Method and system for fixation of endoluminal devices

• US 8,603,153 B2
• Filed: 02/28/2005
• Issued: 12/10/2013
• Est. Priority Date: 10/17/2001
• Status: Expired due to Fees

• Current Assignee: Lifeshield Sciences LLC (Acacia Research Corporation)
• Original Assignee: Lifeshield Sciences LLC (Acacia Research Corporation)
• Inventors: Haverkost, Patrick A.
• Primary Examiner(s): McEvoy, Thomas
• Assistant Examiner(s): SZPIRA, JULIE ANN
• Application Number:
  US11/067,938
• Publication Number:
  US 20050143804A1
• Time in Patent Office: 3,207 Days
• Field of Search: 606/192, 606/194, 606/198, 623 111- 115, 623/1.35
• 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 2/852 Two or more distinct overlapping stents
• 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 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2002/061 provided with means for allowing access to secondary lumens
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2002/8486 provided on at least one of the ends
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2250/0063 Nested prosthetic parts

Abstract

A system and method employs collar stents to implant an endoluminal device, such as a stent-graft, in a lumen. The system comprises at least one collar stent adapted to precondition a portion of the lumen for anchoring an endoluminal device having at least a portion adapted to be deployed radially within the collar stent. The method comprises first deploying one or more collar stents, and then deploying the endoluminal device radially within the one or more collar stents. In various embodiments, the collar stent may be radiopaque, may have inwardly protruding barbs for engaging the endoluminal device, and may have a region having a relatively low percentage of open area for bridging a portion of the main lumen having an intersecting lumen. The preconditioning step of implanting the collar stent may change the morphology of the lumen to more favorable morphology, such as from a non-circumferential geometry to a circumferential geometry.

Claims

1. A system for implantation in a lumen, the system comprising:

an endoluminal device; and

a distal collar stent that preconditions a portion of the lumen and anchors the endoluminal device, wherein preconditioning comprises the distal collar stent being configured to promote intravascular tissue growth around the distal collar stent to strengthen an anchor location at a distal end of an aneurysm;

the endoluminal device having at a distal portion that deploys radially within the distal collar stent after deployment of the distal collar stent in the lumen at the distal end of the aneurysm, wherein the distal collar stent only covers the distal portion of the endoluminal device at the distal end of the aneurysm, wherein the endoluminal device has a distal end and a proximal end, and the system comprises the distal collar stent that aligns with and completely surrounds the distal end.

2. The system of claim 1, wherein the endoluminal device comprises a stent-graft.

3. The system of claim 2, wherein the system comprises a second collar stent that aligns with the proximal end.

4. The system of claim 2, wherein the stent-graft has a distal end and branches into at least two proximal portions, each portion having a proximal end, wherein the distal collar stent aligns with the distal end, a second collar stent that aligns with a first proximal end, and a third collar stent that aligns with a second proximal end.

5. The system of claim 4, wherein the stent-graft deploys in an aorta having a main body, one or more renal arteries that branch off of the main body at a renal intersection, a neck downstream of the renal intersection, and two iliac arteries that branch from the main body, the distal collar stent deploys in the neck, the second collar stent deploys in one of the iliac arteries, and the third collar stent deploys in another of the iliac arteries.

6. The system of claim 5, wherein the distal collar stent comprises a first region having a first stent geometry with a first percentage of open area, a second region having a second stent geometry with a second percentage of open area greater than the first percentage, and a third region having the third stent geometry with a third percentage of open area less than the second percentage, the second region located intermediate the first region and the third region, the second region having a length sufficient to bridge the renal intersection.

7. The system of claim 6, wherein the second stent geometry comprises a set of bridging struts.

8. The system of claim 6, wherein the third stent geometry is essentially identical to the first stent geometry.

9. The system of claim 1, wherein the distal collar stent comprises a first region having a first stent geometry with a first percentage of open area, a second region having a second stent geometry with a second percentage of open area greater than the first percentage, and a third region having the third stent geometry with a third percentage of open area less than the second percentage, the second region located intermediate the first region and the third region.

10. The system of claim 9, wherein second stent geometry comprises a set of bridging struts.

11. The system of claim 9, wherein the third stent geometry is essentially identical to the first stent geometry.

12. The system of claim 1, wherein the distal collar stent comprises a plurality of barbs that protrude radially inward from the stent for engaging the endoluminal device.

13. The system of claim 1, wherein the distal collar stent is radiopaque.

14. The system of claim 1, wherein the distal collar stent has a radial strength sufficient to modify a morphology of the lumen into which it is implanted.

15. The system of claim 14, wherein the radial strength is sufficient to change a non-circumferential morphology to a circumferential morphology, change an angularly inflected morphology to a straight morphology, or both.

16. The system of claim 1, wherein the distal collar stent is uncoated.

17. The system of claim 1, wherein the distal collar stent is coated with a material that encourages intravascular tissue growth.

18. The collar stent of claim 1, wherein the first lumen is an aorta and an intersecting lumen are renal arteries that intersect the aorta at a renal intersection, in which a collar stent intermediate region length is sufficient to bridge the renal intersection.