Multicapsule intraluminal grafting system and method

• US 5,957,973 A
• Filed: 08/14/1997
• Issued: 09/28/1999
• Est. Priority Date: 03/09/1988
• Status: Expired due to Fees

• Current Assignee: Lifeport Sciences LLC (Acacia Research Corporation)
• Original Assignee: EndoVascular Technologies Incorporated (Boston Scientific Corporation)
• Inventors: Piplani, Alec A., Quiachon, Dinah B., Baughman, Larry G.
• Primary Examiner(s): Milano, Michael J.
• Application Number:
  US08/912,956
• Time in Patent Office: 775 Days
• Field of Search: 623/1, 623/11, 623/12, 606/194, 606/195
• US Class Current: 623/1.23
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• 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 2/848 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 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• 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 2002/30451 soldered or brazed or welded
• CPC Class Codes: A61F 2002/8486 provided on at least one of the ends
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2220/005 using adhesives
• CPC Class Codes: A61F 2220/0058 soldered or brazed or welded
• CPC Class Codes: A61F 2220/0075 sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2230/0054 V-shaped
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61M 2025/1068 having means for varying the length or diameter of the deployed balloon, this variations could be caused by excess pressure
• CPC Class Codes: A61M 25/10 Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00

Abstract

An intraluminal grafting system having a balloon catheter assembly, a capsule catheter assembly and capsule jacket assembly is used for deploying a graft having attachment means in the vessel of an animal body. The system contains a proximal capsule means and a distal capsule means, wherein the graft is disposed within the two capsule means and a removable sheath covers the graft and capsule means. The graft is comprised of a tubular member having superior and inferior ends, having attachment means with wall engaging members secured thereto. The balloon catheter is disposed within the capsule catheter to provide relative movement between the balloon catheter and the capsule catheter, whereby the graft can be removed from the capsule means. The balloon is inflated to firmly implant the graft and attachment means within the vessel. The graft and attachment means remain in the vessel after the intraluminal grafting system is withdrawn.

Claims

1. A balloon catheter comprising:

an elongate tubular member having a first lumen, a second lumen, a proximal end and a distal end;

an inflatable member in fluid communication with said second lumen and positioned proximate the distal end of said elongate tubular member;

means for removably retaining a prothesis, said means positioned proximate the distal end of said elongate tubular member; and

a means for engaging a prosthesis, said engaging means being disposed on said elongate tubular member proximate said inflatable member.

2. The balloon catheter of claim 1, further comprising:

a third lumen extending from proximate the proximal end to proximate the distal end of said elongate tubular member;

a control wire slidably disposed in said third lumen, said control wire having a proximal end and a distal end secured to said capsule means; and

control means connected to the proximal end of said control wire for moving said retaining means in relation to said elongate tubular member.

3. The balloon catheter of claim 2, wherein said retaining means comprises a distal capsule and a proximal cap, the distal capsule being secured to the distal end of said control wire for removably retaining a prothesis, the proximal cap being coaxially secured to the elongate tubular member and configured to be slidably retained in the distal capsule.

4. The balloon catheter of claim 3, wherein said control means comprises:

a handle positioned distal of the proximal end of said elongate tubular member; and

means for locking said control wire such that movement of the locking means causes movement of said distal capsule, wherein the locking means is configured to be releasably secured to the handle to prevent movement of said control wire.

5. The balloon catheter of claim 4, wherein said control means further comprises a hypotube secured within the handle and secured coaxially over a portion of said elongate tubular member distal of the handle.

6. The balloon catheter of claim 1, wherein the proximal end of said elongate tubular member is bifurcated to form a first arm and a second arm, the first arm having a lumen in communication with said first lumen and configured to releasably secure a guidewire, the second arm having a lumen in fluid communication with said second lumen and configured to accept means for inflating said inflatable member.

7. The balloon catheter of claim 1, wherein said engaging means is slidably disposed on said elongate tubular member proximal said inflatable member.

8. The balloon catheter of claim 7, further comprising a retaining bump fixedly positioned on said elongate tubular member proximal said engaging means so as to prevent proximal movement of said engaging means.

9. A balloon catheter comprising:

an elongate tubular member having a proximate end and a distal end;

an inflatable member positioned proximate the distal end of said elongate tubular member;

a capsule assembly positioned proximate the distal end of said elongate tubular member; and

a pusher device disposed on said elongate tubular member proximate said inflatable member.

10. The balloon catheter of claim 9, further comprising:

a control wire having a proximal end and distal end secured to said capsule assembly; and

a controller assembly connected to the proximal end of said control wire for moving said capsule assembly in relation to said elongate tubular member.

11. The balloon catheter of claim 9 wherein said capsule assembly comprises a distal capsule and a proximal cap, the distal capsule being secured to the distal end of said control wire for removably retaining a prothesis, the proximal cap being coaxially secured to the elongate tubular member and configured to be slidably retained in the distal capsule.

12. The balloon catheter of claim 11, wherein said controller assembly comprises:

a handle positioned distal of the proximal end of said elongate tubular member; and

a locking device configured to be releasably secured to the handle to prevent movement of said control wire.

13. The balloon catheter of claim 12, wherein said controller assembly further comprises a hypotube secured within the handle and secured coaxially over a portion of said elongate tubular member distal of the handle.

14. The balloon catheter of claim 9, wherein said pusher device is slidably disposed on said elongate tubular member proximate said inflatable member.

15. The balloon catheter of claim 14, further comprising a retaining bump fixedly positioned on said elongate tubular member adjacent said pusher device so as to prevent longitudinal movement of said pusher device.