Endovascular aneurysm repair method
First Claim
1. A method for repairing a diseased or damaged section of an aorta comprising:
- (i) introducing an intraluminal directing device from a remote access site to a location within a prosthesis at a target site in an aorta where the diseased or damaged section exists, the intraluminal directing device including a deflectable distal region;
(ii) establishing a path to a desired fastening site on the prosthesis by manipulating the intraluminal directing device within the prosthesis to orient the distal region with respect to the desired fastening site;
(iii) advancing an intraluminal fastener applier through the path established in (ii) and rotating at least one tissue-piercing fastener into tissue at the desired fastening site to anchor the prosthesis, the at least one tissue-piercing fastener configured to pierce tissue in response to rotation;
(iv) establishing a path to a different desired fastening site on the prosthesis by manipulating the intraluminal directing device within the prosthesis to orient the distal region with respect to the different desired fastening site;
(v) advancing an intraluminal fastener applier through the path established in (iv) and rotating an additional at least one tissue-piercing fastener into tissue at the different desired fastening site to further anchor the prosthesis, the additional tissue-piercing fastener configured to pierce tissue in response to rotation;
wherein (iii) and/or (v) includes rotating the fastener with a rotary driver; and
(vi) repeating (iv) and (v) until a desired plurality of tissue-piercing fasteners are introduced into tissue to anchor the prosthesis.
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Accused Products
Abstract
A method for repairing a diseased or damaged section of an aorta (i) introduces an intraluminal directing device from a remote access site to a location within a prosthesis at a target site in an aorta where the diseased or damaged section exists, the intraluminal directing device including a deflectable distal region; (ii) establishes a path to a desired fastening site on the prosthesis by manipulating the intraluminal directing device within the prosthesis to orient the distal region with respect to the desired fastening site; (iii) introduces from an intraluminal fastener applier, that is introduced along the path established in (ii), at least one tissue-piercing fastener into tissue at the desired fastening site to anchor the prosthesis; (iv) establishes a path to a different desired fastening site on the prosthesis by manipulating the intraluminal directing device within the prosthesis to orient the distal region with respect to the different desired fastening site; (v) introduces from an intraluminal fastener applier, that is introduced through the path established in (iv), at least one tissue-piercing fastener into tissue at the different desired fastening site to further anchor the prosthesis; and (vi) repeats (iv) and (v) until a desired plurality of tissue-piercing fasteners are introduced into tissue to anchor the prosthesis.
216 Citations
8 Claims
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1. A method for repairing a diseased or damaged section of an aorta comprising:
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(i) introducing an intraluminal directing device from a remote access site to a location within a prosthesis at a target site in an aorta where the diseased or damaged section exists, the intraluminal directing device including a deflectable distal region; (ii) establishing a path to a desired fastening site on the prosthesis by manipulating the intraluminal directing device within the prosthesis to orient the distal region with respect to the desired fastening site; (iii) advancing an intraluminal fastener applier through the path established in (ii) and rotating at least one tissue-piercing fastener into tissue at the desired fastening site to anchor the prosthesis, the at least one tissue-piercing fastener configured to pierce tissue in response to rotation; (iv) establishing a path to a different desired fastening site on the prosthesis by manipulating the intraluminal directing device within the prosthesis to orient the distal region with respect to the different desired fastening site; (v) advancing an intraluminal fastener applier through the path established in (iv) and rotating an additional at least one tissue-piercing fastener into tissue at the different desired fastening site to further anchor the prosthesis, the additional tissue-piercing fastener configured to pierce tissue in response to rotation;
wherein (iii) and/or (v) includes rotating the fastener with a rotary driver; and(vi) repeating (iv) and (v) until a desired plurality of tissue-piercing fasteners are introduced into tissue to anchor the prosthesis. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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Specification