CA2438087A1 - Modular stent graft assembly and use thereof - Google Patents

Modular stent graft assembly and use thereof Download PDF

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Publication number
CA2438087A1
CA2438087A1 CA002438087A CA2438087A CA2438087A1 CA 2438087 A1 CA2438087 A1 CA 2438087A1 CA 002438087 A CA002438087 A CA 002438087A CA 2438087 A CA2438087 A CA 2438087A CA 2438087 A1 CA2438087 A1 CA 2438087A1
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CA
Canada
Prior art keywords
end portion
aortic
graft
iliac
modular 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.)
Granted
Application number
CA002438087A
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French (fr)
Other versions
CA2438087C (en
Inventor
Roy K. Greenberg
Jason A. Mead
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Cook Inc
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Individual
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Filing date
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Publication of CA2438087A1 publication Critical patent/CA2438087A1/en
Application granted granted Critical
Publication of CA2438087C publication Critical patent/CA2438087C/en
Anticipated expiration legal-status Critical
Expired - Lifetime 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
    • A61F2/02—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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/07—Stent-grafts
    • A61F2002/075—Stent-grafts the stent being loosely attached to the graft material, e.g. by stitching
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2002/9505—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
    • A61F2002/9511—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument the retaining means being filaments or wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028—Shapes in the form of latin or greek characters
    • A61F2230/0054—V-shaped
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0067—Three-dimensional shapes conical
    • 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

Abstract

A modular stent graft assembly for repairing a ruptured abdominal aorta aneurysm and having an aortic section tubular graft and an iliac section tubular graft. The aortic section graft has a proximal attachment stent thereon for suprarenal attachment of the assembly to the aorta. A proximal end portion of the iliac section graft underlies the distal end portion of the aortic graft, and presses outwardly thereagainst forming a friction fit, at a telescoping region. The assembly can be selected from an inventory containing a set of delivery systems of four size aortic section grafts and a set of delivery systems of four size iliac section grafts, that together accommodate a large majority of aneurysm sizes, and delivery systems containing four standard sizes of occluders.

Claims (15)

1. ~A modular stent graft assembly (10) for repairing a ruptured or symptomatic aneurysm comprising;
an aortic section (12) including a first tubular graft having a proximal end portion (26) and a distal end portion (28), said distal end portion having a first constant diameter for a first predetermined length, said proximal end portion having a second diameter greater than said first constant diameter and sized for leakproof engagement against an aortic artery, said aortic section also including a first plurality of stents (42, 44, 46) attached along said first tubular graft; and an iliac section (14) including a second tubular graft including a distal end portion (52) having a third diameter sized for leakproof engagement against an iliac artery, said second tubular graft also including a proximal end portion (50) having a fourth constant diameter for a second predetermined length and approximating said first constant diameter of said distal end portion of said aortic section, said iliac section also including a second plurality of stents (56, 58, 60) attached along said second tubular graft, characterized in that said aortic section is selected from a set of aortic sections (12a, 12b, 12c) each having a proximal end portion with a second diameter different from the second diameter of any other proximal end portion of the aortic sections in the set and greater than said first constant diameter of the distal end portion of said aortic section and in that said iliac section is selected from a set of iliac sections (14a, 14b, 14c) each having a distal end portion with a third diameter different from the third diameter of any other distal end portion of the iliac sections in the set and at least equal to said fourth constant diameter of the proximal end portion of said iliac section, whereby when said aortic and iliac sections are positioned in an aortic artery and an iliac artery, respectively, said proximal end portion of said iliac section and said distal end portion of said aortic section overlap at least a minimum length and engage each other when positioned one within another for said at least minimum length.
2. ~The modular stent graft assembly of claim 1, characterized in that the second diameter of the proximal end portion of the first tubular graft is in a range of 22 to 34 mm.
3. ~The modular stent graft assembly of claim 2, characterized in that said first and said fourth constant diameter are approximately 12 mm.
4. ~The modular stent graft assembly of claim 1, characterized in that the third diameter of the distal end portion of the second tubular graft is in a range of 12 to 24 mm.
5. ~The modular stent graft assembly of claim 1, characterized in that said first tubular graft has a tapered transition portion (30) between said proximal end portion and said distal end portion and wherein said tapered transition portion has not more than two stents from said first plurality of stents attached therealong.
6. ~The modular stent graft assembly of claim 5, characterized in that said first predetermined length of said distal end portion of said first tubular graft is in a range of 60 to 70 mm.
7. ~The modular stent graft assembly of claim 1, characterized in that said first tubular graft has a total length in a range of 108 to 127 mm.
8. ~The modular stent graft assembly of claim 7, characterized in that said second tubular graft has a total length in a range of 94 to 110 mm.
9. ~The modular stent graft assembly of claim 1, characterized in that said second tubular graft has a tapered transition portion (44) between said distal end portion and said proximal end portion and in that said tapered transition portion has not more than two stents from said second plurality of stents attached therealong.
10. ~The modular stent graft assembly of claim 9, characterized in that said second predetermined length is in a range of 56 to 73 mm.
11. ~The modular stent graft assembly of claim 1, characterized in that said assembly further comprises a bypass graft for interconnecting the contralateral and ipsilateral iliac arteries.
12. ~The modular stent graft assembly of claim 1, characterized in that said assembly further comprises an occluder (80) including a tubular graft and at least one stent, said graft having a constant diameter in a range of 14 to 24 mm.
13. ~The modular stent graft assembly of claim 1, characterized in that said aortic section includes an attachment stent attached to a proximal end of said first tubular graft and extending proximally therefrom.
14. ~The modular stent graft assembly of claim 1, characterized in that said first and said second plurality of stents are attached to said first and said second tubular grafts, respectively, with first and second sets of predetermined spacings or gaps longitudinally therebetween, respectively.
15. ~The modular stent graft assembly of claim 1, characterized in that said at least minimum length where said aortic and said iliac sections overlap includes at least two or more stents from each of said first and second plurality of stents.
CA2438087A 2001-03-28 2002-03-22 Modular stent graft assembly and use thereof Expired - Lifetime CA2438087C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US27932901P 2001-03-28 2001-03-28
US60/279,329 2001-03-28
PCT/US2002/011162 WO2002078569A2 (en) 2001-03-28 2002-03-22 Modular stent graft assembly and use thereof

Publications (2)

Publication Number Publication Date
CA2438087A1 true CA2438087A1 (en) 2002-10-10
CA2438087C CA2438087C (en) 2010-11-23

Family

ID=23068499

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2438087A Expired - Lifetime CA2438087C (en) 2001-03-28 2002-03-22 Modular stent graft assembly and use thereof

Country Status (10)

Country Link
US (2) US7160318B2 (en)
EP (1) EP1372534B1 (en)
JP (1) JP2005506109A (en)
KR (1) KR20030094304A (en)
AT (1) ATE346568T1 (en)
AU (1) AU2002248765B2 (en)
CA (1) CA2438087C (en)
DE (1) DE60216426T2 (en)
DK (1) DK1372534T3 (en)
WO (1) WO2002078569A2 (en)

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