Transluminally placed expandable graft prosthesis

• US 4,503,569 A
• Filed: 03/03/1983
• Issued: 03/12/1985
• Est. Priority Date: 03/03/1983
• Status: Expired due to Term

• Current Assignee: Cook Incorporated (Cook Group Incorporated)
• Original Assignee: Charles T. Dotter
• Inventors: Dotter, Charles T.
• Primary Examiner(s): Frinks, Ronald L.
• Application Number:
  US06/471,856
• Time in Patent Office: 740 Days
• Field of Search: 3/1, 3/1 A, 3/1.4, 128/334 R, 128/325, 128/303 R, 128/303.1, 128/303.11, 128/303.12, 128/343, 604/8
• US Class Current: 623/1.19
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• CPC Class Codes: A61B 17/221 Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions surgical snare instruments A61B17/32056
• CPC Class Codes: A61F 2/0004 Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/88 the wire-like elements formed as helical or spiral coils forming a net-like or mesh-like structure A61F2/90
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2002/30092 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2210/0023 operated at different temperatures whilst inside or touching the human body, heated or cooled by external energy source or cold supply

Abstract

A transluminally placed endovascular graft prosthesis includes a helically wound coil having a generally tubular shape and is made of a shape memory Nitinol alloy having a transition temperature in the range of 115°-125° F. After placement within a body blood vessel and upon heating of the prosthesis to its transition temperature, the prosthesis expands so as to become firmly anchored to the inside wall of the body blood vessel. After expansion the diameter of the lumen of the prosthesis is approximately equal to the diameter of the body blood vessel passageway. The prosthesis may also be used in other body passageways.

Claims

1. A transluminally-placed endovascular graft prosthesis, comprising:

a tubular shaped member having first and second open ends and lumen therethrough, said member sized for transluminal placement within a body blood vessel, said member made of a shape memory material having a transition temperature in a range at or above normal body temperature such that after placement within said body blood vessel and upon heating of said member to a temperature higher than normal body temperature said member expands radially so as to become firmly anchored to the inside wall of said body blood vessel, expansion of said member also expanding the diameter of said lumen.

2. The apparatus of claim 1, wherein said tubular shaped member is a helically wound coil spring.

3. The apparatus of claim 1, wherein said shape memory material is a Nitinol alloy.

4. The apparatus of claim 3, wherein said Nitinol alloy has a transition temperature in a range between 115-125 degrees Fahrenheit.

5. The apparatus of claim 1, wherein the diameter of said lumen in its expanded position is approximately equal to the diameter of the passageway of said body blood vessel.

6. The apparatus of claim 1, wherein said transition temperature is in the range of 115-125 degrees Fahrenheit.

7. A graft prosthesis for placement within a body passageway comprising:

an elongate member having first and second open ends and a lumen therethrough, said member expandable from a first position wherein said member is sized for transluminal placement within said body passageway to a second position wherein said member is larger than said body passageway, said member expanding in response to an increase in temperature such that after placement within said body passageway and upon heating of said member to a temperature equal to or in excess of normal body temperature said member expands radially so as to become firmly anchored in said body passageway, expansion of said member also causing expansion of the diameter of said lumen.

8. The apparatus of claim 7, wherein said member is formed of a shape memory Nitinol alloy.

9. The apparatus of claim 8, wherein the transition temperature of said Nitinol alloy is in a range between 115-125 degrees Fahrenheit.

10. A method for expanding a narrowed segment of a body blood vessel passageway comprising the steps of:

(1) inserting a vascular prosthesis within a narrowed segment of a blood vessel passageway; and

(2) expanding said prosthesis within said narrowed segment of said blood vessel passageway by increasing the temperature of said prosthesis to a level which is in a range at or above normal body temperature thereby expanding the lumen of said prosthesis and also the blood vessel passageway along said narrowed segment.

11. The method of claim 10 wherein step (1) is accomplished by transluminally inserting said vascular prosthesis by catherization of said body blood vessel.

12. The method of claim 11 wherein step (2) is accomplished by injecting a hot fluid within said body blood vessel so as to bathe said prosthesis and thereby trigger its expansion.

13. The method of claim 12 wherein injection of said hot fluid also expands a catheter balloon thereby limiting fluid flow through said body blood vessel and decreasing thermodilution of said hot fluid within said vessel.

14. A method for implanting a prosthesis within a body passageway comprising the steps of:

(1) inserting said prosthesis within said body passageway by catherization of said passageway; and

(2) expanding said prosthesis at a desired location within said body passageway by increasing the temperature of said prosthesis to a level which is in a range at or above normal body temperature thereby expanding the lumen of said prosthesis within said body passageway.