Apparatus and method for deploying an implantable device within the body
First Claim
1. A method of implanting a device having a main lumen and at least one side-branch lumen extending therefrom to a target location within a vessel or tubular structure within the body having a main vessel and at least one side branch vessel in fluid communication with the main vessel, the method comprising:
- creating first and second incisions within the body;
advancing a first member through the vasculature from the first incision to the second incision until a first end of the member is exposed from the second incision;
tethering the first member to a first end of a catheter;
retracting the first member from the first incision until the first end of the catheter is positioned at the target location;
advancing the device with the catheter, where the device is in a stretched or tensioned state such that a diameter of the device is reduced;
partially deploying the device from the first end of the catheter at the target location to position the main lumen of the device in the main vessel, wherein during partial deployment the device is selectively tensioned while maintained in the stretched or tensioned state, such that selectively tensioning the device can reposition the device by expanding and reducing the diameter of the device during delivery so that it can be repositioned, subsequently withdrawing the catheter relative to the device to expose the at least one side-branch lumen;
guiding the respective side-branch lumen into at least one side branch vessel while the side-branch lumen is in the stretched or tensioned state; and
fully deploying the device from the first end of the catheter by releasing the device from the stretched or tensioned state so that the device expands against the main branch vessel and side branch vessel to form a seal with the wall of the vessel.
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Accused Products
Abstract
The present invention provides devices and methods for fabricating and deploying an implantable device within the body. The invention is particularly suitable for delivering and deploying a stent, graft or stent graft device within a vessel or tubular structure within the body, particularly where the implant site involves two or more interconnecting vessels. The delivery and deployment system utilizes a plurality of strings which are releasably attached to the luminal ends of the implantable device.
144 Citations
21 Claims
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1. A method of implanting a device having a main lumen and at least one side-branch lumen extending therefrom to a target location within a vessel or tubular structure within the body having a main vessel and at least one side branch vessel in fluid communication with the main vessel, the method comprising:
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creating first and second incisions within the body; advancing a first member through the vasculature from the first incision to the second incision until a first end of the member is exposed from the second incision; tethering the first member to a first end of a catheter; retracting the first member from the first incision until the first end of the catheter is positioned at the target location; advancing the device with the catheter, where the device is in a stretched or tensioned state such that a diameter of the device is reduced; partially deploying the device from the first end of the catheter at the target location to position the main lumen of the device in the main vessel, wherein during partial deployment the device is selectively tensioned while maintained in the stretched or tensioned state, such that selectively tensioning the device can reposition the device by expanding and reducing the diameter of the device during delivery so that it can be repositioned, subsequently withdrawing the catheter relative to the device to expose the at least one side-branch lumen; guiding the respective side-branch lumen into at least one side branch vessel while the side-branch lumen is in the stretched or tensioned state; and fully deploying the device from the first end of the catheter by releasing the device from the stretched or tensioned state so that the device expands against the main branch vessel and side branch vessel to form a seal with the wall of the vessel. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21)
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Specification