US 5,387,235 AGranted

Expandable transluminal graft prosthesis for repair of aneurysm

AssigneeCook Incorporated

InventorTimothy A. Chuter

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Abstract

A transluminal arrangement for positioning a prosthesis assembly at an aneurysm in the bifurcated lumen of the aorta and the common iliac arteries extending therefrom. The prosthesis assembly includes a bifurcated endovascular graft having a main body and ipsilateral and contralateral limbs extending therefrom. The assembly also includes main, ipsilateral, and contralateral spring assemblies each having a compressed state. When released from its compressed state, each spring expands a portion of the graft to substantially conform that portion of the graft to the wall of the bifurcated lumen. The transluminal arrangement comprises an elongated member extending through the main and ipsilateral bores of the graft and includes attachment sutures and an inner catheter extending therethrough for temporarily attaching the main and ipsilateral spring assemblies to the elongated member. An outer sheath contains the attached prosthesis assembly, whereas stent boots consisting of short length sheaths contain the ipsilateral and contralateral spring assemblies. A control limb delivery catheter and attachment sutures maintain the contralateral graft limb and spring assembly in the stent boot for placement in the contralateral iliac artery.

Claims17

Dependent claims

A transluminal arrangement comprising:

main container means containing in a compressed state a main spring assembly of a prosthesis assembly, said prosthesis assembly including a bifurcated endovascular graft having a main body and a first and a second limb extending therefrom, said main body including a main bore extending longitudinally therein and having a cranial orifice, said first limb including a first bore extending longitudinally therein, communicating with said main bore, and having a first caudal orifice, said second limb including a second bore extending longitudinally therein, communicating with said main bore and having a second caudal orifice, said main spring assembly radially expanding said main body of said graft to substantially conform said main body of said graft on an interior wall of a main lumen of a bifurcated lumen when said prosthesis assembly is positioned at a particular position in the bifurcated lumen and said main spring assembly is released from said compressed state, the bifurcated lumen including the main lumen and a first and a second branch lumen communicating with and extending from the main lumen;
first container means separated from said main container means containing in a compressed state a first spring assembly of said prosthesis assembly, said first spring assembly radially expanding said first limb of said graft to substantially conform said first limb of said graft on an interior wall of the first branch lumen of the bifurcated lumen when said prosthesis assembly is positioned at the particular position in the bifurcated lumen and said first spring assembly is released from said compressed state;
retainer means positioned in said main and said first bore of said graft for retaining said prosthesis assembly at the particular position in the bifurcated lumen while said main container means is withdrawn from said prosthesis assembly releasing said main spring assembly from said compressed state.

A transluminal arrangement for positioning a prosthesis assembly at a particular position in a bifurcated lumen, the bifurcated lumen including a main lumen and a first and a second branch lumen communicating with and extending from the main lumen, said prosthesis assembly including a bifurcated endovascular graft having a main body and a first and a second limb extending therefrom, said main body including a main bore extending longitudinally therein and having a cranial orifice, said first limb including a first bore extending longitudinally therein, communicating with said main bore, and having a first caudal orifice, said second limb including a second bore extending longitudinally therein, communicating with said main bore and having a second caudal orifice, said assembly including a main spring assembly, a first spring assembly, and a second spring assembly each having a compressed state, said main spring assembly radially expanding said main body of said graft to substantially conform said main body of said graft on an interior wall of the main lumen when said prosthesis assembly is positioned at a particular position in the bifurcated lumen and said main spring assembly is released from said compressed state, said first spring assembly radially expanding said first limb of said graft to substantially conform said first limb of said graft on an interior wall of the first branch lumen when said prosthesis assembly is positioned at the particular position in the bifurcated lumen and said first spring assembly is released from said compressed state, said second spring assembly radially expanding said second limb of said graft to substantially conform said second limb of said graft on an interior wall of the second branch lumen when said prosthesis assembly is positioned at a particular position in the bifurcated lumen and said second spring assembly is released from said compressed state, said transluminal arrangement comprising:

main container means for containing said main spring assembly in said compressed state;
first container means for containing said first spring assembly in said compressed state;
second container means for containing said second spring assembly in said compressed state;
main retainer means positioned in said main and said first bore of said graft for retaining said prosthesis assembly at the particular position in the bifurcated lumen while said main container means is withdrawn from said prosthesis assembly releasing said main spring assembly from said compressed state;
first retainer means temporarily attached to said first spring assembly for retaining said first spring assembly in said first container means;
and
second retainer means temporarily attached to said second spring assembly for retaining said second spring assembly in said second container means.

4 more elements

A transluminal arrangement for positioning a prosthesis assembly at a particular position in a bifurcated lumen, the bifurcated lumen including a main lumen and a first and a second branch lumen communicating with and extending from the main lumen, said prosthesis assembly including a bifurcated endovascular graft having a main body and a first and a second limb extending therefrom, said main body including a main bore extending longitudinally therein and having a cranial orifice, said first limb including a first bore extending longitudinally therein, communicating with said main bore, and having a first caudal orifice, said second limb including a second bore extending longitudinally therein, communicating with said main bore and having a second caudal orifice, said graft including a main spring assembly, a first spring assembly, and a second spring assembly each having a compressed state, said main spring assembly radially expanding said main body of said graft to substantially conform said main body of said graft on an interior wall of the main lumen when said prosthesis assembly is positioned at a particular position in the bifurcated lumen and said main spring assembly is released from said compressed state, said first spring assembly radially expanding said first limb of said graft to substantially conform said first limb of said graft on an interior wall of the first branch lumen when said prosthesis assembly is positioned at the particular position in the bifurcated lumen and said first spring assembly is released from said compressed state, said second spring assembly radially expanding said second limb of said graft to substantially conform said second limb of said graft on an interior wall of the second branch lumen when said prosthesis assembly is positioned at a particular position in the bifurcated lumen and said second spring assembly is released from said compressed state, said transluminal arrangement comprising:

a main sheath with said prosthesis assembly positioned in a bore of said main sheath;
main container means for containing said main spring assembly in said compressed state;
a first sheath with said first spring assembly positioned in a bore of said first sheath;
first container means for containing said first spring assembly in said compressed state;
a second sheath with said second spring assembly positioned in a bore of said second sheath;
second container means for containing said second spring assembly in said compressed state;
an elongated member positioned in said main and said first bore of said graft;
main attachment means for temporarily attaching said main spring to said elongated member;
first attachment means for temporarily attaching said first spring to said elongated member, said main and said first attachment means for retaining said prosthesis assembly at the particular position in the bifurcated lumen while said main sheath is withdrawn from said prosthesis assembly;
first retainer means temporarily attached to said first spring assembly for retaining said first spring assembly in said first container means;
second retainer means temporarily attached to said second spring assembly for retaining said second spring assembly in said second container means;
first release means for releasing at least one of said main and said first attachment means either during or after removal of at least one of said main and said first sheath;
and
second release means temporarily attached to said second spring assembly for releasing said second spring assembly when positioned in the second branch lumen of the bifurcated lumen.

11 more elements

Dependencies are inferred from the claim text.

Facts

Application: 07/959,758Filed 21 Oct 1992 · continuation in part
Priority: 25 Oct 1991
Granted: 7 Feb 1995
Term ends: Not estimatedThe source records don’t support an estimate.

Classification20 codes

A61B 17/0469
For suturing wounds; Holders or packages for needles or suture materials: suturing instruments for use in minimally invasive surgery, e.g.…
A61B 17/115
For performing anastomosis; Buttons for anastomosis: staplers for performing anastomosis, e.g. in a single operation
A61F 2/06
Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts: blood vessels
A61F 2/07
Blood vessels: stent-grafts