Prosthesis system and method

• US 4,665,918 A
• Filed: 01/06/1986
• Issued: 05/19/1987
• Est. Priority Date: 01/06/1986
• Status: Expired due to Term

• Current Assignee: Endotex Interventional Systems Incorporated (Boston Scientific Corporation)
• Original Assignee: Gilbert A. Garza, Marek Kacki
• Inventors: Garza, Gilbert A., Kacki, Marek
• Primary Examiner(s): NOT, DEFINED
• Assistant Examiner(s): NOT, DEFINED
• Application Number:
  US06/816,399
• Time in Patent Office: 498 Days
• Field of Search: 128/341, 128/343, 128/344, 128/348.1, 128/334 R, 623/1, 623/12
• US Class Current: 606/108
• 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 2/9517 handle assemblies therefor
• CPC Class Codes: A61M 2025/09125 Device for locking a guide wire in a fixed position with respect to the catheter or the human body

Abstract

A system and method is disclosed for implanting a prosthesis the length of a blood vessel. A generally tubular prosthesis member having an unobstructed central passageway is provided. The member contracts to a smaller dimension for delivery through the unobstructed portion of the length of blood vessel, and is outwardly expansible in the blood vessel. The prosthesis member is positioned in a contracted condition between a delivery catheter and an outer sheath, and expands outwardly responsive to removal of the sheath.

Claims

1. A prosthesis system for insertion in a cavity of a human body, said system comprising:

(a) a prosthesis delivery catheter dimensioned to pass into said body cavity;

(b) a sheath dimensioned to closely fit about said catheter;

(c) a prosthesis for implanting in said cavity, said prosthesis comprising a cylinder of resilient expansible material having a generally longitudinal slot along the cylindrical wall thereof, one edge of said cylinder along said slot overlapping the opposing edge of said slot in a contracted relationship when said cylinder is positioned between said catheter and said sheath, and expansible into said cavity responsive to removal of said sheath; and

wherein

(d) said prosthesis may be left in place in said body cavity after removal of said catheter and sheath.

2. The prosthesis system recited in claim 1 wherein said prosthesis comprises a coil of an elastomeric material.

3. The prosthesis system recited in claim 1 wherein said catheter includes a peripheral portion of reduced wall thickness adjacent a distal end thereof dimensioned to receive said prosthesis when contracted.

4. The prosthesis system recited in claim 1 further comprising:

(a) said catheter including a central lumen dimensioned to receive a guidewire; and

(b) a guidewire dimensioned to pass along said central lumen, wherein said guidewire may be positioned in said cavity and said catheter thereafter passed into said cavity by extending an outer extremity of said guidewire into said central lumen and pushing said catheter along said guidewire.

5. The prosthesis system recited in claim 1 further comprising means for selectively locking said sheath with said catheter until positioned in a desired manner within said body cavity.

6. The prosthesis system recited in claim 5 further comprising a guiding catheter having a central lumen dimensioned to receive said sheath.

7. The prosthesis system recited in claim 6 further comprising means for selectively locking said guiding catheter with said prosthesis delivery catheter-sheath combination, to prevent relative movement therebetween.

8. The prosthesis system recited in claim 7 wherein said means for selectively locking said catheters and sheath together comprises:

(a) a locking hub on said prosthesis delivery catheter at a proximal end which is opposite said distal end thereof;

(b) a locking hub on said sheath at a proximal end thereof adjacent said proximal end of said delivery catheter;

(c) a locking hub on said guiding catheter at a proximal end thereof adjacent said proximal end of said sheath;

(d) a locking arm between said delivery catheter hub and said sheath hub; and

(e) a locking arm between said delivery catheter hub and said guiding catheter hub.

9. A system for implanting a permanent prosthesis in a blood vessel for expanding a length of said blood vessel suffering a reduction in blood flow because of an obstruction therein, said system comprising:

(a) a prosthesis delivery catheter having a distal end dimensioned for extension into said blood vessel along said length of obstruction;

(b) a sheath having a distal end dimensioned for extension into said blood vessel along said length of obstruction and further dimensioned to fit about the outer periphery of said delivery catheter; and

(c) prosthesis means outwardly expandable against said obstruction to increase the cross-sectional area of said blood vessel, said prosthesis means formed of a material which contracts to fit between said delivery catheter and said sheath and which expands outwardly responsive to removal of said sheath, said prosthesis means resting against said delivery catheter when in a contracted position between said delivery catheter and said sheath, said prosthesis means being free of any connections to said delivery catheter and said sheath, permitting said prosthesis means to remain in said blood vessel after removal of said delivery catheter and said sheath, said prosthesis means comprising a cylinder of expansible material having a generally longitudinal slot along the cylindrical wall thereof, one edge of said cylinder being spaced from the opposing edge of said slot in said contracted position when said cylinder is positioned between said delivery catheter and said sheath.

10. The system recited in claim 9 wherein said prosthesis means includes a generally tubular member having an unobstructed central passageway.

11. The system recited in claim 9 wherein said prosthesis means comprises a coil of an elastomeric material.

12. The system recited in claim 9 wherein said delivery catheter includes a peripheral portion of reduced wall thickness along said distal end thereof dimensioned to receive said prosthesis when in the contracted position.

13. A system for implanting a prosthesis in a length of blood vessel having an unobstructed portion of reduced cross-sectional area caused by an obstruction along the walls of said length of blood vessel, said system comprising:

(a) a prosthesis member having an unobstructed central passageway, said prosthesis member being outwardly expansible against said obstruction to increase the cross-sectional area of said blood vessel and contractable to permit movement through said unobstructed portion of said length of blood vessel, said prosthesis comprising a cylinder of resilient expansible material having a generally longitudinal slot along the cylindrical wall thereof, one edge of said cylinder along said slot overlapped with the opposing edge of said slot in a contracted relationship when said cylinder is positioned between said catheter and said sheath; and

(b) means for holding said prosthesis in a contracted position and for delivering said prosthesis means into said unobstructed portion of said blood vessel and releasing said prosthesis member to expand outwardly against said obstruction.

14. The prosthesis recited in claim 13 wherein said delivery means includes a sheath dimensioned to fit about said prosthesis member when in the contracted position, said prosthesis member expanding responsive to movement of said sheath.

15. The system recited in claim 14 wherein said delivery means includes a delivery catheter having a distal end dimensioned to pass through said unobstructed portion of said blood vessel, said delivery catheter having a portion of reduced wall thickness along said distal end for receiving said prosthesis member when contracted.

16. The system recited in claim 15 further comprising:

(a) said delivery catheter including a central lumen dimensioned to receive a guidewire;

(b) a guidewire dimensioned to pass along said central lumen; and

(c) a guiding catheter having a central lumen dimensioned to receive said sheath.

17. A method for implanting a prosthesis in a length of blood vessel having an unobstructed portion of reduced cross-sectional area caused by an obstruction along the walls of said length of blood vessel, said method comprising the steps of:

(a) providing a prosthesis member having an unobstructed central passageway, said prosthesis member being contractible to a contracted position and outwardly expansible so as to bear against the obstruction of said blood vessel to increase the cross-sectional area thereof, said prosthesis comprising a cylinder of expansible material having a generally longitudinal slot along the cylindrical wall thereof, one edge of said cylinder along said slot overlapping the opposing edge of said slot in said contracted position;

(b) contracting said prosthesis member;

(c) delivering said contracted prosthesis member into said unobstructed portion of said blood vessel; and

thereafter

(d) releasing said prosthesis member from said contracted position to expand outwardly against said obstruction.