WO2017205486A1 - Stent grafts and methods of use for treating aneurysms - Google Patents

Stent grafts and methods of use for treating aneurysms Download PDF

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Publication number
WO2017205486A1
WO2017205486A1 PCT/US2017/034223 US2017034223W WO2017205486A1 WO 2017205486 A1 WO2017205486 A1 WO 2017205486A1 US 2017034223 W US2017034223 W US 2017034223W WO 2017205486 A1 WO2017205486 A1 WO 2017205486A1
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WIPO (PCT)
Prior art keywords
graft
proximal
distal
tunnel
stent
Prior art date
Legal status (The legal status 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 status listed.)
Ceased
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PCT/US2017/034223
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English (en)
French (fr)
Inventor
Timothy Lostetter
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Bolton Medical Inc
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Bolton Medical Inc
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First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=59009810&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=WO2017205486(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Bolton Medical Inc filed Critical Bolton Medical Inc
Priority to EP17728024.5A priority Critical patent/EP3463184B1/en
Priority to CN201780032344.2A priority patent/CN109152639B/zh
Priority to JP2018561236A priority patent/JP6986522B2/ja
Priority to ES17728024T priority patent/ES2905193T3/es
Publication of WO2017205486A1 publication Critical patent/WO2017205486A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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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
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/856—Single tubular stent with a side portal passage
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—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
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/852—Two or more distinct overlapping stents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2002/061—Blood vessels provided with means for allowing access to secondary lumens
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2002/065—Y-shaped blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • 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
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/848—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs
    • A61F2002/8486—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs provided on at least one of the ends
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0008—Fixation appliances for connecting prostheses to the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/005—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives
    • 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
    • A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0039—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in diameter

Definitions

  • Suprarenal abdominal aortic aneurysms (AAA) and thoracoabdominal aortic aneurysms (TAAA) are life-threatening conditions that represent surgical challenges.
  • AAA abdominal aortic aneurysms
  • TAAA thoracoabdominal aortic aneurysms
  • open surgical repair of these aneurysms can treat the diseased area of the aorta
  • open surgical techniques to repair suprarenal AAA and TAAA include distal aortic perfusion via extracorporeal circuits, in-line shunts, and cold renal perfusion to reduce the potential of ischemic injury to the spinal cord and renovisceral areas.
  • the present invention relates to stent grafts and methods of using stent grafts to treat aortic vascular damage, such as vascular damage associated with suprarenal AAA and TAAA, including aneurysms, penetrating ulcers and dissection.
  • aortic vascular damage such as vascular damage associated with suprarenal AAA and TAAA, including aneurysms, penetrating ulcers and dissection.
  • the invention is a stent graft comprising: a tubular aortic component defining a lumen having a proximal end, a distal end, a major longitudinal axis, and defining a fenestration between the proximal end and the distal end; a pocket at the fenestration, the pocket defining a pocket proximal opening and a pocket distal opening opposite the pocket proximal opening within the lumen; at least one proximal tunnel graft having a proximal tunnel graft proximal end, and at least one proximal tunnel graft distal end, and defining a proximal tunnel graft lumen, the proximal tunnel graft extending proximally within the lumen from the pocket proximal opening and being secured at its proximal end to the tubular aortic component; and at least one distal tunnel graft having a distal tunnel graft proxi
  • the invention is a method for treating a suprarenal or a thoracoabdominal aortic aneurysm.
  • a stent graft is delivered through an aorta to an aneurysm site of a patient, the stent graft being radially and releasably constrained by a distal end of a control catheter of a delivery device.
  • the stent graft includes: a tubular aortic component defining a lumen having a proximal end, a distal end, a major longitudinal axis, and defining a fenestration between the proximal end and the distal end; a pocket at the fenestration, the pocket defining a proximal opening and a distal opening opposite the proximal opening within the lumen; at least one proximal tunnel graft having a proximal tunnel graft proximal end and a proximal tunnel graft distal end, and defining at least one proximal tunnel graft lumen, the proximal tunnel graft extending proximally within the lumen from the proximal opening of the pocket and being secured at its proximal end to the tubular aortic component; and at least one distal tunnel graft having a distal tunnel graft proximal end and a distal tunnel graft distal end
  • the fenestration is aligned at the aneurysm site of the patient with at least one branch of the aorta at the aneurysm site.
  • the tubular aortic component (stent graft) is released from the delivery device, such as by retracting a control catheter of the delivery device.
  • Each of at least one branch stent graft is delivered through the distal end and the proximal end of the stent graft and through the distal tunnel graft or the proximal tunnel graft to the fenestration, and through the fenestration to a branch of the aorta at the aneurysm site of the patient, whereby the branch stent graft is secured into the distal tunnel graft lumen or the proximal tunnel graft lumen while being radially constrained at the opposite end of the branch stent graft by a branch delivery device.
  • Each branch stent graft is released from the branch delivery device to thereby complete implantation of the branch stent graft and treat the suprarenal or thoracoabdominal aortic aneurysm.
  • the stent grafts and methods of the invention have several advantages, including, for example, defining a fenestration that reduces the profile of the stent graft which, in turn, has the advantage of accommodating branch stent grafts within tunnel grafts to minimize the diameter of a prosthesis placed in a diseased aorta.
  • the length and diameter of the fenestration can be customized for individual patients depending upon the degree and extent of the suprarenal AAA and TAAA to permit the surgeon to minimize trauma in the area of the diseased aorta while providing the surgeon with a decreased profile for introducing branch stent grafts to branch vessels of organs and tissues in the area of the diseased aorta.
  • the stent grafts and methods of the invention also have the advantage of providing greater flexibility of choice to the surgeon introducing branch stent grafts, arranging them in either an antegrade or retrograde configuration, to accommodate the anatomical features specific to tissue surrounding the aneurysm.
  • antegrade is the flow of blood away from the heart and in the case of veins antegrade is the flow of blood towards the heart.
  • retrograde is the flow of blood towards the heart and in the case of veins retrograde is the flood of blood away from the heart.
  • antegrade placement of a branch stent graft in an aorta refers to the implantation of a branch stent graft that results in a portion of the branch stent graft extending from the fenestration in the tubular aortic component (stent graft with fenestration implanted in the aorta at the site of an aneurysm) in the same direction as the flow of blood.
  • retrograde placement of a branch stent graft in an aorta refers to the implantation of a branch stent graft that results in a portion of the branch stent graft extending from the fenestration in the aortic stent graft component in a direction that is opposite the flow of blood from the heart.
  • proximal and distal tunnel grafts are each secured to the aortic graft component at their proximal and distal ends, respectively.
  • implantation of branch stent grafts which, in abdominal aortic aneurysms or thoracoabdominal aortic aneurysm surgeries, must be through either the proximal or distal end of the aortic stent graft component, is facilitated by relatively stable positioning of the proximal end of the proximal tunnel graft and the distal end of the distal tunnel graft within the aortic stent graft component.
  • FIG. 1 is a side view of one embodiment of a stent graft of the invention.
  • FIG. 2A is a side view of another embodiment of a stent graft of the invention, like that of FIG. 1 but lacking a distal bare stent and rotated 90° about a major longitudinal axis.
  • FIG. 2B is a side view of the embodiment of FIG. 2A showing, in dashed-lines, a pocket and tunnel grafts within an aortic stent component of the invention.
  • FIG. 3 A is a side view of another embodiment of a stent graft of the invention, wherein the proximal end of a proximal tunnel graft and a distal end of a distal tunnel graft of the embodiment are flared.
  • FIG. 3B is a side view of the embodiment of FIG. 3 A rotated 90° about a major axis of the stent graft of the invention.
  • FIG. 4A is a side view of yet another embodiment of a stent graft of the invention after implantation at an aneurysm site in a subject, wherein the distal end of the aortic graft component is bifurcated.
  • FIG. 4B is a cross-sectional view of the embodiment of the stent graft of the invention shown in FIG. 4 A taken along line 4B-4B therein, and showing an end view of the proximal tunnel graft of FIG. 4 A.
  • FIG. 5 is a side view of the stent graft of the invention of FIGs. 4A and 4B, and further including two branch stent grafts extending from the fenestration of the tubular aortic component of the invention after implantation at an aneurysm site in a subject.
  • FIG. 6A is a side view of another embodiment of a stent graft of the invention, having a bifurcated distal end, and wherein the proximal and distal tunnel grafts are partitioned into sub lumens, as shown after implantation at an aneurysm site in a subject.
  • FIG. 6B is a cross sectional view of the embodiment of the stent graft of the invention shown in FIG. 6A taken along line 6B-6B therein, and showing an end view of the sublumens of proximal tunnel graft of FIG. 6 A.
  • FIG. 7 is a side view of the stent graft of the invention of FIGs. 6A and 6B, and further including four branch stent grafts extending from a fenestration of a tubular aortic component of the invention after implantation at an aneurysm site of a subject.
  • the invention is generally directed to prostheses for use in treating vascular disease, such as implantation of the prostheses at a site of an aortic aneurysm.
  • proximal means closer to the clinician using the delivery system.
  • distal means, when reference is made to a delivery system or a component of a delivery system, further away from the clinician using the delivery system.
  • proximate means “close to,” as opposed to the meanings ascribed to “proximal” or “distal” above with respect to either the vascular repair device or delivery system.
  • stent graft (10) includes tubular aortic component (12) defining a lumen having proximal end (14), distal end (16), major longitudinal axis (18), and defining fenestration (20) between proximal end (14) and distal end (16) of stent graft (10).
  • Tubular aortic component (12) is made from suitable materials, such as are known to those skilled in the art, including, for example, expanded polytetrafluoroethylene (PTFE), such as expanded PTFE (ePTFE), and polyethylene terephthalate (PET), such as woven polyester.
  • PTFE polytetrafluoroethylene
  • PET polyethylene terephthalate
  • Fenestration (20) defines fenestration proximal end (22) and fenestration distal end (24).
  • Stents (26) extend about at least a portion of the circumference of tubular aortic component (12) between proximal end (14) and distal end (16).
  • Proximal bare stent (28) and distal bare stent (30) are secured to proximal end (14) and distal end (16), respectively.
  • Stents (26) and bare stents (28, 30) are sutured to tubular aortic component (12) by suitable means known to those skilled in the art, such as by sutures (31), including sutures fabricated of polyester ePTFE (expanded polytetrafluoroethylene), polyglycolic acid, polylactic acid, monocryl and polydioxanone, non-absorbable nylon, polyester, PVDF
  • Stents (26) and bare stents (28, 30) are formed of a suitable material, such as is known to those skilled in the art, including nitinol.
  • Suitable radiographic markers (32), such as are known to those skilled in the art, are sutured to periphery (34) of fenestration (20).
  • FIG. 2A is a side view of another embodiment of the invention.
  • stent graft 36 is like that of FIG. 1, but, as shown, is rotated 90° about major longitudinal axis (18) and lacks distal bare stent (30).
  • FIG. 2B is a side view of the embodiment of the invention shown in FIG. 2A and shows components of the invention in outline (dashed-lines) that are within the lumen defined by tubular aortic component (12).
  • stent graft (36) includes pocket (38) at fenestration (20). Pocket (38) defines pocket proximal opening (40) and pocket distal opening (42) opposite pocket proximal opening (40).
  • Pocket proximal opening (40) of pocket (38) lies in plane A that is located proximally to proximal end (22) of fenestration (20).
  • Pocket distal opening (42) lies in plane B located distally from distal end (24) of fenestration (20).
  • fenestration proximal end (22) lies in plane C
  • fenestration distal end (24) lies in a plane D.
  • Both plane C and plane D are essentially orthogonal to major longitudinal axis (18) of tubular aortic component (12).
  • Plane A is parallel to and located proximal to plane C
  • plane B is parallel to and lies distal to plane D.
  • Proximal tunnel graft (44) of stent graft (36) has proximal tunnel graft proximal end (46), proximal tunnel graft distal end (48) and proximal tunnel graft lumen (50).
  • Proximal tunnel graft (44) extends proximally within the lumen of tubular aortic component (12) from pocket proximal opening (40) and is secured to proximal opening (40).
  • Stent graft (36) also includes distal tunnel graft (52) having distal tunnel graft proximal end (54), distal tunnel graft distal end (56) and distal tunnel graft lumen (58).
  • Distal tunnel graft (52) extends distally within the lumen of tubular aortic component (12) from pocket distal opening (42) and is secured to distal pocket opening (42).
  • proximal tunnel graft (44) and distal tunnel graft (52) is secured to an interior of tubular aorta component (12) by a suitable technique, such as is known to one skilled in the art, such as by a suture or biocompatible adhesive.
  • proximal end (46) of proximal tunnel graft (44) is fixed to tubular aortic component (12) by proximal suture (60)
  • distal end (56) of distal tunnel graft (52) is fixed to tubular aortic component (12) by distal suture (61).
  • FIG. 3 A is a side view of another embodiment of a stent graft of the invention.
  • stent graft (62) is like that of FIGs. 2 A and 2B, except that stent graft (62) includes proximal tunnel graft (64) having proximal tunnel graft proximal end (66) that is flared.
  • Proximal tunnel graft (64) includes proximal tunnel graft stents (68) and stent graft (62) also includes distal tunnel graft (70) having distal tunnel graft distal end (56) that is flared.
  • FIG. 3B is a side view of tunnel graft (62) but rotated 90° about axis (18). At least one stent (67, 77), supports the flared opening of at least one of proximal end (66) and distal end (72), respectively.
  • Flared proximal tunnel graft proximal end opening (66) of proximal tunnel graft (64) and flared distal tunnel graft distal end opening (72) of distal tunnel graft (70), respectively, provides guidance to the surgeon during placement of a branch stent graft into a respective tunnel graft.
  • at least one of fenestration proximal end (22) and fenestration distal end (24) of fenestration (20) lies in plane C, D, respectively, orthogonal to major longitudinal axis (18) and has a length, L, shown in FIG. 3B.
  • Length L is greater than the diameter of distal end (76) of the at least one proximal tunnel graft (64) or proximal end (78) of distal tunnel graft (70) extending from the respective proximal opening (40) and distal opening (42) of pocket (38).
  • FIG. 4A is a side view of another embodiment of a stent graft of the invention.
  • Stent graft (80) is like that of stent graft (62) in FIGs. 3 A and 3B, but includes bifurcated distal end (82).
  • FIG. 4B is a cross-sectional view of stent graft 80 taken along line 4B-4B, of FIG. 4A.
  • length L of the diameter of fenestration (20) is greater than that of diameter D of proximal tunnel graft (64) at proximal tunnel graft distal end (48).
  • FIG. 4B length L of the diameter of fenestration (20) is greater than that of diameter D of proximal tunnel graft (64) at proximal tunnel graft distal end (48).
  • stent graft (80) is implanted in abdominal aortic aneurysm (84) of a subject, and further includes branch stent grafts (86, 88), each implanted in a renal artery (90, 92), respectively.
  • FIG. 6A is a side view of yet another embodiment of the stent graft of the invention.
  • stent graft (100) is like stent graft (80) of FIGs. 4A, 4B and 5, but includes partitioned proximal tunnel graft (102) and partitioned distal tunnel graft (104). It is to be understood, however, that alternative embodiments are also possible, wherein only one or the other of proximal tunnel graft (102) or distal tunnel graft (104) is bifurcated.
  • Septums (106, 108) partition each of the respective proximal and distal tunnel graft lumens (102, 104) into two proximal sublumens (110, 112) and distal sublumens (114, 1 16). Septums (106, 108) partition each of the respective proximal and distal tunnel graft lumens (102, 104) into two sublumens, to a point proximal or distal to openings of the respective tunnel graft lumens. Each sublumen has a sublumen proximal end and sublumen distal end, respectively. As shown in FIG.
  • proximal tunnel graft septum (106) can be formed by, for example, stitching proximal tunnel graft (102) along a center line to tubular aortic graft component (12) by stitching (118). It is to be understood that other methods of forming sublumens, such as are known in the art, can be employed in the alternative. For example, two parallel proximal or distal tunnel grafts can be employed instead of proximal and distal tunnel grafts that are stitched along a centerline to subdivide the lumens of each of them into sublumens.
  • branch stent grafts (120, 122, 124, 126) extend through fenestration (20) and within at sublumens (110, 112, 114 and 116), respectively.
  • Branch stent grafts (120, 122, 124, 126) extend from fenestration into renal arteries (90, 92), celiac artery (130), and superior mesenteric artery (128), respectively.
  • the invention is a method for treating a suprarenal or thoracoabdominal aortic aneurysm.
  • stent graft is delivered through a femoral artery to aortic aneurysm site (84) of subject by radially and releasably constraining stent graft at the distal end of a control catheter of a delivery device (not shown).
  • the fenestration of the stent graft is aligned at aneurysm site (84) with at least one branch artery (90, 92, 128, 130) at the aneurysm site (84), and then the stent graft is released from the delivery device and the delivery device is removed from the subject.
  • Each of at least one branch stent graft is releasably constrained by a branch delivery device.
  • Each branch stent graft 120, 122, 124, 126) is delivered by a respective branch delivery device through a lumen of a tunnel graft of the stent graft and then through fenestration (20) to aneurysm site (84).
  • Branch stent grafts 120, 122, 124, 126) extending from fenestration (20) are directed by the respective branch delivery device into a branch of the aorta at aneurysm site (84), and secured in a respective proximal or distal tunnel graft lumen at one end and within the branch artery at the opposite end. Each branch stent graft is then released from the respective delivery device, which is then removed, thereby completing implantation and treating the suprarenal or
  • Vascular repair devices of the invention can be implanted, for example, by transfemoral access. Additional vascular repair devices that are directed into the vascular repair devices of the invention can be implanted, for example, by supraaortic vessel access (e.g., through the brachial artery), or by transfemoral access or access from some other branch or branches of major blood vessels, including peripheral blood vessels.

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PCT/US2017/034223 2016-05-25 2017-05-24 Stent grafts and methods of use for treating aneurysms Ceased WO2017205486A1 (en)

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EP17728024.5A EP3463184B1 (en) 2016-05-25 2017-05-24 Stent grafts for treating aneurysms
CN201780032344.2A CN109152639B (zh) 2016-05-25 2017-05-24 支架移植物和用于治疗动脉瘤的使用方法
JP2018561236A JP6986522B2 (ja) 2016-05-25 2017-05-24 ステントグラフト
ES17728024T ES2905193T3 (es) 2016-05-25 2017-05-24 Injertos de endoprótesis para el tratamiento de aneurismas

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10888414B2 (en) 2019-03-20 2021-01-12 inQB8 Medical Technologies, LLC Aortic dissection implant
CN112469364A (zh) * 2018-07-24 2021-03-09 W.L.戈尔及同仁股份有限公司 流量减少支架移植物
WO2021252785A1 (en) * 2020-06-10 2021-12-16 W. L. Gore & Associates, Inc. Multi-branch intraluminal devices and methods of making and using same
CN114569303A (zh) * 2020-12-02 2022-06-03 先健科技(深圳)有限公司 覆膜支架
US12090041B2 (en) 2011-08-16 2024-09-17 W. L. Gore & Associates, Inc. Branched stent graft device and deployment

Families Citing this family (33)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080264102A1 (en) 2004-02-23 2008-10-30 Bolton Medical, Inc. Sheath Capture Device for Stent Graft Delivery System and Method for Operating Same
US11596537B2 (en) 2003-09-03 2023-03-07 Bolton Medical, Inc. Delivery system and method for self-centering a proximal end of a stent graft
US8292943B2 (en) 2003-09-03 2012-10-23 Bolton Medical, Inc. Stent graft with longitudinal support member
US7763063B2 (en) 2003-09-03 2010-07-27 Bolton Medical, Inc. Self-aligning stent graft delivery system, kit, and method
US8500792B2 (en) 2003-09-03 2013-08-06 Bolton Medical, Inc. Dual capture device for stent graft delivery system and method for capturing a stent graft
US11259945B2 (en) 2003-09-03 2022-03-01 Bolton Medical, Inc. Dual capture device for stent graft delivery system and method for capturing a stent graft
US20070198078A1 (en) 2003-09-03 2007-08-23 Bolton Medical, Inc. Delivery system and method for self-centering a Proximal end of a stent graft
JP5484458B2 (ja) 2008-06-30 2014-05-07 ボルトン メディカル インコーポレイテッド 腹部大動脈瘤システム
KR20110138350A (ko) 2009-03-13 2011-12-27 볼턴 메디컬 인코퍼레이티드 외과적 수술 위치에서 관내 인공 삽입물을 전개하기 위한 시스템 및 방법
EP3135249B1 (en) 2011-11-11 2018-04-18 Bolton Medical, Inc. Universal endovascular grafts
WO2013074990A1 (en) 2011-11-16 2013-05-23 Bolton Medical, Inc. Device and method for aortic branched vessel repair
WO2013154749A1 (en) 2012-04-12 2013-10-17 Bolton Medical, Inc. Vascular prosthetic delivery device and method of use
US9439751B2 (en) 2013-03-15 2016-09-13 Bolton Medical, Inc. Hemostasis valve and delivery systems
US10524893B2 (en) 2014-09-23 2020-01-07 Bolton Medical, Inc. Vascular repair devices and methods of use
ES2830748T3 (es) 2016-04-05 2021-06-04 Bolton Medical Inc Injerto de stent con túneles internos y fenestraciones
ES2905193T3 (es) 2016-05-25 2022-04-07 Bolton Medical Inc Injertos de endoprótesis para el tratamiento de aneurismas
US10660770B2 (en) 2017-07-18 2020-05-26 Cook Medical Technologies Llc Method of making an internal bidirectional branch
US11123208B2 (en) * 2018-03-29 2021-09-21 Medtronic Vascular, Inc. Prosthesis delivery system with tip travel limiter and method of use
CN112006811B (zh) * 2019-05-28 2024-02-06 上海创心医学科技有限公司 一种血管重建装置
CN110353866B (zh) * 2019-07-26 2025-02-18 上海启功医疗科技有限公司 支架、支架递送系统及套件
CN113040975B (zh) * 2019-12-27 2022-08-12 深圳市先健畅通医疗有限公司 管腔支架
WO2021262264A1 (en) 2020-06-24 2021-12-30 Bolton Medical, Inc. Anti-backspin component for vascular prosthesis delivery device
WO2022009923A1 (ja) * 2020-07-07 2022-01-13 国立大学法人広島大学 ステントグラフト
EP4225133A1 (en) 2020-10-07 2023-08-16 Canary Medical Switzerland AG Providing medical devices with sensing functionality
US20240000588A1 (en) * 2020-12-02 2024-01-04 Lifetech Scientific (Shenzhen) Co. Ltd. Covered Stent
US20230414340A1 (en) * 2020-12-02 2023-12-28 Lifetech Scientific (Shenzhen) Co. Ltd. Covered Stent
CN114569301B (zh) * 2020-12-02 2025-09-16 先健科技(深圳)有限公司 覆膜支架
CN114569299B (zh) * 2020-12-02 2025-09-16 先健科技(深圳)有限公司 覆膜支架
EP4376766A1 (en) * 2021-07-26 2024-06-05 Bolton Medical, Inc. Aortic prosthesis with tunnel graft and embolic filter
CN115721444B (zh) * 2021-08-26 2025-09-26 先健科技(深圳)有限公司 覆膜支架
WO2023125547A1 (zh) * 2021-12-30 2023-07-06 先健科技(深圳)有限公司 一种覆膜支架
WO2024178614A1 (zh) * 2023-02-28 2024-09-06 温州医科大学附属第一医院 髂动脉覆膜支架及覆膜支架组件
CN117122445B (zh) * 2023-09-01 2025-09-23 中国人民解放军海军军医大学第一附属医院 一种腹主动脉腔内治疗分支支架系统

Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7763063B2 (en) 2003-09-03 2010-07-27 Bolton Medical, Inc. Self-aligning stent graft delivery system, kit, and method
US8007605B2 (en) 2003-09-03 2011-08-30 Bolton Medical, Inc. Method of forming a non-circular stent
US8062345B2 (en) 2003-09-03 2011-11-22 Bolton Medical, Inc. Delivery systems for delivering and deploying stent grafts
US20120158121A1 (en) * 2010-12-15 2012-06-21 Cook Medical Technologies Llc Hybrid type a dissection device
US8500792B2 (en) 2003-09-03 2013-08-06 Bolton Medical, Inc. Dual capture device for stent graft delivery system and method for capturing a stent graft
US20130211506A1 (en) * 2011-08-16 2013-08-15 Michael D. Dake Branched stent graft device and deployment
CN102973303B (zh) * 2012-12-21 2015-02-04 陈宏伟 一种主动脉弓覆膜支架型血管
US8998970B2 (en) 2012-04-12 2015-04-07 Bolton Medical, Inc. Vascular prosthetic delivery device and method of use
US9101506B2 (en) 2009-03-13 2015-08-11 Bolton Medical, Inc. System and method for deploying an endoluminal prosthesis at a surgical site
US9364314B2 (en) 2008-06-30 2016-06-14 Bolton Medical, Inc. Abdominal aortic aneurysms: systems and methods of use
US9439751B2 (en) 2013-03-15 2016-09-13 Bolton Medical, Inc. Hemostasis valve and delivery systems
US9592112B2 (en) 2011-11-16 2017-03-14 Bolton Medical, Inc. Device and method for aortic branched vessel repair

Family Cites Families (139)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4501263A (en) 1982-03-31 1985-02-26 Harbuck Stanley C Method for reducing hypertension of a liver
US5190546A (en) 1983-10-14 1993-03-02 Raychem Corporation Medical devices incorporating SIM alloy elements
US5123917A (en) 1990-04-27 1992-06-23 Lee Peter Y Expandable intraluminal vascular graft
US5231989A (en) 1991-02-15 1993-08-03 Raychem Corporation Steerable cannula
US5855598A (en) 1993-10-21 1999-01-05 Corvita Corporation Expandable supportive branched endoluminal grafts
US5507769A (en) 1994-10-18 1996-04-16 Stentco, Inc. Method and apparatus for forming an endoluminal bifurcated graft
US5575817A (en) 1994-08-19 1996-11-19 Martin; Eric C. Aorto femoral bifurcation graft and method of implantation
US5683449A (en) 1995-02-24 1997-11-04 Marcade; Jean Paul Modular bifurcated intraluminal grafts and methods for delivering and assembling same
US5709713A (en) 1995-03-31 1998-01-20 Cardiovascular Concepts, Inc. Radially expansible vascular prosthesis having reversible and other locking structures
US5843160A (en) 1996-04-01 1998-12-01 Rhodes; Valentine J. Prostheses for aneurysmal and/or occlusive disease at a bifurcation in a vessel, duct, or lumen
ES2273363T3 (es) 1996-11-04 2007-05-01 Advanced Stent Technologies, Inc. Doble stent extensible.
AUPO700897A0 (en) 1997-05-26 1997-06-19 William A Cook Australia Pty Ltd A method and means of deploying a graft
US6187033B1 (en) 1997-09-04 2001-02-13 Meadox Medicals, Inc. Aortic arch prosthetic graft
US6306164B1 (en) 1997-09-05 2001-10-23 C. R. Bard, Inc. Short body endoprosthesis
US5984955A (en) * 1997-09-11 1999-11-16 Wisselink; Willem System and method for endoluminal grafting of bifurcated or branched vessels
US5910144A (en) 1998-01-09 1999-06-08 Endovascular Technologies, Inc. Prosthesis gripping system and method
US6395018B1 (en) 1998-02-09 2002-05-28 Wilfrido R. Castaneda Endovascular graft and process for bridging a defect in a main vessel near one of more branch vessels
US6171334B1 (en) 1998-06-17 2001-01-09 Advanced Cardiovascular Systems, Inc. Expandable stent and method of use
US6059824A (en) 1998-12-23 2000-05-09 Taheri; Syde A. Mated main and collateral stent and method for treatment of arterial disease
DE20080298U1 (de) 1999-05-07 2001-12-20 Salviac Ltd., Dublin Embolieschutzgerät
US6585756B1 (en) 1999-05-14 2003-07-01 Ernst P. Strecker Implantable lumen prosthesis
US6344056B1 (en) 1999-12-29 2002-02-05 Edwards Lifesciences Corp. Vascular grafts for bridging a vessel side branch
US6325823B1 (en) 1999-10-29 2001-12-04 Revasc Corporation Endovascular prosthesis accommodating torsional and longitudinal displacements and methods of use
US6814752B1 (en) 2000-03-03 2004-11-09 Endovascular Technologies, Inc. Modular grafting system and method
US8092511B2 (en) 2000-03-03 2012-01-10 Endovascular Technologies, Inc. Modular stent-graft for endovascular repair of aortic arch aneurysms and dissections
US6773454B2 (en) 2000-08-02 2004-08-10 Michael H. Wholey Tapered endovascular stent graft and method of treating abdominal aortic aneurysms and distal iliac aneurysms
US6595963B1 (en) 2000-09-07 2003-07-22 Coaxia, Inc. Aortic shunt for selective cerebral perfusion in stroke and cardiac arrest
WO2002038085A1 (en) 2000-11-13 2002-05-16 Kensey Kenneth R Device and method for reducing blood pressure
US8870946B1 (en) 2000-12-11 2014-10-28 W.L. Gore & Associates, Inc. Method of deploying a bifurcated side-access intravascular stent graft
US6645242B1 (en) * 2000-12-11 2003-11-11 Stephen F. Quinn Bifurcated side-access intravascular stent graft
US7014653B2 (en) 2001-12-20 2006-03-21 Cleveland Clinic Foundation Furcated endovascular prosthesis
US20030130725A1 (en) 2002-01-08 2003-07-10 Depalma Donald F. Sealing prosthesis
US6723116B2 (en) 2002-01-14 2004-04-20 Syde A. Taheri Exclusion of ascending/descending aorta and/or aortic arch aneurysm
JP4208075B2 (ja) * 2002-03-25 2009-01-14 クック インコーポレイティド 二股の／枝分かれした血管用プロテーゼ
US7131991B2 (en) 2002-04-24 2006-11-07 Medtronic Vascular, Inc. Endoluminal prosthetic assembly and extension method
US6676699B2 (en) 2002-04-26 2004-01-13 Medtronic Ave, Inc Stent graft with integrated valve device and method
US7550004B2 (en) 2002-08-20 2009-06-23 Cook Biotech Incorporated Endoluminal device with extracellular matrix material and methods
AU2003262754B2 (en) 2002-08-23 2007-06-21 Cook Incorporated Composite prosthesis
US7731744B1 (en) 2002-10-25 2010-06-08 Advanced Cariovascular Systems, Inc. Intravascular stent for treating vulnerable plaque and method of use
US9125733B2 (en) 2003-01-14 2015-09-08 The Cleveland Clinic Foundation Branched vessel endoluminal device
CA2507649C (en) 2003-04-02 2011-10-11 Mehran Bashiri Detachable and retrievable stent assembly
JP4743889B2 (ja) 2003-04-03 2011-08-10 ウイリアム エー クック オーストラリア ピィティワイ リミテッド 分岐ステントグラフの留置装置と方法
US7438721B2 (en) 2003-04-25 2008-10-21 Medtronic Vascular, Inc. Universal modular stent graft assembly to accommodate flow to collateral branches
US20040230289A1 (en) 2003-05-15 2004-11-18 Scimed Life Systems, Inc. Sealable attachment of endovascular stent to graft
US20070198078A1 (en) 2003-09-03 2007-08-23 Bolton Medical, Inc. Delivery system and method for self-centering a Proximal end of a stent graft
US20080264102A1 (en) 2004-02-23 2008-10-30 Bolton Medical, Inc. Sheath Capture Device for Stent Graft Delivery System and Method for Operating Same
US20050059923A1 (en) 2003-09-17 2005-03-17 Ricardo Gamboa Fenestration with intrinsic means of selective closure incorporated to a tubular body and used in interventional cardiovascular procedures
ATE392865T1 (de) 2003-10-10 2008-05-15 Cook William A Australia Stentimplantate mit fenstern
US20050096725A1 (en) 2003-10-29 2005-05-05 Pomeranz Mark L. Expandable stent having removable slat members
US7144421B2 (en) * 2003-11-06 2006-12-05 Carpenter Judith T Endovascular prosthesis, system and method
AU2004299108B2 (en) 2003-12-17 2010-04-22 Cook Medical Technologies Llc Interconnected leg extensions for an endoluminal prostehsis
US8048140B2 (en) 2004-03-31 2011-11-01 Cook Medical Technologies Llc Fenestrated intraluminal stent system
EP1765222B1 (en) 2004-06-15 2012-10-31 Cook Medical Technologies LLC Stent graft with internal tube
JP5083766B2 (ja) 2004-09-21 2012-11-28 ウィリアム・エイ・クック・オーストラリア・プロプライエタリー・リミテッド 側枝ステントグラフト
US9597209B2 (en) 2005-02-17 2017-03-21 Khoury Medical Devices, Llc Vascular endograft
US7828837B2 (en) 2005-02-17 2010-11-09 Khoury Medical Devices, LLC. Vascular endograft
WO2006113501A1 (en) 2005-04-13 2006-10-26 The Cleveland Clinic Foundation Endoluminal prosthesis
EP1915106B1 (en) 2005-08-18 2018-04-04 Cook Medical Technologies LLC Method of manufacturing fenestrated stent grafts
US7955374B2 (en) 2005-09-02 2011-06-07 Medtronic Vascular, Inc. Modular branch vessel stent-graft assembly
US20070106368A1 (en) 2005-11-07 2007-05-10 Carlos Vonderwalde Graft-stent assembly
US20070168013A1 (en) 2006-01-19 2007-07-19 Myles Douglas Vascular graft and deployment system
EP1983933B1 (en) 2006-02-13 2013-01-23 William A. Cook Australia Pty. Ltd. Side branch stent graft construction
JP2009526616A (ja) 2006-02-15 2009-07-23 ウィルソン−クック・メディカル・インコーポレーテッド 付属構造を有するカテーテル器具
US20070250151A1 (en) 2006-04-24 2007-10-25 Scimed Life Systems, Inc. Endovascular aortic repair delivery system with anchor
JP5025726B2 (ja) 2006-06-06 2012-09-12 クック・インコーポレイテッド 耐破砕区域を備えたステント
DE602007003384D1 (de) 2006-08-18 2009-12-31 Cook Inc Stent-implantat
JP5282909B2 (ja) 2006-11-07 2013-09-04 クック・メディカル・テクノロジーズ・リミテッド・ライアビリティ・カンパニー 血管の緊急破裂部の処置のためのステントグラフト
US20080114444A1 (en) 2006-11-09 2008-05-15 Chun Ho Yu Modular stent graft and delivery system
US8273115B2 (en) 2007-04-24 2012-09-25 W. L. Gore & Associates, Inc. Side branched endoluminal prostheses and methods of delivery thereof
EP2450006B1 (en) 2007-08-08 2015-01-14 The Cleveland Clinic Foundation Branched stent graft system
EP2210248B1 (en) 2007-11-13 2016-04-20 Cook Medical Technologies LLC Intraluminal bypass prosthesis
US8992593B2 (en) 2007-12-26 2015-03-31 Cook Medical Technologies Llc Apparatus and methods for deployment of a modular stent-graft system
US8574284B2 (en) 2007-12-26 2013-11-05 Cook Medical Technologies Llc Low profile non-symmetrical bare alignment stents with graft
US8728145B2 (en) 2008-12-11 2014-05-20 Cook Medical Technologies Llc Low profile non-symmetrical stents and stent-grafts
US9226813B2 (en) 2007-12-26 2016-01-05 Cook Medical Technologies Llc Low profile non-symmetrical stent
US20090264988A1 (en) 2008-04-18 2009-10-22 Medtronic Vascular, Inc. Stent Graft Delivery System Including Support for Fenestration in Situ and a Mechanism for Modeling
CN201230914Y (zh) * 2008-05-12 2009-05-06 先健科技(深圳)有限公司 主动脉弓支架型血管
AU2009286062B2 (en) 2008-08-26 2013-07-18 Cook Medical Technologies Llc Thoracic aorta stent graft with access region
US8915955B2 (en) 2008-08-27 2014-12-23 The Cleveland Clinic Foundation Stent graft fixation coupling
US20100137973A1 (en) 2008-12-02 2010-06-03 Boston Scientific Scimed, Inc. Layered Bifurcation Stent
US8672993B2 (en) 2009-03-26 2014-03-18 Cook Medical Technologies Llc Pararenal stent graft
US8945202B2 (en) 2009-04-28 2015-02-03 Endologix, Inc. Fenestrated prosthesis
CN101601618A (zh) * 2009-07-15 2009-12-16 郭伟 一种主动脉血管支架
US20110087318A1 (en) 2009-10-09 2011-04-14 Daugherty John R Bifurcated highly conformable medical device branch access
US9095456B2 (en) 2009-10-13 2015-08-04 Cook Medical Technologies Llc Paraplegia prevention stent graft
EP3034036B1 (en) 2009-10-13 2019-09-11 Cook Medical Technologies LLC Paraplegia prevention stent graft
EP2493429A1 (en) 2009-10-27 2012-09-05 Bolton Medical Inc. Endovascular grafts and methods of use
WO2011055364A1 (en) 2009-11-04 2011-05-12 Endospan Ltd. Treatment of a main body lumen in the vicinity of a branching body lumen
CA2788838C (en) 2010-02-09 2017-03-14 Cook Medical Technologies Llc Thoracic aorta stent graft
AU2010201067B1 (en) 2010-03-19 2011-06-09 Cook Incorporated Thoracic stent graft
US8337546B2 (en) 2010-04-29 2012-12-25 Medtronic Vascular, Inc. Mobile external coupling for branch vessel connection
US8333800B2 (en) 2010-04-29 2012-12-18 Medtronic Vascular, Inc. Mobile external coupling with internal sealing cuff for branch vessel connection
CN102370528A (zh) 2010-08-09 2012-03-14 郭伟 一种支架型血管
US9101455B2 (en) 2010-08-13 2015-08-11 Cook Medical Technologies Llc Preloaded wire for endoluminal device
CA2748206C (en) 2010-08-21 2015-06-23 Blayne A. Roeder Prosthesis having pivoting fenestration
US8870939B2 (en) 2010-08-21 2014-10-28 Cook Medical Technologies Llc Prosthesis having pivoting fenestration
GB2485762B (en) 2010-11-12 2012-12-05 Cook Medical Technologies Llc Introducer assembly and dilator tip therefor
US8753386B2 (en) 2010-11-15 2014-06-17 W. L. Gore & Associates, Inc. Stent-graft having facing side branch portals
CN102641164B (zh) 2011-02-16 2015-08-26 舒畅 分支型主动脉支架血管系统
US9839542B2 (en) 2011-04-19 2017-12-12 Medtronic Ardian Luxembourg S.A.R.L. Mobile external coupling for branch vessel connection
CN102379757B (zh) * 2011-04-27 2014-04-09 郭伟 一种适用于复杂腹主动脉瘤腔内治疗的支架型血管
EP2517671B1 (en) 2011-04-28 2016-05-11 Cook Medical Technologies LLC Apparatus for facilitating deployment of an endoluminal prosthesis
US8945205B2 (en) 2011-04-28 2015-02-03 The Cleveland Clinic Foundation Branch vessel prostheses
US9662196B2 (en) 2011-09-27 2017-05-30 Cook Medical Technologies Llc Endoluminal prosthesis with steerable branch
EP3135249B1 (en) 2011-11-11 2018-04-18 Bolton Medical, Inc. Universal endovascular grafts
CN102488575A (zh) * 2011-11-11 2012-06-13 许尚栋 主动脉开窗支架
CA3051684C (en) 2011-12-06 2020-06-16 Aortic Innovations Llc Device for endovascular aortic repair and method of using the same
GB2499377B (en) 2012-02-01 2014-04-30 Cook Medical Technologies Llc Implantable medical device
US9381101B2 (en) 2012-04-23 2016-07-05 The Charlotte-Mecklenburg Hospital Authority Hybrid graft for therapy of aortic pathology and associated method
JP6326648B2 (ja) 2012-08-10 2018-05-23 アルツラ メディカル インコーポレイテッド ステントデリバリシステム及び関連方法
GB201222852D0 (en) 2012-12-18 2013-01-30 Vascutek Ltd Modular Fenestrated Assembly
US9259335B2 (en) 2013-03-15 2016-02-16 Covidien Lp Stent
US20140277347A1 (en) 2013-03-15 2014-09-18 W. L. Gore & Associates, Inc. Endoprosthetic device comprising a support channel capapble of receiving a branch endoprosthetic device
BR112015023266A2 (pt) 2013-03-15 2017-07-18 Bolton Medical Inc válvula de hemostase e sistemas de envio
US9089414B2 (en) 2013-03-22 2015-07-28 Edwards Lifesciences Corporation Device and method for increasing flow through the left atrial appendage
CA2909779A1 (en) 2013-04-16 2014-10-23 Manish Mehta Endovascular docking apparatus and method
US20140371836A1 (en) 2013-06-14 2014-12-18 Pierre Galvagni Silveira Expandable supportive endoluminal stent graft
WO2015109375A1 (pt) 2014-01-23 2015-07-30 Biokyra Pesquisa E Desenvolvimento Ltda. Endoprótese para tratamento endovascular de aneurismas ou dissecções toracoabdominais da aorta e endoprótese para tratamento endovascular de aneurismas ou dissecções da aorta abdominal que comprometam as artérias ilíacas
US8998971B1 (en) 2014-01-28 2015-04-07 Sanford Health Pararenal stent graft and methods for use
CA2937794A1 (en) 2014-01-28 2015-08-06 Sanford Health Pararenal and thoracic arch stent graft and methods for use
US9980832B2 (en) 2014-01-28 2018-05-29 Sanford Health Pararenal and thoracic arch stent graft and methods for use
CN203841852U (zh) * 2014-02-21 2014-09-24 许尚栋 开窗侧支型覆膜支架
CN103876860B (zh) * 2014-04-14 2016-04-06 中国人民解放军第三军医大学第三附属医院 带烟囱支架支撑管道的主动脉覆膜支架
CN105213076A (zh) 2014-06-12 2016-01-06 微创心脉医疗科技（上海）有限公司 一种人造瘤颈及其制备方法
US10524893B2 (en) 2014-09-23 2020-01-07 Bolton Medical, Inc. Vascular repair devices and methods of use
CN104287871B (zh) * 2014-10-24 2017-03-22 黄连军 主动脉夹层动脉瘤覆膜支架
CN104367400B (zh) * 2014-11-13 2017-02-15 中国人民解放军第二军医大学 一种支架移植物
US9931231B2 (en) 2014-12-29 2018-04-03 Cook Medical Technologies Llc Support structures for prostheses with branching portions
CN104546221B (zh) * 2014-12-30 2017-01-11 胡锡祥 腹主动脉覆膜支架
US20160184078A1 (en) 2014-12-31 2016-06-30 Cordis Corporation Sectional Inserts for Trunk Section in Endoprosthesis for Aortic Aneurysm
US20160184077A1 (en) 2014-12-31 2016-06-30 Cordis Corporation Circular Sectional Inserts For Insertion with a Trunk Section in Endoprosthesis for Aortic Aneurysm
CN105030373A (zh) * 2015-09-07 2015-11-11 湖南埃普特医疗器械有限公司 主动脉覆膜支架
EP3439586A1 (en) 2016-04-05 2019-02-13 Bolton Medical, Inc. Delivery systems with introducer and distal sheaths and methods of use
ES2830748T3 (es) 2016-04-05 2021-06-04 Bolton Medical Inc Injerto de stent con túneles internos y fenestraciones
US20170325977A1 (en) 2016-05-16 2017-11-16 Yale University Endovascular Graft Defining Internal Lumens
ES2905193T3 (es) 2016-05-25 2022-04-07 Bolton Medical Inc Injertos de endoprótesis para el tratamiento de aneurismas
JP6841848B2 (ja) 2016-06-13 2021-03-10 アオーティカ コーポレイション 人工装具インプラントにおいて開窓をマーキング及び／又は補強するためのシステム、デバイス及び方法
ES2979225T3 (es) 2016-08-02 2024-09-24 Bolton Medical Inc Ensamblaje para acoplar un implante protésico a un cuerpo fenestrado
US20180206972A1 (en) 2016-08-10 2018-07-26 Bolton Medical, Inc. Graft prosthesis coupler, modular system, and methods of use

Patent Citations (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9561124B2 (en) 2003-09-03 2017-02-07 Bolton Medical, Inc. Methods of self-aligning stent grafts
US8007605B2 (en) 2003-09-03 2011-08-30 Bolton Medical, Inc. Method of forming a non-circular stent
US8062345B2 (en) 2003-09-03 2011-11-22 Bolton Medical, Inc. Delivery systems for delivering and deploying stent grafts
US8062349B2 (en) 2003-09-03 2011-11-22 Bolton Medical, Inc. Method for aligning a stent graft delivery system
US8070790B2 (en) 2003-09-03 2011-12-06 Bolton Medical, Inc. Capture device for stent graft delivery
US9655712B2 (en) 2003-09-03 2017-05-23 Bolton Medical, Inc. Vascular repair devices
US8292943B2 (en) 2003-09-03 2012-10-23 Bolton Medical, Inc. Stent graft with longitudinal support member
US8308790B2 (en) 2003-09-03 2012-11-13 Bolton Medical, Inc. Two-part expanding stent graft delivery system
US8500792B2 (en) 2003-09-03 2013-08-06 Bolton Medical, Inc. Dual capture device for stent graft delivery system and method for capturing a stent graft
US8449595B2 (en) 2003-09-03 2013-05-28 Bolton Medical, Inc. Delivery systems for delivering and deploying stent grafts
US8740963B2 (en) 2003-09-03 2014-06-03 Bolton Medical, Inc. Methods of implanting a prosthesis and treating an aneurysm
US8636788B2 (en) 2003-09-03 2014-01-28 Bolton Medical, Inc. Methods of implanting a prosthesis
US9333104B2 (en) 2003-09-03 2016-05-10 Bolton Medical, Inc. Delivery systems for delivering and deploying stent grafts
US9408734B2 (en) 2003-09-03 2016-08-09 Bolton Medical, Inc. Methods of implanting a prosthesis
US9408735B2 (en) 2003-09-03 2016-08-09 Bolton Medical, Inc. Methods of implanting a prosthesis and treating an aneurysm
US7763063B2 (en) 2003-09-03 2010-07-27 Bolton Medical, Inc. Self-aligning stent graft delivery system, kit, and method
US9173755B2 (en) 2003-09-03 2015-11-03 Bolton Medical, Inc. Vascular repair devices
US9198786B2 (en) 2003-09-03 2015-12-01 Bolton Medical, Inc. Lumen repair device with capture structure
US9220617B2 (en) 2003-09-03 2015-12-29 Bolton Medical, Inc. Dual capture device for stent graft delivery system and method for capturing a stent graft
US9320631B2 (en) 2003-09-03 2016-04-26 Bolton Medical, Inc. Aligning device for stent graft delivery system
US9364314B2 (en) 2008-06-30 2016-06-14 Bolton Medical, Inc. Abdominal aortic aneurysms: systems and methods of use
US9101506B2 (en) 2009-03-13 2015-08-11 Bolton Medical, Inc. System and method for deploying an endoluminal prosthesis at a surgical site
US20120158121A1 (en) * 2010-12-15 2012-06-21 Cook Medical Technologies Llc Hybrid type a dissection device
US20130211506A1 (en) * 2011-08-16 2013-08-15 Michael D. Dake Branched stent graft device and deployment
US9592112B2 (en) 2011-11-16 2017-03-14 Bolton Medical, Inc. Device and method for aortic branched vessel repair
US8998970B2 (en) 2012-04-12 2015-04-07 Bolton Medical, Inc. Vascular prosthetic delivery device and method of use
US9554929B2 (en) 2012-04-12 2017-01-31 Bolton Medical, Inc. Vascular prosthetic delivery device and method of use
CN102973303B (zh) * 2012-12-21 2015-02-04 陈宏伟 一种主动脉弓覆膜支架型血管
US9439751B2 (en) 2013-03-15 2016-09-13 Bolton Medical, Inc. Hemostasis valve and delivery systems

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12090041B2 (en) 2011-08-16 2024-09-17 W. L. Gore & Associates, Inc. Branched stent graft device and deployment
CN112469364A (zh) * 2018-07-24 2021-03-09 W.L.戈尔及同仁股份有限公司 流量减少支架移植物
US10888414B2 (en) 2019-03-20 2021-01-12 inQB8 Medical Technologies, LLC Aortic dissection implant
WO2021252785A1 (en) * 2020-06-10 2021-12-16 W. L. Gore & Associates, Inc. Multi-branch intraluminal devices and methods of making and using same
AU2021286653B2 (en) * 2020-06-10 2024-09-19 W. L. Gore & Associates, Inc. Multi-branch intraluminal devices and methods of making and using same
CN114569303A (zh) * 2020-12-02 2022-06-03 先健科技(深圳)有限公司 覆膜支架
EP4257094A4 (en) * 2020-12-02 2024-10-23 Lifetech Scientific (Shenzhen) Co., Ltd. MEMBRANE-COVERED STENT

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US20190328557A1 (en) 2019-10-31
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