Device with a prosthesis implantable in the body of a patient

• US 6,019,785 A
• Filed: 03/24/1997
• Issued: 02/01/2000
• Est. Priority Date: 05/20/1992
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Corporation
• Inventors: Strecker, Ernst Peter
• Primary Examiner(s): Yu, Mickey
• Assistant Examiner(s): Nguyen, Dinh X.
• Application Number:
  US08/828,140
• Time in Patent Office: 1,044 Days
• Field of Search: 623/1, 623/11, 623/12, 606/194, 606/195
• US Class Current: 623/1.1
• 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 system for use in medical treatment of a body, comprising:

a medical apparatus self-expandable from a reduced profile for inserting the medical apparatus in the body to a expanded profile for deploying the medical apparatus in the body;

a strippable sheath covering the medical apparatus, the sheath maintaining the medical apparatus in the reduced profile position; and

at least one drawstring extending from the sheath, the drawstring being retractable to permit expansion of the medical apparatus.

2. The system of claim 1, wherein the sheath includes at least one of a crocheted strand and knotted strand.

3. The system of claim 2, wherein at least one of the crocheted strand and knotted strand includes a releasable knot retaining a portion of the strand at an end of the sheath.

4. The system of claim 1, wherein the strippable sheath includes at least one strand, segments of the strand each having a first portion formed in a first loop wrapped on the medical apparatus and an adjacent second portion formed in a second loop wrapped on the medical apparatus and passing through the first loop.

5. The system of claim 4, wherein the second loop passes through a first loop of a neighboring segment of the strand.

6. The system of claim 4, wherein the strand includes a releasable knot retaining a portion of the strand at an end of the sheath.

7. The system of claim 1, wherein the medical apparatus is a prosthesis implantable in the body.

8. The system of claim 7, wherein the prosthesis is a mesh tube including metal material.

9. The system of claim 8, wherein the prosthesis includes knitted thread material.

10. The system of claim 4, further comprising a catheter having a distal end portion for insertion in the body and a proximal end portion, the medical apparatus being on the distal end portion of the catheter.

11. The system of claim 4, wherein the sheath releasably retains the medical apparatus on the distal end portion of the catheter, the medical apparatus being releasable from the catheter when the sheath is stripped.

12. The system of claim 10, wherein the medical apparatus is a prosthesis implantable in the body.

13. The system of claim 12, wherein the prosthesis is a mesh tube including metal material.

14. The system of claim 12, wherein the prosthesis includes knitted thread material.

15. The system of claim 11, wherein the medical apparatus is a prothesis implantable in the body.

16. The system of claim 10, wherein the catheter has at least one lumen extending from the distal end portion of the catheter to the proximal end portion of the catheter, the drawstring extending through the lumen.

17. The system of claim 10, wherein the sheath comprises at least one strand and the system further comprises a cuff on the catheter, the cuff releasably restraining a portion of the strand to an outer surface of the catheter.

18. The system of claim 10, wherein the catheter includes at least one lumen allowing for bodily insertion of the catheter over a guide wire.

19. The system of claim 18, further comprising a flexible guide wire inserted in the lumen.

20. The system of claim 1, further comprising an additional sheath on the medical apparatus between the medical apparatus and the strippable sheath.

21. The system of claim 1, wherein the medical apparatus includes a drug capable of being released when the medical apparatus is in the body.

22. The system of claim 1, wherein the medical apparatus includes material dissolvable in the body when the medical apparatus is deployed.

23. The system of claim 7, wherein the prosthesis comprises crocheted thread material.

50. The system of claim 1, wherein the sheath is a mesh.

24. A system for use in medical treatment of a body, comprising:

a medical apparatus having a distal end and a proximal end, the medical apparatus being expandable between a reduced profile and an expanded profile; and

a thread-like strand maintaining the medical apparatus in the reduced profile and having releasable knots, the releasable knots extending the length of the apparatus, the releasable knots being released by pulling an end portion of the strand to allow the medical apparatus to expand into its expanded profile.

25. The system of claim 24 wherein the strand further comprises a drawstring attached to the end of the strand that is pulled to release the releasable knots.

26. The system of claim 24 wherein the system further comprises a catheter onto which the medical apparatus is mounted, the catheter having a proximal end and a distal end, the medical apparatus being disposed at the distal end of the catheter and the drawstring extending toward the proximal end of the catheter.

27. The system of claim 26 wherein the catheter includes a cuff mounted on the catheter adjacent to the proximal end of the medical apparatus.

28. The system of claim 24 wherein the strand includes segments having a first portion formed in a loop wrapped on the medical apparatus and an adjacent second portion formed in a second loop wrapped on the medical apparatus and passing through the first loop.

29. The system of claim 28 wherein the second loop passes through the first loop of a neighboring segment of the strand.

30. The system of claim 24 wherein the releasable knots are configured to allow the medical apparatus to expand from one axial end to the other.

31. The system of claim 30 wherein the releasable knots are configured to release the medical apparatus from a distal end of the medical apparatus to the proximal end of the medical apparatus.

32. The system of claim 24 wherein the medical apparatus is self-expandable from the reduced profile to the expanded profile when the releasable knots are released.

33. The system of claim 24 wherein the medical apparatus is a stent.

34. The system of claim 33 wherein the stent is a mesh tube including metal material.

35. The system of claim 33, wherein the stent includes bent thread-like material.

36. The system of claim 24, wherein the medical apparatus is a prosthesis implantable in the body.

37. The system of claim 36, wherein the prosthesis is a mesh tube including metal material.

38. The system of claim 36, wherein the prosthesis includes knitted thread material.

39. The system of claim 32, wherein the medical apparatus is a prosthesis implantable in the body.

40. The system of claim 26, wherein the catheter has at least one lumen extending from the distal end portion of the catheter to the proximal end portion of the catheter, the drawstring extending through the lumen.

41. The system of claim 40, further comprising a cuff on the catheter, the cuff releasably retaining a portion of the strand to an outer surface of the catheter.

42. The system of claim 26, wherein the catheter includes at least one lumen allowing for bodily insertion of the catheter over a guide wire.

43. The system of claim 42, further comprising a flexible guide wire inserted in the lumen.

44. The system of claim 24, further comprising a sheath on the medical apparatus between the medical apparatus and the thread-like strand.

45. The system of claim 25, wherein the medical apparatus includes a drug capable of being released when the medical apparatus is in the body.

46. The system of claim 24, wherein the threadlike strand includes material visible during x-ray imaging.

47. The system of claim 25, wherein at least the drawstring includes material visible during x-ray imaging.

48. The system of claim 24, wherein the medical apparatus includes material dissolvable in the body when the medical apparatus is deployed.

49. The system of claim 36, wherein the prosthesis comprises crocheted thread material.