US20050273150A1 - Stent introducer system - Google Patents
Stent introducer system Download PDFInfo
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- US20050273150A1 US20050273150A1 US11095208 US9520805A US2005273150A1 US 20050273150 A1 US20050273150 A1 US 20050273150A1 US 11095208 US11095208 US 11095208 US 9520805 A US9520805 A US 9520805A US 2005273150 A1 US2005273150 A1 US 2005273150A1
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- introducer
- stent
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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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/958—Inflatable balloons for placing stents or stent-grafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, E.G. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
-
- 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
- A61F2/966—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, E.G. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
- A61F2/97—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve the outer sleeve being splittable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, E.G. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2002/041—Bile ducts
-
- 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
- A61F2002/067—Y-shaped blood vessels modular
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, E.G. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0071—Additional features; Implant or prostheses properties not otherwise provided for breakable or frangible
Abstract
A stent delivery system for positioning a first and second stent the first and second branch lumens of a bifurcation. The stent delivery system includes stent introducers and a sheath or catheter having a frangible wall. A method of delivering stents to anatomies such as bifurcated ducts or vessels.
Description
- [0001]This claims the benefit of U.S. Provisional Application Ser. No. 60/558,721, filed Mar. 31, 2004, entitled “Stent Introducer System,” which is incorporated by reference herein in its entirety.
- [0002]This invention generally relates to medical devices, and more particularly to devices for delivering stents to a target anatomy.
- [0003]Stents are elongate tubes that are used to prop open occluded or narrowed vessels or body lumens. Among other things, stents are often used to maintain the patency of the biliary tree, or common bile duct.
FIG. 1 is a partial, cross-sectional view of a biliary system 2 showing the common bile duct 2 a, the left hepatic duct 2 b, the right hepatic duct 2 c, the gall bladder 2 d, the pancreas 2 e and the duodenum 2 f. - [0004]Strictures or occlusions that develop in the upper common bile duct and/or the left and right hepatic ducts can interfere with the proper drainage of those ducts.
FIG. 2 illustrates a partial cross-sectional view of the biliary system 2 having strictures 3 within the common bile duct 2 a, the left hepatic duct 2 b and the right hepatic duct 2 c. One method of establishing proper drainage through the diseased ducts is to prop open the ducts by placing stents, such as self-expanding biliary stents, within the diseased ducts. Because of the branched configuration of the duct anatomy it is often necessary to place two or more stents in an overlying or side-by-side configuration. - [0005]However, currently available stent and introducer geometries are such that placement of a first stent often impedes placement of a second stent.
FIG. 3 illustrates the problems associated with the prior art method of placing stents in the common bile duct 2 a and the left and right hepatic ducts 2 b, 2 c. That is, placing stent 16 within the common bile duct 2 a and the left hepatic duct 2 b impedes subsequent access to the stricture in the right hepatic duct 2 c. This prevents placement of a stent in the right hepatic duct 2 c. - [0006]
FIG. 3A illustrates one problem encountered in the prior art by placing two stents sequentially. That is, once the first stent is deployed, it impedes insertion of the second introducer 20 used to deploy the second stent. An alternative to sequential deployment of the stents is simultaneous deployment. Simultaneous deployment, however, requires the side-by-side arrangement of two stent introducers within the working channel of an endoscope. Depending on the size of the stents to be placed and the limited size of the working channel of the endoscope, this option may be unworkable. - [0007]Consequently, there is a need for a self-expanding stent delivery system which overcomes the problems associated with prior art delivery systems. Specifically, there is a need for a self-expanding stent delivery system which allows the physician to sequentially place a first and second stent in the side branches and main lumen of a bifurcation.
- [0008]Accordingly, it is an object of the present invention to provide a medical device, method, and kit having features that resolve or improvoe on one or more of the above-described drawbacks.
- [0009]The foregoing object is obtained by providing a stent delivery system having a first introducer used to deploy a first stent, and a sheath or catheter used to receive a second introducer, which in turn is used to deploy a second stent. The first introducer and the catheter can be simultaneously deployed, for example, in a staggered configuration, through the working channel of an endoscope. Once the first stent is deployed, the catheter facilitates delivery of the second introducer to the target anatomy. The catheter or sheath can be splittable.
- [0010]In another aspect, wire guides are used to guide the placement of the first introducer, the catheter, and the second introducer.
- [0011]In yet another aspect, the foregoing object is obtained by providing a method of placing at stents in the branches of a bifurcated target anatomy. The method includes placing a first and a second wire guide in a working channel of an endoscope. The first wire guide is inserted into the first branch lumen of the bifurcation. The second wire guide is inserted into the second branch lumen of the bifurcation. A first introducer and splittable catheter can then be advanced over the respective wire guides to the respective target anatomies. Once in place, the first stent can be deployed. A second introducer can then be introduced over the second guide wire, through the splittable catheter and to the proper target anatomy. Once the second introducer is in place, the second stent can be deployed.
- [0012]The method of the invention may further include any of the following steps: disposing the first introducer and the splittable catheter within the working channel of the endoscope such that the first introducer proximal portion is disposed adjacent to the splittable catheter and the first introducer distal portion is disposed distal to the splittable catheter while inside the working channel of the endoscope; deploying the first stent within the first branch lumen and the main lumen of the bifurcation and withdrawing the first introducer from the bifurcation; and/or splitting the splittable catheter and withdrawing the splittable catheter from the bifurcation.
- [0013]
FIG. 1 is a partial, cross-sectional view of a biliary system showing the common bile duct, the left hepatic duct, the right hepatic duct, the gall bladder, the pancreas and the duodenum. - [0014]
FIG. 2 is a partial, cross-sectional view of the biliary system ofFIG. 1 showing strictures within the common bile duct, the left hepatic duct and the right hepatic duct. - [0015]
FIG. 3 is a partial, cross-sectional view of the biliary system ofFIG. 2 illustrating a stent that has been placed in the common bile duct and the left hepatic duct. - [0016]
FIG. 3A is a partial, cross-sectional view of the biliary system ofFIG. 1 illustrating a first stent previously placed by a first introducer in the right hepatic duct and the common bile duct that obscures the access of a second introducer attempting to place a second stent in the left hepatic duct and common bile duct. - [0017]
FIG. 4 is a partial, cross-sectional view of the biliary system ofFIG. 2 illustrating the placement of first and second stents in the left and right hepatic ducts, respectively, and the common bile duct according to a preferred method of the present invention. - [0018]
FIG. 5 is a partial, cross-sectional view of a preferred embodiment of the stent delivery system of the present invention illustrating a first introducer placed within the right hepatic duct and the common bile duct and a splittable catheter placed in the right hepatic duct and the common bile duct. - [0019]
FIG. 6 is a partial, cross-sectional view of the preferred embodiment of the stent delivery system ofFIG. 5 illustrating a first stent deployed in the right hepatic duct and common bile duct after the first introducer has been removed and the splittable catheter placed in the right hepatic duct and the common bile duct. - [0020]
FIG. 7 is a partial, cross-sectional view of the preferred embodiment of the stent delivery system ofFIG. 6 illustrating a first stent deployed in the right hepatic duct and common bile duct and the splittable catheter shielding a second introducer as the second introducer is advanced over a second wire guide into the common bile duct and the left hepatic duct. - [0021]
FIG. 8 is a cross-sectional, end view of the stent delivery system of the present invention showing the first introducer and the splittable catheter within the working channel of an endoscope. - [0022]
FIG. 9 is a partial, cross sectional, side-view of a preferred embodiment of the stent delivery system of the present invention showing the first introducer and the splittable catheter within the working channel of an endoscope. - [0023]
FIG. 10 is a cross-sectional view of an embodiment of the first introducer of the stent delivery system of the present invention. - [0024]
FIG. 11 is a partial, cross-sectional view of a distal portion of the first introducer ofFIG. 5 . - [0025]
FIG. 12 is a partial, cross-sectional view of an alternate embodiment of the distal portion of the first introducer ofFIG. 5 . - [0026]
FIG. 13 is a partial, cross-sectional view of the distal portion of the first introducer ofFIG. 5 showing the wire guide and wire guide lumen. - [0027]
FIG. 14 is a partial, cross-sectional view of the distal portion of the first introducer ofFIG. 5 showing an alternate embodiment of the wire guide and the wire guide lumen. - [0028]
FIG. 15 is a partial, cross-sectional view of the distal portion of the first introducer ofFIG. 5 showing an alternate embodiment of the wire guide and the wire guide lumen. - [0029]Referring now to the Figures wherein like numerals indicate the same element throughout the views, there is shown in
FIGS. 1-2 and 4 a bifurcation having a main lumen, a first branch lumen and a second branch lumen. In particular, these figures illustrate a bifurcation in the biliary system, wherein the main lumen comprises the common bile duct 2 a and the first and second branch lumens comprise the left and right hepatic ducts 2 b, 2 c respectively.FIG. 1 shows a normal, or healthy, biliary system without strictures.FIG. 2 shows the biliary system with strictures 3 residing in the main lumen and in both branch lumens of the bifurcation.FIG. 4 shows a pair of stents placed in the left and right hepatic ducts 2 b, 2 c, respectively, and the common bile duct 2 a according to a method of the present invention. - [0030]Referring now to
FIGS. 5-9 , a stent delivery system made in accordance with the present disclosure is shown. The stent delivery system includes a first and second introducers configured to deliver two stents to a target anatomy, as well as a catheter used to facilitate delivery of the second introducer to a target anatomy. The first introducer 10 and the splittable catheter 50 are adapted to be disposed within the working channel 8 a of an endoscope 8 as shown inFIGS. 5, 8 and 9. As illustrated inFIG. 7 , the splittable catheter 50 includes an interior passageway through which the second introducer can be advanced. - [0031]As illustrated in
FIG. 7 , the splittable catheter 50 is an elongate, flexible tube adapted to allow the second introducer 20 to advance unobstructed into the target anatomy. The splittable catheter 50 can be formed from a frangible material, for example, a material that readily tears in a longitudinal direction along the length of the sheath. A non-limiting example of a splittable material is a molecularly oriented (non-isotropic) polytetrafluoroethylene (PTFE) such as that used in the PEEL-AWAY™ Sheath (Cook Incorporated, Bloomington, Ind.). Alternatively, splittable catheter 50 can be formed from any suitable material known in the art including, but not limited to, PTFE, polyamide, polyurethane, polyethylene and nylon including multi-layer or single layer structures. The splittable catheter 50 can also be provided with a groove, pre-score, a weakened area or a pre-slit end to facilitate splitting. - [0032]Splittable catheter 50 can ranges in size from about 5 Fr. to about 9 Fr. These sizes are provided for illustrative purposes only and are not intended to be construed as a limitation of the present invention. As one of ordinary skill in the art would appreciate in view of the present disclosure, the size of the splittable catheter 50 is related to the size of the second introducer 20 that is advanced through it, which in turn is related to the size of the second stent 26 in its compressed or unexpanded configuration. Thus, splittable catheters smaller than about 5 Fr. that may become available in the future are contemplated as being within the scope of the claims of the invention.
- [0033]With respect to the introducers used with the stent delivery system of the present disclosure, any introducer capable of introducing and deploying stents is contemplated. Non-limiting examples include biliary stent deployment delivery systems as well as the introducers described in co-pending provisional application Ser. No. 10/728,589 (Attorney docket number 10000/218), which is incorporated by reference in its entirety. The introducers can be of the same or different type and size.
- [0034]
FIGS. 10-15 illustrate several, non-limiting, exemplary embodiments of introducer 10. In one exemplary embodiment, illustrated inFIG. 10 , introducer 10 has a proximal end and a distal end having inner and outer coaxial tubes. The outer coaxial tube forms an outer sheath or catheter 11. The inner coaxial tube forms a shaft 13. Shaft 13 has a proximal end 13 a, a distal end 13 b and a stent retaining area 15. Optionally, shaft 13 may include a pusher band 17 attached to the stent retaining area 15, a distal tip 18 attached to the shaft distal end 13 b and a wire guide lumen 19. Shaft 13 can be made from any suitable material known in the art including, but not limited to, polyethylene ether ketone (PEEK), polytetra-fluoroethylene (PTFE), polyamide, polyurethane, polyethylene and nylon, including multi-layer or single layer structures and may also include reinforcement wires, braid wires, coils and or filaments. Preferably, shaft 13 comprises a proximal portion made of a relatively rigid material such as stainless steel or any other suitable material known in the art. - [0035]Stent retaining area 15 is preferably located on a distal portion of the shaft 13. The stent retaining area 15 retains a stent 16 to be deployed in the bifurcation. Optionally, stent 16 is a self-expanding stent.
- [0036]Pusher band 17 helps to prevent the stent from proximally migrating as the outer catheter 11 is withdrawn proximally to deploy the stent. The pusher band 17 is located proximal to the stent 16 such that the proximal end of the stent 16 abuts the pusher band 17 as shown in
FIGS. 10-15 . - [0037]Distal tip 18 helps prevent fluids from entering the outer catheter 11 as the introducer 10 is navigated through the body lumens. As shown in
FIGS. 10-15 , distal tip 18 has a proximal end 18 a and a distal end 18 b. The distal tip proximal end 18 a has a diameter that is less than the diameter of the distal outer catheter distal end 14 b and is received therein. Optionally, the distal tip 18 tapers to a smaller diameter towards its distal end 18 b as shown inFIG. 12 . Distal tip 18 can be made from any suitable material known in the art including, but not limited to, PEEK, PTFE, polyamide, polyurethane, polyethylene and nylon, including multi-layer or single layer structures. - [0038]In the embodiment shown in
FIGS. 10 and 13 , wire guide lumen 19 extends through the shaft 13, from the shaft distal end 13 b to the shaft proximal end 13 a. In this embodiment, the shaft proximal end 13 a optionally includes a luer-lock fitting 31 for releaseably fixing a wire guide 32 relative to shaft 13 as shown inFIG. 10 . In the embodiments shown inFIGS. 10 and 13 , the stent delivery system 1 of the present invention includes an over-the-wire type wire guide. Such wire guides are known in the art. - [0039]Alternatively, the wire guide lumen 19 may extend through the shaft 13 from the shaft distal end 13 b to the shaft proximal end 13 a but the wire guide 32 exits through an aperture positioned along the length of the introducer 10. For example, as shown in
FIG. 14 , the wire guide 32 extends through a portion of the distal tip 18 and exits through an aperture 30 positioned along the length of the distal tip 18. In this embodiment, the wire guide 32 extends through the distal tip 18 and exits the introducer 10 without passing through stent 16. For example, wire guide 32 may extend proximally through distal tip 18 for a distance of about 1 cm. - [0040]In the alternate embodiment shown in
FIG. 15 , the wire guide lumen 19 extends through the length of the shaft 13 but the wire guide 32 extends through a portion of the shaft 13 and exits through an aperture 30 positioned along the length of outer catheter 11. In this embodiment, wire guide 32 extends through the distal tip 18, through a portion of the shaft 13 and passes through stent 16 before exiting introducer 10. For example, wire guide 32 may extend through the distal tip 18 and through the stent retaining area 15 for a distance of about 20 cm. - [0041]In yet other alternative embodiments, the wire guide lumen 19 may extend through a portion of shaft 13 and may exit through an aperture 30 positioned along the length of the introducer 10. Any number of apertures 30 positioned at any location along the length of the introducer 10 is contemplated. In addition, the wire guide lumen 19 may also comprise a channel or split.
- [0042]Aperture 30 provides the stent delivery system of the present invention with rapid-exchange capabilities. In particular, by extending the wire guide 32 through only a distal portion of the wire guide lumen 19, the delivery system can be removed from a wire guide 32 having a length substantially shorter than the length necessary if the wire guide 32 were extended through the entire length of the wire guide lumen 19.
- [0043]Referring to
FIG. 10 , the sheath or outer catheter 11 has a proximal end 11 a and a distal end 11 b. Preferably, at least the distal portion of outer catheter 11 is made of any optically clear or imageable material. This allows the stent 16 mounted on the stent retaining area 15 of the shaft 13 to be viewed. - [0044]The outer catheter 11 further includes a proximal outer catheter 12 having proximal and distal ends, 12 a and 12 b, respectively, and a distal outer catheter 14 having proximal and distal ends, 14 a and 14 b, respectively. The distal end 12 b of the proximal outer catheter 12 is attached to the proximal end 14 a of the distal outer catheter 14 to form outer catheter 11. The distal end 12 b of proximal outer catheter 12 can be attached to the proximal end 14 a of distal outer catheter 14 by any method known in the art including, but not limited to, heat fusing, adhesive bonding, chemical bonding or mechanical fitting. Alternatively, the proximal outer catheter 12, and the distal outer catheter 14 can be formed from of a single catheter or sheath.
- [0045]The introducer proximal outer diameter is between about 5 Fr. and about 6 Fr. The first introducer distal outer diameter is between about 6 Fr. and about 6.5 Fr. This allows placement of a stent having a compressed diameter between about 0.077 inches and about 0.78 inches. These sizes are provided for illustrative purposes only and are not intended to be construed as a limitation of the present invention. As one of ordinary skill in the art would appreciate, the size of the introducer required to place a stent is related to the size of the stent to be placed, and more particularly, to the size of the compressed configuration of the stent. Thus, introducers having distal outer diameters less than about 6 Fr. used to place stents having compressed configurations less than about 0.078 inches that may become available in the future are contemplated as being within the scope of the present disclosure.
- [0046]The first introducer 10 and the splittable catheter 50 are sized to be disposed next to each other in the working channel 8 a of an endoscope 8. More particularly, the sum of the first introducer 10 outer diameter, i.e. either the proximal outer diameter or the distal outer diameter, and the splittable catheter outer diameter is less than the inner diameter of the working channel 8 a of the endoscope 8. For example, referring to the embodiment shown in
FIG. 9 , the first introducer 10 and the splittable catheter 50 are disposed next to each other in a staggered configuration within the working channel 8 a of an endoscope 8. That is, the introducer has an increased diameter portion (the stent retaining area) and a decreased diameter portion (the proximal outer catheter). When the introducer and catheter are positioned in an endoscope adjacent to one another and staggered the respective increased and decreased diameter portions are nested together. As can be seen inFIG. 9 , the sum of the first introducer proximal outer diameter and the splittable catheter 50 is less than the inner diameter of the working channel 8 a of the endoscope 8. - [0047]In yet another alternate embodiment of the stent delivery system 1 of the present invention, the first introducer 10 and the splittable catheter 50 are sized to also accommodate at least one wire guide 32 or 42 within the working channel 8 a of the endoscope 8. For this embodiment, the sum of the first introducer proximal outer diameter, the splittable catheter outer diameter and at least one of the first and second wire guides 32, 42 is less than the inner diameter of the working channel 8 a of the endoscope 8.
- [0048]The stent delivery system 1 of the present invention is used to place first and second stents 16, 26 into a bifurcation having strictures 3 in the main lumen 2 a and the first and second branch lumens 2 b, 2 c as follows. Using an endoscope, a distal end of a first wire guide is advanced into the first branch lumen of the bifurcation. A distal end of a second wire guide is then advanced into the second branch lumen of the bifurcation. The first introducer 10 and the splittable catheter 50 are advanced over the wire guide into the working channel 8 a of the endoscope 8. Thus, the first introducer 10 is positioned within the first branch of the bifurcation and the splittable catheter 50 is positioned within the second branch lumen of the bifurcation, as shown in
FIG. 5 . The first introducer 10 and splittable catheter 50 may be positioned sequentially or simultaneously. The first introducer 10 is positioned such that the first stent 16 is at least partially aligned within any occlusion of narrowing of the first branch of the bifurcation. Once aligned, the first stent is deployed within the first branch of the bifurcation and the first introducer is withdrawn as shown inFIG. 6 . After the first introducer 10 is removed, a second introducer 20 is passed through the working channel 8 a of the endoscope 8 and advanced over the second wire guide 42 through the splittable catheter 50.FIG. 7 shows that the splittable catheter 50 acts as a shield to protect the second introducer 20 from being snagged, or otherwise blocked, by the deployed first stent 16.FIG. 7 also shows the splittable catheter 50 splitting, or peeling away, as the second introducer 20 is advanced through it and into the second branch lumen 26. Once the second introducer 20 is positioned in the second branch lumen 2 b, the splittable catheter 50 is removed and the second stent 26 is deployed within the second branch lumen 2 b and the main lumen 2 a. The resulting connfiguration is shown atFIG. 4 . - [0049]The above Figures and disclosure are intended to be illustrative and not exhaustive. This description will suggest many variations and alternatives to one of ordinary skill in the art. All such variations and alternatives are intended to be encompassed within the scope of the attached claims. Those familiar with the art may recognize other equivalents to the specific embodiments described herein which equivalents are also intended to be encompassed by the attached claims. For example, the invention has been described in the context of the biliary system for illustrative purposes only. Application of the principles of the invention to any other bifurcated lumens or vessels within the body of a patient, including areas within the digestive tract such as the pancreatic system, as well as areas outside the digestive tract such as other vascular systems, by way of non-limiting examples, are within the ordinary skill in the art and are intended to be encompassed within the scope of the attached claims.
Claims (20)
- 1. A stent delivery system comprising:a first introducer comprising a first stent;a second introducer comprising a second stent; anda catheter having a passageway adapted to receive the second introducer.
- 2. The stent delivery system of
claim 1 wherein the first introducer and the catheter are adapted to be disposed in a partly staggered configuration within the working channel of an endoscope. - 3. The stent delivery system of
claim 2 , wherein the first introducer and the catheter have a combined outside diameter between about 3 mm and 4.5 mm. - 4. The stent delivery system of
claim 1 , wherein the catheter further comprises a side wall having a frangible portion. - 5. The stent delivery system of
claim 4 , wherein the first introducer comprises a distal portion having a stent retaining portion. - 6. The stent delivery system of
claim 4 , wherein the second introducer comprises a distal portion having a stent retaining portion. - 7. The stent delivery system of
claim 4 , wherein a proximal portion of the first introducer is positioned adjacent to the catheter and a distal portion of the first introducer is distal to the catheter when the first introducer and catheter are inside the working channel of the endoscope. - 8. The stent delivery system of
claim 1 further comprising a first wire guide, wherein the first introducer further comprises a wire guide lumen adapted to receive the first wire guide. - 9. The stent delivery system of
claim 8 , wherein the wire guide lumen extends through at least a distal portion of the first introducer. - 10. The stent delivery system of
claim 8 further comprising a second wire guide, wherein the second introducer further comprises a second wire guide lumen adapted to receive the second wire guide. - 11. The stent delivery system of
claim 10 , wherein the wire guide lumen of the second introducer extends through at least a distal portion of the second introducer introducer. - 12. A kit for delivering first and second stents to a branched target anatomy, the kit comprising:a first introducer comprising:a tubular body having a proximal end, a distal end, and a stent carrying portion therebetween;a second introducer comprising:a tubular body having a proximal end, a distal end, and a stent carrying portion therebetween;a catheter adapted to receive the second introducer, the catheter having a frangible wall; anda sterile package adapted to receive the first introducer, the second introducer and the catheter.
- 13. The kit of
claim 12 , further comprising:a first self-expanding stent positioned within the stent carrying portion of the first introducer; anda second self-expanding stent positioned within the stent carrying portion of the second introducer. - 14. The kit of
claim 13 , further comprising:a first wire guide wherein the first wire guide is configured to receive the first introducer; anda second wire guide wherein the second wire guide is configured to receive the second introducer; andwherein the sterile package is adapted to receive the first and second wire guides. - 15. The kit of
claim 12 , wherein the first introducer further comprises:a passageway extending between the distal end and a port positioned proximal to the stent carrying portion, wherein the port is adapted to receive a wire guide. - 16. The kit of
claim 12 , wherein the second introducer further comprises:a passageway extending between the distal end and a port positioned proximal to the stent carrying portion, wherein the port is adapted to receive a wire guide. - 17. The kit of
claim 12 , wherein the first introducer further comprises:a passageway extending between the distal end and a port positioned distal to the stent carrying portion, wherein the port is adapted to receive a wire guide. - 18. The kit of
claim 12 , wherein the second introducer further comprises:a passageway extending between the distal end and a port positioned distal to the stent carrying portion, wherein the port is adapted to receive a wire guide. - 19. A method for propping open a narrowed bifurcated anatomy having a main lumen and first and second branch lumens, the method comprising the steps of:a) providing the kit of
claim 19; b) providing an endoscope having a working channel;c) positioning the endoscope adjacent the bifurcated anatomy;d) advancing the first wire guide through the working channel to the first branch lumen;e) advancing the second wire guide through the working channel to the second branch lumen;f) advancing the first introducer over the first wire guide to the first branch lumen of the bifurcation;g) advancing the catheter over the second wire guide to the second branch lumen of the of the bifurcation; andh) deploying the first stent within the first branch lumen. - 20. The method of
claim 19 , wherein steps f) and g) further comprise advancing the first introducer and the catheter through the working channel in a staggered configuration; and further comprising the steps of:i) advancing the second introducer over the second wire guide and through the catheter to the second branch lumen;j) removing the catheter, thereby splitting the frangible wall;k) deploying the second stent; andl) withdrawing the second introducer.
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Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20090048654A1 (en) * | 2007-08-15 | 2009-02-19 | Wilson-Cook Medical Inc. | Deployment System for Soft Stents |
US8034100B2 (en) | 1999-03-11 | 2011-10-11 | Endologix, Inc. | Graft deployment system |
US8167925B2 (en) | 1999-03-11 | 2012-05-01 | Endologix, Inc. | Single puncture bifurcation graft deployment system |
US8216295B2 (en) | 2008-07-01 | 2012-07-10 | Endologix, Inc. | Catheter system and methods of using same |
US8236040B2 (en) | 2008-04-11 | 2012-08-07 | Endologix, Inc. | Bifurcated graft deployment systems and methods |
US8945202B2 (en) | 2009-04-28 | 2015-02-03 | Endologix, Inc. | Fenestrated prosthesis |
US9549835B2 (en) | 2011-03-01 | 2017-01-24 | Endologix, Inc. | Catheter system and methods of using same |
Families Citing this family (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9113866B2 (en) | 2011-12-15 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Devices and methods for endoluminal plication |
US9173657B2 (en) | 2011-12-15 | 2015-11-03 | Ethicon Endo-Surgery, Inc. | Devices and methods for endoluminal plication |
US8992547B2 (en) | 2012-03-21 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Methods and devices for creating tissue plications |
US9737426B2 (en) * | 2013-03-15 | 2017-08-22 | Altura Medical, Inc. | Endograft device delivery systems and associated methods |
GB201522683D0 (en) * | 2015-12-22 | 2016-02-03 | Endogi Ltd | Deployment of multiple biliary stents |
Citations (93)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3585707A (en) * | 1966-04-13 | 1971-06-22 | Cordis Corp | Method of making tubular products |
US3657744A (en) * | 1970-05-08 | 1972-04-25 | Univ Minnesota | Method for fixing prosthetic implants in a living body |
US4140126A (en) * | 1977-02-18 | 1979-02-20 | Choudhury M Hasan | Method for performing aneurysm repair |
US4503569A (en) * | 1983-03-03 | 1985-03-12 | Dotter Charles T | Transluminally placed expandable graft prosthesis |
US4516972A (en) * | 1982-01-28 | 1985-05-14 | Advanced Cardiovascular Systems, Inc. | Guiding catheter and method of manufacture |
US4562596A (en) * | 1984-04-25 | 1986-01-07 | Elliot Kornberg | Aortic graft, device and method for performing an intraluminal abdominal aortic aneurysm repair |
US4581025A (en) * | 1983-11-14 | 1986-04-08 | Cook Incorporated | Sheath |
US4580568A (en) * | 1984-10-01 | 1986-04-08 | Cook, Incorporated | Percutaneous endovascular stent and method for insertion thereof |
US4655771A (en) * | 1982-04-30 | 1987-04-07 | Shepherd Patents S.A. | Prosthesis comprising an expansible or contractile tubular body |
US4665918A (en) * | 1986-01-06 | 1987-05-19 | Garza Gilbert A | Prosthesis system and method |
US4665771A (en) * | 1984-10-15 | 1987-05-19 | Mitchell Frank R | Hypocyclic drive |
US4665905A (en) * | 1986-06-09 | 1987-05-19 | Brown Charles S | Dynamic elbow and knee extension brace |
US4676229A (en) * | 1986-04-09 | 1987-06-30 | Welch Allyn, Inc. | Biopsy channel for an endoscope |
US4732152A (en) * | 1984-12-05 | 1988-03-22 | Medinvent S.A. | Device for implantation and a method of implantation in a vessel using such device |
US4733665A (en) * | 1985-11-07 | 1988-03-29 | Expandable Grafts Partnership | Expandable intraluminal graft, and method and apparatus for implanting an expandable intraluminal graft |
US4817613A (en) * | 1987-07-13 | 1989-04-04 | Devices For Vascular Intervention, Inc. | Guiding catheter |
US4830003A (en) * | 1988-06-17 | 1989-05-16 | Wolff Rodney G | Compressive stent and delivery system |
US4842590A (en) * | 1983-12-14 | 1989-06-27 | Terumo Kabushiki Kaisha | Catheter and method for making |
US4898591A (en) * | 1988-08-09 | 1990-02-06 | Mallinckrodt, Inc. | Nylon-PEBA copolymer catheter |
US4950227A (en) * | 1988-11-07 | 1990-08-21 | Boston Scientific Corporation | Stent delivery system |
US4990151A (en) * | 1988-09-28 | 1991-02-05 | Medinvent S.A. | Device for transluminal implantation or extraction |
US4994066A (en) * | 1988-10-07 | 1991-02-19 | Voss Gene A | Prostatic stent |
US4998539A (en) * | 1987-12-18 | 1991-03-12 | Delsanti Gerard L | Method of using removable endo-arterial devices to repair detachments in the arterial walls |
US5019057A (en) * | 1989-10-23 | 1991-05-28 | Cordis Corporation | Catheter having reinforcing strands |
US5019090A (en) * | 1988-09-01 | 1991-05-28 | Corvita Corporation | Radially expandable endoprosthesis and the like |
US5026377A (en) * | 1989-07-13 | 1991-06-25 | American Medical Systems, Inc. | Stent placement instrument and method |
US5037427A (en) * | 1987-03-25 | 1991-08-06 | Terumo Kabushiki Kaisha | Method of implanting a stent within a tubular organ of a living body and of removing same |
US5104399A (en) * | 1986-12-10 | 1992-04-14 | Endovascular Technologies, Inc. | Artificial graft and implantation method |
US5104388A (en) * | 1990-05-08 | 1992-04-14 | Fbk International Corporation | Membrane splittable tubing |
US5190520A (en) * | 1990-10-10 | 1993-03-02 | Strato Medical Corporation | Reinforced multiple lumen catheter |
US5197978A (en) * | 1991-04-26 | 1993-03-30 | Advanced Coronary Technology, Inc. | Removable heat-recoverable tissue supporting device |
US5201901A (en) * | 1987-10-08 | 1993-04-13 | Terumo Kabushiki Kaisha | Expansion unit and apparatus for expanding tubular organ lumen |
US5201757A (en) * | 1992-04-03 | 1993-04-13 | Schneider (Usa) Inc. | Medial region deployment of radially self-expanding stents |
US5217440A (en) * | 1989-10-06 | 1993-06-08 | C. R. Bard, Inc. | Multilaminate coiled film catheter construction |
US5221372A (en) * | 1992-02-13 | 1993-06-22 | Northwestern University | Fracture-tough, high hardness stainless steel and method of making same |
US5221270A (en) * | 1991-06-28 | 1993-06-22 | Cook Incorporated | Soft tip guiding catheter |
US5222971A (en) * | 1990-10-09 | 1993-06-29 | Scimed Life Systems, Inc. | Temporary stent and methods for use and manufacture |
US5275622A (en) * | 1983-12-09 | 1994-01-04 | Harrison Medical Technologies, Inc. | Endovascular grafting apparatus, system and method and devices for use therewith |
US5279596A (en) * | 1990-07-27 | 1994-01-18 | Cordis Corporation | Intravascular catheter with kink resistant tip |
US5290295A (en) * | 1992-07-15 | 1994-03-01 | Querals & Fine, Inc. | Insertion tool for an intraluminal graft procedure |
US5290310A (en) * | 1991-10-30 | 1994-03-01 | Howmedica, Inc. | Hemostatic implant introducer |
US5306252A (en) * | 1991-07-18 | 1994-04-26 | Kabushiki Kaisha Kobe Seiko Sho | Catheter guide wire and catheter |
US5318586A (en) * | 1993-01-19 | 1994-06-07 | Erkan Ereren | Laparoscopic and thoracoscopic expandable instruments |
US5318542A (en) * | 1992-01-08 | 1994-06-07 | Suddeutsche Feinmechanik Gmbh | Split cannula and process for the production thereof |
US5330500A (en) * | 1990-10-18 | 1994-07-19 | Song Ho Y | Self-expanding endovascular stent with silicone coating |
US5387235A (en) * | 1991-10-25 | 1995-02-07 | Cook Incorporated | Expandable transluminal graft prosthesis for repair of aneurysm |
US5391172A (en) * | 1993-05-24 | 1995-02-21 | Advanced Cardiovascular Systems, Inc. | Stent delivery system with coaxial catheter handle |
US5415664A (en) * | 1994-03-30 | 1995-05-16 | Corvita Corporation | Method and apparatus for introducing a stent or a stent-graft |
US5425756A (en) * | 1992-05-27 | 1995-06-20 | Cardiac Pacemakers, Inc. | Positive fixation device |
US5480423A (en) * | 1993-05-20 | 1996-01-02 | Boston Scientific Corporation | Prosthesis delivery |
US5484444A (en) * | 1992-10-31 | 1996-01-16 | Schneider (Europe) A.G. | Device for the implantation of self-expanding endoprostheses |
US5489295A (en) * | 1991-04-11 | 1996-02-06 | Endovascular Technologies, Inc. | Endovascular graft having bifurcation and apparatus and method for deploying the same |
US5498240A (en) * | 1994-05-27 | 1996-03-12 | Advanced Cardiovascular Systems, Inc. | Intravascular catheter with a replaceable shaft section |
US5514154A (en) * | 1991-10-28 | 1996-05-07 | Advanced Cardiovascular Systems, Inc. | Expandable stents |
US5534007A (en) * | 1995-05-18 | 1996-07-09 | Scimed Life Systems, Inc. | Stent deployment catheter with collapsible sheath |
US5538510A (en) * | 1994-01-31 | 1996-07-23 | Cordis Corporation | Catheter having coextruded tubing |
US5591197A (en) * | 1995-03-14 | 1997-01-07 | Advanced Cardiovascular Systems, Inc. | Expandable stent forming projecting barbs and method for deploying |
US5601600A (en) * | 1995-09-08 | 1997-02-11 | Conceptus, Inc. | Endoluminal coil delivery system having a mechanical release mechanism |
US5603698A (en) * | 1993-04-13 | 1997-02-18 | Boston Scientific Corporation | Prosthesis delivery system |
US5605530A (en) * | 1995-03-23 | 1997-02-25 | Fischell; Robert E. | System for safe implantation of radioisotope stents |
US5620649A (en) * | 1989-11-29 | 1997-04-15 | Cordis Corporation | Puncture resistant balloon catheter |
US5628788A (en) * | 1995-11-07 | 1997-05-13 | Corvita Corporation | Self-expanding endoluminal stent-graft |
US5639278A (en) * | 1993-10-21 | 1997-06-17 | Corvita Corporation | Expandable supportive bifurcated endoluminal grafts |
US5649952A (en) * | 1993-12-28 | 1997-07-22 | Advanced Cardiovascular Systems, Inc. | Expandable stents and method for making same |
US5653743A (en) * | 1994-09-09 | 1997-08-05 | Martin; Eric C. | Hypogastric artery bifurcation graft and method of implantation |
US5704926A (en) * | 1994-11-23 | 1998-01-06 | Navarre Biomedical, Ltd. | Flexible catheter |
US5707376A (en) * | 1992-08-06 | 1998-01-13 | William Cook Europe A/S | Stent introducer and method of use |
US5709703A (en) * | 1995-11-14 | 1998-01-20 | Schneider (Europe) A.G. | Stent delivery device and method for manufacturing same |
US5720735A (en) * | 1997-02-12 | 1998-02-24 | Dorros; Gerald | Bifurcated endovascular catheter |
US5733325A (en) * | 1993-11-04 | 1998-03-31 | C. R. Bard, Inc. | Non-migrating vascular prosthesis and minimally invasive placement system |
US5735859A (en) * | 1997-02-14 | 1998-04-07 | Cathco, Inc. | Distally attachable and releasable sheath for a stent delivery system |
US5755781A (en) * | 1996-08-06 | 1998-05-26 | Iowa-India Investments Company Limited | Embodiments of multiple interconnected stents |
US5772669A (en) * | 1996-09-27 | 1998-06-30 | Scimed Life Systems, Inc. | Stent deployment catheter with retractable sheath |
US5776140A (en) * | 1996-07-16 | 1998-07-07 | Cordis Corporation | Stent delivery system |
US6019778A (en) * | 1998-03-13 | 2000-02-01 | Cordis Corporation | Delivery apparatus for a self-expanding stent |
US6099497A (en) * | 1998-03-05 | 2000-08-08 | Scimed Life Systems, Inc. | Dilatation and stent delivery system for bifurcation lesions |
US6228110B1 (en) * | 1998-06-26 | 2001-05-08 | Scimed Life Systems, Inc. | Stent delivery system |
US20010003161A1 (en) * | 1996-11-04 | 2001-06-07 | Vardi Gil M. | Catheter with side sheath |
US6346118B1 (en) * | 1983-12-09 | 2002-02-12 | Endovascular Technologies, Inc. | Thoracic graft and delivery catheter |
US20020035391A1 (en) * | 1998-04-20 | 2002-03-21 | Mikus Paul W. | Stent delivery system |
US6379365B1 (en) * | 1999-03-29 | 2002-04-30 | Alexis Diaz | Stent delivery catheter system having grooved shaft |
US6391051B2 (en) * | 1996-11-27 | 2002-05-21 | Scimed Life Systems, Inc. | Pull back stent delivery system with pistol grip retraction handle |
US6395017B1 (en) * | 1996-11-15 | 2002-05-28 | C. R. Bard, Inc. | Endoprosthesis delivery catheter with sequential stage control |
US6425898B1 (en) * | 1998-03-13 | 2002-07-30 | Cordis Corporation | Delivery apparatus for a self-expanding stent |
US20030040789A1 (en) * | 1998-03-31 | 2003-02-27 | Darragh Colgan | Stent delivery system |
US6544278B1 (en) * | 1998-11-06 | 2003-04-08 | Scimed Life Systems, Inc. | Rolling membrane stent delivery system |
US6562049B1 (en) * | 2000-03-01 | 2003-05-13 | Cook Vascular Incorporated | Medical introducer apparatus |
US6592549B2 (en) * | 2001-03-14 | 2003-07-15 | Scimed Life Systems, Inc. | Rapid exchange stent delivery system and associated components |
US20030139796A1 (en) * | 1996-06-06 | 2003-07-24 | Jacques Sequin | Endoprosthesis deployment system for treating vascular bifurcations |
US20030149444A1 (en) * | 2002-02-06 | 2003-08-07 | Kenneth Khaw | Exitable lumen guide wire sheath and method of use |
US20050085845A1 (en) * | 2003-10-16 | 2005-04-21 | Minvasys, Sa | Catheter system for stenting bifurcated vessels |
US7022131B1 (en) * | 1998-05-29 | 2006-04-04 | By-Pass Inc. | Methods and devices for vascular surgery |
US20060100694A1 (en) * | 2002-06-13 | 2006-05-11 | Oren Globerman | Guidewire system |
Family Cites Families (73)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3485234A (en) | 1966-04-13 | 1969-12-23 | Cordis Corp | Tubular products and method of making same |
US3612058A (en) | 1968-04-17 | 1971-10-12 | Electro Catheter Corp | Catheter stylets |
US4056854A (en) | 1976-09-28 | 1977-11-08 | The United States Of America As Represented By The Department Of Health, Education And Welfare | Aortic heart valve catheter |
US4306562A (en) | 1978-12-01 | 1981-12-22 | Cook, Inc. | Tear apart cannula |
CA1232814A (en) | 1983-09-16 | 1988-02-16 | Hidetoshi Sakamoto | Guide wire for catheter |
US4705511A (en) | 1985-05-13 | 1987-11-10 | Bipore, Inc. | Introducer sheath assembly |
EP0556940A1 (en) | 1986-02-24 | 1993-08-25 | Robert E. Fischell | Intravascular stent |
GB2195257B (en) | 1986-09-30 | 1991-01-02 | Medinvent Sa | Device for transluminal implantation |
US4793348A (en) | 1986-11-15 | 1988-12-27 | Palmaz Julio C | Balloon expandable vena cava filter to prevent migration of lower extremity venous clots into the pulmonary circulation |
JPH0344541B2 (en) | 1987-08-13 | 1991-07-08 | Terumo Corp | |
US4985022A (en) | 1988-11-23 | 1991-01-15 | Med Institute, Inc. | Catheter having durable and flexible segments |
US4875468A (en) | 1988-12-23 | 1989-10-24 | Welch Allyn, Inc. | Elastomer-ePTFE biopsy channel |
US4969891A (en) | 1989-03-06 | 1990-11-13 | Gewertz Bruce L | Removable vascular filter |
US5045072A (en) | 1989-06-13 | 1991-09-03 | Cordis Corporation | Catheter having highly radiopaque, flexible tip |
US5057092A (en) | 1990-04-04 | 1991-10-15 | Webster Wilton W Jr | Braided catheter with low modulus warp |
US5064435A (en) | 1990-06-28 | 1991-11-12 | Schneider (Usa) Inc. | Self-expanding prosthesis having stable axial length |
US5160341A (en) | 1990-11-08 | 1992-11-03 | Advanced Surgical Intervention, Inc. | Resorbable urethral stent and apparatus for its insertion |
US5254107A (en) | 1991-03-06 | 1993-10-19 | Cordis Corporation | Catheter having extended braid reinforced transitional tip |
US5195969A (en) | 1991-04-26 | 1993-03-23 | Boston Scientific Corporation | Co-extruded medical balloons and catheter using such balloons |
US5863366A (en) * | 1995-06-07 | 1999-01-26 | Heartport, Inc. | Method of manufacture of a cannula for a medical device |
US5151105A (en) | 1991-10-07 | 1992-09-29 | Kwan Gett Clifford | Collapsible vessel sleeve implant |
EP0539237A1 (en) | 1991-10-25 | 1993-04-28 | Cook Incorporated | Expandable transluminal graft prosthesis for repair of aneurysm and method for implanting |
US5316023A (en) | 1992-01-08 | 1994-05-31 | Expandable Grafts Partnership | Method for bilateral intra-aortic bypass |
FR2689388B1 (en) | 1992-04-07 | 1999-07-16 | Celsa Lg | blood filter perfects possibly resorbable. |
US5354308A (en) | 1992-05-01 | 1994-10-11 | Beth Israel Hospital Association | Metal wire stent |
US5599300A (en) * | 1992-05-11 | 1997-02-04 | Arrow Precision Products, Inc. | Method for electrosurgically obtaining access to the biliary tree with an adjustably positionable needle-knife |
US5250071A (en) | 1992-09-22 | 1993-10-05 | Target Therapeutics, Inc. | Detachable embolic coil assembly using interlocking clasps and method of use |
WO1994015549A1 (en) | 1992-12-30 | 1994-07-21 | Schneider (Usa) Inc. | Apparatus for deploying body implantable stents |
US5474563A (en) | 1993-03-25 | 1995-12-12 | Myler; Richard | Cardiovascular stent and retrieval apparatus |
EP0626153A1 (en) | 1993-05-28 | 1994-11-30 | Medical Shape Memory, Ltd. | Ni-Ti medical stent |
US5464449A (en) | 1993-07-08 | 1995-11-07 | Thomas J. Fogarty | Internal graft prosthesis and delivery system |
DE4428914C2 (en) | 1993-08-18 | 2000-09-28 | Scimed Life Systems Inc | Thin wall multilayer catheter |
US5571135A (en) | 1993-10-22 | 1996-11-05 | Scimed Life Systems Inc. | Stent delivery apparatus and method |
US5456695A (en) | 1993-10-25 | 1995-10-10 | United States Surgical Corporation | Multi-tool surgical apparatus |
JPH07178176A (en) | 1993-12-24 | 1995-07-18 | Terumo Corp | Catheter |
US5417708A (en) | 1994-03-09 | 1995-05-23 | Cook Incorporated | Intravascular treatment system and percutaneous release mechanism therefor |
US5449373A (en) | 1994-03-17 | 1995-09-12 | Medinol Ltd. | Articulated stent |
JP2660318B2 (en) * | 1994-04-15 | 1997-10-08 | 株式会社エヌアンドエム | Biliary stenosis inner fistula assembly |
US5683451A (en) * | 1994-06-08 | 1997-11-04 | Cardiovascular Concepts, Inc. | Apparatus and methods for deployment release of intraluminal prostheses |
ES2199993T3 (en) * | 1994-06-13 | 2004-03-01 | Endomed, Inc. | expandable endovascular graft and method for their formation. |
ES2242132T3 (en) * | 1994-09-15 | 2005-11-01 | C.R. Bard Inc. | Stent and associated placement device. |
US5702419A (en) | 1994-09-21 | 1997-12-30 | Wake Forest University | Expandable, intraluminal stents |
WO1996013228A1 (en) | 1994-10-27 | 1996-05-09 | Schneider (Usa) Inc. | Stent delivery device |
US5647857A (en) | 1995-03-16 | 1997-07-15 | Endotex Interventional Systems, Inc. | Protective intraluminal sheath |
US5571168A (en) | 1995-04-05 | 1996-11-05 | Scimed Lifesystems Inc | Pull back stent delivery system |
DE69626108T2 (en) * | 1995-04-14 | 2003-11-20 | Boston Scient Ltd | The stent delivery device with rolling membrane |
DE69633263T2 (en) | 1995-05-25 | 2005-09-08 | Medtronic, Inc., Minneapolis | A stent assembly |
US5700269A (en) | 1995-06-06 | 1997-12-23 | Corvita Corporation | Endoluminal prosthesis deployment device for use with prostheses of variable length and having retraction ability |
US5702418A (en) | 1995-09-12 | 1997-12-30 | Boston Scientific Corporation | Stent delivery system |
US6099558A (en) * | 1995-10-10 | 2000-08-08 | Edwards Lifesciences Corp. | Intraluminal grafting of a bifuricated artery |
US5669924A (en) | 1995-10-26 | 1997-09-23 | Shaknovich; Alexander | Y-shuttle stent assembly for bifurcating vessels and method of using the same |
US5665103A (en) | 1996-03-07 | 1997-09-09 | Scimed Life Systems, Inc. | Stent locating device |
US5697971A (en) | 1996-06-11 | 1997-12-16 | Fischell; Robert E. | Multi-cell stent with cells having differing characteristics |
US5800517A (en) | 1996-08-19 | 1998-09-01 | Scimed Life Systems, Inc. | Stent delivery system with storage sleeve |
US5968068A (en) * | 1996-09-12 | 1999-10-19 | Baxter International Inc. | Endovascular delivery system |
US6027508A (en) * | 1996-10-03 | 2000-02-22 | Scimed Life Systems, Inc. | Stent retrieval device |
US5843090A (en) | 1996-11-05 | 1998-12-01 | Schneider (Usa) Inc. | Stent delivery device |
DE69737208T2 (en) | 1996-11-15 | 2007-11-08 | Cook Inc., Bloomington | The stent delivery device having a separable case |
US5792144A (en) | 1997-03-31 | 1998-08-11 | Cathco, Inc. | Stent delivery catheter system |
US6165195A (en) | 1997-08-13 | 2000-12-26 | Advanced Cardiovascylar Systems, Inc. | Stent and catheter assembly and method for treating bifurcations |
WO1999024104A1 (en) | 1997-11-07 | 1999-05-20 | Ave Connaught | Balloon catheter for repairing bifurcated vessels |
US5938697A (en) | 1998-03-04 | 1999-08-17 | Scimed Life Systems, Inc. | Stent having variable properties |
US6146389A (en) | 1998-04-23 | 2000-11-14 | Boston Scientific Corporation | Stent deployment device and method for deploying a stent |
US6254609B1 (en) | 1999-01-11 | 2001-07-03 | Scimed Life Systems, Inc. | Self-expanding stent delivery system with two sheaths |
CA2360551C (en) * | 1999-01-27 | 2009-12-22 | Scimed Life Systems, Inc. | Bifurcation stent delivery system |
US6287329B1 (en) | 1999-06-28 | 2001-09-11 | Nitinol Development Corporation | Stent keeper for a self-expanding stent delivery system |
US6454744B1 (en) | 1999-12-23 | 2002-09-24 | Tfx Medical, Inc. | Peelable PTFE sheaths and methods for manufacture of same |
US6942688B2 (en) * | 2000-02-29 | 2005-09-13 | Cordis Corporation | Stent delivery system having delivery catheter member with a clear transition zone |
US6908477B2 (en) * | 2000-10-13 | 2005-06-21 | Rex Medical, L.P. | Methods of implanting covered stents with side branch |
US6620122B2 (en) * | 2001-04-26 | 2003-09-16 | Scimed Life Systems, Inc. | Gastric pseudocyst drainage and stent delivery system for use therein |
EP1496975B1 (en) * | 2002-04-25 | 2009-04-08 | The Board of Trustees of The Leland Stanford Junior University | Expandable guide sheath |
JP2006500997A (en) * | 2002-09-27 | 2006-01-12 | メドロジックス デバイス コーポレイション | Implantable stents modified end |
US20050125050A1 (en) * | 2003-12-04 | 2005-06-09 | Wilson Cook Medical Incorporated | Biliary stent introducer system |
Patent Citations (100)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3585707A (en) * | 1966-04-13 | 1971-06-22 | Cordis Corp | Method of making tubular products |
US3657744A (en) * | 1970-05-08 | 1972-04-25 | Univ Minnesota | Method for fixing prosthetic implants in a living body |
US4140126A (en) * | 1977-02-18 | 1979-02-20 | Choudhury M Hasan | Method for performing aneurysm repair |
US4516972A (en) * | 1982-01-28 | 1985-05-14 | Advanced Cardiovascular Systems, Inc. | Guiding catheter and method of manufacture |
US4655771A (en) * | 1982-04-30 | 1987-04-07 | Shepherd Patents S.A. | Prosthesis comprising an expansible or contractile tubular body |
US4655771B1 (en) * | 1982-04-30 | 1996-09-10 | Medinvent Ams Sa | Prosthesis comprising an expansible or contractile tubular body |
US4503569A (en) * | 1983-03-03 | 1985-03-12 | Dotter Charles T | Transluminally placed expandable graft prosthesis |
US4581025A (en) * | 1983-11-14 | 1986-04-08 | Cook Incorporated | Sheath |
US6346118B1 (en) * | 1983-12-09 | 2002-02-12 | Endovascular Technologies, Inc. | Thoracic graft and delivery catheter |
US5275622A (en) * | 1983-12-09 | 1994-01-04 | Harrison Medical Technologies, Inc. | Endovascular grafting apparatus, system and method and devices for use therewith |
US4842590A (en) * | 1983-12-14 | 1989-06-27 | Terumo Kabushiki Kaisha | Catheter and method for making |
US4562596A (en) * | 1984-04-25 | 1986-01-07 | Elliot Kornberg | Aortic graft, device and method for performing an intraluminal abdominal aortic aneurysm repair |
US4580568A (en) * | 1984-10-01 | 1986-04-08 | Cook, Incorporated | Percutaneous endovascular stent and method for insertion thereof |
US4665771A (en) * | 1984-10-15 | 1987-05-19 | Mitchell Frank R | Hypocyclic drive |
US4732152A (en) * | 1984-12-05 | 1988-03-22 | Medinvent S.A. | Device for implantation and a method of implantation in a vessel using such device |
US4733665A (en) * | 1985-11-07 | 1988-03-29 | Expandable Grafts Partnership | Expandable intraluminal graft, and method and apparatus for implanting an expandable intraluminal graft |
US4733665B1 (en) * | 1985-11-07 | 1994-01-11 | Expandable Grafts Partnership | Expandable intraluminal graft,and method and apparatus for implanting an expandable intraluminal graft |
US4733665C2 (en) * | 1985-11-07 | 2002-01-29 | Expandable Grafts Partnership | Expandable intraluminal graft and method and apparatus for implanting an expandable intraluminal graft |
US4665918A (en) * | 1986-01-06 | 1987-05-19 | Garza Gilbert A | Prosthesis system and method |
US4676229A (en) * | 1986-04-09 | 1987-06-30 | Welch Allyn, Inc. | Biopsy channel for an endoscope |
US4665905A (en) * | 1986-06-09 | 1987-05-19 | Brown Charles S | Dynamic elbow and knee extension brace |
US5104399A (en) * | 1986-12-10 | 1992-04-14 | Endovascular Technologies, Inc. | Artificial graft and implantation method |
US5037427A (en) * | 1987-03-25 | 1991-08-06 | Terumo Kabushiki Kaisha | Method of implanting a stent within a tubular organ of a living body and of removing same |
US4817613A (en) * | 1987-07-13 | 1989-04-04 | Devices For Vascular Intervention, Inc. | Guiding catheter |
US5201901A (en) * | 1987-10-08 | 1993-04-13 | Terumo Kabushiki Kaisha | Expansion unit and apparatus for expanding tubular organ lumen |
US4998539A (en) * | 1987-12-18 | 1991-03-12 | Delsanti Gerard L | Method of using removable endo-arterial devices to repair detachments in the arterial walls |
US4830003A (en) * | 1988-06-17 | 1989-05-16 | Wolff Rodney G | Compressive stent and delivery system |
US4898591A (en) * | 1988-08-09 | 1990-02-06 | Mallinckrodt, Inc. | Nylon-PEBA copolymer catheter |
US5019090A (en) * | 1988-09-01 | 1991-05-28 | Corvita Corporation | Radially expandable endoprosthesis and the like |
US4990151A (en) * | 1988-09-28 | 1991-02-05 | Medinvent S.A. | Device for transluminal implantation or extraction |
US4994066A (en) * | 1988-10-07 | 1991-02-19 | Voss Gene A | Prostatic stent |
US4950227A (en) * | 1988-11-07 | 1990-08-21 | Boston Scientific Corporation | Stent delivery system |
US5026377A (en) * | 1989-07-13 | 1991-06-25 | American Medical Systems, Inc. | Stent placement instrument and method |
US5217440A (en) * | 1989-10-06 | 1993-06-08 | C. R. Bard, Inc. | Multilaminate coiled film catheter construction |
US5019057A (en) * | 1989-10-23 | 1991-05-28 | Cordis Corporation | Catheter having reinforcing strands |
US5620649A (en) * | 1989-11-29 | 1997-04-15 | Cordis Corporation | Puncture resistant balloon catheter |
US5104388A (en) * | 1990-05-08 | 1992-04-14 | Fbk International Corporation | Membrane splittable tubing |
US5279596A (en) * | 1990-07-27 | 1994-01-18 | Cordis Corporation | Intravascular catheter with kink resistant tip |
US5222971A (en) * | 1990-10-09 | 1993-06-29 | Scimed Life Systems, Inc. | Temporary stent and methods for use and manufacture |
US5190520A (en) * | 1990-10-10 | 1993-03-02 | Strato Medical Corporation | Reinforced multiple lumen catheter |
US5330500A (en) * | 1990-10-18 | 1994-07-19 | Song Ho Y | Self-expanding endovascular stent with silicone coating |
US5489295A (en) * | 1991-04-11 | 1996-02-06 | Endovascular Technologies, Inc. | Endovascular graft having bifurcation and apparatus and method for deploying the same |
US5197978B1 (en) * | 1991-04-26 | 1996-05-28 | Advanced Coronary Tech | Removable heat-recoverable tissue supporting device |
US5197978A (en) * | 1991-04-26 | 1993-03-30 | Advanced Coronary Technology, Inc. | Removable heat-recoverable tissue supporting device |
US5221270A (en) * | 1991-06-28 | 1993-06-22 | Cook Incorporated | Soft tip guiding catheter |
US5306252A (en) * | 1991-07-18 | 1994-04-26 | Kabushiki Kaisha Kobe Seiko Sho | Catheter guide wire and catheter |
US5387235A (en) * | 1991-10-25 | 1995-02-07 | Cook Incorporated | Expandable transluminal graft prosthesis for repair of aneurysm |
US5735893A (en) * | 1991-10-28 | 1998-04-07 | Advanced Cardiovascular Systems, Inc. | Expandable stents and method for making same |
US5514154A (en) * | 1991-10-28 | 1996-05-07 | Advanced Cardiovascular Systems, Inc. | Expandable stents |
US5728158A (en) * | 1991-10-28 | 1998-03-17 | Advanced Cardiovascular Systems, Inc. | Expandable stents |
US5603721A (en) * | 1991-10-28 | 1997-02-18 | Advanced Cardiovascular Systems, Inc. | Expandable stents and method for making same |
US5290310A (en) * | 1991-10-30 | 1994-03-01 | Howmedica, Inc. | Hemostatic implant introducer |
US5318542A (en) * | 1992-01-08 | 1994-06-07 | Suddeutsche Feinmechanik Gmbh | Split cannula and process for the production thereof |
US5221372A (en) * | 1992-02-13 | 1993-06-22 | Northwestern University | Fracture-tough, high hardness stainless steel and method of making same |
US5201757A (en) * | 1992-04-03 | 1993-04-13 | Schneider (Usa) Inc. | Medial region deployment of radially self-expanding stents |
US5425756A (en) * | 1992-05-27 | 1995-06-20 | Cardiac Pacemakers, Inc. | Positive fixation device |
US5290295A (en) * | 1992-07-15 | 1994-03-01 | Querals & Fine, Inc. | Insertion tool for an intraluminal graft procedure |
US5707376A (en) * | 1992-08-06 | 1998-01-13 | William Cook Europe A/S | Stent introducer and method of use |
US5484444A (en) * | 1992-10-31 | 1996-01-16 | Schneider (Europe) A.G. | Device for the implantation of self-expanding endoprostheses |
US5318586A (en) * | 1993-01-19 | 1994-06-07 | Erkan Ereren | Laparoscopic and thoracoscopic expandable instruments |
US5603698A (en) * | 1993-04-13 | 1997-02-18 | Boston Scientific Corporation | Prosthesis delivery system |
US5480423A (en) * | 1993-05-20 | 1996-01-02 | Boston Scientific Corporation | Prosthesis delivery |
US5391172A (en) * | 1993-05-24 | 1995-02-21 | Advanced Cardiovascular Systems, Inc. | Stent delivery system with coaxial catheter handle |
US5639278A (en) * | 1993-10-21 | 1997-06-17 | Corvita Corporation | Expandable supportive bifurcated endoluminal grafts |
US5733325A (en) * | 1993-11-04 | 1998-03-31 | C. R. Bard, Inc. | Non-migrating vascular prosthesis and minimally invasive placement system |
US5649952A (en) * | 1993-12-28 | 1997-07-22 | Advanced Cardiovascular Systems, Inc. | Expandable stents and method for making same |
US5538510A (en) * | 1994-01-31 | 1996-07-23 | Cordis Corporation | Catheter having coextruded tubing |
US5415664A (en) * | 1994-03-30 | 1995-05-16 | Corvita Corporation | Method and apparatus for introducing a stent or a stent-graft |
US5498240A (en) * | 1994-05-27 | 1996-03-12 | Advanced Cardiovascular Systems, Inc. | Intravascular catheter with a replaceable shaft section |
US5653743A (en) * | 1994-09-09 | 1997-08-05 | Martin; Eric C. | Hypogastric artery bifurcation graft and method of implantation |
US5704926A (en) * | 1994-11-23 | 1998-01-06 | Navarre Biomedical, Ltd. | Flexible catheter |
US5591197A (en) * | 1995-03-14 | 1997-01-07 | Advanced Cardiovascular Systems, Inc. | Expandable stent forming projecting barbs and method for deploying |
US5605530A (en) * | 1995-03-23 | 1997-02-25 | Fischell; Robert E. | System for safe implantation of radioisotope stents |
US5534007A (en) * | 1995-05-18 | 1996-07-09 | Scimed Life Systems, Inc. | Stent deployment catheter with collapsible sheath |
US5601600A (en) * | 1995-09-08 | 1997-02-11 | Conceptus, Inc. | Endoluminal coil delivery system having a mechanical release mechanism |
US5628788A (en) * | 1995-11-07 | 1997-05-13 | Corvita Corporation | Self-expanding endoluminal stent-graft |
US5709703A (en) * | 1995-11-14 | 1998-01-20 | Schneider (Europe) A.G. | Stent delivery device and method for manufacturing same |
US20030139796A1 (en) * | 1996-06-06 | 2003-07-24 | Jacques Sequin | Endoprosthesis deployment system for treating vascular bifurcations |
US5776140A (en) * | 1996-07-16 | 1998-07-07 | Cordis Corporation | Stent delivery system |
US5755781A (en) * | 1996-08-06 | 1998-05-26 | Iowa-India Investments Company Limited | Embodiments of multiple interconnected stents |
US5772669A (en) * | 1996-09-27 | 1998-06-30 | Scimed Life Systems, Inc. | Stent deployment catheter with retractable sheath |
US20010003161A1 (en) * | 1996-11-04 | 2001-06-07 | Vardi Gil M. | Catheter with side sheath |
US6395017B1 (en) * | 1996-11-15 | 2002-05-28 | C. R. Bard, Inc. | Endoprosthesis delivery catheter with sequential stage control |
US6391051B2 (en) * | 1996-11-27 | 2002-05-21 | Scimed Life Systems, Inc. | Pull back stent delivery system with pistol grip retraction handle |
US5720735A (en) * | 1997-02-12 | 1998-02-24 | Dorros; Gerald | Bifurcated endovascular catheter |
US5735859A (en) * | 1997-02-14 | 1998-04-07 | Cathco, Inc. | Distally attachable and releasable sheath for a stent delivery system |
US6099497A (en) * | 1998-03-05 | 2000-08-08 | Scimed Life Systems, Inc. | Dilatation and stent delivery system for bifurcation lesions |
US6019778A (en) * | 1998-03-13 | 2000-02-01 | Cordis Corporation | Delivery apparatus for a self-expanding stent |
US6425898B1 (en) * | 1998-03-13 | 2002-07-30 | Cordis Corporation | Delivery apparatus for a self-expanding stent |
US20030040789A1 (en) * | 1998-03-31 | 2003-02-27 | Darragh Colgan | Stent delivery system |
US20020035391A1 (en) * | 1998-04-20 | 2002-03-21 | Mikus Paul W. | Stent delivery system |
US7022131B1 (en) * | 1998-05-29 | 2006-04-04 | By-Pass Inc. | Methods and devices for vascular surgery |
US6228110B1 (en) * | 1998-06-26 | 2001-05-08 | Scimed Life Systems, Inc. | Stent delivery system |
US6544278B1 (en) * | 1998-11-06 | 2003-04-08 | Scimed Life Systems, Inc. | Rolling membrane stent delivery system |
US6379365B1 (en) * | 1999-03-29 | 2002-04-30 | Alexis Diaz | Stent delivery catheter system having grooved shaft |
US6562049B1 (en) * | 2000-03-01 | 2003-05-13 | Cook Vascular Incorporated | Medical introducer apparatus |
US6592549B2 (en) * | 2001-03-14 | 2003-07-15 | Scimed Life Systems, Inc. | Rapid exchange stent delivery system and associated components |
US20030149444A1 (en) * | 2002-02-06 | 2003-08-07 | Kenneth Khaw | Exitable lumen guide wire sheath and method of use |
US20060100694A1 (en) * | 2002-06-13 | 2006-05-11 | Oren Globerman | Guidewire system |
US20050085845A1 (en) * | 2003-10-16 | 2005-04-21 | Minvasys, Sa | Catheter system for stenting bifurcated vessels |
Cited By (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8034100B2 (en) | 1999-03-11 | 2011-10-11 | Endologix, Inc. | Graft deployment system |
US8167925B2 (en) | 1999-03-11 | 2012-05-01 | Endologix, Inc. | Single puncture bifurcation graft deployment system |
US20090048654A1 (en) * | 2007-08-15 | 2009-02-19 | Wilson-Cook Medical Inc. | Deployment System for Soft Stents |
US8236040B2 (en) | 2008-04-11 | 2012-08-07 | Endologix, Inc. | Bifurcated graft deployment systems and methods |
US8357192B2 (en) | 2008-04-11 | 2013-01-22 | Endologix, Inc. | Bifurcated graft deployment systems and methods |
US8764812B2 (en) | 2008-04-11 | 2014-07-01 | Endologix, Inc. | Bifurcated graft deployment systems and methods |
US8216295B2 (en) | 2008-07-01 | 2012-07-10 | Endologix, Inc. | Catheter system and methods of using same |
US9700701B2 (en) | 2008-07-01 | 2017-07-11 | Endologix, Inc. | Catheter system and methods of using same |
US8945202B2 (en) | 2009-04-28 | 2015-02-03 | Endologix, Inc. | Fenestrated prosthesis |
US9549835B2 (en) | 2011-03-01 | 2017-01-24 | Endologix, Inc. | Catheter system and methods of using same |
US9687374B2 (en) | 2011-03-01 | 2017-06-27 | Endologix, Inc. | Catheter system and methods of using same |
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JP2007531599A (en) | 2007-11-08 | application |
US8029555B2 (en) | 2011-10-04 | grant |
WO2005096994B1 (en) | 2005-12-15 | application |
EP1732470A1 (en) | 2006-12-20 | application |
EP1732470B1 (en) | 2010-05-26 | grant |
DE602005021473D1 (en) | 2010-07-08 | grant |
US20100121426A1 (en) | 2010-05-13 | application |
WO2005096994A1 (en) | 2005-10-20 | application |
JP4714736B2 (en) | 2011-06-29 | grant |
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