Prosthesis comprising an expansible or contractile tubular body

• US 4,954,126 A
• Filed: 03/28/1989
• Issued: 09/04/1990
• Est. Priority Date: 04/30/1982
• Status: Expired due to Term

• Current Assignee: AMS Medinvent SA
• Original Assignee: Shepherd Patents SA
• Inventors: Wallsten, Hans I.
• Primary Examiner(s): NOT, DEFINED
• Application Number:
  US07/330,975
• Time in Patent Office: 525 Days
• Field of Search: 128/343, 128/344, 128/345, 623/1, 623/12, 600/36, 606/191, 606/198
• US Class Current: 600/36
• CPC Class Codes: A61F 2/0105 Open ended, i.e. legs gathered only at one side
• CPC Class Codes: A61F 2/011 Instruments for their placement or removal
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/016 made from wire-like elements
• CPC Class Codes: A61F 2002/018 made from tubes or sheets of material, e.g. by etching or laser-cutting
• CPC Class Codes: A61F 2220/0008 Fixation appliances for connecting prostheses to the body
• CPC Class Codes: A61F 2230/005 Rosette-shaped, e.g. star-shaped
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: D04C 1/06 Braid or lace serving particular purposes

Abstract

A prosthesis for transluminal implantation comprising a flexible tubular body which has a diameter that is variable by axial movement of the ends of the body relative to each other and which is composed of several individual rigid but flexible thread elements each of which extends in helix configuration with the center line of the body as a common axis, a number of elements having the same direction of winding but being axially displaced relative to each other crossing a number of elements also axially displaced relative to each other but having the opposite direction of winding; and method for transluminal implantation.

Claims

1. A method for forming and completely inserting a prosthesis in a body vessel, said prosthesis having a radially and axially flexible elastic tubular body with a diameter that is variable under axial movement of the ends of the body relative to each other and which is composed of a plurality of flexible and elastic thread elements, each of which extends in helix configuration along the center line of the body as a common axis, the flexible and elastic elements defining a radially self-expanding body, said self-expanding body provided by a first number of elements having a common direction of winding but being axially displaced relative to each other and crossing a second number of elements also axially displaced relative to each other but having an opposite direction of winding, said method comprising the steps of:

(a) crossing the first and second elements such that an axially directed angle between the crossing elements is greater than 90°

, the axially directed angle being defined by the crossing of the first and second elements extending in the direction of the longitudinal axis of the cylinder;

(b) holding the prosthesis in a contracted state;

(c) inserting the prosthesis in its entirety into the body vessel at a first location;

(d) transferring the prosthesis in its entirety to a second location, remote from said first location, in the vessel; and

(e) allowing the prosthesis to expand within the vessel at said second location so as to fixedly implant said prosthesis at said second location.

2. A method according to claim 1 including the step of selecting a prosthesis of a diameter in unloaded state somewhat larger than the internal diameter of the vessel at said other location so as to provide for internal pressure of the prosthesis against the inner walls of the vessel.

3. A prosthesis prepared by a process by which the prothesis is formed and completely inserted into a body vessel at a fixed location, said prosthesis having a radially and axially flexible elastic tubular body with a diameter that is variable under axial movement of the ends of the body relative to each other and which is composed of a plurality of flexible and elastic thread elements, each of which extends in helix configuration along the center line of the body as a common axis, the flexible and elastic elements defining a radially self-expanding body, said self-expanding body provided by a first number of elements having a common direction of winding but being axially displaced relative to each other and crossing a second number of elements also axially displaced relative to each other but having an opposite direction of winding, said process comprising the steps of :

(a) crossing the first and second elements such that an axially directed angle between the crossing elements is greater than 90°

, the axially directed angle being defined by the crossing of the first and second elements extending in the direction of the longitudinal axis of the cylinder and completely form said prosthesis;

(b) holding the prosthesis in a contracted state;

(c) introducing the prosthesis in its entirety into the body vessel at a first location;

(d) transferring the prosthesis in its entirety to a second location, remote from said first location, in the vessel; and

(e) allowing the prosthesis to expand within the vessel at said second location so as to fixedly implant said prosthesis at said second location and complete said insertion process.

4. The process of forming the prosthesis of claim 3 including selecting a prosthesis of a diameter in an unloaded state which is larger than an internal diameter of the vessel at said second location so as to provide for internal pressure of the prosthesis against inner walls of the vessel.

5. A method for using a prosthesis in a body vessel, said prosthesis having a radially and axially flexible elastic tubular body with a diameter that is variable under axial movement of the ends of the body relative to each other and which is composed of a plurality of flexible and elastic thread elements, each of which extends in helix configuration along the center line of the body as a common axis, the flexible and elastic elements defining a radially self-expanding body, said self-expanding body provided by a first number of elements having a common direction of winding but being axially displaced relative to each other and crossing a second number of elements also axially displaced relative to each other but having an opposite direction of winding, said method of use comprising the steps of:

(a) crossing the first and second elements such that an axially directed angle between the crossing elements is greater than 90°

, the axially directed angle being defined by the crossing of the first and second elements extending in the direction of the longitudinal axis of the cylinder;

(b) holding the prosthesis in a contracted state;

(c) inserting the prosthesis in its entirety into the body vessel at a first location;

(d) transferring the prosthesis in its entirety to a second location, remote from said first location, in the vessel; and

(e) allowing the prosthesis to expand within the vessel at said second location so as to fixedly implant said prosthesis at said second location.

6. The use of the prosthesis of claim 5, further comprising the step of selecting a prosthesis of a diameter in an unloaded state which is larger than an internal diameter of the vessel at said second location so as to provide for internal pressure of the prosthesis against inner walls of the vessel.