Endovascular graft system

• US 6,280,466 B1
• Filed: 12/03/1999
• Issued: 08/28/2001
• Est. Priority Date: 12/03/1999
• Status: Expired due to Fees

• Current Assignee: Cordis Corporation (Cardinal Health, Inc.)
• Original Assignee: TERAMed, Inc. (Cardinal Health, Inc.)
• Inventors: Kugler, Chad J., Keith, Peter T., Drontle, John R., Olson, Matthew J., Heiland, Thomas K.
• Primary Examiner(s): O'Connor, Cary E.
• Application Number:
  US09/454,038
• Time in Patent Office: 634 Days
• Field of Search: 623/1.11, 623/1.35, 623/1.12, 623/1.15, 606/108, 606/194
• US Class Current: 623/1.12
• 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 2/90 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 2/95 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 2002/067 modular
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2220/0033 made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• 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 2230/008 paraboloidal

Abstract

The invention provides an endovascular graft system for repair of aneurysms. The graft system includes a trunk component and first and second leg components. The graft components include graft material supported by a plurality of stents which are spaced apart and affixed to the graft material in a manner that allows articulation of the graft system without excessive wear of the graft material. The stents are formed by intersecting struts which may be tapered to relieve stress. A stabilizing mechanism is provided to stabilize the position of the legs with respect to the trunk when the graft system is deployed.

Claims

1. A delivery catheter for delivering an endovascular graft system at a desired location within a vessel of a patient'"'"'s vascular system comprising:

a shaft;

a first graft component positioned about the shaft;

a second graft component positioned about the shaft, the first graft component being positioned distally of the second graft component, the first graft component being configured to be deployed in the vessel prior to deployment of the second graft component, the first and second graft components each having proximal and distal portions, the distal portion of the second graft component being configured to be deployed within the proximal portion of the first graft component;

a retractable sheath defining a lumen containing the shaft and first and second graft components, the sheath being configured to deploy the first graft component when the outer sheath is withdrawn a first distance and to deploy the second graft component when the outer sheath is withdrawn a second distance; and

means for stabilizing the position of the distal portion of the second graft component with respect to the proximal portion of the first graft component when the sheath is being withdrawn the second distance.

2. The delivery catheter of claim 1 wherein the shaft has an outer surface and defines an inflation lumen and a guidewire lumen, the delivery catheter further comprising a balloon attached at a location spaced from a distal end of the catheter, the balloon having an interior in fluid communication with the inflation lumen.

3. The delivery catheter of claim 2 further having a transition element affixed to the balloon, the transition element having a distal portion between the balloon and the distal end of the catheter, the distal portion being configured to provide increasing stiffness from the distal end of the catheter to the balloon, the shaft, the balloon and the transition element together forming a portion of an inner catheter.

4. The delivery catheter of claim 3 wherein the distal portion of the transition element tapers outwardly from the distal end of the catheter to the balloon.

5. The delivery catheter of claim 1 wherein the retractable sheath has a distal end positioned about the balloon when in an unretracted position.

6. A delivery catheter for delivering an endovascular graft system at a desired location within a vessel of a patient'"'"'s vascular system comprising:

a handle;

a shaft connected to the handle;

a first graft component positioned about the shaft;

a second graft component positioned about the shaft, the first graft component being positioned distally of the second graft component, the first graft component being configured to be deployed in the vessel prior to deployment of the second graft component, the first and second graft components each having proximal and distal portions, the distal portion of the second graft component being configured to be deployed within the proximal portion of the first graft component, the distal portion of the second graft component having a fastening element;

a retractable sheath defining a lumen containing the shaft and first and second graft components, the handle being configured to retract the sheath to deploy the first graft component when the outer sheath is retracted a first distance and to deploy the second graft component when the outer sheath is retracted a second distance; and

a stabilizing element connected at one end to the handle and at another end to the fastening element of the second graft component, the handle stabilizing element and fastening element being configured such that the stabilizing element is retracted in a manner that disconnects the stabilizing element from the fastening element when the second graft component is deployed.

7. The delivery catheter of claim 6 wherein the distal portion of the second graft component includes a stent and wherein the fastening element is an eyelet fixed to the stent and the stabilizing element is a wire.

8. The delivery catheter of claim 7 further having a transition element affixed to the balloon, the transition element having a distal portion between the balloon and the distal end of the catheter, the distal portion being configured to provide increasing stiffness from the distal end of the catheter to the balloon, the shaft, the balloon and the transition element together forming a portion of an inner catheter.

9. The delivery catheter of claim 8 wherein the distal portion of the transition element tapers outwardly from the distal end of the catheter to the balloon.

10. The delivery catheter of claim 6 wherein the shaft has an outer surface and defines an inflation lumen and a guidewire lumen, the delivery catheter further comprising a balloon attached at a location spaced from a distal end of the catheter, the balloon having an interior in fluid communication with the inflation lumen.

11. The delivery catheter of claim 6 wherein the retractable sheath has a distal end positioned about the balloon when in an unretracted position.