Device with a prosthesis implantable in the body of a patient

• US 5,653,748 A
• Filed: 12/05/1995
• Issued: 08/05/1997
• Est. Priority Date: 05/20/1992
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Strecker, Ernst Peter
• Primary Examiner(s): BRITTINGHAM, DEBRA
• Application Number:
  US08/567,735
• Time in Patent Office: 609 Days
• Field of Search: 623/1, 623/11, 623/126, 606/194, 606/195, 606/196, 606/197, 606/198, 606/199, 606/200, 606/151-158, 600/36
• US Class Current: 623/1.11
• CPC Class Codes: A61F 2/04 Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts A61F2/18, A61F2/20 take precedence; devices, other than stent-grafts, providing patency to, or preventing collapsing of, tubular structures of the body other than stent-grafts, e.g. stents A61F2/82; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95
• 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 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2002/9505 having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2210/0019 operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation
• CPC Class Codes: A61F 2250/0067 Means for introducing or releasing pharmaceutical products into the body
• CPC Class Codes: A61L 2300/00 Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
• CPC Class Codes: A61L 31/005 Ingredients of undetermined constitution or reaction products thereof
• CPC Class Codes: A61L 31/04 Macromolecular materials
• CPC Class Codes: A61L 31/16 Biologically active materials, e.g. therapeutic substances A61L31/047 takes precedence
• CPC Class Codes: D04B 1/16 synthetic threads
• CPC Class Codes: D04B 9/44 elongated tubular articles of small diameter, e.g. coverings for cables sheathing electric cables H01B13/22
• CPC Class Codes: D10B 2403/0114 with one or more yarns appearing predominantly on one face, e.g. plated or paralleled yarns for pile fabrics D03D27/00, D04B1/02, D04B21/02; for intarsia fabrics D04B1/126
• CPC Class Codes: D10B 2509/06 Vascular grafts; stents
• CPC Class Codes: Y10S 623/903 Blood vessel

Abstract

The device comprises a prosthesis designed as a hollow body compressed against the action of restoring spring forces to a cross section reduced relative to an expanded use position, and held in this position by a strippable sheath. After the sheath is stripped, the prosthesis automatically expands to a cross section corresponding to the use position. The sheath, which can be a meshwork in the approximate form of crocheted material, extends over the entire length of the prosthesis and consists of at least one continuous thread and at least one drawstring. The prosthesis, held in the radially compressed position by the sheath, can be mounted displaceably on a feed wire or non-axially-displaceably on the insertion end of a probe or a catheter.

Claims

1. A method of implanting a prosthesis in a body of a patient, said prosthesis designed as a hollow body and being compressible against restoring spring forces to a cross section which is reduced relative to an expanded use position, said prosthesis also, after removal of restraining forces that maintain said prosthesis in reduced cross section, expanding automatically to a cross section that corresponds to the use position, comprising the steps of:

surrounding said prosthesis in said reduced cross section with a strippable sheath formed of at least one continuous thread;

providing at least one drawstring extendable from the sheath that holds the prosthesis in reduced cross section, and

retracting said drawstring to remove said sheath and effect automatic expansion of said prosthesis.

2. The method of claim 1 further comprising the step of mounting said prosthesis, held in reduced cross section by the strippable sheath, on a probe advanceable into a body lumen.

3. The method of claim 2 wherein the prosthesis includes a lumen and advancing the prosthesis includes advancing said probe over a guide wire.

4. The method of claim 1 further comprising the step of forming said strippable sheath from metal thread material.

5. The method of claim 1 further comprising the step of forming said strippable sheath from successive mesh rows alternately made of resorbable and nonresorbable thread material.

6. The method of claim 5 further comprising the step of embedding a drug in said resorbable thread material to enable drug deposit by said prosthesis.

7. The method of claim 1 further comprising the step of forming the sheath from a shrinkable thread material.

8. The method of claim 1 further comprising the step of forming said strippable sheath from successive mesh loops formed in opposite circumferential directions around the prosthesis, so that when successive mesh loops are stripped, the thread segments forming the loops come loose alternately on the right and left from the prosthesis.

9. The method of claim 8 further comprising the step of forming said strippable sheath from successive mesh loops by crocheting.

10. The method of claim 8 further comprising the step of arranging said successive mesh loops so that adjacent knots lie respectively on opposite sides of the sheath.

11. The method of claim 1 further comprising the step of extending said drawstring from a portion of the sheath surrounding a distal insertion end of the prosthesis, said retracting of said drawstring causing the prosthesis to gradually expand from the distal end to the proximal end.

12. The method of claim 3 further comprising the step of securing a first end of the sheath forming the sheath and a second end of the sheath forming an end loop of the sheath onto positions on said probe, and releasing said first and second ends from said secured positions by pulling said drawstring.

13. The method of claim 12 further comprising the step of securing said first and second ends by pinching said ends within holes formed on said probe.

14. The method of claim 1 wherein said step of surrounding said prosthesis with a strippable sheath further comprises the step of surrounding the sheath with a first strippable meshwork applied from the distal end of the probe and a second strippable meshwork applied in the opposite axial direction thereto, from the proximal end, and extending over an end loop of the first meshwork.

15. The method of claim 14 further comprising the step of stripping said meshworks in opposite axial directions by drawstrings.

16. The method of claim 1 further comprising forming the sheath holding the prosthesis in its radially compressed position with successive wrapping loops wrapped around the prosthesis at axial distances from one another, said wrapping loops being of a thread material extending along the inside of the prosthesis and pulled through a first hole in the prosthesis, the ends of said wrapping loops being guided back through a second hole in said prosthesis circumferentially adjacent to the first hole, and into the interior of the prosthesis.

17. The method of claim 16 further comprising the step of providing a warp thread, running along the-inside of the prosthesis and guided through the ends of the loops, the warp thread holding the loops in their wrapped positions.

18. The method of claim 1 further comprising forming the sheath holding the prosthesis in its radially compressed position with wrapping loops wrapped around the prosthesis at axial distances form one another, said wrapping loops being of a thread material extending along the inside of the prosthesis and pulled through a first hole in the prosthesis, ends of said loops guided back into the interior of the prosthesis through a second hole spaced axially from the first hole, the wrapping loops being held in wrapping position by a loop formed from the thread material running inside the prosthesis being pulled through the end of the wrapping loop positioned inside the prosthesis, said loop passing through the end of the wrapping loop then extending outward through an adjacent hole in the axial direction and being wrapped around the prosthesis to form an adjacent wrapping loop.

19. The method of claim 1 further comprising the step of forming the strippable sheath from a plurality of threads running parallel to one another.

20. The method of claim 1 wherein said step of surrounding said prosthesis with a strippable sheath further comprises the steps of:

surrounding the sheath with a first sheath to hold the prosthesis in the radially compressed state; and

loosely fitting around the prosthesis a second sheath such that when the first sheath is stripped, the second sheath permits partial expansion of the prosthesis, said second sheath being subsequently strippable itself to permit full expansion.

21. The method of claim 1 further comprising the step of forming the sheath into a meshwork with spaces between meshes filled and smoothed with a substance that dissolves in the body of a patient.