Fenestrated intraluminal stent system

• US 8,523,934 B2
• Filed: 10/29/2011
• Issued: 09/03/2013
• Est. Priority Date: 03/31/2004
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Purdy, James D.
• Primary Examiner(s): SEVERSON, RYAN J
• Application Number:
  US13/284,884
• Publication Number:
  US 20120053670A1
• Time in Patent Office: 675 Days
• Field of Search: 623 111- 116, 623/1.23, 623/1.35, 623/1.36
• US Class Current: 623/1.13
• CPC Class Codes: A61F 2/07 Stent-grafts
• 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 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2002/061 provided with means for allowing access to secondary lumens
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2002/9505 having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• 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

An intraluminal prosthesis is provided for strengthening a main lumen and a branch lumen that branches from the main lumen. The intraluminal prosthesis can comprise two tubular grafts. The first tubular graft can have a flexible body with a fenestration. The second tubular graft can have a flexible body that is configured for intraluminal coupling to the fenestration of the first tubular graft. The flexible body of the second tubular graft can have an outer dimension that is about equal to an inner dimension of the fenestration of the first tubular graft. The second tubular graft can also have a terminal stent that curves outwardly from a proximal end of the flexible body of the second tubular graft, whereby the terminal stent acts to couple the second tubular graft to the first tubular graft.

Claims

1. A method of treatment for a main vessel and a branch vessel branching from the main vessel, comprising:

introducing a first prosthesis, having a first open end, a second open end, a lumen extending between the first and second open ends and a fenestration formed in a wall between the first and second open ends, into a main vessel and aligning the fenestration with an opening of the branch vessel;

introducing a second prosthesis into the branch vessel, the second prosthesis having a proximal end, a proximal end opening, a distal end, a distal end opening, a body between the proximal and distal ends with a lumen therethrough, and a self-expanding anchor stent disposed at the proximal end opening, the anchor stent including a plurality of interconnected loops having a first loop end and a second loop end, the first loop end attached to the proximal end opening of the second prosthesis, the anchor stent expandable between a compressed state and an expanded state, in the expanded state the second loop end of the anchor stent extends radially away from the proximal end opening of the second prosthesis, and each loop has a curvature of between about 120 degrees and 200 degrees from a plane defined by the proximal end opening;

inserting the second prosthesis through the fenestration of the first prosthesis; and

expanding the anchor stent of the second prosthesis to the expanded state within the first prosthesis, such that the second loop ends contact an interior wall of the first prosthesis to anchor the second prosthesis to the first prosthesis.

2. The method of claim 1 wherein the step of introducing the second prosthesis within the branch vessel comprises inserting the second prosthesis into the lumen of the first prosthesis and advancing the second prosthesis through the fenestration and into the branch vessel.

3. The method of claim 1 wherein the second prosthesis is disposed within a sheath of an introducer catheter, the method further comprising advancing the introducer catheter through the lumen of the first prosthesis, and through the fenestration, positioning the second prosthesis within the branch vessel, withdrawing the sheath from the distal end to the proximal end of the second prosthesis, expanding the second prosthesis within the branch vessel.

4. The method of claim 1 wherein the first prosthesis further comprises a terminal self-expanding stent mounted to a proximal end of the first prosthesis, the terminal stent extending beyond said proximal end of the first prosthesis.

5. The method of claim 4 wherein the terminal stent includes attachment barbs.

6. The method of claim 1 wherein the second prosthesis comprises a stent.

7. The method of claim 1 wherein the anchor stent comprises barbs and the method further comprises anchoring the barbs into an interior wall of the first prosthesis surrounding the fenestration.

8. The intraluminal prosthesis of claim 1, wherein the curvature of each loop is a parabolic curvature.