US20100057181A1 - Blood vessel prosthesis and delivery apparatus - Google Patents

Blood vessel prosthesis and delivery apparatus Download PDF

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Publication number
US20100057181A1
US20100057181A1 US12/439,681 US43968107A US2010057181A1 US 20100057181 A1 US20100057181 A1 US 20100057181A1 US 43968107 A US43968107 A US 43968107A US 2010057181 A1 US2010057181 A1 US 2010057181A1
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United States
Prior art keywords
branch
prosthesis
conduit
main conduit
conduits
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Abandoned
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US12/439,681
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English (en)
Inventor
Martin Terry Rothman
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Barts and London NHS Trust
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Barts and London NHS Trust
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Assigned to BARTS AND THE LONDON NHS TRUST reassignment BARTS AND THE LONDON NHS TRUST ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: HOFFMAN, MARTIN TERRY
Publication of US20100057181A1 publication Critical patent/US20100057181A1/en
Abandoned legal-status Critical Current

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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
    • A61F2/954—Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2002/061—Blood vessels provided with means for allowing access to secondary lumens
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2002/065—Y-shaped blood vessels

Definitions

  • the invention relates to a prosthesis for a blood vessel, and a delivery apparatus for delivering the prosthesis to the blood vessel, particularly, but not necessarily exclusively, for use in the treatment of aneurysms or dissections of the blood vessel.
  • Aneurysms are permanent distensions of the wall of a blood vessel, e.g. an artery, which disrupt the haemodynamics of the blood vessel.
  • the aneurysm may halt the flow of blood at certain regions of the blood vessel, increasing the risk of clot formation, which may in turn cause cerebral embolism.
  • a reduction in the structural wall integrity of the blood vessel may occur, which can cause a reduction in the effectiveness of the blood vessel and put a higher strain on the heart muscle, increasing the risk of heart failure or vessel rupture.
  • Dissections are tears in the blood vessel's intima or delaminations of the collagen/elastin wall architecture of the blood vessel. Dissections can result in a false lumen, i.e. inner cavity, within the blood vessel. The false lumen may provide areas in which blood can pool, increasing the risk of clot formation and subsequent cerebral embolism. Severe dissection may even result in a breach of the blood vessel integrity and possible bleeding from the blood vessel e.g. into the thoracic cavity, which may cause death in a short period of time.
  • Traditional treatment for dissections and aneurysms include surgical resection, removing the offending tissue (depending on the extent of the damage to the blood vessel), or the insertion of a tubular prosthesis or stent grant within the lumen of the blood vessel to remove the mechanical loading on the damaged blood vessel wall and to provide a haemodynamically compatible conduit for the transport of blood.
  • Prostheses are traditionally made from Dacron® or high density Polytetrafluoroethylene (PTFE).
  • endovascular methods of prosthesis introduction have reduced health risks to the patient by allowing percutaneous introduction of the prosthesis via the femoral artery. Operations can therefore be conducted under local anaesthetic, and cardiac arrest and/or cardiac bypass procedures may be eliminated, reducing the overall cost of the treatment.
  • Prostheses and stent grafts have been designed for positioning at bifurcation regions of blood vessels, i.e. regions in which the blood vessel branches.
  • PCT Application nos. WO00042948, WO03082153 and WO05122957 and U.S. Pat. No. 5,984,955 disclose bifurcated prostheses/stent grafts for positioning primarily at the iliac bifurcation of the aorta.
  • the prostheses comprise a main conduit, a first branch conduit extending therefrom, and a removable or retractable second branch conduit.
  • the main conduit is designed to locate within the aorta and the first and second branch conduits are designed to locate within respective iliac arteries.
  • prostheses/stent grafts described above are generally sited percutaneously using a catheter delivery system which allows introduction to and guidance through the vasculature. Control of the device is made through pushrods or hypotubes which can extract the device from a casing and locate it in position.
  • none of these prostheses and stent grafts, or the delivery systems thereof, are intended for, or are indeed appropriate for, positioning at the branch region of the ascending aorta where the aortic root meets the right and left coronary arteries, which feed the heart muscle with oxygenated blood.
  • the anatomy of the aortic root and the coronary arteries is complex. This location is particularly prone to aneurysms and dissections.
  • the prosthesis is mounted on the first and second guide wires, by inserting the first and second guide wires through the first and second branch conduits respectively, prior to moving the branch conduits toward the branch region.
  • This arrangement of the branch conduits described above permits the prosthesis to take a compact shape during delivery to the branch region of the blood vessel. Thus, the possibility of obstruction of the prosthesis during delivery is reduced. Furthermore, by arranging the branch conduits to turn inside out, moving the branch conduit from the first to the second position may be straightforward, and construction of the branch conduits may be uncomplicated.
  • the prosthesis may be manufactured in one-piece.
  • the prosthesis used in the delivery apparatus according to the first aspect of the present invention and/or of the prosthesis used in the method according to the second aspect of the present invention is a prosthesis according to the third aspect of the invention.
  • the prosthesis may be used to treat aneurysms or dissections of the ascending aorta proximal to the aortic valve and the left ventricle of the heart.
  • the prosthesis is mounted on the first and second guide wires by inserting the first and second guide wires through the first and second branch conduits respectively, prior to moving the branch conduits toward the first and second blood vessel branches.
  • the prosthesis comprises a second branch conduit, the second branch conduit being for locating in a second blood vessel branch of the branch region.
  • the second branch conduit is movable from a first position in which it projects inside the main conduit to a second position in which it projects out from the main conduit in order for it to locate in the second blood vessel branch, the second branch conduit being arranged to turn inside out as it moves from the first position to the second position.
  • branch conduit(s) permits the prosthesis to take a compact shape during delivery to the branch region of the blood vessel.
  • the possibility of obstruction of the prosthesis during delivery is reduced.
  • moving the branch conduit(s) from the first to the second position may be straightforward, and construction of the branch conduit(s) may be uncomplicated.
  • the prosthesis may be manufactured in one-piece, for example.
  • the main conduit comprises a first end which defines an opening, a second end which defines an opening, and a sidewall extending between the first and second ends.
  • the first and second branch conduits are mounted to opposing flanks of the sidewall of the main conduit.
  • the first and second branch conduits and the main conduit are one-piece.
  • the main conduit may be substantially cylindrical.
  • the cross-section of the main conduit, in a plane substantially perpendicular to the longitudinal axis of the main conduit, may therefore be substantially circular.
  • the term ‘mounted to opposing flanks’ is intended to mean that the first and second branch conduits are mounted to the sidewall at positions which are more than 90 degrees apart, preferably more than 150 degrees apart, about the circumference of the circle or other cross-sectional shape.
  • the first and second branch conduits may be mounted at positions of the sidewall that are offset in a direction parallel to the longitudinal axis of the main conduit.
  • the prosthesis used in the delivery apparatus according to the fourth aspect of the present invention, and/or the prosthesis used in the method according to the fifth aspect of the present invention is a prosthesis according to the sixth or seventh aspect of the invention.
  • the blood vessel is an artery, preferably the aorta, most preferably the ascending aorta.
  • the first and second blood vessel branches are the left and right coronary arteries.
  • the prosthesis may be used to treat aneurysms or dissections of the ascending aorta proximal to the aortic valve and the left ventricle of the heart.
  • first actuators are provided to move the first and second branch conduits from the first to the second position.
  • the first actuators are push rods.
  • the push rods may be slidably mounted on the guide wires.
  • the push rods may push the branch conduits in the appropriate directions for location in the blood vessel branches (e.g. the left and right coronary arteries), simply by sliding along the guide wires.
  • first and second push rods are provided as first actuators, the first push rod being arranged to push the first branch conduit and the second push rod being arranged to push the second branch conduit.
  • the first and second push rods are slidably mounted on the first and second guide wires respectively.
  • the first and second guide wires may extend through a portion of, or all of, the first and second push rods respectively.
  • the guide wires may extend through the first and second push rods at positions within the prosthesis, but be separated from the push rods at positions outside the prosthesis.
  • the guide wires may extend out of the push rods via one or more side holes.
  • one or more second actuators are provided to push the prosthesis, e.g. the main conduit of the prosthesis, toward the branch region of the blood vessel, which in turn causes the first and second branch conduits to move along the first and second guide wires respectively.
  • the second actuator can also move the prosthesis in the opposite direction, i.e. in a direction away from the branch region.
  • the first and second actuators may work against each other, e.g. so that the main conduit of the prosthesis can be held stationary whilst the branch conduits are moved from the first position to the second position.
  • the second actuators may be one or more push rods.
  • the first actuator push rods may be arranged to extend through one or more conduits provided by the second actuator push rods.
  • the first and/or second guide wire comprises an identifying mark or shape.
  • the appropriate guide wire can be chosen for each blood vessel branch.
  • the prosthesis is expandable from a contracted state to an expanded state. Accordingly, the prosthesis may be placed in a contracted position during delivery to the branch region, so that it is less likely to be obstructed during delivery. Then, once positioned at the branch region, it may be expanded to a desired size for use.
  • a delivery casing is provided for holding the prosthesis in a contracted state during delivery of the prosthesis to the branch region.
  • the prosthesis is arranged to expand automatically upon removal of the delivery casing.
  • the delivery casing may be a sleeve that surrounds the prosthesis to maintain it in a contracted state.
  • the delivery casing may be elongated and may act as the second actuator for pushing the prosthesis to the branch region of the blood vessel.
  • the prosthesis may be resiliently biased when positioned in the contracted state such that, upon removal of the delivery casing, the prosthesis expands automatically.
  • the prosthesis may be formed of PTFE, or Nylon etc.
  • the prosthesis may be resiliently biased by e.g. shape memory alloy elements, e.g. formed of Nitinol, embedded therein.
  • the first and second branch conduits may be used to anchor the prosthesis in position; prevent occlusion of the opening between the blood vessel branches, into which they locate, and the blood vessel (e.g., the ascending aorta); and/or help maintain the main conduit in the expanded state.
  • a fixing means may be provided for fixing the first and second branch conduits in position in the respective first and second blood vessel branches.
  • the fixing means may be integral with the branch conduits.
  • the fixing means may be one or more stents attached to e.g. an end of the branch conduits.
  • Balloons may be provided on the first actuators, e.g. push rods, to expand the stents in order to fix the branch conduits in position.
  • the first actuators e.g. push rods
  • the first actuators e.g. push rods
  • separate fixing means may be provided to fix the branch conduits in position, e.g. after the push rods have been retracted.
  • independent stents or endovascular staples may be used.
  • a fixing means may be provided at one or both ends of the main conduit.
  • the fixing means may be used to anchor the respective ends of the main conduit against the blood vessel wall in order to prevent blood ingress between the main conduit and the blood vessel wall.
  • the fixing means may be integral with the respective ends of the main conduit.
  • the fixing means may be one or more stents attached to the ends, the stents being expandable e.g. by balloons.
  • separate fixing means may be provided to fix the main conduit in position, e.g. after the first actuator push rods have been retracted.
  • independent stents, or endovascular staples may be used.
  • the prosthesis and/or the guide wires are configured for insertion into the blood vessel percutaneously.
  • an endovascular method of prosthesis delivery may be provided.
  • the guide wires and/or actuators may extend through the main conduit via the opening of the first end.
  • the second end of the main conduit is for locating adjacent the aortic valve.
  • the second end of the main conduit may comprise an artificial aortic valve.
  • the first and second branch conduits are connected to the side wall of the main conduit such that blood may flow between the first and second branch conduits and the main conduit.
  • an appropriate configuration may be achieved for positioning the prosthesis e.g. at the branching of the aortic root and the right and left coronary arteries.
  • this arrangement may permit the branch conduits to project in directions substantially opposite from each other, and substantially perpendicular to the longitudinal axis of the main conduit.
  • the prosthesis may conform to the complex anatomy of the bifurcation of the aortic root and the right and left coronary arteries.
  • FIGS. 1 a to 1 c and FIGS. 2 a to 2 d A first embodiment of a delivery apparatus according to the present invention, for delivering a prosthesis to a branch region of a blood vessel, is shown in FIGS. 1 a to 1 c and FIGS. 2 a to 2 d.
  • the blood vessel is the ascending aorta 1 of a human
  • the branch region is the region at the aortic root 11 , where the right and left coronary arteries 12 , 13 connect to the aorta 1 , adjacent to the aortic valve 15 .
  • the delivery apparatus comprises first and second guide wires 21 , 22 , a prosthesis 3 , a prosthesis delivery casing 4 , and first and second push rods 51 , 52 .
  • the prosthesis 3 is formed from haemodynamically compatible material and comprises a main conduit 33 having a first end 331 , a second end 332 and side wall 34 extending between the first and second ends 331 , 332 .
  • the first and second ends 331 , 332 are open.
  • the prosthesis 3 comprises first and second branch conduits 31 , 32 , which are connected at respective first ends 311 , 321 to opposite flanks of the side wall 34 .
  • the first ends 311 , 321 of the branch conduits 31 , 32 are open to permit blood flow between the branch conduits 31 , 32 and the main conduit 33 .
  • the second ends 312 , 322 of the branch conduits 31 , 32 are also open, to permit blood flow between the branch conduits 31 , 32 and the coronary arteries 12 , 13 .
  • the first guide wire 21 is percutaneously inserted into the aorta 1 such that it extends through the aorta 1 and a first end 212 of the first guide wire 21 is positioned in the right coronary artery 12 .
  • the first guide wire 21 may be placed in this position using a catheter (not shown), which is subsequently removed.
  • the second guide wire 22 is percutaneously inserted into the aorta 1 such that it extends through the aorta 1 and a first end 222 of the second guide wire 22 is positioned in the left coronary artery 13 .
  • the second guide wire 22 may also be placed in this position using a catheter (not shown), which is subsequently removed.
  • the prosthesis 3 surrounded by the delivery casing 4 , is mounted on the first and second guide wires 21 , 22 and pushed by a push rod 53 along the guide wires 21 , 22 , past the aortic branch arteries 14 , toward the aortic root 11 , as shown in FIGS. 1 b and 1 c.
  • FIG. 2 a which shows a cross-section of the prosthesis 3 mounted on the first and second guide wires 21 , 22
  • the first and second branch conduits 31 , 32 are in a first position in which they project into the interior of the main conduit 33 .
  • the main conduit 33 is held in a contracted state by the delivery casing 4 .
  • the delivery casing 4 is a removable sleeve that surrounds and compresses the main conduit 33 . Accordingly, the prosthesis 3 may take a compact shape during delivery to the aortic root region 11 , reducing the chance of the prosthesis 3 being obstructed on the way.
  • the first and second branch conduits 31 , 32 are inclined from the sidewall 34 .
  • the first and second branch conduits 31 , 32 project toward the first end opening 333 of the main conduit 3 .
  • the first and second guide wires 21 , 22 extend into the main conduit 33 via the first end opening 333 of the main conduit 33 , and through the first and second branch conduits 31 , 32 via the open second ends 312 , 322 of the first and second branch conduits 31 , 32 .
  • the first and second guide wires 21 , 22 then project from the prosthesis 3 via the first ends 311 , 321 of the first and second branch conduits 31 , 32 , whereupon they extend between the sidewall 34 and the delivery casing 4 , and then through an opening 42 of the delivery casing 4 .
  • the delivery casing 4 is partially removed from the prosthesis 3 , so that the first ends 311 , 321 of the first and second branch conduits 31 , 32 are exposed, as shown in FIG. 2 b.
  • the main conduit 33 of the prosthesis 3 comprises shape memory alloy elements, such that, upon removal of the delivery casing 4 , the main conduit 33 expands automatically.
  • first and second push rods 51 , 52 which have engagement surfaces 511 , 521 , that abut the second ends 312 , 322 of the first and second branch conduits 31 , 32 , are manually controlled to push the second ends 312 , 322 of the branch conduits through the open first ends 311 , 321 of the first and second branch conduits 31 , 32 .
  • the branch conduits 31 , 32 project in a direction substantially perpendicular to the longitudinal axis of the main conduit 33 , indicated generally by line A
  • first and second branch conduits 31 , 32 are moved from the first position to the second position, by the push rods 51 , 52 , they are forced into the right and left coronary arteries respectively. This helps anchor the prosthesis 3 in position, ensures that the fluid path between the aorta 1 and the coronary arteries 12 , 13 is kept open, and helps maintain the main conduit 33 in the expanded state.
  • the delivery casing is removed fully from the prosthesis, such that the entire main conduit 33 can expand to substantially the size of the inner wall diameter of the aorta 1 .
  • the push rods 51 , 52 are also retracted.
  • a stents (not shown) can be used.
  • the prosthesis 3 may reduce mechanical loading on the aorta 1 at the aortic root region 11 , and may provide a haemodynamically compatible conduit for the transport of blood between the aorta and the right and left coronary arteries.
  • first and second guide wires 21 , 22 can be removed.
  • first and second branch conduits 31 , 32 are mounted to opposite flanks of the sidewall 34 at points level with one another, i.e. the mounting points are generally aligned in a direction parallel to the longitudinal axis A of the main conduit 33 .
  • the mounting points may be offset in a direction parallel to the longitudinal axis A of the main conduit 33 . This may be particularly useful to enable compact packing of the prosthesis 4 ; it may mean that the branch conduits 31 , 32 do not obstruct each other if the prosthesis 4 is compressed.
  • FIG. 3 shows a delivery apparatus according to a second embodiment of the present invention.
  • the delivery apparatus is similar to and functions in generally the same way as the apparatus of the first embodiment of the invention, except that the prosthesis in this second embodiment comprises two guide tubes 35 , 36 .
  • the guide tubes 35 , 36 are provided to make mounting of the prosthesis, on the guide wires 21 , 22 , simpler.
  • the same numbering is used to indicate features common to FIG. 3 and FIGS. 1 a to 2 d.
  • the guide tubes 35 , 36 each fit into the first and second branch conduits 31 , 32 respectively, when the branch conduits 31 , 32 are in their first positions.
  • the guide tubes 35 , 36 extend through the branch conduits 31 , 32 and through the first ends 311 , 321 of each branch conduit 31 , 32 , whereupon they extend between the sidewall 34 and the delivery casing 4 and through the opening 42 of the delivery casing 4 , and then project from the prosthesis 4 .
  • the guide wires 21 , 22 can easily be inserted into the guide tubes 35 , 36 , whereupon the guide tubes 35 , 36 serve to channel the guide wires 21 , 22 between the delivery casing 4 and the sidewall 34 , through the branch conduits 31 , 32 and through the main conduit 33 of the prosthesis.
  • the guide wires 21 , 22 can easily be inserted into the guide tubes 35 , 36 , whereupon the guide tubes 35 , 36 serve to channel the guide wires 21 , 22 between the delivery casing 4 and the sidewall 34 , through the branch conduits 31 , 32 and through the main conduit 33 of the prosthesis.
  • mounting of the prosthesis on the guide wires is made easier.
  • the guide tubes 35 , 36 are connected to the prosthesis 4 ; however, alternatively, the guide tubes 35 , 36 can be connected to the push rods 51 , 52 .
  • FIGS. 4 a to 4 e show a branch conduit 32 ′ a push rod 52 ′ of a delivery apparatus according to a third embodiment of the present invention.
  • the branch conduit 32 ′ is similar to the branch conduits 31 , 32 of the previous embodiments of the invention, and it functions in generally the same way, except that it comprises an integral stent 61 , located at its second end 322 ′.
  • the branch conduit 32 ′ can be used as an alternative to the branch conduits 31 , 32 of the previous embodiments.
  • the stent 61 is provided as a fixing means, to fix the branch conduit 32 ′ in position once it is located in the appropriate blood vessel branch.
  • the push rod 52 ′ is similar to the push rods 51 , 52 of the previous embodiments of the invention, and functions in generally the same way as in these previous embodiments, except that it comprises an inflatable balloon 62 .
  • the balloon 62 is provided to expand the stent 61 .
  • FIGS. 4 a to 4 e The steps taken to deploy the branch conduit 32 ′ can be seen in FIGS. 4 a to 4 e.
  • the branch conduit 32 ′ is located in its first position, i.e. in a position in which it is located inside the main conduit of the prosthesis.
  • the branch conduit 32 ′ is forced along the guide wire 22 to its second position, as shown in FIG. 4 b, by the push rod 52 ′.
  • the branch conduit 32 ′ everts as it moves from the first to the second position, but the stent 61 does not evert.
  • the balloon 62 is inflated, which forces the stent 61 to expand, as shown in FIG. 4 c.

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pulmonology (AREA)
  • Prostheses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Materials For Medical Uses (AREA)
US12/439,681 2006-08-31 2007-08-30 Blood vessel prosthesis and delivery apparatus Abandoned US20100057181A1 (en)

Applications Claiming Priority (3)

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GB06172191.1 2006-08-31
GBGB0617219.1A GB0617219D0 (en) 2006-08-31 2006-08-31 Blood vessel prosthesis and delivery apparatus
PCT/GB2007/003274 WO2008025983A1 (en) 2006-08-31 2007-08-30 Blood vessel prosthesis and delivery apparatus

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US20100057181A1 true US20100057181A1 (en) 2010-03-04

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US13/863,302 Expired - Fee Related US8784471B2 (en) 2006-08-31 2013-04-15 Blood vessel prosthesis and delivery apparatus

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EP (1) EP2061400A1 (ja)
JP (1) JP5259593B2 (ja)
CN (1) CN101588768B (ja)
AU (1) AU2007291098A1 (ja)
BR (1) BRPI0716148A2 (ja)
CA (1) CA2662220A1 (ja)
GB (1) GB0617219D0 (ja)
IL (1) IL197332A0 (ja)
NZ (1) NZ575858A (ja)
WO (1) WO2008025983A1 (ja)
ZA (1) ZA200901686B (ja)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110166644A1 (en) * 2008-02-22 2011-07-07 Barts and The Londhon NHS Trust Blood vessel prosthesis and delivery apparatus
US20160081829A1 (en) * 2014-09-22 2016-03-24 Edwards Lifesciences Corporation Aortic insufficiency repair device and method

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102370532B (zh) * 2010-08-13 2015-06-17 黄连军 侧枝型覆膜支架输送器及其安装方法
JP6510831B2 (ja) * 2015-02-12 2019-05-08 テルモ株式会社 カテーテル組立体および外カテーテル
ITUA20163080A1 (it) * 2016-05-02 2017-11-02 Kardia S R L Dispositivo di trattamento degli aneurismi preferibilmente di tipo aortico

Citations (70)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4733665A (en) * 1985-11-07 1988-03-29 Expandable Grafts Partnership Expandable intraluminal graft, and method and apparatus for implanting an expandable intraluminal graft
US4856516A (en) * 1989-01-09 1989-08-15 Cordis Corporation Endovascular stent apparatus and method
US4913141A (en) * 1988-10-25 1990-04-03 Cordis Corporation Apparatus and method for placement of a stent within a subject vessel
US4950227A (en) * 1988-11-07 1990-08-21 Boston Scientific Corporation Stent delivery system
US5019090A (en) * 1988-09-01 1991-05-28 Corvita Corporation Radially expandable endoprosthesis and the like
US5037141A (en) * 1988-07-16 1991-08-06 E. Peart & Company Limited Pipe jointing or closing device
US5178634A (en) * 1989-03-31 1993-01-12 Wilson Ramos Martinez Aortic valved tubes for human implants
US5342300A (en) * 1992-03-13 1994-08-30 Stefanadis Christodoulos I Steerable stent catheter
US5360401A (en) * 1993-02-18 1994-11-01 Advanced Cardiovascular Systems, Inc. Catheter for stent delivery
US5387193A (en) * 1994-02-09 1995-02-07 Baxter International Inc. Balloon dilation catheter with hypotube
US5609627A (en) * 1994-02-09 1997-03-11 Boston Scientific Technology, Inc. Method for delivering a bifurcated endoluminal prosthesis
US5653743A (en) * 1994-09-09 1997-08-05 Martin; Eric C. Hypogastric artery bifurcation graft and method of implantation
US5709713A (en) * 1995-03-31 1998-01-20 Cardiovascular Concepts, Inc. Radially expansible vascular prosthesis having reversible and other locking structures
US5749825A (en) * 1996-09-18 1998-05-12 Isostent, Inc. Means method for treatment of stenosed arterial bifurcations
US5755770A (en) * 1995-01-31 1998-05-26 Boston Scientific Corporatiion Endovascular aortic graft
US5782904A (en) * 1993-09-30 1998-07-21 Endogad Research Pty Limited Intraluminal graft
US5824064A (en) * 1995-05-05 1998-10-20 Taheri; Syde A. Technique for aortic valve replacement with simultaneous aortic arch graft insertion and apparatus therefor
US5824040A (en) * 1995-12-01 1998-10-20 Medtronic, Inc. Endoluminal prostheses and therapies for highly variable body lumens
US5843158A (en) * 1996-01-05 1998-12-01 Medtronic, Inc. Limited expansion endoluminal prostheses and methods for their use
US5904713A (en) * 1997-07-14 1999-05-18 Datascope Investment Corp. Invertible bifurcated stent/graft and method of deployment
US5925061A (en) * 1997-01-13 1999-07-20 Gore Enterprise Holdings, Inc. Low profile vascular stent
US5984955A (en) * 1997-09-11 1999-11-16 Wisselink; Willem System and method for endoluminal grafting of bifurcated or branched vessels
US6099548A (en) * 1998-07-28 2000-08-08 Taheri; Syde A. Apparatus and method for deploying an aortic arch graft
US6099559A (en) * 1998-05-28 2000-08-08 Medtronic Ave, Inc. Endoluminal support assembly with capped ends
US6187033B1 (en) * 1997-09-04 2001-02-13 Meadox Medicals, Inc. Aortic arch prosthetic graft
US6334867B1 (en) * 1995-09-08 2002-01-01 Anson Medical Ltd Surgical graft/stent system
US6344056B1 (en) * 1999-12-29 2002-02-05 Edwards Lifesciences Corp. Vascular grafts for bridging a vessel side branch
US20020082684A1 (en) * 2000-09-25 2002-06-27 David Mishaly Intravascular prosthetic and method
US6482228B1 (en) * 2000-11-14 2002-11-19 Troy R. Norred Percutaneous aortic valve replacement
US20030004567A1 (en) * 2000-11-07 2003-01-02 Boyle Christopher T. Endoluminal stent, self-supporting endoluminal graft and methods of making same
US20030036791A1 (en) * 2001-08-03 2003-02-20 Bonhoeffer Philipp Implant implantation unit and procedure for implanting the unit
US20030153968A1 (en) * 2002-02-14 2003-08-14 Geis John S. Vessel support, delivery system for vessel support and method for preventive treatment of aorta diseases
US6641606B2 (en) * 2001-12-20 2003-11-04 Cleveland Clinic Foundation Delivery system and method for deploying an endovascular prosthesis
US6730118B2 (en) * 2001-10-11 2004-05-04 Percutaneous Valve Technologies, Inc. Implantable prosthetic valve
US20040098091A1 (en) * 2000-11-17 2004-05-20 Raimund Erbel Endovascular prosthesis
US20040116997A1 (en) * 2002-09-20 2004-06-17 Taylor Charles S. Stent-graft with positioning anchor
US20040133266A1 (en) * 1997-05-27 2004-07-08 Clerc Claude O. Stent and stent-graft for treating branched vessels
US6770090B2 (en) * 2001-12-07 2004-08-03 Scimed Life Systems, Inc. Anatomically curved graft for implantation at the aortic arch
US6773457B2 (en) * 2001-03-27 2004-08-10 William Cook Europe Aps Aortic graft device
US6790230B2 (en) * 2001-04-30 2004-09-14 Universitatsklinikum Freiburg Vascular implant
US20040204754A1 (en) * 2003-04-14 2004-10-14 Anvil Medical, Inc. Stent for placement at luminal os
US20040210304A1 (en) * 1999-11-17 2004-10-21 Corevalve, S.A. Prosthetic valve for transluminal delivery
US6827726B2 (en) * 2001-01-19 2004-12-07 Boston Scientific Corporation Introducer for deployment of branched prosthesis
US6866650B2 (en) * 1991-07-16 2005-03-15 Heartport, Inc. System for cardiac procedures
US20050131517A1 (en) * 2003-10-10 2005-06-16 William A. Cook Australia Pty. Ltd. Stent graft fenestration
US20050154444A1 (en) * 2003-10-10 2005-07-14 Arshad Quadri System and method for endoluminal grafting of bifurcated and branched vessels
US6949121B1 (en) * 2002-02-07 2005-09-27 Sentient Engineering & Technology, Llc Apparatus and methods for conduits and materials
US20050222674A1 (en) * 2004-03-31 2005-10-06 Med Institute, Inc. Endoluminal graft with a prosthetic valve
US20050240257A1 (en) * 2002-05-20 2005-10-27 Kawasumi Laboratories, Inc. Stent and stent graft
US20060004436A1 (en) * 2004-07-02 2006-01-05 Amarant Paul D Stent having arcuate struts
US6989024B2 (en) * 2002-02-28 2006-01-24 Counter Clockwise, Inc. Guidewire loaded stent for delivery through a catheter
US6994700B2 (en) * 2002-09-20 2006-02-07 Flowmedica, Inc. Apparatus and method for inserting an intra-aorta catheter through a delivery sheath
US20060052865A1 (en) * 2004-09-09 2006-03-09 Banas Christopher E Stents with metallic covers and methods of making same
US7018406B2 (en) * 1999-11-17 2006-03-28 Corevalve Sa Prosthetic valve for transluminal delivery
US20060069323A1 (en) * 2004-09-24 2006-03-30 Flowmedica, Inc. Systems and methods for bi-lateral guidewire cannulation of branched body lumens
US7037331B2 (en) * 2001-06-14 2006-05-02 Cordis Neurovascular, Inc. Intravascular stent device
US20060095118A1 (en) * 2004-09-21 2006-05-04 William A. Cook Australia Pty. Ltd. Side branch stent graft
US7041079B2 (en) * 1999-10-04 2006-05-09 K. K. Vayu Occlusion catheter for the ascending aorta
US7044966B2 (en) * 2003-10-06 2006-05-16 3F Therapeutics, Inc. Minimally invasive valve replacement system
US20060155366A1 (en) * 2005-01-10 2006-07-13 Laduca Robert Apparatus and method for deploying an implantable device within the body
US20060155363A1 (en) * 2005-01-10 2006-07-13 Laduca Robert Apparatus and method for deploying an implantable device within the body
US20060224236A1 (en) * 2005-04-01 2006-10-05 Boston Scientific Corporation. Hybrid vascular graft reinforcement
US20060287717A1 (en) * 2005-05-24 2006-12-21 Rowe Stanton J Methods for rapid deployment of prosthetic heart valves
US20070055350A1 (en) * 2005-09-02 2007-03-08 Medtronic Vascular, Inc. Modular branch vessel stent-graft assembly
US7201772B2 (en) * 2003-07-08 2007-04-10 Ventor Technologies, Ltd. Fluid flow prosthetic device
US20070083215A1 (en) * 2005-10-07 2007-04-12 Hamer Rochelle M Conduit for interventional procedures
US20070100440A1 (en) * 2005-10-28 2007-05-03 Jen.Cardiotec Gmbh Device for the implantation and fixation of prosthetic valves
US20070150051A1 (en) * 2005-01-10 2007-06-28 Duke Fiduciary, Llc Vascular implants and methods of fabricating the same
US20070233220A1 (en) * 2006-03-30 2007-10-04 Medtronic Vascular, Inc. Prosthesis With Guide Lumen
US20110288627A1 (en) * 2004-09-22 2011-11-24 Williams A. Cook Australia Pty. Ltd. Stent graft with integral side arm

Family Cites Families (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DK124690D0 (da) 1990-05-18 1990-05-18 Henning Rud Andersen Klapprotes til implantering i kroppen for erstatning af naturlig klap samt kateter til brug ved implantering af en saadan klapprotese
US5578071A (en) 1990-06-11 1996-11-26 Parodi; Juan C. Aortic graft
US5693084A (en) 1991-10-25 1997-12-02 Cook Incorporated Expandable transluminal graft prosthesis for repair of aneurysm
US5632762A (en) 1995-11-09 1997-05-27 Hemodynamics, Inc. Ostial stent balloon
US6174326B1 (en) 1996-09-25 2001-01-16 Terumo Kabushiki Kaisha Radiopaque, antithrombogenic stent and method for its production
DE69736676T2 (de) 1996-11-04 2007-01-11 Advanced Stent Technologies, Inc., Pleasanton Aufweitbarer doppelstent
EP0951251B1 (en) * 1996-11-07 2005-03-16 St. Jude Medical ATG, Inc. Medical grafting connectors
DK1049420T3 (da) 1998-01-26 2006-03-20 Anson Medical Ltd Armeret implantat
AU5903599A (en) 1998-09-01 2000-03-21 Cardeon Corporation System and methods for catheter procedures with circulatory support in high riskpatients
ES2386618T3 (es) 1998-09-30 2012-08-23 Bard Peripheral Vascular, Inc. Adherencia selectiva de cubiertas de injerto-stent, mandril y método de hacer un dispositivo de injerto-stent
AU768071B2 (en) 1999-01-22 2003-12-04 W.L. Gore & Associates, Inc. Low profile stent and graft combination
BR0007932A (pt) 1999-02-01 2002-07-02 Univ Texas Stents trançados bifurcados e trifurcados e métodos para fabricação dos mesmos
US6162246A (en) 1999-02-16 2000-12-19 Barone; Hector Daniel Aortic graft and method of treating abdominal aortic aneurysms
GB2347861B (en) 1999-03-13 2003-11-26 Biointeractions Ltd Biocompatible endoprostheses
US6918925B2 (en) 2001-03-23 2005-07-19 Hassan Tehrani Branched aortic arch stent graft and method of deployment
US20040073288A1 (en) 2001-07-06 2004-04-15 Andrew Kerr Stent/graft assembly
US6911040B2 (en) 2002-01-24 2005-06-28 Cordis Corporation Covered segmented stent
GB0203177D0 (en) 2002-02-11 2002-03-27 Anson Medical Ltd An improved control mechanism for medical catheters
AU2003224769B2 (en) 2002-03-25 2007-10-18 Cook Incorporated Branched vessel prothesis
GB2398245B (en) * 2003-02-06 2007-03-28 Great Ormond Street Hospital F Valve prosthesis
EP1691719B1 (en) 2003-10-14 2016-09-14 Cook Medical Technologies LLC Introducer for an iliac side branch device
KR100601969B1 (ko) 2004-06-15 2006-07-14 주식회사 에스앤지바이오텍 인조혈관 스텐트
KR100644194B1 (ko) 2005-08-02 2006-11-10 휴메드 주식회사 대동맥 동맥류 치료용 기구

Patent Citations (75)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4733665B1 (en) * 1985-11-07 1994-01-11 Expandable Grafts Partnership Expandable intraluminal graft,and method and apparatus for implanting an expandable intraluminal graft
US4739762A (en) * 1985-11-07 1988-04-26 Expandable Grafts Partnership Expandable intraluminal graft, and method and apparatus for implanting an expandable intraluminal graft
US4739762B1 (en) * 1985-11-07 1998-10-27 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
US4733665A (en) * 1985-11-07 1988-03-29 Expandable Grafts Partnership Expandable intraluminal graft, and method and apparatus for implanting an expandable intraluminal graft
US5037141A (en) * 1988-07-16 1991-08-06 E. Peart & Company Limited Pipe jointing or closing device
US5019090A (en) * 1988-09-01 1991-05-28 Corvita Corporation Radially expandable endoprosthesis and the like
US4913141A (en) * 1988-10-25 1990-04-03 Cordis Corporation Apparatus and method for placement of a stent within a subject vessel
US4950227A (en) * 1988-11-07 1990-08-21 Boston Scientific Corporation Stent delivery system
US4856516A (en) * 1989-01-09 1989-08-15 Cordis Corporation Endovascular stent apparatus and method
US5178634A (en) * 1989-03-31 1993-01-12 Wilson Ramos Martinez Aortic valved tubes for human implants
US6866650B2 (en) * 1991-07-16 2005-03-15 Heartport, Inc. System for cardiac procedures
US5342300A (en) * 1992-03-13 1994-08-30 Stefanadis Christodoulos I Steerable stent catheter
US5360401A (en) * 1993-02-18 1994-11-01 Advanced Cardiovascular Systems, Inc. Catheter for stent delivery
US5782904A (en) * 1993-09-30 1998-07-21 Endogad Research Pty Limited Intraluminal graft
US5609627A (en) * 1994-02-09 1997-03-11 Boston Scientific Technology, Inc. Method for delivering a bifurcated endoluminal prosthesis
US5387193A (en) * 1994-02-09 1995-02-07 Baxter International Inc. Balloon dilation catheter with hypotube
US5653743A (en) * 1994-09-09 1997-08-05 Martin; Eric C. Hypogastric artery bifurcation graft and method of implantation
US5755770A (en) * 1995-01-31 1998-05-26 Boston Scientific Corporatiion Endovascular aortic graft
US5709713A (en) * 1995-03-31 1998-01-20 Cardiovascular Concepts, Inc. Radially expansible vascular prosthesis having reversible and other locking structures
US5824064A (en) * 1995-05-05 1998-10-20 Taheri; Syde A. Technique for aortic valve replacement with simultaneous aortic arch graft insertion and apparatus therefor
US6334867B1 (en) * 1995-09-08 2002-01-01 Anson Medical Ltd Surgical graft/stent system
US5824040A (en) * 1995-12-01 1998-10-20 Medtronic, Inc. Endoluminal prostheses and therapies for highly variable body lumens
US5843158A (en) * 1996-01-05 1998-12-01 Medtronic, Inc. Limited expansion endoluminal prostheses and methods for their use
US5749825A (en) * 1996-09-18 1998-05-12 Isostent, Inc. Means method for treatment of stenosed arterial bifurcations
US5925061A (en) * 1997-01-13 1999-07-20 Gore Enterprise Holdings, Inc. Low profile vascular stent
US6860900B2 (en) * 1997-05-27 2005-03-01 Schneider (Usa) Inc. Stent and stent-graft for treating branched vessels
US20040133266A1 (en) * 1997-05-27 2004-07-08 Clerc Claude O. Stent and stent-graft for treating branched vessels
US5904713A (en) * 1997-07-14 1999-05-18 Datascope Investment Corp. Invertible bifurcated stent/graft and method of deployment
US6187033B1 (en) * 1997-09-04 2001-02-13 Meadox Medicals, Inc. Aortic arch prosthetic graft
US5984955A (en) * 1997-09-11 1999-11-16 Wisselink; Willem System and method for endoluminal grafting of bifurcated or branched vessels
US6099559A (en) * 1998-05-28 2000-08-08 Medtronic Ave, Inc. Endoluminal support assembly with capped ends
US6099548A (en) * 1998-07-28 2000-08-08 Taheri; Syde A. Apparatus and method for deploying an aortic arch graft
US7041079B2 (en) * 1999-10-04 2006-05-09 K. K. Vayu Occlusion catheter for the ascending aorta
US20040210304A1 (en) * 1999-11-17 2004-10-21 Corevalve, S.A. Prosthetic valve for transluminal delivery
US7018406B2 (en) * 1999-11-17 2006-03-28 Corevalve Sa Prosthetic valve for transluminal delivery
US6344056B1 (en) * 1999-12-29 2002-02-05 Edwards Lifesciences Corp. Vascular grafts for bridging a vessel side branch
US20020082684A1 (en) * 2000-09-25 2002-06-27 David Mishaly Intravascular prosthetic and method
US20030004567A1 (en) * 2000-11-07 2003-01-02 Boyle Christopher T. Endoluminal stent, self-supporting endoluminal graft and methods of making same
US6482228B1 (en) * 2000-11-14 2002-11-19 Troy R. Norred Percutaneous aortic valve replacement
US20040098091A1 (en) * 2000-11-17 2004-05-20 Raimund Erbel Endovascular prosthesis
US6827726B2 (en) * 2001-01-19 2004-12-07 Boston Scientific Corporation Introducer for deployment of branched prosthesis
US6773457B2 (en) * 2001-03-27 2004-08-10 William Cook Europe Aps Aortic graft device
US6790230B2 (en) * 2001-04-30 2004-09-14 Universitatsklinikum Freiburg Vascular implant
US7037331B2 (en) * 2001-06-14 2006-05-02 Cordis Neurovascular, Inc. Intravascular stent device
US20030036791A1 (en) * 2001-08-03 2003-02-20 Bonhoeffer Philipp Implant implantation unit and procedure for implanting the unit
US6730118B2 (en) * 2001-10-11 2004-05-04 Percutaneous Valve Technologies, Inc. Implantable prosthetic valve
US6770090B2 (en) * 2001-12-07 2004-08-03 Scimed Life Systems, Inc. Anatomically curved graft for implantation at the aortic arch
US6641606B2 (en) * 2001-12-20 2003-11-04 Cleveland Clinic Foundation Delivery system and method for deploying an endovascular prosthesis
US6949121B1 (en) * 2002-02-07 2005-09-27 Sentient Engineering & Technology, Llc Apparatus and methods for conduits and materials
US20030153968A1 (en) * 2002-02-14 2003-08-14 Geis John S. Vessel support, delivery system for vessel support and method for preventive treatment of aorta diseases
US6989024B2 (en) * 2002-02-28 2006-01-24 Counter Clockwise, Inc. Guidewire loaded stent for delivery through a catheter
US20050240257A1 (en) * 2002-05-20 2005-10-27 Kawasumi Laboratories, Inc. Stent and stent graft
US20040116997A1 (en) * 2002-09-20 2004-06-17 Taylor Charles S. Stent-graft with positioning anchor
US6994700B2 (en) * 2002-09-20 2006-02-07 Flowmedica, Inc. Apparatus and method for inserting an intra-aorta catheter through a delivery sheath
US20040204754A1 (en) * 2003-04-14 2004-10-14 Anvil Medical, Inc. Stent for placement at luminal os
US7201772B2 (en) * 2003-07-08 2007-04-10 Ventor Technologies, Ltd. Fluid flow prosthetic device
US7044966B2 (en) * 2003-10-06 2006-05-16 3F Therapeutics, Inc. Minimally invasive valve replacement system
US20050131517A1 (en) * 2003-10-10 2005-06-16 William A. Cook Australia Pty. Ltd. Stent graft fenestration
US20050154444A1 (en) * 2003-10-10 2005-07-14 Arshad Quadri System and method for endoluminal grafting of bifurcated and branched vessels
US20050222674A1 (en) * 2004-03-31 2005-10-06 Med Institute, Inc. Endoluminal graft with a prosthetic valve
US20060004436A1 (en) * 2004-07-02 2006-01-05 Amarant Paul D Stent having arcuate struts
US20060052865A1 (en) * 2004-09-09 2006-03-09 Banas Christopher E Stents with metallic covers and methods of making same
US20060095118A1 (en) * 2004-09-21 2006-05-04 William A. Cook Australia Pty. Ltd. Side branch stent graft
US20110288627A1 (en) * 2004-09-22 2011-11-24 Williams A. Cook Australia Pty. Ltd. Stent graft with integral side arm
US20060069323A1 (en) * 2004-09-24 2006-03-30 Flowmedica, Inc. Systems and methods for bi-lateral guidewire cannulation of branched body lumens
US20060155366A1 (en) * 2005-01-10 2006-07-13 Laduca Robert Apparatus and method for deploying an implantable device within the body
US20060155363A1 (en) * 2005-01-10 2006-07-13 Laduca Robert Apparatus and method for deploying an implantable device within the body
US20070150051A1 (en) * 2005-01-10 2007-06-28 Duke Fiduciary, Llc Vascular implants and methods of fabricating the same
US20060224236A1 (en) * 2005-04-01 2006-10-05 Boston Scientific Corporation. Hybrid vascular graft reinforcement
US20060287717A1 (en) * 2005-05-24 2006-12-21 Rowe Stanton J Methods for rapid deployment of prosthetic heart valves
US20070055350A1 (en) * 2005-09-02 2007-03-08 Medtronic Vascular, Inc. Modular branch vessel stent-graft assembly
US20070083215A1 (en) * 2005-10-07 2007-04-12 Hamer Rochelle M Conduit for interventional procedures
US20070100440A1 (en) * 2005-10-28 2007-05-03 Jen.Cardiotec Gmbh Device for the implantation and fixation of prosthetic valves
US20070233220A1 (en) * 2006-03-30 2007-10-04 Medtronic Vascular, Inc. Prosthesis With Guide Lumen

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110166644A1 (en) * 2008-02-22 2011-07-07 Barts and The Londhon NHS Trust Blood vessel prosthesis and delivery apparatus
US9439758B2 (en) * 2008-02-22 2016-09-13 Barts And The London Nhs Trust Blood vessel prosthesis and delivery apparatus
US20160081829A1 (en) * 2014-09-22 2016-03-24 Edwards Lifesciences Corporation Aortic insufficiency repair device and method

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