# US 11,992,219 B2 · Implantable medical device and assembly > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,992,219 B2 - Document ID: US11992219B2 - Status: Granted - Kind: B2 - Application number: 17/830,768 - Filed: 2022-06-02 - Published: 2022-12-15 - Granted: 2024-05-28 - Earliest claimed: 2021-06-10 - Assignees: Cook Medical Technologies LLC - Applicants: Cook Medical Technologies LLC - Inventors: Tilo Kölbel; John Mogensen - Web page: https://patentgrep.com/patent/US11992219B2 ## CPC - A61B 17/12099: {characterised by the location of the occluder} - A61B 17/12118: {for positioning in conjunction with a stent} - A61B 17/12031: {complete occlusion} - A61B 17/12159: {Solid plugs; being solid before insertion} - A61F 2/07: Stent-grafts - A61F 2/95: Instruments specially adapted for placement or removal of stents or stent-grafts - A61F 2/962: having an outer sleeve - A61F 2/966: with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod - A61B 17/12109: {in a blood vessel} - A61B 17/12172: {having a pre-set deployed three-dimensional shape (methods of manufacturing A61B2017/00526)} - A61B 17/12177: {comprising additional materials, e.g. thrombogenic, having filaments, having fibers or being coated} - A61B 2017/00336: {with a protective sleeve, e.g. retractable or slidable} - A61B 2017/1205: {Introduction devices} - A61F 2002/9511: {the retaining means being filaments or wires} - A61F 2250/001: for adjusting a diameter - A61F 2250/0039: differing in diameter - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - 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 Disclosed is a false lumen closure assembly for closing a false lumen in a body vessel including a compressed false lumen occluder, a carrier catheter and a retractable sheath. The compressed false lumen occluder includes a stent graft including at least one occlusive barrier across the stent graft to occlude blood flow through an interior of the stent graft. The carrier catheter carries the false lumen occluder and extends from a proximal end proximal of the false lumen occluder to a distal end distal of the false lumen occluder, and passes the false lumen occluder exteriorly of the stent graft. The compressed false lumen occluder and at least part of the carrier catheter are disposed in a lumen of the retractable sheath. ## Claims ### Claim 1 A false lumen closure assembly for closing a false lumen in a body vessel, including: a compressed false lumen occluder including a stent graft, the stent graft including at least one occlusive barrier across the stent graft to occlude blood flow through an interior of the stent graft; a carrier catheter carrying the false lumen occluder, and extending from a proximal end proximal of the false lumen occluder to a distal end distal of the false lumen occluder, and passing the false lumen occluder exteriorly of the stent graft on one side of the stent graft, such that the stent graft is at least partially wrapped around the carrier catheter; a retractable sheath; wherein the compressed false lumen occluder and at least part of the carrier catheter are disposed in a lumen of the retractable sheath. ### Claim 2 (depends on 1) The assembly of claim 1, wherein the stent graft has a length and is hollow along a majority of the length in an expanded condition, optionally along at least 95% of the length in an expanded condition. ### Claim 3 (depends on 1) The assembly of claim 1, wherein the carrier catheter is longitudinally offset from a longitudinal axis of the retractable sheath. ### Claim 4 (depends on 1) The assembly of claim 1, further including a pusher member at least partly within the retractable sheath and distal of the compressed false lumen occluder, to limit movement of the false lumen occluder during delivery. ### Claim 5 (depends on 1) The assembly of claim 1, wherein the stent graft has a length and is hollow along an entirety of the length in an expanded condition save for the at least one occlusive barrier. ### Claim 6 (depends on 1) The assembly of claim 1, wherein each of the at least one occlusive barrier is a gapless graft material barrier across the stent graft. ### Claim 7 (depends on 1) The assembly of claim 1, wherein the at least one occlusive barrier includes an occlusive barrier at a distal end of the stent graft. ### Claim 8 (depends on 1) The assembly of claim 1, wherein the at least one occlusive barrier includes an occlusive barrier at a proximal end of the stent graft. ### Claim 9 (depends on 1) The assembly of claim 1, wherein the at least one occlusive barrier comprises an occlusive barrier at the proximal end of the stent graft and an occlusive barrier at the distal end of the stent graft. ### Claim 10 (depends on 1) The assembly of claim 1, wherein the carrier catheter has a diameter of at least 0.5 mm. ### Claim 11 (depends on 1) The assembly of claim 1, wherein the carrier catheter laterally passes the compressed false lumen occluder. ### Claim 12 (depends on 1) The assembly of claim 1, wherein, in an expanded condition, a proximal end of the stent graft has a diameter less than a diameter of the distal end of the stent graft, to facilitate retrieval of the carrier catheter. ### Claim 13 (depends on 12) The assembly of claim 12, wherein the stent graft includes a taper between the proximal and distal ends thereof. ### Claim 14 A false lumen closure assembly for closing a false lumen in a body vessel, including: an elongate carrier catheter having a proximal end, a distal end, an inner lumen configured to extend over a guidewire catheter, and a nose cone dilator at the proximal end of the elongate carrier catheter; a compressed false lumen occluder having a proximal end, a distal end and including a stent graft having at least one occlusive barrier across an end of the stent graft to occlude blood flow through an interior of the stent graft; and a retractable sheath disposed over the elongate carrier catheter and the compressed false lumen occluder; wherein the elongate carrier catheter extends beyond the proximal end of the false lumen occluder to beyond the distal end of the false lumen occluder, and passes the false lumen occluder exteriorly of the stent graft on one side of the stent graft, such that the stent graft is at least partially wrapped around the elongate carrier catheter. ### Claim 15 (depends on 14) The occluder of claim 14, wherein a diameter of the stent graft is greater than 20 mm, optionally greater than 30 mm. ### Claim 16 (depends on 14) The assembly of claim 14, wherein the elongate carrier catheter is longitudinally offset from a longitudinal axis of the retractable sheath. ### Claim 17 (depends on 14) The assembly of claim 14, further including a pusher member at least partly within the retractable sheath and distal of the compressed false lumen occluder, to limit movement of the false lumen occluder during delivery. ### Claim 18 (depends on 1) The assembly of claim 1, wherein an end of the false lumen occluder is releasably attached to the carrier catheter. ### Claim 19 (depends on 15) The assembly of claim 15, wherein an end of the false lumen occluder is releasably attached to the elongate carrier catheter. ### Claim 20 A false lumen closure assembly for closing a false lumen in a body vessel, including: a compressed false lumen plug including a stent graft, the stent graft including at least one occlusive barrier across the stent graft to occlude blood flow through an interior of the stent graft; a carrier catheter carrying the false lumen plug, the carrier catheter extending from a proximal end proximal of the false lumen plug to a distal end distal of the false lumen plug, and passing the false lumen plug exteriorly of the stent graft; a retractable sheath; wherein the carrier catheter and compressed false lumen plug are disposed in a lumen of the retractable sheath.