Barb and expandable transluminal graft prosthesis for repair of aneurysm

• US 5,720,776 A
• Filed: 06/07/1995
• Issued: 02/24/1998
• Est. Priority Date: 10/25/1991
• Status: Expired due to Term

• Current Assignee: Cook Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Incorporated (Cook Group Incorporated), MED Institute, Inc. (Cook Group Incorporated)
• Inventors: Chuter, Timothy A., Elliott, Gregory D., Fearnot, Neal E., DeBruyne, Michael P.
• Primary Examiner(s): BRITTINGHAM, DEBRA
• Application Number:
  US08/474,269
• Time in Patent Office: 993 Days
• Field of Search: 623/1, 623/11, 623/12, 600/36, 606/191, 606/194, 606/195, 606/196, 606/197, 606/198, 606/199, 606/200, 604/8
• US Class Current: 623/1.36
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61F 2/06 Blood vessels
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/848 having means for fixation to the vessel wall, e.g. barbs
• CPC Class Codes: A61F 2/89 the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2/962 having an outer sleeve
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/067 modular
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2002/8483 Barbs
• CPC Class Codes: A61F 2002/8486 provided on at least one of the ends
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2002/9534 for repositioning of stents
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2220/0075 sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable

Abstract

An improved prosthesis assembly for placement at an aneurysm in the bifurcated lumen of the aorta and the common iliac arteries extending therefrom. The prosthesis assembly includes a single lumen graft or a bifurcated lumen graft having a main body and ipsilateral and contralateral limbs extending therefrom. The main body and ipsilateral and contralateral limbs each have a spring assembly about their orifices for conforming that portion of the graft to the wall of the vessel lumen. The main body spring assembly has an improved barb with first and second attachment arms for securely anchoring the spring assembly to the vessel wall. The improved barb includes two forms of mechanical attachment such as, for example, a helical coil body positioned around a spring assembly arm and, secondly, a bonding material such as, for example, solder for fixedly attaching the coil and spring assembly arm. The attachment arms of the barb are positioned longitudinally along the spring assembly arm for engagement with the vessel wall without engaging each other when the spring assembly is in a collapsed condition. The ipsilateral and contralateral spring assemblies also include the improved barb with only a single attachment arm for anchoring the spring assembly to the vessel wall.

Claims

1. In a transluminal graft (1;

206) having a spring assembly (12, 31;

301, 302,

     303) with a barb (10;

     205), an improvement in the barb comprising;

a body (400) positioned around an arm (15;

     203) of the spring assembly and a first attachment arm (401) extending longitudinally from the body, wherein the body is attached to the spring assembly arm, and the first attachment arm includes an end (402) positioned toward an exterior (403) of the spring assembly.

2. The improvement of claim 1 wherein the first attachment arm of the barb extends longitudinally along the spring assembly arm and in an interior (404) of the spring assembly.

3. The improvement of claim 1 wherein the body includes a coil (405) having a passage (406) with the spring assembly arm extending longitudinally therethrough and wherein the first attachment arm extends from the coil.

4. The improvement of claim 3 wherein the coil is a wire coil and is fixedly attached to the spring assembly arm.

5. The improvement of claim 4 wherein the wire coil is soldered to the spring assembly arm.

6. The improvement of claim 1 wherein the end of the first attachment arm includes a hook (408) positioned about the end thereof.

7. The improvement of claim 6 wherein the end of the first attachment arm includes flat surface (409) and is positioned transverse to a longitudinal axis (410) of the first attachment arm.

8. The improvement of claim 6 wherein the end of the first attachment arm includes a beveled surface (411).

9. The improvement of claim 6 wherein the hook of the first attachment arm includes an opening (412) inclined to an exterior surface (413) of the spring assembly.

10. The improvement of claim 1 wherein the barb further comprises a second attachment arm (414) extending longitudinally from the body and wherein the second attachment arm includes an end (415) positioned toward the exterior of the spring assembly.

11. The improvement of claim 10 wherein the second attachment arm extends longitudinally along the spring assembly arm and exterior to the spring assembly.

12. The improvement of claim 10 wherein the second attachment arm extends longitudinally along the spring assembly arm and is inclined away from the spring assembly.

13. The improvement of claim 12 wherein an end portion (416) of the second attachment arm is inclined more steeply from the spring assembly than the remaining portion (417) of the second attachment arm.

14. The improvement of claim 10 wherein the end of the second attachment arm includes a beveled surface (418).

15. In a transluminal graft (1;

206) having a spring assembly (12, 31;

301, 302,

     303) with a barb (10;

     205), an improvement in the barb comprising;

a helical coil (405) having a passage (406) with an arm (15) of the spring assembly extending longitudinally therethrough and a first attachment arm (401) extending longitudinally from one end (419) of the helical coil and through an open end (420) of the spring assembly, wherein the coil is attached to the spring assembly arm, the first attachment arm extends longitudinally along the spring assembly arm and in an interior (404) of the spring assembly, and an end (402) of the first attachment arm is positioned toward an exterior (403) of the spring assembly.

16. The improvement of claim 15 wherein the barb includes a second attachment arm (414) extending longitudinally from an other end (421) of the helical coil.

17. The improvement of claim 15 wherein the first attachment arm includes a hook (408) positioned about the end thereof.

18. The improvement of claim 17 wherein the end of the first attachment arm includes a flat surface and is positioned transverse to a longitudinal axis (410) of the first attachment arm.

19. The improvement of claim 17 wherein the ends of the first and second attachment arms include a beveled surface (411, 418).

20. A prosthesis assembly (422;

228) comprising;

a transluminal graft (1;

     206) having a first (207) and a second end (208,

     209) and a passage (251;

252,

     253) extending longitudinally therebetween;

a first spring assembly (12;

     301) positioned at the first end of the graft and having a first barb (10,

     205) wherein the first barb includes a first helical coil (405) having a passage (406) with an arm (15) of the spring assembly extending longitudinally therethrough and a first attachment arm (401) extending longitudinally from one end (419) of the helical coil and through an open end (420) of the first spring assembly, wherein the first helical coil is attached to the first spring assembly, the first attachment arm extends longitudinally along the spring assembly arm and in an interior (404) of the first spring assembly, and a hooked end (402) of the first arm is positioned toward an exterior (403) of the first spring assembly;

wherein the first barb includes a second arm (414) extending longitudinally from the first helical coil and has an end (415) positioned toward the exterior of the first spring assembly;

wherein the ends of the first and second attachment arms of the first barb are beveled; and

a second spring assembly (31;

302,

     303) positioned at the second end of the graft and having a second barb (10;

     205);

wherein the second barb includes a second helical coil (405) having a passage (406) with an arm (15) of the second spring assembly extending longitudinally therethrough and having a first attachment arm (401) extending longitudinally from one end (419) of the second helical coil and through an open end (420) of the second spring assembly, wherein the second helical coil is attached to the second spring assembly, the first attachment arm extends longitudinally along the spring assembly arm and in an interior (404) of the second spring assembly, and a hooked end (402) of the first arm is positioned toward the exterior of the second spring assembly; and

wherein the hooked end of the first attachment arm of the second barb is flat and extends transverse to a longitudinal axis (410) of the first attachment arm of the second barb.