Thrombosis inhibiting graft
First Claim
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1. A method of treating a damaged vascular system of a patient with a medical device without having to use long term body-wide aggressive anti-platelet and/or anti-coagulation therapy after the implantation of the medical device comprising:
- a) identifying a damaged region of the vascular system;
b) opening a section or replacing a section of said damaged region of the vascular system by or with said medical device, said medical device being a stent or surgical graft, said medical device including a biological agent, said biological agent inhibiting or preventing thrombosis, said biological agent including two or more agents selected from the group consisting of trapidil, trapidil derivatives, aspirin, aspirin derivatives, dipyridamole, dipyridamole derivatives, heparin, heparin derivatives, warfarin, warfarin derivatives, clopidogrel, clopidogrel derivatives, ticlopidine, ticlopidine derivatives, and hirudin, hirudin derivatives said medical device includes at least one polymer layer having a coating thickness, a molecular weight, a molecular structure or combinations thereof to at least partially controllably release at least one of said biological agent, said polymer designed to release said biological agent from said medical device for at least about one day after said medical device is introduced into or on the body of a patient, said polymer layer includes parylene, a parylene derivative, chitosan, a chitosan derivative, PLGA, a PLGA derivative, PLA, a PLA derivative, PEVA, a PEVA derivative, PBMA, a PBMA derivative, POE, POE derivative, PGA, PGA derivative, PLLA, PLLA derivative, PAA, PAA derivative, PEG, PEG derivative, or combinations thereof, said medical device includes a plurality of micro-structures, surface structures or combinations thereof, said plurality of micro-structures, surface structures or combinations thereof include a needle, a micro-needle or combinations thereof that extends upwardly from an outer surface of said medical device; and
,c) allowing said patient to recover from the surgical procedure with no use or short term use of less than about two months of post operative body-wide anti-platelet and/or anti-coagulation therapy.
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Abstract
A medical method that is adapted for introducing the medical device into the vascular system of a body which is designed to inhibit or prevent thrombosis after the insertion of the medical device.
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Citations
26 Claims
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1. A method of treating a damaged vascular system of a patient with a medical device without having to use long term body-wide aggressive anti-platelet and/or anti-coagulation therapy after the implantation of the medical device comprising:
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a) identifying a damaged region of the vascular system; b) opening a section or replacing a section of said damaged region of the vascular system by or with said medical device, said medical device being a stent or surgical graft, said medical device including a biological agent, said biological agent inhibiting or preventing thrombosis, said biological agent including two or more agents selected from the group consisting of trapidil, trapidil derivatives, aspirin, aspirin derivatives, dipyridamole, dipyridamole derivatives, heparin, heparin derivatives, warfarin, warfarin derivatives, clopidogrel, clopidogrel derivatives, ticlopidine, ticlopidine derivatives, and hirudin, hirudin derivatives said medical device includes at least one polymer layer having a coating thickness, a molecular weight, a molecular structure or combinations thereof to at least partially controllably release at least one of said biological agent, said polymer designed to release said biological agent from said medical device for at least about one day after said medical device is introduced into or on the body of a patient, said polymer layer includes parylene, a parylene derivative, chitosan, a chitosan derivative, PLGA, a PLGA derivative, PLA, a PLA derivative, PEVA, a PEVA derivative, PBMA, a PBMA derivative, POE, POE derivative, PGA, PGA derivative, PLLA, PLLA derivative, PAA, PAA derivative, PEG, PEG derivative, or combinations thereof, said medical device includes a plurality of micro-structures, surface structures or combinations thereof, said plurality of micro-structures, surface structures or combinations thereof include a needle, a micro-needle or combinations thereof that extends upwardly from an outer surface of said medical device; and
,c) allowing said patient to recover from the surgical procedure with no use or short term use of less than about two months of post operative body-wide anti-platelet and/or anti-coagulation therapy. - 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 treating a damaged vascular system of a patient with a medical device without having to use long term body-wide aggressive anti-platelet therapy, anti-coagulation therapy, and combinations thereof after the implantation of the medical device comprising:
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a) identifying a damaged region of the vascular system; b) opening a section or replacing a section of said damaged region of the vascular system by or with said medical device, said medical device being a stent or surgical graft, said medical device including a biological agent and a plurality of microstructures, said biological agent inhibiting or preventing thrombosis, said biological agent including at least one agent selected from the group consisting of warfarin, warfarin derivatives, aspirin, aspirin derivatives, clopidogel, clopidogel derivatives, ticlopidine, ticlopidine derivatives, hirudin, hirudin derivatives, dipyridamole, dipyridamole derivatives, heparin, heparin derivatives, low molecular weight heparin, low molecular weight heparin derivatives, and combinations thereof, said medical device includes at least one polymer layer having a coating thickness, a molecular weight, a molecular structure or combinations thereof to at least partially controllably release at least one of said biological agent, said polymer designed to release said biological agent from said medical device for at least about one day after said medical device is introduced into or on the body of a patient, said polymer layer includes parylene, a parylene derivative, chitosan, a chitosan derivative, PLGA, a PLGA derivative, PLA, a PLA derivative, PEVA, a PEVA derivative, PBMA, a PBMA derivative, POE, POE derivative, PGA, PGA derivative, PLLA, PLLA derivative, PAA, PAA derivative, PEG, PEG derivative, or combinations thereof, said plurality of one micro-structures including a plurality of micro-needles, said plurality of micro-needles formed of said polymer and said biological agent; c) expanding said medical device until said medical device at least partially engages an inner surface of a body passageway of said vascular system and causes said plurality of micro-needles to at least partially penetrate into said body passageway and to directly introduce said biological agent in said penetrated region of said body passageway; and
,d) allowing said patient to recover from the surgical procedure with no use or short term use of less than about forty days of post operative body-wide anti-platelet and/or anti-coagulation therapy. - View Dependent Claims (17, 18, 19, 20, 21, 22, 23, 24, 25, 26)
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Specification