Endoluminal prosthetic bifurcation shunt

• US 5,755,773 A
• Filed: 06/04/1996
• Issued: 05/26/1998
• Est. Priority Date: 06/04/1996
• Status: Expired due to Term

• Current Assignee: Medtronic Ave Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Evans, Michael A, Kinney, Edward V.
• Primary Examiner(s): Milano, Michael J.
• Application Number:
  US08/658,137
• Time in Patent Office: 721 Days
• Field of Search: 623/1, 623/12, 606/194, 606/195
• US Class Current: 606/194
• CPC Class Codes: A61B 17/12022 Occluding by internal devices, e.g. balloons or releasable wires plugging an opening in the wall of an organ A61B17/0057; occluders for the cervical canal A61F6/146; vas deferens occluders A61F6/20
• CPC Class Codes: A61B 17/12109 in a blood vessel
• CPC Class Codes: A61B 17/12118 for positioning in conjunction with a stent
• CPC Class Codes: A61B 17/12136 Balloons
• CPC Class Codes: A61B 17/12172 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61F 2/07 Stent-grafts
• 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 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2002/3008 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers

Abstract

The present invention provides, methods, systems, and devices which allow a surgeon to seal off the branch port of a bifurcated endoluminal prosthesis, thereby effectively transforming the bifurcated prosthesis to a single-lumen prosthesis. Generally, the methods and devices of the present invention will be available for fallback procedures when the deployment of a bifurcated endoluminal prosthesis is found to be impracticable. By effectively sealing off the second branch port, the attending physician is able to completely isolate an aneurysm or other disease of the vasculature. Where it is necessary and/or desirable to provide fluid communication between the trunk lumen and the second branch lumen, a separate passage may be provided between the first and second branches of the body lumen system.

Claims

1. A method for repairing a bifurcated body lumen system having a trunk lumen in fluid communication with first and second branch lumens at a lumenal intersection, wherein a tubular bifurcated endoluminal prosthesis is deployed within the body lumen system so that a trunk portion of the prosthesis extends into the trunk lumen and a first branch portion of the prosthesis extends into the first branch lumen, and wherein a second branch port of the prosthesis is disposed between the trunk and branch portions, the method comprising substantially sealing the second branch port of the prosthesis to prevent fluid communication between the prosthetic trunk lumen and the body lumen system through the second branch port.

2. A method as claimed in claim 1, further comprising providing a passage for fluid communication between the first branch lumen and the second branch lumen of the body lumen system.

3. A method as claimed in claim 1, wherein the sealing step comprises deploying a shunt within the bifurcated prosthesis so that the shunt extends from the trunk portion to the branch portion, and so that a membrane of the shunt substantially blocks fluid communication between the prosthetic trunk lumen and the second branch port of the bifurcated prosthesis.

4. A method as claimed in claim 3, further comprising sealingly engaging the membrane against the prosthetic trunk lumen, the membrane comprising a tubular liner.

5. A method as claimed in claim 3, further comprising sealingly engaging the membrane against a prosthetic first branch lumen within the branch portion of the bifurcated prosthesis.

6. A method as claimed in claim 3, further comprising sealingly engaging the membrane directly against at least one of the trunk lumen of the body lumen system and the branch lumen of the body lumen system, the shunt extending axially beyond at least one of the branch portion and the trunk portion of the bifurcated prosthesis.

7. A method as claimed in claim 3, further comprising deploying the shunt with a cross-section which transitions smoothly between a trunk cross-section of the prosthetic trunk lumen and a branch cross-section of a prosthetic branch lumen of the branch portion.

8. A method for repairing an aneurysm of an abdominal aortic artery adjacent first and second iliac arteries, the method comprising:

deploying a bifurcated tubular endoluminal prosthesis within the aneurysm so that a trunk portion of the prosthesis having a trunk lumen extends into the aorta and a first branch portion of the prosthesis having a first branch lumen extends into the first iliac, wherein a second branch port of the prosthesis is disposed between the trunk and branch portions;

deploying a shunt within the bifurcated prosthesis so that the shunt extends from the trunk lumen to the branch lumen, and so that the shunt substantially blocks fluid communication between the prosthetic trunk lumen and the second branch port of the bifurcated prosthesis.

9. A method as claimed in claim 8, further comprising determining that the second branch port of the bifurcated prosthesis is substantially inaccessible for deployment of a second tubular branch endoluminal prosthesis extending from the second branch port into the second iliac before deploying the shunt.

10. A method as claimed in claim 8, further comprising providing a femorofemoral bypass so as to allow blood flow from a first femoral artery adjacent the first iliac to a second femoral artery adjacent the second iliac.

11. A method as claimed in claim 8, further comprising occluding the second iliac between the aneurysm and the femorofemoral bypass so as to prevent blood from flowing back through the second iliac into the aneurysm.

12. A method for repairing an aneurysm of an abdominal aortic artery adjacent first and second iliac arteries, after deploying a bifurcated endoluminal prosthesis within the aneurysm so that a trunk portion of the prosthesis extends into the aorta and a first branch portion of the prosthesis extends into the first iliac, wherein a second branch port of the prosthesis is disposed between the trunk and branch portions, and wherein the second branch port of the bifurcated prosthesis is inaccessible for deployment of a tubular second branch endoluminal prosthesis therein, the method comprising;

deploying a shunt within the bifurcated prosthesis so that the shunt extends from the trunk portion to the branch portion of the bifurcated prosthesis, and so that the shunt substantially blocks blood flow from the prosthetic trunk lumen to the second branch port of the bifurcated prosthesis, wherein the shunt does not substantially occlude blood flow between the trunk lumen and the branch lumen of the bifurcated prosthesis.