Endovascular apparatus

• US 6,059,823 A
• Filed: 07/06/1998
• Issued: 05/09/2000
• Est. Priority Date: 02/13/1996
• Status: Expired due to Term

• Current Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Holman, Thomas J., Buscemi, Paul J., Donabedian, David H., Thometz, Darlene A., Bilge, Fertac
• Primary Examiner(s): Milano, Michael J.
• Assistant Examiner(s): STEWART, ALVIN J
• Application Number:
  US09/111,264
• Time in Patent Office: 673 Days
• Field of Search: 623/1, 623/11, 606/192, 606/194, 606/108
• US Class Current: 623/1.15
• CPC Class Codes: A61B 17/12045 double occlusion, e.g. during anastomosis
• CPC Class Codes: A61B 17/12118 for positioning in conjunction with a stent
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00535 pneumatically or hydraulically operated A61B2017/22051, A61B2090/401 take precedence
• CPC Class Codes: A61B 2017/1205 Introduction devices
• CPC Class Codes: A61B 2017/12127 Double occlusion, e.g. for creating blood-free anastomosis site
• 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 2/94 Stents retaining their form, i.e. not being deformable, after placement in the predetermined place
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/072 Encapsulated stents, e.g. wire or whole stent embedded in lining
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2250/0003 having an inflatable pocket filled with fluid, e.g. liquid or gas

Abstract

Percutaneous treatment of aortic aneurysms and like vascular anomalies by an apparatus and method wherein the apparatus is delivered via catheter and comprises a sleeve with at least one peripheral conduit which is caused to assume an expanded, rigid configuration by the introduction of a chemical or mechanical hardening means, whereby the sleeve is caused to assume an open cylindrical configuration for fluid flow therethrough.

Claims

1. A system for repairing an arterial aneurysm, the system comprising:

a) a catheter delivery means; and

b) an arterial graft apparatus comprising;

i) a flexible, tubular sleeve having at least one axis therethrough and further comprising a first end, at least one opposite end located opposite said first end, an exterior portion and an interior portion;

ii) at least one exterior conduit surrounding the exterior portion of said sleeve and having at least one port, the at least one exterior conduit being adjacent to the exterior portion of the sleeve, but not coextensive with the sleeve;

iii) introduction means in communication with each at least one port; and

iv) hardening means delivered through said introduction means for causing the arterial graft device to assume a rigid cylindrical configuration;

whereby when the apparatus is delivered to an area of an artery having an aneurysm such that the sleeve is positioned at the aneurysm and hardening means is introduced, the conduits are caused to assume a rigid, expanded configuration which fits securely into the artery and is anchored thereto by pressure, causing the sleeve to be supported in an open condition for fluid flow therethrough, and causing the aneurysm to be repaired.

2. The system of claim 1 wherein the sleeve is made of a nonbiodegradable, biocompatible polymeric material.

3. The system of claim 2 wherein the polymeric material is selected from the group consisting of thermosetting polymers, thermoplastic polymers, thermoplastic elastomers, elastomers, composites, pseudo-thermoplastics, carbohydrates, proteins, and mixtures thereof.

4. The system of claim 1 wherein the sleeve is made of a material selected from the group consisting of Dacron®

or PTFE.

5. The system of claim 1 wherein the sleeve is made of a woven or braided material.

6. The system of claim 1 wherein the sleeve is made of a material selected from the group consisting of polyamides, nylon 6, nylon 6,6, polyesters, PET, polyethers, fluorinated polymers, polytetrafluoroethylene, biodegradable or nonbiodegradable fibers derived from natural sources such as carbohydrates, collagens, and proteins, and mixtures thereof.

7. The system of claim 6 wherein the sleeve is biodegradable.

8. The system of claim 1 wherein:

a) the hardening means comprises at least one wire for insertion into and extension through the introduction means into a peripheral conduit.

9. The system of claim 8 wherein the wire is made of a material selected from the group consisting of stainless steel, spring steel, memory shape metals, and metal alloys.

10. The system of claim 9 wherein the wire is made of nitinol.

11. The system of claim 9 wherein the wire is made of titanium.

12. A vascular graft system comprising:

a) a flexible, tubular sleeve having at least one axis therethrough and further comprising a first end, at least one opposite end located opposite said first end, and an exterior portion;

b) at least one exterior conduit surrounding the exterior portion of said sleeve, each said at least one exterior conduit having an inlet port, the at least one exterior conduit being adjacent to the exterior portion of the sleeve, but not coextensive with the sleeve;

c) delivery means removably connected to the at least one exterior conduit at its inlet port, said delivery means being in association with a hardening means, said hardening means comprising at least one wire for insertion into and extension through the introduction means into an exterior conduit;

whereby when the sleeve is delivered to an implant site at an area of a vessel having an aneurysm such that the apparatus is positioned at the aneurysm and the hardening means is delivered, the hardening means causes the at least one exterior conduit to assume an expanded, rigid configuration which fits securely into the vessel and is anchored thereto by pressure, causing the sleeve to be supported in an open condition for fluid flow therethrough.

13. The system of claim 12 wherein the wire is made of a material selected from the group consisting of stainless steel, spring steel, memory shape metals, and metal alloys.

14. The system of claim 13 wherein the wire is made of nitinol.

15. The system of claim 14 wherein the wire is made of titanium.