996036297A1 (en) * | 1995-05-19 | 1996-11-21 | Kanji Inoue | Transplantation instrument, method of bending same and method of transplanting same |
AUPP083597A0 (en) * | 1997-12-10 | 1998-01-08 | William A Cook Australia Pty Ltd | Endoluminal aortic stents |
US6716238B2 (en) * | 2001-05-10 | 2004-04-06 | Scimed Life Systems, Inc. | Stent with detachable tethers and method of using same |
EP1509271B1 (en) | 2002-05-29 | 2005-11-23 | William A. Cook Australia Pty. Ltd. | Trigger wire system for a prosthesis deployment device |
EP2292183B1 (en) * | 2003-03-18 | 2017-10-25 | Veryan Medical Limited | Helical balloon with stent |
JP2005000569A (en) | 2003-06-16 | 2005-01-06 | Piolax Medical Device:Kk | Method for retaining reduced diameter of stent |
JP2005058459A (en) | 2003-08-12 | 2005-03-10 | Piolax Medical Device:Kk | Reduced diameter holding method of stent graft |
US8292943B2 (en) * | 2003-09-03 | 2012-10-23 | Bolton Medical, Inc. | Stent graft with longitudinal support member |
US7651519B2 (en) * | 2003-09-16 | 2010-01-26 | Cook Incorporated | Prosthesis deployment system |
-
2008
- 2008-05-12 WO PCT/US2008/006025 patent/WO2008140796A1/en active Application Filing
- 2008-05-12 AU AU2008251804A patent/AU2008251804B2/en active Active
- 2008-05-12 EP EP08754352.6A patent/EP2146669B1/en active Active
- 2008-05-12 US US12/152,057 patent/US8377113B2/en active Active
- 2008-05-12 JP JP2010507483A patent/JP5424063B2/en active Active
-
2013
- 2013-02-11 US US13/764,180 patent/US8603156B2/en active Active
- 2013-02-11 US US13/764,092 patent/US8597346B2/en active Active
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2006007389A1 (en) * | 2004-06-16 | 2006-01-19 | Cook Incorprated | Thoracic deployment device and stent graft |
WO2007022495A1 (en) | 2005-08-18 | 2007-02-22 | William A. Cook Australia Pty. Ltd. | Design and assembly of fenestrated stent grafts |
Cited By (82)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10111680B2 (en) | 2002-08-02 | 2018-10-30 | Flowcardia, Inc. | Therapeutic ultrasound system |
US11510690B2 (en) | 2005-01-20 | 2022-11-29 | Flowcardia, Inc. | Vibrational catheter devices and methods for making same |
US10285719B2 (en) | 2005-01-20 | 2019-05-14 | Flowcardia, Inc. | Vibrational catheter devices and methods for making same |
US10507097B2 (en) | 2006-07-31 | 2019-12-17 | Edwards Lifesciences Cardiaq Llc | Surgical implant devices and methods for their manufacture and use |
US11877941B2 (en) | 2006-07-31 | 2024-01-23 | Edwards Lifesciences Cardiaq Llc | Sealable endovascular implants and methods for their use |
US9138335B2 (en) | 2006-07-31 | 2015-09-22 | Syntheon Cardiology, Llc | Surgical implant devices and methods for their manufacture and use |
US9585743B2 (en) | 2006-07-31 | 2017-03-07 | Edwards Lifesciences Cardiaq Llc | Surgical implant devices and methods for their manufacture and use |
US9827125B2 (en) | 2006-07-31 | 2017-11-28 | Edwards Lifesciences Cardiaq Llc | Sealable endovascular implants and methods for their use |
US10925760B2 (en) | 2006-07-31 | 2021-02-23 | Edwards Lifesciences Cardiaq Llc | Sealable endovascular implants and methods for their use |
US10687968B2 (en) | 2006-07-31 | 2020-06-23 | Edwards Lifesciences Cardiaq Llc | Sealable endovascular implants and methods for their use |
US8709068B2 (en) | 2007-03-05 | 2014-04-29 | Endospan Ltd. | Multi-component bifurcated stent-graft systems |
US8317856B2 (en) | 2007-03-05 | 2012-11-27 | Endospan Ltd. | Multi-component expandable supportive bifurcated endoluminal grafts and methods for using same |
US9814611B2 (en) | 2007-07-31 | 2017-11-14 | Edwards Lifesciences Cardiaq Llc | Actively controllable stent, stent graft, heart valve and method of controlling same |
US8486131B2 (en) | 2007-12-15 | 2013-07-16 | Endospan Ltd. | Extra-vascular wrapping for treating aneurysmatic aorta in conjunction with endovascular stent-graft and methods thereof |
US10456554B2 (en) | 2008-04-17 | 2019-10-29 | W. L. Gore & Associates, Inc. | Device delivery catheter having a curved distal tip |
WO2009128939A1 (en) * | 2008-04-17 | 2009-10-22 | Gore Enterprise Holdings, Inc. | Device delivery catheter having a curved distal tip |
US9060894B2 (en) | 2008-12-03 | 2015-06-23 | C. R. Bard, Inc. | Catheter sheath for implant delivery |
US9918825B2 (en) | 2009-06-23 | 2018-03-20 | Endospan Ltd. | Vascular prosthesis for treating aneurysms |
EP2445444A4 (en) * | 2009-06-23 | 2017-04-12 | Endospan Ltd. | Vascular prostheses for treating aneurysms |
US8870938B2 (en) | 2009-06-23 | 2014-10-28 | Endospan Ltd. | Vascular prostheses for treating aneurysms |
US11090148B2 (en) | 2009-06-23 | 2021-08-17 | Endospan Ltd. | Vascular prosthesis for treating aneurysms |
US10568732B2 (en) | 2009-07-02 | 2020-02-25 | Edwards Lifesciences Cardiaq Llc | Surgical implant devices and methods for their manufacture and use |
US9408607B2 (en) | 2009-07-02 | 2016-08-09 | Edwards Lifesciences Cardiaq Llc | Surgical implant devices and methods for their manufacture and use |
US11766323B2 (en) | 2009-07-02 | 2023-09-26 | Edwards Lifesciences Cardiaq Llc | Surgical implant devices and methods for their manufacture and use |
US8979892B2 (en) | 2009-07-09 | 2015-03-17 | Endospan Ltd. | Apparatus for closure of a lumen and methods of using the same |
US8945203B2 (en) | 2009-11-30 | 2015-02-03 | Endospan Ltd. | Multi-component stent-graft system for implantation in a blood vessel with multiple branches |
WO2011064782A2 (en) | 2009-11-30 | 2011-06-03 | Endospan Ltd. | Multi-component stent-graft system for implantation in a blood vessel with multiple branches |
US10888413B2 (en) | 2009-11-30 | 2021-01-12 | Endospan Ltd. | Multi-component stent-graft system for implantation in a blood vessel with multiple branches |
EP3735937A1 (en) | 2009-11-30 | 2020-11-11 | Endospan Ltd. | Multi-component stent-graft system for implantation in a blood vessel with multiple branches |
US10201413B2 (en) | 2009-11-30 | 2019-02-12 | Endospan Ltd. | Multi-component stent-graft system for implantation in a blood vessel with multiple branches |
US9101457B2 (en) | 2009-12-08 | 2015-08-11 | Endospan Ltd. | Endovascular stent-graft system with fenestrated and crossing stent-grafts |
US8956397B2 (en) | 2009-12-31 | 2015-02-17 | Endospan Ltd. | Endovascular flow direction indicator |
US9468517B2 (en) | 2010-02-08 | 2016-10-18 | Endospan Ltd. | Thermal energy application for prevention and management of endoleaks in stent-grafts |
AU2010201676B1 (en) * | 2010-04-23 | 2010-07-22 | Cook Medical Technologies Llc | Curve forming stent graft |
WO2011133176A1 (en) * | 2010-04-23 | 2011-10-27 | William A. Cook Australia Pty. Ltd. | Curve forming stent graft |
US8118855B2 (en) | 2010-04-23 | 2012-02-21 | Cook Medical Technologies Llc | Curve forming stent graft |
US9566178B2 (en) | 2010-06-24 | 2017-02-14 | Edwards Lifesciences Cardiaq Llc | Actively controllable stent, stent graft, heart valve and method of controlling same |
WO2012068257A3 (en) * | 2010-11-16 | 2013-08-15 | W. L. Gore & Associates, Inc. | Apposition fiber for use in endoluminal deployment of expandable devices in tortuous anatomies |
CN103347467B (en) * | 2010-11-16 | 2016-08-24 | W.L.戈尔及同仁股份有限公司 | For the juxtaposition fiber making distensible devices launch at intracavity in tortuous dissection |
KR101703385B1 (en) | 2010-11-16 | 2017-02-06 | 더블유.엘. 고어 앤드 어소시에이트스, 인코포레이티드 | Apposion fiber for use in endoluminal deployment of expandable devices in tortuous anatomies |
EP2752175A1 (en) * | 2010-11-16 | 2014-07-09 | W.L. Gore & Associates, Inc. | Apposition fiber for use in endoluminal deployment of expandable devices in tortuous anatomies |
KR20130117810A (en) * | 2010-11-16 | 2013-10-28 | 더블유.엘. 고어 앤드 어소시에이트스, 인코포레이티드 | Apposion fiber for use in endoluminal deployment of expandable devices in tortuous anatomies |
AU2011328910B2 (en) * | 2010-11-16 | 2015-06-18 | W. L. Gore & Associates, Inc. | Apposition fiber for use in endoluminal deployment of expandable devices in tortuous anatomies |
US9095466B2 (en) | 2010-11-16 | 2015-08-04 | W. L. Gore & Associates, Inc. | Apposition fiber for use in endoluminal deployment of expandable devices in tortuous anatomies |
CN103347467A (en) * | 2010-11-16 | 2013-10-09 | W.L.戈尔及同仁股份有限公司 | Apposition fiber for use in endoluminal deployment of expandable devices in tortuous anatomies |
US11540911B2 (en) | 2010-12-29 | 2023-01-03 | Edwards Lifesciences Cardiaq Llc | Surgical implant devices and methods for their manufacture and use |
US9526638B2 (en) | 2011-02-03 | 2016-12-27 | Endospan Ltd. | Implantable medical devices constructed of shape memory material |
US9855046B2 (en) | 2011-02-17 | 2018-01-02 | Endospan Ltd. | Vascular bands and delivery systems therefor |
US9486341B2 (en) | 2011-03-02 | 2016-11-08 | Endospan Ltd. | Reduced-strain extra-vascular ring for treating aortic aneurysm |
US8574287B2 (en) | 2011-06-14 | 2013-11-05 | Endospan Ltd. | Stents incorporating a plurality of strain-distribution locations |
US8951298B2 (en) | 2011-06-21 | 2015-02-10 | Endospan Ltd. | Endovascular system with circumferentially-overlapping stent-grafts |
US9254209B2 (en) | 2011-07-07 | 2016-02-09 | 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 |
US11707356B2 (en) | 2011-10-21 | 2023-07-25 | Edwards Lifesciences Cardiaq Llc | Actively controllable stent, stent graft, heart valve and method of controlling same |
KR102109542B1 (en) | 2011-10-21 | 2020-05-13 | 에드워즈 라이프사이언시스 카디에이큐 엘엘씨 | Actively controllable stent, stent graft, heart valve and method of controlling same |
KR20140084243A (en) * | 2011-10-21 | 2014-07-04 | 신씨온 카디올로지, 엘엘씨. | Actively controllable stent, stent graft, heart valve and method of controlling same |
WO2013059776A1 (en) | 2011-10-21 | 2013-04-25 | Syntheon Cardiology, Llc | Actively controllable stent, stent graft, heart valve and method of controlling same |
US10980650B2 (en) | 2011-10-21 | 2021-04-20 | Edwards Lifesciences Cardiaq Llc | Actively controllable stent, stent graft, heart valve and method of controlling same |
US10874508B2 (en) | 2011-10-21 | 2020-12-29 | Edwards Lifesciences Cardiaq Llc | Actively controllable stent, stent graft, heart valve and method of controlling same |
US10238514B2 (en) | 2011-10-21 | 2019-03-26 | Edwards Lifesciences Cardiaq Llc | Actively controllable stent, stent graft, heart valve and method of controlling same |
EP2768429A1 (en) * | 2011-10-21 | 2014-08-27 | Syntheon Cardiology, LLC | Actively controllable stent, stent graft, heart valve and method of controlling same |
US9827093B2 (en) | 2011-10-21 | 2017-11-28 | Edwards Lifesciences Cardiaq Llc | Actively controllable stent, stent graft, heart valve and method of controlling same |
US10478295B2 (en) | 2011-10-21 | 2019-11-19 | Edwards Lifesciences Cardiaq Llc | Actively controllable stent, stent graft, heart valve and method of controlling same |
EP2768429A4 (en) * | 2011-10-21 | 2015-04-08 | Syntheon Cardiology Llc | Actively controllable stent, stent graft, heart valve and method of controlling same |
US9427339B2 (en) | 2011-10-30 | 2016-08-30 | Endospan Ltd. | Triple-collar stent-graft |
US9597204B2 (en) | 2011-12-04 | 2017-03-21 | Endospan Ltd. | Branched stent-graft system |
US9770350B2 (en) | 2012-05-15 | 2017-09-26 | Endospan Ltd. | Stent-graft with fixation elements that are radially confined for delivery |
EP2735283A1 (en) * | 2012-11-27 | 2014-05-28 | Cook Medical Technologies LLC | Assembly of stent grafts with diameter reducing ties |
US9707072B2 (en) | 2012-11-27 | 2017-07-18 | Cook Medical Technologies Llc | Assembly of stent grafts with diameter reducing ties |
EP2740440A3 (en) * | 2012-11-27 | 2014-08-27 | Cook Medical Technologies LLC | Stent graft having a closeable fenestration |
US9993360B2 (en) | 2013-01-08 | 2018-06-12 | Endospan Ltd. | Minimization of stent-graft migration during implantation |
US9668892B2 (en) | 2013-03-11 | 2017-06-06 | Endospan Ltd. | Multi-component stent-graft system for aortic dissections |
US9179998B2 (en) | 2013-03-12 | 2015-11-10 | Cook Medical Technologies Llc | Device and method for treating vascular dissections |
EP2777609A1 (en) * | 2013-03-12 | 2014-09-17 | Cook Medical Technologies LLC | Device for treating vascular dissections |
US10603197B2 (en) | 2013-11-19 | 2020-03-31 | Endospan Ltd. | Stent system with radial-expansion locking |
US11419742B2 (en) | 2014-12-18 | 2022-08-23 | Endospan Ltd. | Endovascular stent-graft with fatigue-resistant lateral tube |
US10485684B2 (en) | 2014-12-18 | 2019-11-26 | Endospan Ltd. | Endovascular stent-graft with fatigue-resistant lateral tube |
EP3040056A1 (en) * | 2014-12-29 | 2016-07-06 | Cook Medical Technologies LLC | Prosthesis deployment system |
US10206801B2 (en) | 2014-12-29 | 2019-02-19 | Cook Medical Technologies Llc | Trigger wire arrangements for endografts |
US10905540B2 (en) | 2015-11-12 | 2021-02-02 | Endospan Ltd. | Stent-grafts systems with skirt |
US10188538B2 (en) | 2015-12-30 | 2019-01-29 | Cook Medical Technologies Llc | Hybrid trigger wire for endografts |
EP3187155A1 (en) * | 2015-12-30 | 2017-07-05 | Cook Medical Technologies LLC | Prosthesis delivery system |
Also Published As
Publication number | Publication date |
---|---|
US8603156B2 (en) | 2013-12-10 |
US8377113B2 (en) | 2013-02-19 |
JP2010526586A (en) | 2010-08-05 |
US20130150944A1 (en) | 2013-06-13 |
US20130158648A1 (en) | 2013-06-20 |
AU2008251804B2 (en) | 2013-01-10 |
EP2146669A1 (en) | 2010-01-27 |
EP2146669B1 (en) | 2014-07-30 |
US20080294234A1 (en) | 2008-11-27 |
JP5424063B2 (en) | 2014-02-26 |
AU2008251804A1 (en) | 2008-11-20 |
US8597346B2 (en) | 2013-12-03 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
AU2008251804B2 (en) | Stent grafts for the thoracic aorta | |
US8808355B2 (en) | Stent graft having a closeable fenestration | |
EP1793766B1 (en) | Device for treating aortic dissection | |
US7699883B2 (en) | Vascular graft and deployment system | |
US9549830B2 (en) | Eversible branch stent-graft and deployment method | |
JP5463362B2 (en) | Introducer for deploying a stent-graft within a curved lumen | |
EP1922029B1 (en) | Assembly of stent grafts | |
EP2344072B1 (en) | Stent graft and introducer for deploying said stent graft in a curved lumen | |
US10188538B2 (en) | Hybrid trigger wire for endografts | |
US20080071343A1 (en) | Multi-segmented graft deployment system | |
US20150173923A1 (en) | Fenestrated prosthesis | |
WO2008091510A1 (en) | Vascular graft and deployment system | |
US20220265416A1 (en) | Closure mechanism |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
121 | Ep: the epo has been informed by wipo that ep was designated in this application |
Ref document number: 08754352 Country of ref document: EP Kind code of ref document: A1 |
|
WWE | Wipo information: entry into national phase |
Ref document number: 2008754352 Country of ref document: EP |
|
WWE | Wipo information: entry into national phase |
Ref document number: 2008251804 Country of ref document: AU |
|
WWE | Wipo information: entry into national phase |
Ref document number: 2010507483 Country of ref document: JP |
|
NENP | Non-entry into the national phase |
Ref country code: DE |
|
ENP | Entry into the national phase |
Ref document number: 2008251804 Country of ref document: AU Date of ref document: 20080512 Kind code of ref document: A |