Retention of exposed stent loops

• US 7,909,863 B2
• Filed: 02/26/2007
• Issued: 03/22/2011
• Est. Priority Date: 02/27/2006
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Incorporated (Cook Group Incorporated), William A. Cook Australia Pty. Ltd (Cook Group Incorporated), William Cook Europe ApS (Cook Group Incorporated)
• Inventors: Hartley, David Ernest, Rasmussen, Erik E.
• Primary Examiner(s): Isabella; David
• Assistant Examiner(s): BOOTH, MICHAEL JOHN
• Application Number:
  US11/710,718
• Publication Number:
  US 20080027529A1
• Time in Patent Office: 1,485 Days
• Field of Search: 623 111- 13, 623/1.351, 623/1.13, 623/1.15, 623/1.16, 623/1.27, 623/1.28, 623/1.35, 623/1.36, 606/191, 606/192, 606/194, 606/195
• US Class Current: 623/1.13
• 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 2/86 Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
• 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 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2002/30461 sutured, ligatured or stitched
• CPC Class Codes: A61F 2002/8486 provided on at least one of the ends
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• 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 2230/005 Rosette-shaped, e.g. star-shaped
• CPC Class Codes: A61F 2230/0054 V-shaped
• CPC Class Codes: A61F 2230/0067 conical

Abstract

A stent graft (10) is retained on an introducer (38) by retention of an exposed stent (16) of the stent graft to the introducer with trigger wires (44). The introducer has a trigger wire catheter (40) and four trigger wires and each trigger wire extending in a loop from the trigger wire catheter. The stent graft has a tubular body (12) of a graft material and an exposed stent joined to and extending from one end of the tubular body. The exposed stent is a self expanding Z stent with struts (20) and bends (22, 28, 30) between them. A pair of struts and a bend between define an apex a selected distance to the bend away from the tubular body. Adjacent apices of the exposed stent are different distances to the bends from the tubular body so that they stack under the trigger wires in an neat fashion. Distally extending barbs (26) on alternate struts of the exposed stent are spaced selected distances from their respective apices to prevent tangling during deployment.

Claims

1. A stent graft introducer in combination with a stent graft, the stent graft releasably retained on the stent graft introducer, the introducer comprising a trigger wire catheter and a plurality of trigger wires and each trigger wire extending in a loop of a trigger wire from the trigger wire catheter, the stent graft comprising a tubular body of a graft material and an exposed stent joined to and extending from one end of the tubular body, the exposed stent comprising a self expanding Z stent including a plurality of struts and proximal and distal bends therebetween, the distal bends being joined to a proximal end of the tubular body, a pair of struts and a proximal bend defining an apex which is a selected distance to the proximal bend away from the tubular body, wherein adjacent apices of the exposed stent comprise different strut lengths thereby defining different distances to the respective proximal bend from the tubular body, the stent graft being retained onto the introducer by the trigger wires, the loop of a trigger wire of the plurality of trigger wires passing through at least two adjacent apices of different distances to the bends from the tubular body whereby the at least two adjacent apices are retained in a stacked configuration by the trigger wire.

2. A stent graft introducer and a stent graft releasably retained thereon as in claim 1 wherein there are three distances to the respective proximal bend being a shorter distance, a medium distance and a longer distance.

3. A stent graft introducer and a stent graft releasably retained thereon as in claim 2 wherein the three distances to the respective proximal bend are consecutively around the exposed stent.

4. A stent graft introducer and a stent graft releasably retained thereon as in claim 2 wherein the exposed stent has twelve apices comprising four sets of the three distances to the respective proximal bend consecutively around the exposed stent.

5. A stent graft as in claim 1 further including distally extending barbs on alternate struts of the exposed stent.

6. A stent graft as in claim 5 wherein the barbs on alternate struts of the exposed stent are spaced selected distances from their respective apices such that adjacent barbs are different distance from the apices.