Non-migrating vascular prosthesis and minimally invasive placement system

• US 5,733,325 A
• Filed: 05/06/1996
• Issued: 03/31/1998
• Est. Priority Date: 11/04/1993
• Status: Expired due to Term

• Current Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Robinson, Timothy, Kujawski, Dennis, Carey, John, Weiser, Michael
• Primary Examiner(s): Milano, Michael J.
• Application Number:
  US08/643,527
• Time in Patent Office: 694 Days
• Field of Search: 623/1, 623/11, 623/12, 606/191, 606/198
• US Class Current: 623/1.11
• 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 2/90 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 2/9522 Means for mounting a stent or stent-graft onto or into a placement instrument
• CPC Class Codes: A61F 2/9525 using a funnel
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2002/825 having longitudinal struts
• CPC Class Codes: A61F 2002/8486 provided on at least one of the ends
• CPC Class Codes: A61F 2002/9665 with additional retaining means
• CPC Class Codes: A61F 2220/0008 Fixation appliances for connecting prostheses to the body
• 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
• CPC Class Codes: Y10S 623/921 Blood vessel

Abstract

A graft assembly for securely positioning a graft at a predetermined location across an abdominal aortic aneurysm. The assembly includes a resilient self-expanding anchor that is secured to the graft. The anchor is characterized as being at least as long as the graft, and further as being adapted to be removed or repositioned at any time prior to complete deployment in the patient.

Claims

1. A removable repair assembly for placement in a blood vessel which comprises:

an elongate tubular graft having an interior surface, an exterior surface, a proximal end, a distal end, and an axial length; and

an anchor assembly having a proximal end, a distal end and an axial length greater than the axial length of the graft;

the anchor assembly having, at each end, an anchor that is radially resiliently expandable from a radially contracted to a radially expanded configuration, the proximal and distal anchors being connected to each other by at least two longitudinal struts, each of the struts extending between the proximal and distal anchors;

the struts being connected to the proximal and distal anchors to cause a radial contraction force applied at one of the anchors to be transmitted to the other of the anchors, the struts serving to maintain the lengthwise positions of the proximal and distal anchors, the struts being arranged in the repair assembly such that they do not develop any radially outward expansion force independently of their connection to the proximal and distal anchors;

the end of at least one of the anchors protruding beyond its associated end of the graft and defining a connector for direct, rigid connection to a delivery device.

2. A repair assembly as in claim 1 wherein the anchor assembly is secured to the interior surface of the graft.

3. A repair assembly as in claim 1 wherein the anchor assembly is secured to the exterior surface of the graft.

4. A repair assembly as in claim 1 wherein the resilient expansion force is developed solely within and by the resilience of the proximal and distal anchors.

5. A repair assembly as in claim 1 wherein at least one of the self-expanding segments comprises a single continuous segment of wire having a series of bends.

6. A repair assembly as defined in claim 1 wherein the protruding end of the anchor defines at least one bight directly connectible to a delivery device.

7. A repair assembly as defined in claim 6 wherein said at least one anchor is formed from a zigzag wire including longitudinal segments connected by bends at adjacent ends of adjacent longitudinal segments, the protruding portions of the longitudinal segments and their associated bends defining said bights.

8. A repair assembly as defined in claim 4 and a delivery device in combination therewith, the combination further comprising:

a tubular sheath receptive to the repair assembly for maintaining the repair assembly in a radially compressed configuration, the sheath being open at its distal end with the repair assembly contained within the sheath;

a retainer movable axially relative to the sheath, the retainer having at least one member directly connectible to the protruding portion of the anchor assembly.

9. The combination as defined in claim 8 wherein the sheath and retainer are constructed to maintain direct connection with the protruding end of the anchor while the retainer is disposed within the sheath.

10. An abdominal aortic repair device comprising:

an elongate tubular graft adapted to be positioned within a blood vessel, the graft having a proximal end, a distal end, and an axial length;

a self-expanding anchor assembly secured to the graft, the anchor assembly being adapted to inhibit migration of the graft when positioned at a desired location in a blood vessel,

the anchor assembly having a proximal end, a distal end and an axial length greater than the axial length of the graft,

at least the proximal end and the distal end of the anchor being resiliently expandable and connected to each other by at least two longitudinal segments that extend between the proximal and distal ends of the anchor, and

each of the longitudinal segments being constructed and arranged to transmit a radial compression force through the longitudinal segments from one end of the anchor assembly to the other end of the anchor assembly, the proximal end of the anchor assembly being accessible and defining a connector for direct rigid connection to a delivery device.