Tubular prosthesis

• US 8,361,137 B2
• Filed: 02/09/2005
• Issued: 01/29/2013
• Est. Priority Date: 02/11/2004
• Status: Active Grant

• Current Assignee: Cormove
• Original Assignee: Laboratories Perouse
• Inventors: Perouse, Eric
• Primary Examiner(s): Sonnett, Kathleen
• Assistant Examiner(s): TANNER, JOCELIN C
• Application Number:
  US10/588,489
• Publication Number:
  US 20070043432A1
• Time in Patent Office: 2,911 Days
• Field of Search: 623/1.1, 623/1.11, 623/1.15, 623/1.16, 623 149- 154, 623/1.36, 623/1.23, 623/1.13, 606/213, 606/219, 606/151, 606/155, 606/144, 606/157, 606/158, 606/108, 606/192, 606/194
• US Class Current: 623/1.15
• 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 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2002/072 Encapsulated stents, e.g. wire or whole stent embedded in lining
• 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 2220/0008 Fixation appliances for connecting prostheses to the body
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2230/0013 Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
• CPC Class Codes: A61F 2230/0054 V-shaped

Abstract

The radially deformable tubular prosthesis comprises a lattice that is deformable between a retracted state of small diameter and an expanded state of greater diameter. It includes at least two external hooks defining between them a clamp for hooking in external tissue, the two hooks being carried by the lattice and being movable between a spaced-apart position in which the clamp is open, and a closer-together position in which the clamp is closed.

Claims

1. A radially deformable endovascular prosthesis, comprising:

a lattice deformable between a retracted state wherein said lattice has a small diameter, and an expanded state wherein said lattice has a large diameter;

a pair of external hooks having crook portions configured to define a clamp for anchoring said prosthesis to external tissue, said pair of hooks being mounted to said lattice so as to be movable between a spaced-apart position wherein said crook portions are spaced apart such that said clamp is open, and a close-together position wherein said crook portions are close together such that said clamp is closed;

wherein said lattice includes crossed wires arranged to define meshes, said pair of hooks being connected to said wires of said lattice at opposite sides of one of said meshes of said lattice and are configured such that said pair of hooks cross each other, said lattice having a tubular shape, said pair of hooks being offset circumferentially with respect to each other around said tubular lattice, said lattice and said pair of hooks being configured such that said one of said meshes has a first shape when said lattice is in said retracted state so that said pair of hooks of said clamp are in said spaced-apart position, and such that said one of said meshes has a second shape when said lattice is in said expanded state so that said pair of hooks of said clamp are in said close-together position.

2. The prosthesis according to claim 1, wherein each hook of said pair of hooks has a connection end connected to said lattice, and said pair of hooks are configured to move relative to each other during deformation of said lattice from said refracted state to said expanded state.

3. The prosthesis according to claim 2, wherein each of said meshes of said lattice is shaped as a deformable quadrilateral, and each hook of said pair of hooks is connected to said lattice at a respective corner of one of said quadrilateral-shaped meshes.

4. The prosthesis according to claim 2, wherein said connection end of each hook of said pair of hooks is welded or soldered to said lattice.

5. The prosthesis according to claim 2, wherein said connection end of each hook of said pair of hooks is extended by a strand twisted around said lattice.

6. The prosthesis according to claim 1 wherein said crook portions of said pair of hooks are shaped and arranged to at least partly overlap when said lattice is in said expanded state so as to form said clamp.

7. The prosthesis according to claim 1, wherein each hook of said pair of hooks is shaped as a rectilinear blade, said pair of hooks extending facing each other and spaced apart from each other when said lattice is in said expanded state.

8. The prosthesis according to claim 1, wherein said lattice is elastically deformable towards said expanded state.

9. The prosthesis according to claim 1, further comprising a stretchable and liquid-proof film, said lattice having a tubular shape and being embedded in said film.

10. The prosthesis according to claim 1, wherein said pair of hooks are offset circumferentially with respect to each other around said tubular lattice by a first circumferential spacing when said pair of hooks are in said spaced-apart position, and said pair of hooks are offset circumferentially with respect to each other around said tubular lattice by a second circumferential spacing when said pair of hooks are in said close-together position, said second circumferential spacing being smaller than said first circumferential spacing.

11. A kit for treating a blood vessel, said kit comprising:

a radially deformable endovascular prosthesis, including;

a lattice deformable between a retracted state wherein said lattice has a small diameter, and an expanded state wherein said lattice has a large diameter;

pair of external hooks having crook portions configured to define a clamp for anchoring said prosthesis to external tissue, said pair of hooks being mounted to said lattice so as to be movable between a spaced-apart position wherein said crook portions are spaced apart such that said clamp is open, and a close-together position wherein said crook portions are close together such that said clamp is closed;

wherein said lattice includes crossed wires arranged to define meshes, said pair of hooks being connected to said wires of said lattice at opposite sides of one of said meshes of said lattice and are configured such that said pair of hooks cross each other, said lattice having a tubular shape, said pair of hooks being offset circumferentially with respect to each other around said tubular lattice, said lattice and said pair of hooks being configured such that said one of said meshes has a first shape when said lattice is in said retracted state so that said pair of hooks of said clamp are in said spaced-apart position, and such that said one of said meshes has a second shape when said lattice is in said expanded state so that said pair of hooks of said clamp are in said close-together position;

a retaining device for holding said lattice in said retracted state at said clamp, said retaining device being configured to maintain said clamp open by tightening said one of said meshes carrying said pair of hooks; and

a lattice delivery tube defining a confinement duct in which said lattice is confined in said refracted state, said retaining device being separate from said lattice delivery tube such that said lattice is releasable from said lattice delivery tube to assume said expanded state while said one of said meshes carrying said pair of hooks remains tightened.

12. The kit according to claim 11, wherein said confinement duct of said delivery tube includes longitudinal channels for receiving said pair of hooks.

13. The kit according to claim 11, wherein each hook of said pair of hooks has a connection end connected to said lattice, and said pair of hooks are configured to move relative to each other during deformation of said lattice from said retracted state to said expanded state.

14. The kit according to claim 13, wherein each of said meshes of said lattice is shaped as a deformable quadrilateral, and each hook of said pair of hooks is connected to said lattice at a corner of one of said quadrilateral-shaped meshes.

15. The kit according to claim 13, wherein said connection end of each hook of said pair of air of hooks is welded or soldered to said lattice.

16. The kit according to claim 11, wherein said crook portions of said pair of hooks are shaped and arranged to at least partly overlap when said lattice is in said expanded state so as to form said clamp.

17. The kit according to claim 11, wherein each hook of said pair of hooks is shaped as a rectilinear blade, said pair of hooks extending facing each other and spaced apart from each other when said lattice is in said expanded state.

18. The kit according to claim 11, further comprising a stretchable and liquid-proof film, said lattice having a tubular shape and being embedded in said film.