Inflatable prosthetic device for lining a body duct

• US 4,183,102 A
• Filed: 09/08/1977
• Issued: 01/15/1980
• Est. Priority Date: 09/08/1977
• Status: Expired due to Term

• Current Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Original Assignee: Jacques Guiset
• Inventors: Guiset, Jacques
• Primary Examiner(s): Frinks, Ronald L.
• Application Number:
  US05/831,409
• Time in Patent Office: 859 Days
• Field of Search: 3/1, 3/1.2, 3/1.4, 128/1 R, 128/129, 128/325, 128/334 R, 128/344, 128/348, 128/349 B, 128/349 BV, 128/350 R, 128/350 V, 128/351
• US Class Current: 623/1.25
• CPC Class Codes: A61F 2/82 Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents stent-grafts for tubular structures of the body other than blood vessels A61F2/04; stent-grafts for blood vessels A61F2/07; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95; for closing wounds, or holding wounds closed A61B17/04 - A61B17/115; dilators A61M29/00
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2250/0003 having an inflatable pocket filled with fluid, e.g. liquid or gas
• CPC Class Codes: A61M 25/0021 characterised by the form of the tubing A61M25/0054 takes precedence
• CPC Class Codes: A61M 25/1002 characterised by balloon shape A61M25/1006, A61M25/1009 take precedence
• CPC Class Codes: A61M 25/1011 Multiple balloon catheters

Abstract

The invention provides a prosthetic device for introduction into a duct and for lining an interior wall portion of the duct. The device comprises a generally toroidal, hollow, inflatable sleeve and means for introducing a pressurized fluid into the sleeve. The sleeve is made of a material that is impermeable to the pressurized fluid. At least the outer portion of the sleeve is made of a flexible material capable of deforming to conform to the shape of said interior wall portion of the duct. The device can be introduced into the duct and correctly positioned when it is in a deflated state. Subsequently, it is inflated by introducing the pressurized fluid. This causes the outer portion of the sleeve to expand and grip said interior wall portion of the duct, while leaving a central channel for the passage of the liquid in the duct. The device may also comprise a plurality of such sleeves connected together in a side-by-side relationship.

Claims

1. A prosthetic device for introduction into a duct and for lining an interior wall portion of the duct, the device comprising a plurality of interconnected generally toroidal, hollow, inflatable sleeves and means for introducing a pressurized fluid into the sleeves, said sleeves being made of a material that is impermeable to the pressurized fluid, wherein at least the outer portions of the sleeves are made of a flexible material capable of deforming to conform to the shape of said interior wall portion of the duct, whereby the device can be introduced into, and positioned within, the duct in a deflated stated and then inflated by introducing the pressurized fluid so that the said outer sleeve portions grip said interior wall portion of the duct and so that a longitudinal channel is defined along the axis of the generally toroidal sleeves, and means for assuring orientation of said sleeves in said duct such that the longitudinal direction of said channel coincides with the longitudinal direction of the duct at least after inflation of the device, said means for assuring orientation comprising at least one tube of impermeable material connected at one end with an end sleeve and closed at the other end, said tube extending in the longitudinal direction of said channel when pressurized fluid is introduced into the interiors of said sleeves.

2. A prosthetic device according to claim 1, wherein adjacent sleeves are connected together by means of bracing elements.

3. A prosthetic device according to claim 2, wherein each bracing element is a hollow, tubular member made of flexible, impermeable material whose interior is in fluid communcation with the interior of each of the sleeves connected thereby.

4. A prosthetic device for introduction into a duct and for lining an interior wall portion of the duct, said device comprising a generally toroidal, hollow, inflatable sleeve having an internal wall defining an internal longitudinal channel, and an external wall which is defined at least partially by a flexible, impermeable membrane capable of deforming at least outwardly and which is capable of adapting itself to the shape of said interior wall portion of the duct, means for introducing a pressurized fluid into the sleeve interior, the walls of the sleeve being impermeable to the pressurized fluid, whereby the device can be introduced into, and positioned within, the duct in a deflated state and then inflated by introducing pressurized fluid into said sleeve so that the external wall grips said interior wall portion of the duct and so that the channel remains open, and means for assuring orientation of said sleeve in said duct such that the longitudinal direction of the channel bounded by said internal wall coincides with the longitudinal direction of the duct at least after inflation of the device, to fix it in the duct, said means for assuring orientation of the sleeve comprising at least one tube of impermeable material integral with said sleeve, connected with said sleeve at one of its ends and closed at the other end, said tube extending in the longitudinal direction of said channel when pressurized fluid is introduced into the interior of said sleeve.

5. A prosthetic device according to claim 4, wherein said internal wall of the sleeve comprises a flexible, impermeable, deformable membrane.

6. A prosthetic device according to claim 5, wherein the membrane of the external wall of said sleeve is more deformable than the membrane of the internal wall.

7. A prosthetic device according to claim 5, wherein said sleeve is formed of a flexible, impermeable membrane, closed onto itself to define said sleeve.

8. A prosthetic device according to claim 5, wherein bracing members are provided joining together the membrane of the internal wall of said sleeve and the membrane of the external wall.

9. A prosthetic device according to claim 8, wherein said membranes and said bracing members are made of the same material.

10. A prosthetic device according to claim 8, wherein said bracing members consist of substantially transverse partitions between said membranes.

11. A prosthetic device according to claim 7, wherein said sleeve consists of at least one hollow torus of flexible, impermeable material.

12. A prosthetic device according to claim 5, wherein said means for introducing a pressurized fluid comprises at least one tube of impermeable flexible material integral with said sleeve which leads into the interior of said sleeve and is connected to a pressurized fluid source.

13. A prosthetic device according to claim 4, wherein said means for introducing a pressurized fluid comprises at least one elastically extensible and reinforced zone of the impermeable wall of the sleeve, said zone being capable fo being perforated by a hollow needle connected to a pressurized fluid source and of reclosing elastically after the needle has been withdrawn.

14. A prosthetic device according to claim 12, wherein said tube assuring orientation of said sleeve and said tube for introducing pressurized fluid are situated the one in a prolongation of the other.

15. A prosthetic device according to claim 4, wherein said tube assuring the orientation of the sleeve is integral with the sleeve in the immediate proximity to the external wall of said sleeve.

16. A prosthetic device according to claim 5 wherein said membranes are made of an extensible material.

17. A prosthetic device for introduction into a duct and for lining an interior wall portion of the duct, the device comprising a plurality of generally toroidal, hollow, inflatable sleeves placed side-by-side with side walls of adjacent sleeves integrally joined with one another, inner walls of said sleeves being juxtaposed to define an internal longitudinal channel, outer walls of said sleeves being adapted to engage the interior wall of said duct and said integrally joined side walls forming transverse partitions connecting said inner and outer walls, said sleeves being made of a material that is impermeable to the pressurized fluid, wherein at least the outer wall of each sleeve is made of flexible material capable of deforming to conform to the shape of said interior wall portion of the duct, and means for introducing a pressurized fluid into said sleeves, said side walls being apertured to connect the interiors of said sleeves with one another to supply pressurized fluid to all of said sleeves, whereby the device can be introduced into, and positioned within, said duct in a deflated state and then inflated by introducing the pressurized fluid into said sleeves so that said outer walls of said sleeves grip said interior wall portion of the duct and so that a longitudinal channel is defined by the inner walls of the sleeves.

18. A prosthetic device according to claim 17, wherein said sleeves are all identical toruses.

19. A prosthetic device according to claim 17, wherein said inner walls of said sleeves are less flexible than said outer walls.

20. A prosthetic device according to claim 17, wherein said means for introducing pressurized fluid into said sleeves comprises a flexible tube connected to one of the end sleeves of said device.

21. A prosthetic device according to claim 20, further comprising means for assuring orientation of said sleeves in said duct such that the longitudinal direction of said channel defined by inner walls of said sleeves coincides with the longitudinal direction of the duct at least after inflation of the devices, said means for assuring orientation comprising a tube extending from the other end sleeve of said device and closed at its outer end.

22. A prosthetic device according to claim 21, wherein said tube for assuring orientation of said sleeves is at least approximately aligned with said tube for introducing pressurized fluid into said sleeves.

23. A prosthetic device according to claim 22, wherein said tubes are connected with said end sleeves respectively near the outer walls of said sleeves.

24. A prosthetic device according to claim 21, wherein said tube for assuring orientation of said sleeves is flexible and inflatable and is in communication with the interior of said sleeves, whereby it is inflated when pressurized fluid is introduced into said sleeves.

25. A prosthetic device according to claim 17, wherein there are at least four of said toroidal sleeves joined side-by-side.