Luminal prosthesis and implant device

• US 10,195,066 B2
• Filed: 12/19/2012
• Issued: 02/05/2019
• Est. Priority Date: 12/19/2011
• Status: Active Grant

• Current Assignee: Coloplast A/S
• Original Assignee: Coloplast A/S
• Inventors: Behan, Niall
• Primary Examiner(s): Mathew, Seema
• Application Number:
  US14/366,578
• Publication Number:
  US 20140350694A1
• Time in Patent Office: 2,239 Days
• CPC Class Codes: A61F 2/04 Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts A61F2/18, A61F2/20 take precedence; devices, other than stent-grafts, providing patency to, or preventing collapsing of, tubular structures of the body other than stent-grafts, e.g. stents A61F2/82; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95
• CPC Class Codes: A61F 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
• CPC Class Codes: A61F 2002/044 Oesophagi or esophagi or gullets
• CPC Class Codes: A61F 2002/045 Stomach, intestines
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2002/9528 for retrieval of stents
• CPC Class Codes: A61F 2220/0033 made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2220/0075 sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2230/001 Figure-8-shaped, e.g. hourglass-shaped
• CPC Class Codes: A61F 5/0079 Pyloric or esophageal obstructions

Abstract

An inexpensive small-sized screen printing machine having low redundancy and high production efficiency and applicable to a dual conveying-type component mounting machine. A pair of substrate supporting tables juxtaposed in a specific direction is provided. Screen printing is alternately performed by a single print executing section in a common area which can be shared by the two substrate supporting tables. In doing so, when one substrate supporting table located at a print position among the pair of substrate supporting tables starts exiting the print position, the other substrate supporting table starts entry to the print position.

Claims

1. A luminal prosthesis comprising:

a first part which is adapted to be retained in a body lumen, the first part including a distal portion having a distal end that forms an exit opening of the luminal prosthesis and a proximal portion having a proximal end that forms an entrance opening of the luminal prosthesis, and a bulbous region connected between the distal portion and the proximal portion, with the bulbous region having a lateral width that is wider than a width of the distal portion and wider than a width of the proximal portion, where the distal portion is formed as a first cylindrical region on a distal side of the bulbous region and the proximal portion is formed as a second cylindrical region on a proximal side of the bulbous region;

a second part which is connected to the proximal end of the proximal portion of the first part by a connector;

a through-lumen formed in the luminal prosthesis through the first part and through the second part; and

a valve disposed in the through-lumen of the luminal prosthesis;

wherein the second part extends a radial distance from the first part to an outermost flare diameter of the second part, with a width of the outermost flare diameter of the second part forming a maximum width of the luminal prosthesis.

2. A prosthesis as claimed in claim 1 wherein the second part has an inner perimeter connected to the proximal portion of the first part, and the second part extends in a radial direction away from the first part to the outermost flare diameter of the second part, with the outermost flare diameter of the second part closer to the distal end of the first part than the inner perimeter of the second part is to the distal end of the first part.

3. A prosthesis as claimed in claim 1 wherein the connector comprises a tether.

4. A prosthesis as claimed in claim 1 wherein the connector comprises a strut.

5. A prosthesis as claimed in claim 1 wherein the connector comprises a wire.

6. A prosthesis as claimed in claim 1 wherein the first part and the second part are formed from a single precursor.

7. A prosthesis as claimed in claim 6 wherein the precursor comprises one continuous stent which is folded to form the first part and the second part.

8. A prosthesis as claimed in claim 1 wherein the second part is of open mesh construction.

9. A prosthesis as claimed in claim 1 wherein the second part is adapted to resist axial movement of the luminal prosthesis when the luminal prosthesis is placed in the body lumen.

10. A prosthesis as claimed in claim 1 wherein the second part is at least partially coated with a material.

11. A prosthesis as claimed in claim 10 wherein the second part has a peripheral region which is coated with a material.

12. A prosthesis as claimed in claim 1 wherein the bulbous region is at least partially coated with a material.

13. A prosthesis as claimed in claim 1 wherein the first part and the second part comprise a braided mesh construction.

14. A prosthesis as claimed in claim 1 having a reinforcement to facilitate radial compression during loading and to limit radial expansion after implantation.

15. A prosthesis as claimed in claim 14 wherein the reinforcement extends around at least part of a circumference of the first part and the second part.

16. A prosthesis as claimed in claim 15 wherein the reinforcement is a loop.

17. A prosthesis as claimed in claim 14 wherein the reinforcement is non-distensible.

18. A prosthesis as claimed in claim 14 wherein the reinforcement comprises one of a monofilament suture, braided polypropylene suture, and a stainless steel wire.

19. A prosthesis as claimed in claim 1 wherein the proximal portion has a proximal portion length measured from the bulbous region to the entrance opening formed at the proximal end of the first part, and a length of the distal portion is longer than the proximal portion length.

20. A prosthesis as claimed in claim 1 wherein the distal portion provides a duodenal region adapted for placement in a duodenum, with the duodenal region having a duodenal region length measured from the bulbous region to the exit opening formed at the distal end of the first part, and the duodenal region length is longer than a length of the bulbous region.

21. A prosthesis as claimed in claim 1 wherein the connector is one of a tether, a strut, and a wire and is provided separately from the first part and the second part of the luminal prosthesis.

22. A prosthesis as claimed in claim 1 wherein the first part and the second part combine to provide a self-expanding luminal prosthesis.

23. A prosthesis as claimed in claim 1 wherein the luminal prosthesis has an outer region adapted to contact the body lumen, an inner region adapted to receive the valve, and the connector connects the inner region to the outer region.

24. A prosthesis as claimed in claim 1 wherein each of the distal portion and the proximal portion is a braided mesh, and a weave of the braided mesh of the distal portion is more dense than a weave of the of the braided mesh of the proximal portion.

25. A luminal prosthesis comprising:

a bulbous region connected between a distal portion and a proximal portion of the luminal prosthesis, with the bulbous region having a lateral width that is wider than a width of the distal portion and wider than a width of the proximal portion;

a first cylindrical region formed on a distal side of the bulbous region and a second cylindrical region formed on a proximal side of the bulbous region;

a flared part connected to a proximal end of the second cylindrical region by a connector, where the flared part extends a radial distance from the proximal end of the second cylindrical region to form an outermost flare diameter that defines a maximum width of the luminal prosthesis;

a through-lumen formed in the luminal prosthesis through the second cylindrical region, the bulbous region, and the first cylindrical region;

a valve disposed in the through-lumen of the luminal prosthesis; and

a reinforcement loop extending around at least part of a circumference of the first cylindrical region.