Reinforced graft and method of deployment
First Claim
Patent Images
1. A method of deploying a stent graft between proximal and distal landing sites axially spaced along the lumen of a patient, the method comprising the following steps:
- a. selecting a flexible stent graft having spaced proximal and distal ends, the proximal and distal ends being spaced further apart than the proximal and distal landing sites,b. situating the stent graft within a deployment sheath,c introducing the proximal end of the stent graft into the lumen of the patient, with the distal end trailing, while the stent graft is within the deployment sheath,d. situating;
(1) the proximal end of the stent graft at the proximal landing site, the proximal end being ejected from the deployment sheath, and(2) the distal end of the stent graft away from the distal landing site within the deployment sheath, such that the distal landing site is between the proximal landing site and the distal end of the stent graft; and
e. subsequently moving the distal end of the stent graft by moving the deployment sheath toward the proximal end until the distal end is situated at the distal landing site, thereby compressing the stent graft along at least a portion of its length, while maintaining the diameter of the stent graft at least substantially unchanged at the compressed portion of the stent graft length, andf. ejecting the distal end of the stent graft at the distal landing site.
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Accused Products
Abstract
A graft is provided with a flexible sheet (10) of graft material to which is sewn a reinforcing wire (12), preferably of shape-memory alloy. Sewing of the wire (12) is carried out while the sheet (10) is substantially planar, thus by conventional embroidery machines. The sheet (10) is subsequently rolled into a tubular shape.
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Citations
20 Claims
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1. A method of deploying a stent graft between proximal and distal landing sites axially spaced along the lumen of a patient, the method comprising the following steps:
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a. selecting a flexible stent graft having spaced proximal and distal ends, the proximal and distal ends being spaced further apart than the proximal and distal landing sites, b. situating the stent graft within a deployment sheath, c introducing the proximal end of the stent graft into the lumen of the patient, with the distal end trailing, while the stent graft is within the deployment sheath, d. situating; (1) the proximal end of the stent graft at the proximal landing site, the proximal end being ejected from the deployment sheath, and (2) the distal end of the stent graft away from the distal landing site within the deployment sheath, such that the distal landing site is between the proximal landing site and the distal end of the stent graft; and e. subsequently moving the distal end of the stent graft by moving the deployment sheath toward the proximal end until the distal end is situated at the distal landing site, thereby compressing the stent graft along at least a portion of its length, while maintaining the diameter of the stent graft at least substantially unchanged at the compressed portion of the stent graft length, and f. ejecting the distal end of the stent graft at the distal landing site. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15)
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16. A method of deploying a stent graft between proximal and distal landing sites axially spaced along the lumen of a patient, wherein the stent graft:
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(1) has spaced proximal and distal ends, the proximal and distal ends being spaced further apart than the proximal and distal landing sites, and (2) is axially compressible to allow the proximal and distal ends to be more closely spaced,and wherein the diameter of the stent graft is at least substantially constant during such compression, the method comprising the following steps; a. firstly introducing the proximal end of the stent graft into the lumen of a patient, with the distal end trailing behind, while the stent graft is whithin a deployment sheath; b. secondly situating the proximal end of the stent graft at the proximal landing site; c. thirdly advancing the distal end of the stent graft by moving the deployment sheath toward the proximal landing site, with the distal end being within the deployment sheath, until the distal end is situated at the distal landing site, with such advancing axially compressing the stent graft; and d. fourthly releasing the distal end of the stent graft from the deployment sheath at the distal landing site.
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17. A method of deploying a stent graft between proximal and distal landing sites axially spaced along the lumen of a patient, wherein the stent graft:
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I. has spaced proximal and distal ends, the proximal and distal ends being spaced further apart than the proximal and distal landing sites; II. is axially compressible to allow the proximal and distal ends to be more closely spaced; and III. is provided in combination with; i. a deployment sheath wherein the stent graft may be situated with the stent graft being radially compressed, the stent graft radially expanding when released from the deployment sheath; ii. proximal attachment means for releasably engaging the proximal end of the stent graft, the proximal attachment means extending along the deployment sheath; iii. distal attachment means for releasably engaging the distal end of the stent graft, the distal attachment means extending along the deployment sheath; the method comprising the following steps; a. introducing the deployment sheath into the lumen of a patient with; (1) the deployment sheath having the stent graft therein, and (2) the proximal end of the stent graft leading the distal end; b. locating the deployment sheath within the lumen such that the proximal end of the stent graft is situated at the proximal landing site; c. withdrawing the deployment sheath from the proximal end of the stent graft while the proximal attachment means maintains the proximal end of the stent graft at the proximal landing site; d. axially compressing at least a portion of the stent graft to move the distal end of the stent graft by moving the deployment sheath toward the proximal end, with the distal end being within the deployment sheath, and with the compressed portion having at least substantially the same diameter before and after compression; and e. withdrawing the deployment sheath from the distal end of the stent graft while the distal attachment means maintains the distal end of the stent graft at the distal landing site. - View Dependent Claims (18, 19, 20)
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Specification