VASCULAR PROSTHESIS SYSTEM

• US 20170209254A1
• Filed: 04/07/2017
• Published: 07/27/2017
• Est. Priority Date: 10/10/2014
• Status: Active Grant

• Current Assignee: Jotec Gmbh (Cryolife Incorporated)
• Original Assignee: Jotec Gmbh (Cryolife Incorporated)
• Inventors: KLEIN, Karsten, ODERMATT, Petra, KLEINHANS, Severin, BARTHOLD, Franz-Peter
• Granted Patent: US 10,321,985 B2
• Time in Patent Office: Days
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/852 Two or more distinct overlapping stents
• CPC Class Codes: A61F 2002/061 provided with means for allowing access to secondary lumens
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/067 modular
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2002/077 having means to fill the space between stent-graft and aneurysm wall, e.g. a sleeve
• CPC Class Codes: A61F 2002/821 Ostial stents
• CPC Class Codes: A61F 2002/828 Means for connecting a plurality of stents allowing flexibility of the whole structure
• CPC Class Codes: A61F 2220/0091 connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
• CPC Class Codes: A61F 2250/006 modular

Abstract

The invention relates to a vascular prosthesis system for inserting into and for supporting a blood vessel of a patient. The vascular prosthesis system comprises (i) a stent graft element comprising a prosthesis material, and (ii) a stent element free of prosthesis material. Furthermore, a strip-like prosthesis material segment is provided, by means of which the stent graft element and the stent element are connected to each other, in such a way that the strip-like prosthesis material segment forms a prosthesis material bridge.

Claims

1. A vascular prosthesis system for inserting into and supporting a blood vessel of a patient, which vascular prosthesis system is convertible from a compressed state to an expanded state, said vascular prosthesis system having the following:

a stent graft element with a hollow cylindrical body, a first, proximal stent graft element end and a second, distal stent graft element end, the stent graft element having supports extending circumferentially in a meandering formation, and a prosthesis material for forming a circumferentially covered stent graft element, which prosthesis material is fastened to and connects the supports, and

a stent element with a hollow cylindrical body, a first, proximal stent element end and a second, distal stent element end, the stent element having a stent support framework, which is free of prosthesis material, for forming an uncovered stent element,

wherein

the stent graft element and the stent element are two structurally separate elements of the vascular prosthesis system, and the stent element is dimensioned and designed in such a way that it is insertable with its second, distal stent element end at least partially into the first, proximal stent graft element end and is expansible therein,

wherein furthermore the stent element at its first, proximal end, is firmly connected circumferentially to a stent-free prosthesis portion, which prosthesis portion is made solely of prosthesis material,

and wherein furthermore the stent graft element and the stent element are connected to each other only by a strip-shaped prosthesis material portion, in such a way that the strip-shaped prosthesis material portion is fixed with a first end on the first, proximal stent graft element end and is fixed with its second end on the first, proximal stent element end in order to form a prosthesis material bridge.

2. The vascular prosthesis system as claimed in claim 1, wherein the stent-free prosthesis portion is formed in the shape of a collar on the first, proximal stent element end.

3. The vascular prosthesis system as claimed in claim 1, wherein it is designed for implantation in an aorta, particularly in the area of the ascending aorta, the aortic arch and the descending aorta.

4. The vascular prosthesis system as claimed in claim 1, wherein at least the supports of the stent graft element and/or the stent support framework of the stent element are made from a self-expanding material or have such a material.

5. The vascular prosthesis system as claimed in claim 1, wherein the stent element free of prosthesis material is releasable in the expanded state in the area of the aortic arch.

6. The vascular prosthesis system as claimed in claim 1, wherein the stent graft element has between two and eight successive supports.

7. The vascular prosthesis system as claimed in claim 1, wherein the stent element free of prosthesis material has a braided, twisted or laser-cut stent support framework.

8. The vascular prosthesis system as claimed in claim 1, wherein the strip-shaped prosthesis material portion connects the stent graft element and the stent element only over an arc of a circle of less than or equal to 180°

.

9. The vascular prosthesis system as claimed in claim 1, wherein the strip-shaped prosthesis material portion is a strip-shaped continuation of the prosthesis material of the stent graft element.

10. The vascular prosthesis system as claimed in claim 1, wherein the stent graft element and the stent element are releasable separately from each other, in such a way that the stent element is releasable after the stent graft element and at least partially within the latter.

11. A method for treating dissections or aneurysms of the thoracic aorta of a patient in need thereof, comprising the steps of i) introducing the vascular prosthesis system of claim 1 into an aorta of an patient in need thereof, and of ii) releasing the vascular prosthesis system in the aorta.

12. The method of claim 11, having the following steps:

introducing the vascular prosthesis system in the compressed state into an aorta of a patient, in such a way that the entire stent graft element is positioned distally in relation to the subclavian artery;

converting the stent graft element to the expanded state by retracting a first sheath that compresses the stent graft element;

converting the stent element to the expanded state, by retracting a second sheath that compresses the stent element;

in such a way that the stent element free of prosthesis material is released in the aortic arch in the area of the origins of the brachiocephalic trunk, the common carotid artery and the left subclavian artery, and

wherein the stent-free prosthesis portion is positioned in the proximal direction in relation to the origin of the brachiocephalic trunk,

thereby treating the dissection or aneurysma.

13. A method for releasing the vascular prosthesis system as claimed in claim 1, wherein the method has the following steps:

introducing the vascular prosthesis system in the compressed state into an aorta of a patient, in such a way that the entire stent graft element is positioned distally in relation to the subclavian artery;

converting the stent graft element to the expanded state by retracting a first sheath that compresses the stent graft element;

converting the stent element to the expanded state, by retracting a second sheath that compresses the stent element;

in such a way that the stent element free of prosthesis material is released in the aortic arch in the area of the origins of the brachiocephalic trunk, the common carotid artery and the left subclavian artery, and

wherein the stent-free prosthesis portion is positioned in the proximal direction in relation to the origin of the brachiocephalic trunk.