Method for deploying cuff prostheses

• US 6,110,198 A
• Filed: 01/05/1999
• Issued: 08/29/2000
• Est. Priority Date: 10/03/1995
• Status: Expired due to Term

• Current Assignee: Medtronic Ave Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Evans, Michael A., Lenker, Jay A., Cox, Brian J., Weinberg, Steven, Fogarty, Thomas J., Kim, Steven W., Freislinger, Kirsten
• Primary Examiner(s): Yu, Mickey
• Assistant Examiner(s): Koh, Choon P.
• Application Number:
  US09/225,992
• Time in Patent Office: 602 Days
• Field of Search: 623/1, 623/2, 623/11, 623/12, 623/1.12, 623/1.13, 623/1.36, 623/902, 606/153, 606/108, 606/192, 606/194, 606/78, 128/898
• US Class Current: 623/1.12
• 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 2/91 made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
• CPC Class Codes: A61F 2/915 with bands having a meander structure, adjacent bands being connected to each other
• 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 2002/30199 Three-dimensional shapes
• CPC Class Codes: A61F 2002/30329 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2002/91591 Locking connectors, e.g. using male-female connections
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0041 using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2220/005 using adhesives
• CPC Class Codes: A61F 2220/0058 soldered or brazed or welded
• CPC Class Codes: A61F 2220/0066 stapled
• 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 2230/0063 Three-dimensional shapes
• CPC Class Codes: A61F 2230/0078 hyperboloidal
• CPC Class Codes: Y10S 623/902 : Method of implanting

Abstract

The present invention provides modular intraluminal tubular prostheses, particularly stents and stent-grafts, for the treatment of disease conditions, particularly aneurysms. Modular sections of the prostheses, or "prosthetic modules," may be selectively combined to form a composite prosthesis having characteristics which are tailored to the specific requirements of the patient. Each prosthetic module preferably includes one or more standard interface ends for engaging another module, the module/module interface typically comprising ends which overlap and/or lock within a predetermined axial range. Advantageously, the axial length, cross-section, perimeter, resilient expansive force, axial flexibility, liner permeability, liner extensibility, radial conformability, liner/tubal wall sealing and anchoring, and other prosthetic characteristics may be varied along the axis of the composite prosthesis, and also along the axis of each prosthetic module. The modules are preferably individually introduced into a lumen system of a patient body so that the composite prosthesis is assembled in situ. Ideally, selection of appropriate prosthetic modules and the flexibility of the interface overlap range provides a custom fit intraluminal prosthesis which provides a therapy tailored to the individual patient'"'"'s needs.

Claims

1. An endoluminal prosthesis placement method comprising:

introducing a radially expandable tubular prosthesis to a target location of a body lumen, the tubular prosthesis having a body portion with a proximal end and a distal end and an expansible sealing cuff disposed on at least one of said proximal and distal end, the prosthesis extending axially to a healthy luminal wall beyond a diseased portion of the body lumen; and

radially expanding the prosthesis to define a prosthetic lumen, the expanding step comprising;

limiting radial expansion of the body portion of the prosthesis to avoid distending the diseased portion of the body lumen;

sealingly engaging at least one expansible sealing cuff of the prosthesis against a perimeter of the healthy luminal wall.

2. A method as claimed in claim 1, wherein the step of limiting radial expansion comprises radially restraining the body portion with a tubular liner, and wherein the sealingly engaging step comprises expanding two expansible sealing cuffs on opposite ends of the body portion to perimeters larger than adjacent sections of the body portion.