Endoprosthesis for the treatment of blood-vessel bifurcation stenosis and purpose-built installation device

• US 6,183,509 B1
• Filed: 01/26/1998
• Issued: 02/06/2001
• Est. Priority Date: 05/04/1995
• Status: Expired due to Term

• Current Assignee: Alain Dibie
• Original Assignee: Alain Dibie
• Inventors: Dibie, Alain
• Primary Examiner(s): Milano, Michael J.
• Assistant Examiner(s): Pellegrino, Brian E.
• Application Number:
  US08/945,973
• Time in Patent Office: 1,107 Days
• Field of Search: 623/1.15, 623/1.16, 623/1.37, 623/1.35, 623/23.7, 623/1.42
• US Class Current: 623/1.35
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/856 Single tubular stent with a side portal passage
• 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 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/91541 Adjacent bands are arranged out of phase
• CPC Class Codes: A61F 2002/91558 connected peak to peak
• CPC Class Codes: A61F 2250/006 modular

Abstract

An endoprosthesis for the treatment of blood-vessel bifurcation stenosis. The endoprosthesis comprises three tubular sections (110, 120 and 140) and two connectors (130 and 150). A distal section (120) is aligned at least approximately with a proximal section (110). The first distal section is intended for insertion into a first blood vessel (T2) branching off on the bifurcation. The first distal section (120) is linked to the proximal section (110) by a first lateral connector (130). A second distal section (140), located at the side of the first distal section (120) is intended for insertion into a second vessel (T3) branching off from the bifurcation. The two distal sections (120 and 140) have their proximal ends linked by a second connector (150).

Claims

1. An endoprosthesis for the treatment of blood-vessel bifurcation stenosis, comprising three tubular sections and two articulation connectors namely:

a proximal section;

a first distal section aligned at least approximately with the proximal section and intended for insertion into a first blood vessel branching off from the bifurcation, the first distal section being linked to the proximal section by a lateral first connector; and

a second distal section located at the side of the first distal section and intended for insertion into a second blood vessel branching off from the bifurcation, both distal sections having their proximal ends linked by a second connector which allows relative pivoting of said distal sections about said second connector to accommodate the blood-vessel bifurcation, wherein the distal end of the proximal section is chamfered and the proximal end of the second distal section is tapered at the other side of the second connector and able to fit into the chamfered form of the proximal section.

2. An endoprosthesis according to claim 1 wherein the chamfer form is delimited by a flat surface.

3. An endoprosthesis according to claim 1 wherein the tapered section is delimited by a flat surface.

4. An endoprosthesis according to claim 1 wherein the chamfer form is delimited by a curved surface.

5. An endoprosthesis according to claim 1 wherein the tapered section is delimited by a curved surface.

6. An endoprosthesis according to claim 1 wherein the three tubular sections are of identical diameter prior to use.

7. An endoprosthesis according to claim 1 wherein the first connector has at its centre a plane of symmetry determined by the axes of the tubular sections and extends in a direction that is approximately parallel to these axes.

8. An endoprosthesis according to claim 1 wherein the first connector is formed from the same part as the proximal section and the first distal section.

9. An endoprosthesis according to claim 1 wherein the second connector has as its centre a plane of symmetry determined by the axes of the tubular sections and extends in a direction approximately perpendicular to these axes.

10. An endoprosthesis according to claim 1 wherein each of the sections is formed from a tubular component with a grid pattern of slits susceptible of expansion circumferentially.

11. An endoprosthesis for the treatment of blood-vessel bifurcation stenosis, comprising three tubular sections and two articulation connectors namely:

a proximal section;

a first distal section aligned at least approximately with the proximal section and intended for insertion into a first blood vessel branching off from the bifurcation, the distal section being linked to the proximal section by a lateral first connector; and

a second distal section located at the side of the first distal section and intended for insertion into a second blood vessel branching off from the bifurcation, both distal sections having their proximal ends linked by a second connector which allows relative pivoting of said distal sections about said connector to accommodate the blood-vessel bifurcation, wherein the three tubular sections are of identical diameter prior to use and wherein the distal end of the proximal section is chamfered and the proximal end of the second distal section is tapered at the other side of the second connector and able to fit into the chamfered form of the proximal section.

12. An endoprosthesis according to claim 11, wherein the chamfer form is delimited by a flat surface.

13. An endoprosthesis according to claim 11, wherein the tapered section is delimited by a flat surface.

14. An endoprosthesis according to claim 11, wherein the chamfer form is delimited by a curved surface.

15. An endoprosthesis according to claim 11, wherein the tapered section is delimited by a curved surface.

16. An endoprosthesis according to claim 11, wherein the first connector has at its centre a plane of symmetry determined by the axes of the tubular sections and extends in a direction that is approximately parallel to these axes.

17. An endoprosthesis according to claim 11, wherein the first connector is formed from the same part as the proximal section and the first distal section.

18. An endoprosthesis according to claim 11, wherein the second connector has as its centre a plane of symmetry determined by the axes of the tubular sections and extends in a directions approximately perpendicular to these axes.

19. An endoprosthesis according to claim 11, wherein the second connector is attached to the two distal sections.

20. An endoprosthesis according to claim 11, wherein each of the sections (110, 120 and 140) is formed from a tubular component with a grid pattern of slits susceptible of expansion circumferentially.

21. An endoprosthesis for the treatment of blood-vessel bifurcation stenosis, comprising three tubular sections and two articulation connectors namely:

a proximal section;

a first distal section aligned at least approximately with the proximal section and intended for insertion into a first blood vessel branching off from the bifurcation, the distal section being linked to the proximal section by a lateral first connector; and

a second distal section located at the side of the first distal section and intended for insertion into a second blood vessel branching off from the bifurcation, both distal sections having their proximal ends linked by a second connector which allows relative pivotment of said distal sections about said second connector to accommodate the blood-vessel bifurcation wherein the second connector has at its centre a plane of symmetry determined by the axes of the tubular sections and extends in a direction approximately perpendicular to these axes and wherein the distal end of the proximal section is chamfered and the proximal end of the second distal section is tapered at the other side of the second connector and able to fit into the chamfered form of the proximal section.

22. An endoprosthesis according to claim 21, wherein the chamfer form is delimited by a flat surface.

23. An endoprosthesis according to claim 21, wherein the tapered section is delimited by a flat surface.

24. An endoprosthesis according to claim 21, wherein the chamfer form is delimited by a curved surface.

25. An endoprosthesis according to claim 21, wherein the tapered section is delimited by a curved surface.

26. An endoprosthesis according to claim 21, wherein the three tubular sections are of identical diameter prior to use.

27. An endoprosthesis according to claim 21, wherein the first connector has as its centre a plane of symmetry determined by the axes of the tubular sections and extends in a direction that is approximately parallel to these axes.

28. An endoprosthesis according to claim 21, wherein the first connector is formed from the same part as the proximal section and the first distal section.

29. An endoprosthesis according to claim 21, wherein the second connector is attached to the two distal sections.

30. An endoprosthesis according to claim 21, wherein each of the sections is formed from a tubular component with a grid pattern of slits susceptible of expansion circumferentially.