Method for deploying bifurcated graft using a multicapsule system

• US 6,355,061 B1
• Filed: 03/05/1999
• Issued: 03/12/2002
• Est. Priority Date: 05/12/1994
• Status: Expired due to Term

• Current Assignee: Lifeport Sciences LLC (Acacia Research Corporation)
• Original Assignee: EndoVascular Technologies Incorporated (Boston Scientific Corporation)
• Inventors: Baker, Steve G., Williams, Richard S., Johansson, Peter K., Piplani, Alec A., Quiachon, Dinah B.
• Primary Examiner(s): McDermott, Corrine
• Assistant Examiner(s): Koh, Choon P.
• Application Number:
  US09/263,047
• Time in Patent Office: 1,103 Days
• Field of Search: 623/1, 623/2, 623/11, 623/12, 623/1.13, 623/1.35, 623/1.36, 623/1.12, 606/194, 606/195, 606/198, 606/191, 606/192, 606/213, 604/96, 604/96.01
• US Class Current: 623/1.36
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• 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 2/88 the wire-like elements formed as helical or spiral coils forming a net-like or mesh-like structure A61F2/90
• 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 2/9517 handle assemblies therefor
• 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 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
• 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 2002/8483 Barbs
• CPC Class Codes: A61F 2002/8486 provided on at least one of the ends
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2220/005 using adhesives
• CPC Class Codes: A61F 2220/0058 soldered or brazed or welded
• CPC Class Codes: A61F 2230/0054 V-shaped
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: Y10S 623/903 Blood vessel

Abstract

An intraluminal grafting system having a balloon catheter assembly, a capsule catheter assembly and capsule jacket assembly is used for deploying in the vessel of an animal body a bifurcated graft having a plurality of attachment systems. The deployment catheters contain an ipsilateral capsule assembly, a contralateral capsule assembly and a distal capsule assembly, wherein the attachment systems of the bifurcated graft are disposed within the three capsule assemblies. A removable sheath of the capsule jacket assembly covers the bifurcated graft and capsule assemblies to provide a smooth transition along the length of the deployment catheters. The bifurcated graft is comprised of a main tubular member and two tubular legs, having attachment systems with wall engaging members secured to the superior end of the main tubular member and the inferior ends of the tubular legs. An inflatable membrane configured on the balloon catheter is used to firmly implant the attachment systems within the vessel. The bifurcated graft and attachment systems are configured to remain in the vessel after the deployment catheters are withdrawn. The method of use of the present intraluminal grafting system is also disclosed, for example, for deploying a bifurcated graft proximate the abdominal aortic bifurcation.

Claims

1. A system for providing support to a wall of a graft that has a first end, a second end, a medial portion and devices that attach the graft within vasculature, comprising:

a support system having a compressed configuration and an expanded configuration, said support system configured to act independently of the devices that attach the graft within vasculature and to be permanently placed within the medial portion of the graft to resist kinking of the graft; and

a catheter configured for transporting said support system through a patient'"'"'s vasculature and for delivering said support system within an interior of the medial portion of the graft that has been implanted within vasculature.

2. The system of claim 1, said support system further comprising a plurality of vees, sad vees defining inner apices and outer apices.

3. The system of claim 2, wherein said inner and outer apices are formed with a helical torsion spring.

4. The system of claim 3, wherein compression of said support system is accomplished by deformation of said torsion springs just outside an elastic limit associated with said torsion springs.

5. The system of claim 2, wherein said vees number from 4 to 24.

6. The system of claim 3, wherein certain of said inner apices are staggered longitudinally.

7. The system of claim 3, wherein certain of said outer apices are staggered longitudinally.

8. The system of claim 1, wherein said support system is self expanding.

9. The system of claim 1, wherein said support system yieldably urges the graft radially outward.

10. The system of claim 1, wherein said support system is made of corrosion resistant material.

11. The system of claim 1, said support system further comprising a single piece of wire.

12. The system of claim 11, wherein said wire has two ends, said ends being attached to each other.

13. The system of claim 12, wherein said wire has a round cross-sectional profile.

14. The system of claim 13, wherein said wire has a non-round cross-sectional profile.

15. The system of claim 1, said support system further comprising a wire formed into a plurality of vees, each vee being defined by a first leg and a second leg, said support system characterized by having a spring force.

16. The system of claim 15, wherein said spring force is adjustable by varying a diameter of said wire.

17. The system of claim 15, wherein said spring force is adjustable by varying the length of said first and second legs.

18. The system of claim 1, wherein said support system is comprised of a wire formed in a manner to improve fatigue characteristics of said support system.

19. The system of claim 18, wherein said fatigue characteristics are improved by forming at least one portion of said wire into a helical spring.

20. The system of claim 1, wherein sad catheter has a inferior end and a superior end and includes a capsule assembly for releasably retaining said support system, said capsule assembly being attached to said superior end of said catheter.

21. The system of claim 20, said catheter further comprising an internal bore configured to receive a guidewire.

22. A method for providing support to a wall of a graft, comprising the steps of:

implanting a graft within a patient'"'"'s vasculature at a repair site, the graft having a medial portion and devices that attach the graft within vasculature;

subsequent to implanting the graft within vasculature, advancing a catheter carrying a support system within the patient'"'"'s vasculature and to the repair site;

causing the catheter to release the support system within an interior of the graft; and

configuring the support system to be permanently placed within the medial portion of the graft so that the support system acts independently of the devices that attach the graft within vasculature.