WO2005079152A2 - Appareil aortique endovasculaire et methode permettant la pose et la fixation de dispositifs intravasculaires - Google Patents

Appareil aortique endovasculaire et methode permettant la pose et la fixation de dispositifs intravasculaires Download PDF

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Publication number
WO2005079152A2
WO2005079152A2 PCT/IL2005/000188 IL2005000188W WO2005079152A2 WO 2005079152 A2 WO2005079152 A2 WO 2005079152A2 IL 2005000188 W IL2005000188 W IL 2005000188W WO 2005079152 A2 WO2005079152 A2 WO 2005079152A2
Authority
WO
WIPO (PCT)
Prior art keywords
graft
cartridges
working head
cartridge
stent
Prior art date
Application number
PCT/IL2005/000188
Other languages
English (en)
Other versions
WO2005079152A3 (fr
Inventor
Edward Shifrin
Gennady Nickelshpur
Arkady S. Nickelshpur
Wesley S. Moore
Original Assignee
Edward Shifrin
Gennady Nickelshpur
Nickelshpur Arkady S
Moore Wesley S
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from IL16620405A external-priority patent/IL166204A0/xx
Priority claimed from IL16631705A external-priority patent/IL166317A0/xx
Application filed by Edward Shifrin, Gennady Nickelshpur, Nickelshpur Arkady S, Moore Wesley S filed Critical Edward Shifrin
Publication of WO2005079152A2 publication Critical patent/WO2005079152A2/fr
Publication of WO2005079152A3 publication Critical patent/WO2005079152A3/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/958—Inflatable balloons for placing stents or stent-grafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/9517—Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue

Definitions

  • the present invention relates to medical techniques, in particular,
  • present invention relates to methods and apparatus for securing
  • intravascular devices such as grafts or stent-grafts, to the wall of blood
  • organs such as the heart and liver, which leads to such dangerous
  • balloon is inflated by pressure of fluid, so that the corresponding portion
  • the stent deploys, separates
  • the stent on the walls of a blood vessel is performed via elastic forces of material the stent is made of, the stent is usually shaped as a spring or has
  • the aneurysm is a ballooning of the wall of an artery or aorta
  • the aorta is the main artery, which supplies blood to the
  • the aorta arises from the left ventricle of the heart
  • the abdominal aorta supplies two side vessels to the kidneys, the renal arteries.
  • the renal arteries Below the level of the renal arteries, the
  • abdominal aorta continues to about the level of the fourth lumbar
  • abdominal aorta is particularly susceptible to weakening, resulting in an
  • aortic aneurysm Such an aneurysm is often located near or including the
  • aneurysm may rupture, resulting in rapid, and usually fatal
  • Aneurysms in the abdominal aorta are associated with a
  • aortic aneurysm is extremely h ⁇ gfa, there is also noticeable mortality and
  • a prosthetic device typically a synthetic tube
  • the graft serves to exclude the aneurysm
  • intravascular devices of "stent-graft" type. They are inserted and
  • the stent-graft are insufficient for its fixation in a blood vessel, the stent-graft
  • the common repair means is to deploy a graft or a
  • This frame is covered by a sheath which can contract and expand together with the frame under the action of external
  • Aforesaid stent-grafts are provided with means for mechanical
  • fastener means made of a shape memory alloy are suggest fastener means made of a shape memory alloy. Among these are
  • This device for retaining a graft on an artery
  • the elongate members are elongated members extending therefrom.
  • the elongate members are
  • the device comprises at least two wires fabricated from a material which has
  • a spring or thermal shape memory alloy such as nickel titanium shape
  • the wires can be constrained to be parallel, each wire
  • wires having two ends, the wires being joined together at or near to one end by
  • the device is
  • the lumen size in the aortic neck area is at
  • implanted device should be located.
  • the delivery system For mis purpose the delivery system
  • balloon machanical deployable means are used resembling "Chinese
  • the catheter has a mechanically expanding mechanism on the distal end
  • mechanical dilating mechanism includes a pair of expanders which
  • a set of adjacent quadrates are preferably provided
  • the stent-graft complex includes a segment of prosthetic graft
  • each stent-graft complex Is positioned relative to one other in a common
  • stents deployed.
  • the distal part of stents is deployed in the lilac arteries.
  • the delivered implanted devices are configured to be used inside operated blood vessels.
  • fixation means - stents which are not
  • aorta neck does not always allow to locate a stent at this place which
  • suturing tissues via fixing means such as clips, see, for example, suturing
  • a device for retaining a graft on an artery comprising a first part for
  • This first and second parts are connected by a resilient member, which
  • fixation is made of a shape memory alloy, and includes in transport
  • a delivery system including an expandable
  • PaiAppl 2003/0055441 disclose a system for making anastomoses
  • cfrcumferentlally provided means such as pin-shaped elements, for joining the abutting walls of the hollow structures together.
  • Appl 2003/0023248 discloses systems and methods for applying a suture
  • the systems and methods advance within a blood vessel lumen.
  • a catheter tube having a distal region that carries a suture
  • the systems and methods operate the suture applicator from a
  • tubular body and deployed to support a prosthetic in contact with an inner
  • a delivery tube may be included that is disposed for
  • the delivery tube may include an applicator head.
  • the applicator head may include an injection
  • fastener appl ⁇ er for fastening a vascular graft to a vessel with at least one
  • the applicator generally includes a tubular body configured for
  • a fastener applying head is movab ⁇ y mounted within the tubular body.
  • the applicator further includes a handle assembly
  • the handle assembly is mounted on a proximal end of the tubular body.
  • the applicator also includes a
  • stent-grafts have, as a rule, different functions, i.e. serve solely either
  • An object of the present invention Is to develop a method
  • implanted endovascular prostheses particularly, grafts or stent-grafts, in
  • Another object of the present invention is to develop a system of
  • a third object of the present invention is to develop a new method
  • the subject-matter of the present invention is an endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular endovascular
  • This apparatus is assembled from a kit of standardized
  • the proposed apparatus comprises a tubular body, expandable
  • the tubular body of the claimed apparatus is configured for
  • This tubular body is rigid in longitudinal
  • fastener means is disposed near the free ends of said tubular body.
  • working head is made expandable to retain a delivered graft or stent-graft
  • the working head is provided with at least four components
  • cartridges are provided with means for retaining therein fastener mearis, for imparting thereto progressive motion, for shaping the fastener means
  • the control mechanism is disposed at the end of tubular body
  • the first control means serves to control the expansion and contraction of
  • the expandable working head contains a first and second bearing
  • the second bearing bush is connected with the body of the control
  • the retaining tube Is located within the tubular body and is
  • balloon disposed between the first and second bearing bushes serves for
  • the axial tube has two balloons. The first
  • balloon disposed between the first and second bearing bushes serves for
  • working head serves to cut off the lumen of a blood vessel at the moment
  • the expandable working head is provided at least with four
  • expandable working head is provided with means for securing a delivered
  • Each of the cartridges contains at least one basic fastener means,
  • substantially U-shaped staple disposed In this cartridge substantially
  • the U-shaped staple is disposed in the cartridge so as to extend
  • means for shaping is located in each cartridge near the point of its pivotal
  • each of the cartridges includes at least one means for
  • This means contains a flexible pusher, rigid in longitudinal
  • Each of the cartridges has a bottom and a sliding lid and contains
  • a means for storing at least one standby fastener means substantially a
  • This means for storing contains a slot in the
  • At least one standby U-shaped staple is located in the slot of this cartridge
  • the slot in its bottom is a
  • Each of the cartridges of the endovascular apparatus contains at least one of the cartridges of the endovascular apparatus.
  • the apparatus is additionally provided with means for axial and
  • means for axial positioning contains a part of the axial tube with the
  • the pressure bush is operatlvely connected via second connecting means
  • bearing bush is connected with the control mechanism body via a
  • first connecting means, retaining tube and second connecting means are
  • the first connecing means may contains a hydraulic
  • the second connecting means may be mechanic or hydraulic.
  • the control mechanism at least with one first control means and
  • At least with one second control means may be supplied wih detachable
  • Each of the cartridges of the proposed apparatus has a body with
  • a bottom provided with a recess to locate at least one basic fastener means, substantially a U-shaped staple, and a through slot to locate at
  • At least one standby fastener means substantially a standby spring-loaded
  • this cartridge body has slots for mounting a
  • sliding lid as well as a longitudinal duct to locate at least one flexible
  • the basic U-shaped staple is disposed in its recess in frictional
  • the standby spring-loaded U-shaped staple is disposed in its
  • Each cartridge of the working head has a body with a bottom
  • the cartridge is further provided with a means for
  • means contains a curvilinear guiding surface connecting the bottom of
  • curvilinear guiding surface Is provided with shaping grooves diverging at
  • Each U-shaped staple has pointed free ends and is disposed in the
  • Each cartridge of the working head is shaped substantially as a
  • the graft or stent-graft is prepared for delivery
  • the expandable working head is brought to the securing area
  • the aorta is performed via a measuring scale on the surface of this axial
  • graft is in contact with the inner surface of the blood vessel at the moment
  • curvilinear guiding surface of a corresponding detachable cartridge are
  • endovasular apparatus is made ready for repeated prosthesis suturing.
  • shaped staples enter shaping grooves of the curvilinear guiding surface of
  • apparatus is set in inoperative position and removed from the graft or
  • FIG. 1 shows a general view of the first embodiment of the
  • FIG.2 shows a general view of the proposed apparatus without
  • FIG. 3 shows a longitudinal section of the control mechanism of
  • FIG. 4 shows a general view of a 4-cartridge working head of the
  • FIG. 5 shows a general view of a 6-cartridge working head of the
  • FIG. 6 - 8 show general views of the third embodiment of the
  • FIG. 9 - 11 show general views of the fourth embodiment of the
  • FIG. 9, 10 with a second balloon
  • FIG. 11 without this balloon
  • FIG. 12 shows the general view of an 8-cartridge working head of
  • FIG. 13 shows a general view of the first supporting bush of the
  • FIG. 14 shows the general view of a cartridge with a sliding lid
  • FIG. 15 shows the general view of a cartridge with a through slot
  • FIG. 16 shows the general view of a cartridge on the side of its
  • FIG. 17, 18 show the views of a cartridge with diagrams of
  • FIG. 19 shows a diagram of operation of the first and second
  • FIG. 20 shows a diagram of operation of the third and fourth
  • drawing figures 1 - 20 are shown in drawing figures 1 - 20.
  • An apparatus 1 (F ⁇ G.1) for delivery and fixation to the walls of
  • intravascular devices such as
  • grafts or stent-grafts comprises tubular body 3, expandable working head
  • Tubular body 3 of apparatus 1 (FIG. 1, 12) is configured for
  • tubular body 3 is rigid in longitudinal direction and flexible in lateral
  • tubular body As shown in more detail in the drawing (FIG. 2), tubular body
  • 3 may contain several tubes, for example tubes 11, 13, 15, 17, 19 rigid in
  • Tubular body 3 includes outer tube 11,
  • Tube 15 also serves as a means for axial positioning of
  • Working head 5 (FIG. 1, 4 - 12) is located near the free end of
  • tubular body 3 and is expandable (FIG. 4) to retain a delivered
  • fastener means U-shaped staples 21 (FIG. 14 - 18).
  • Cartridges 7 are incorporated in the construction of working head 5 and
  • Control mechanism 9 (FIG. 2, 3, 6, 7, 9 - 11) is disposed at the
  • Control mechanism 9 of apparatus 1 has a body 23 with a
  • detachable lid 25 and fixed handle 27 (FIG. 3, 4, 5).
  • detachable lid 25 and fixed handle 27 (FIG. 3, 4, 5).
  • FIG. 2, 3 It Is provided at least with one first control means -
  • First control means - turning head 29 serves to control the
  • second control means - pressure handle 31 serves to control the extension
  • Swing lock 39 in Its operative position limits the
  • mechamsm 9 may be provided with detachable additional sections for
  • Threaded rod 43 Is provided with an arrow 45 indicating the level of
  • apparatus 1 (FIG. 4) contains a first supporting bush 47 and a second
  • Working head 5 also includes axial rod 53 rigidly
  • axial rod 53 is operatively connected
  • Cartridges 7 of working head 5 are
  • FIG. 5 shows the second embodiment of the proposed
  • working head 5 has six cartridges 7
  • Cartridges 7 are
  • FIGS. 6 - 8 shows the third embodiment of the proposed
  • the means for axial precision positioning may be any suitable means for axial precision positioning.
  • positioning may as weU contain a flexible tube 65 with a baUoon 67 at the
  • case tube 65 is located within axial ducts of tubular body 3 and
  • baUoon 67 - adapter 69 is disposed on the opposite side of control
  • Control mechanism 9 (FIG. 6, 7) according to this third
  • embodiment of the proposed apparatus 1 is also located at the end of
  • apparatus 1 has a body 23 with a detachable Ud 25 and fixed handle 27.
  • control means pressure handle 31.
  • head 29 serves for controUing the expansion or contraction of expandable
  • control mechanism 9 may be provided with
  • Pressure handle 31 is
  • FIG. 8 shows the third embodiment of the proposed endovascular
  • working head 5 has eight cartridges 7 evenly arranged
  • Cartridges 7 are pivotaUy connected by
  • tubular body 3 and is expandable (FIG. 6) to retain a deUvered
  • intravascular device in contact with the inner surface of a blood vessel, in
  • fastener means for imparting thereto progressive motion, for
  • Control mechamsm 9 (FIG. 10, 11) is disposed at the end of
  • tubular body 3 opposite to working head 5 and connected with
  • Control mechanism 9 of apparatus 1 has a body 23 with a
  • FIG. 9 - 11 it is provided at least with one first
  • control means - ⁇ nrning head 29 to operate working head 5 and at least
  • second control means - pressure handle 31 serves to control the extension
  • mechanism 9 may be provided with additional sections to locate therein
  • handle 31 is pivotaUy mounted in body 23 via pin 33 and is pivotaUy
  • FIG. 3 provides reverse motion of pressure handle 31. Turning head 29
  • Tube 15 passes via axial ducts of
  • Tube 15 is disposed inside the axial ducts of tubular
  • baUoon 73 at the free end projects from expandable working head 5 in
  • Tubular body 3 encloses the first connecting means - tubes 13
  • the first and second connecting means are arranged concentrically with body 3 and with one another.
  • connecting means may be mechanic or hydrauUc.
  • the second connecting means is a pressure tube 19
  • Retaining tube 17 is secured by one its end on body 23,
  • FIG. 9 -12 show an embodiment of apparatus 1 wherein working
  • Expandable working head 5 contains a
  • baUoon 75 disposed between the first and second bearing
  • Axial tube 13 is connected with first bearing bush 47
  • Second balloon 73 disposed at the free end
  • Expandable working head 5 (FIG. 9) is provided with eight
  • Cartridges 7 of working head 5 are pivotaUy mounted by one
  • Expandable working head 5 is also provided with means
  • bearing levers 55 near their pivotal connections with corresponding
  • U-shaped staple 21 is disposed in cartridge
  • each cartridge 7 near the spot of its pivotal connection with a
  • cartridges 7 contains a means for retaining therein a fastener means
  • each cartridge 7 includes at least one means for imparting
  • This means contains a flexible pusher 57, rigid in
  • levers 55 are identical and interchangeable.
  • each cartridge 7 has a recess 83 for the location of
  • shaped staple 21 is disposed in recess 83 in frictional contact with sUding
  • body of cartridge 7 is symmetric about the longitudinal axis of this
  • U-shaped staple 21 contains a curvilinear guiding surface 91
  • Curvilinear guiding surface 91 has shaping grooves 93 diverging at an acute angle from one another and from the
  • Each cartridge 7 has a bottom 95, sUding Ud 61 with a hole 81
  • FIG. 14 - 18 comprises a means for storing at least one standby
  • Staple 21 is
  • At least one standby U-shaped staple 21 is located in slot 97 of bottom 95
  • FIG. 17 shows an embodiment of cartridge 7 wherein slot
  • Each cartridge 7 of endovascular apparatus 1 contains at least one
  • Each cartridge 7 of working head 5 is shaped substantiaUy as a
  • cartridges 7 are provided with means for connection with expandable
  • Each cartridge 7 of working head 5 is pivotaUy attached by one
  • working head 5 is provided with elements for pivotal mounting of
  • cartridges 7 (FIG. 13). These may be, for instance, fitting rings wheron
  • levers 55 are located in slots 113 speciaUy provided for this purpose on
  • the proposed endovascular apparatus 1 operates according to a
  • endovascular apparatus 1 for deUvery by fixing the prosthesis end on
  • expandable working head 5 is
  • FIG. 19 This may be performed for instance via a means for axial
  • baUoon 73 at the free end projects from expandable working head 5 in
  • contrast marks 71 evenly appUed on the outer surface of cartridges 7 near
  • Working head 5 deploys as follows (FIG. 20). When this head 5
  • control mechanism 9 to deUver working fluid to baUoon 75 inflating
  • stent-graft 201 delivered by apparatus 1 is stretched near its end by
  • prosthesis 201 may be somewhat reduced by turning pivoting head 29 in
  • each of the U-shaped staples 21 enter shaping grooves 93 of curvilinear
  • the waU of graft or stent-graft 201 gets sutured by wire spirals
  • each of the standby U-shaped staples 21 enter shaping grooves 93 of
  • stent-graft 201 gets sutured by wire spirals formed from standby U-
  • shaped staples 21 themselves entirely extend from recesses 83 of
  • graft 201 is separated from endovascular apparatus 1. This is performed
  • endovascular apparatus 1 is brought in inoperative position and

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Prostheses (AREA)

Abstract

La présente invention concerne des techniques médicales. Plus particulièrement, la présente invention concerne des méthodes et un appareil permettant la pose de dispositifs endovasculaires, tels que des greffons ou des endoprothèses, ainsi que leur fixation aux parois de vaisseaux sanguins depuis l'intérieur desdits vaisseaux vers leur surface extérieure. L'invention concerne un appareil endovasculaire utilisé pour la pose et la fixation de greffons ou d'endoprothèses sur les parois de vaisseaux sanguins, principalement l'aorte. L'appareil comprend : un corps tubulaire présentant une tête de travail extensible dont l'extrémité libre présente de 4 à 8 cartouches, chacune d'elles étant pourvue d'un moyen d'attache de base et d'au moins un moyen d'attache de réserve, principalement des agrafes en forme de U, un mécanisme de commande, ainsi que des premier et second moyens de commande. L'appareil est également pourvu de moyens permettant le positionnement dans un vaisseau sanguin. En outre, l'invention concerne une méthode de pose et de fixation d'un greffon ou d'une endoprothèse sur la paroi d'un vaisseau sanguin, principalement l'aorte, depuis l'intérieur dudit vaisseau.
PCT/IL2005/000188 2004-02-19 2005-02-15 Appareil aortique endovasculaire et methode permettant la pose et la fixation de dispositifs intravasculaires WO2005079152A2 (fr)

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
IL16046004 2004-02-19
IL160460 2004-02-19
IL163442 2004-08-10
IL16344204 2004-08-10
IL16620405A IL166204A0 (en) 2005-01-09 2005-01-09 Apparatus and method for delivery and fixation of vascular grafts or stent-grafts
IL166204 2005-01-09
IL16631705A IL166317A0 (en) 2005-01-16 2005-01-16 Endovascular aortic rechargeable apparatus and method for delivery and fixation of intravascular devices
IL166317 2005-01-16

Publications (2)

Publication Number Publication Date
WO2005079152A2 true WO2005079152A2 (fr) 2005-09-01
WO2005079152A3 WO2005079152A3 (fr) 2005-12-22

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5749918A (en) * 1995-07-20 1998-05-12 Endotex Interventional Systems, Inc. Intraluminal graft and method for inserting the same
US5968053A (en) * 1997-01-31 1999-10-19 Cardiac Assist Technologies, Inc. Method and apparatus for implanting a graft in a vessel of a patient
US6416522B1 (en) * 1997-07-24 2002-07-09 Ernst Peter Strecker Intraluminal implantation device
US6592593B1 (en) * 1998-09-18 2003-07-15 United States Surgical Corporation Endovascular fastener applicator
US20050102024A1 (en) * 2001-04-20 2005-05-12 John Riccotta Apparatus and method for fixation of vascular grafts

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5749918A (en) * 1995-07-20 1998-05-12 Endotex Interventional Systems, Inc. Intraluminal graft and method for inserting the same
US5968053A (en) * 1997-01-31 1999-10-19 Cardiac Assist Technologies, Inc. Method and apparatus for implanting a graft in a vessel of a patient
US6416522B1 (en) * 1997-07-24 2002-07-09 Ernst Peter Strecker Intraluminal implantation device
US6592593B1 (en) * 1998-09-18 2003-07-15 United States Surgical Corporation Endovascular fastener applicator
US20050102024A1 (en) * 2001-04-20 2005-05-12 John Riccotta Apparatus and method for fixation of vascular grafts

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Publication number Publication date
WO2005079152A3 (fr) 2005-12-22

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