# US 11,304,794 B2 · Modular stent device for multiple vessels and method

> Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt

- Number: US 11,304,794 B2
- Document ID: US11304794B2
- Status: Granted
- Kind: B2
- Application number: 16/367,889
- Filed: 2019-03-28
- Published: 2019-12-19
- Granted: 2022-04-19
- Earliest claimed: 2018-06-19
- Assignees: Medtronic Vascular, Inc.
- Applicants: Medtronic Vascular, Inc.
- Inventors: Keith Perkins; Zachary Borglin; Mathew A. Haggard
- Web page: https://patentgrep.com/patent/US11304794B2

## CPC

- A61F 2/06: Blood vessels
- A61F 2/064: {with special features to facilitate anastomotic coupling (anastomosis of natural blood vessels A61B17/11)}
- A61F 2/07: Stent-grafts
- A61F 2/856: Single tubular stent with a side portal passage
- A61F 2/954: for placing stents or stent-grafts in a bifurcation
- A61F 2002/065: {Y-shaped blood vessels}
- A61F 2002/067: {modular}
- A61F 2250/0018: differing in elasticity, stiffness or compressibility
- A61F 2250/0029: differing in bending or flexure capacity
- A61F 2250/0037: differing in height or in length
- A61F 2250/0039: differing in diameter
- A61F 2250/0098: radio-opaque, e.g. radio-opaque markers
- 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 (dental prosthetics A61C)

## Abstract

The techniques of this disclosure generally relate to modular stent device and method of deploying the same. The method includes introducing a delivery system including the modular stent device via supra aortic access. The delivery system is advanced into the ascending aorta. Once positioned, the modular stent device is deployed from the delivery system such that an artery leg of the modular stent device engages the brachiocephalic artery and a bypass gate engages the aorta, wherein the artery leg partially collapses the bypass gate. The artery leg has a greater radial force than the bypass gate such that the artery leg remains un-collapsed and opened. Accordingly, blood flow through the artery leg and perfusion of the brachiocephalic artery and preservation of blood flow to cerebral territories including the brain is insured.

## Claims

### Claim 1

A method comprising:
introducing a delivery system including a modular stent device via supra aortic access, wherein the modular stent device comprises:
a main body having a first longitudinal axis; and
a bypass gate having a second longitudinal axis; and
an artery leg having a third longitudinal axis, the first, second, and third longitudinal axes are parallel with one another when the modular stent device is in a relaxed configuration;
advancing the delivery system into the ascending aorta;
deploying the modular stent device from the delivery system such that the artery leg of the modular stent device engages the brachiocephalic artery and the bypass gate engages the aorta, wherein the artery leg partially collapses the bypass gate; and
deploying a tube graft within the bypass gate.

### Claim 2 (depends on 1)

The method of claim 1 wherein the artery leg has a greater radial force than a radial force of the bypass gate.

### Claim 3 (depends on 1)

The method of claim 1 wherein a length of the artery leg is greater than a length of the bypass gate.

### Claim 4 (depends on 1)

The method of claim 1 wherein the main body has a first diameter, the bypass gate has a second diameter, and the artery leg has a third diameter, the first diameter being greater than the second diameter and the third diameter together at a transition region where the main body meets the bypass gate and the artery leg.

### Claim 5 (depends on 1)

The method of claim 1 further comprising a proximal cuff coupled to the main body and extending proximally therefrom.

### Claim 6

A method comprising:
introducing a delivery system including a modular stent device via supra aortic access, wherein the modular stent device comprises:
a main body having a first longitudinal axis; and
a bypass gate having a second longitudinal axis; and
an artery leg having a third longitudinal axis, the first, second, and third longitudinal axes are parallel with one another when the modular stent device is in a relaxed configuration;
advancing the delivery system into the ascending aorta; and
deploying the modular stent device from the delivery system such that the artery leg of the modular stent device engages the brachiocephalic artery and the bypass gate engages the aorta, wherein the artery leg partially collapses the bypass gate, wherein the deploying comprises partially retracting a sheath of the delivery system such that the main body and the bypass gate are completely uncovered by the sheath and deployed.

### Claim 7 (depends on 6)

The method of claim 6 wherein a distal portion of the artery leg remains within the sheath, the method further comprising:
repositioning the modular stent device; and
completely retracting the sheath such that the artery leg is deployed in the brachiocephalic artery.

### Claim 8 (depends on 6)

The method of claim 6 wherein the artery leg has a greater radial force than a radial force of the bypass gate.

### Claim 9 (depends on 6)

The method of claim 6 wherein a length of the artery leg is greater than a length of the bypass gate.

### Claim 10 (depends on 9)

The method of claim 9 wherein the length of the artery leg is measured along the third longitudinal axis, and the length of the bypass gate is measured along the second longitudinal axis.

### Claim 11 (depends on 6)

The method of claim 6 wherein the modular stent device further comprising a radiopaque marker in line with the artery leg.

### Claim 12 (depends on 6)

The method of claim 6 further comprising controlling proximal deployment accuracy of the main body with a tip capture mechanism.

### Claim 13 (depends on 6)

The method of claim 6 wherein the main body has a first diameter, the bypass gate has a second diameter, and the artery leg has a third diameter, the first diameter being greater than the second diameter and the third diameter together at a transition region where the main body meets the bypass gate and the artery leg.

### Claim 14 (depends on 13)

The method of claim 13 wherein the bypass gate and the artery leg are located within an imaginary cylinder defined by the main body extended in a distal direction at the transition region.

### Claim 15 (depends on 13)

The method of claim 13 wherein the second diameter is greater than the third diameter at the transition region.

### Claim 16 (depends on 6)

The method of claim 6 wherein stents of the artery leg have a greater radial force than stents of the bypass gate.

### Claim 17 (depends on 6)

The method of claim 6 wherein the bypass gate is configured to collapse relative to the artery leg.

### Claim 18 (depends on 6)

The method of claim 6 further comprising a tube graft coupled to the bypass gate and extending distally therefrom.

### Claim 19 (depends on 6)

The method of claim 6 further comprising a proximal cuff coupled to the main body and extending proximally therefrom.

### Claim 20

A method comprising:
introducing a delivery system including a modular stent device via femoral access, wherein the modular stent device comprises:
a main body having a first longitudinal axis; and
a bypass gate having a second longitudinal axis; and
an artery leg having a third longitudinal axis, the first, second, and third longitudinal axes are parallel with one another when the modular stent device is in a relaxed configuration;
advancing the delivery system into the ascending aorta; and
deploying the modular stent device from the delivery system such that a distal opening of the artery leg of the modular stent device is proximal to the brachiocephalic artery and the bypass gate of the modular stent device engages the aorta, wherein the artery leg partially collapses the bypass gate.

### Claim 21 (depends on 20)

The method of claim 20 further comprising deploying a bridging stent graft within the artery leg and the brachiocephalic artery via supra aortic access.

### Claim 22 (depends on 20)

The method of claim 20 wherein the deploying further comprises deploying the main body of the modular stent graft near the aortic valve.

### Claim 23 (depends on 20)

The method of claim 20 wherein a length of the artery leg is less than a length of the bypass gate.

### Claim 24 (depends on 20)

The method of claim 20 further comprising a proximal cuff coupled to the main body and extending proximally therefrom.
