External stent

• US 8,734,503 B2
• Filed: 11/24/2009
• Issued: 05/27/2014
• Est. Priority Date: 11/24/2008
• Status: Active Grant

• Current Assignee: The Medical Research, Infrastructure And Health Services Fund Of The Tel Aviv Medical Center, Vascular Graft Solutions Ltd.
• Original Assignee: The Medical Research, Infrastructure And Health Services Fund Of The Tel Aviv Medical Center, Vascular Graft Solutions Ltd.
• Inventors: Orion, Eyal, Bachar, Yehuda, Ben-Gal, Yanai, Rapaport, Avraham, Cibulski, Gilad, Winshtein, Ronny
• Primary Examiner(s): GHERBI, SUZETTE JAIME J
• Application Number:
  US13/130,760
• Publication Number:
  US 20110230955A1
• Time in Patent Office: 1,645 Days
• Field of Search: 623 111- 148
• US Class Current: 623/1.15
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/12 for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord specially adapted for vas deferens or fallopian tubes A61F6/20; materials for ligaturing blood vessels A61L17/00
• CPC Class Codes: A61B 2017/1107 for blood vessels
• CPC Class Codes: A61B 2017/1135 End-to-side connections, e.g. T- or Y-connections Y-shaped blood vessel prostheses A61F2002/065
• CPC Class Codes: A61F 2/064 with special features to facilitate anastomotic coupling anastomosis of natural blood vessels A61B17/11
• CPC Class Codes: A61F 2/82 Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents stent-grafts for tubular structures of the body other than blood vessels A61F2/04; stent-grafts for blood vessels A61F2/07; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95; for closing wounds, or holding wounds closed A61B17/04 - A61B17/115; dilators A61M29/00
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure

Abstract

An external vein support comprising an elongate axial body including an axis, said body is plastically deformable by at least one of stretching, bending, twisting, and any combination thereof, relative to said axis.

Claims

1. An external vein support comprising an elongate axial body including an axis, said body is plastically deformable by at least one of:

stretching, bending, twisting, and any combination thereof, relative to said axis;

wherein said elongate body has a first end and a second end with a channel therebetween, said elongate body having a relaxed pre-deformation configuration, said channel sized to freely receive the vein when said body is in said pre-deformation configuration so that an axis of said channel extends along an axis of the vein;

said body being manually manipulatable from said pre-deformation configuration to a relaxed post-deformation configuration selected in response to the vascular system, said channel in said post-deformation configuration supporting receiving the vein therein so as to inhibit tissue-response induced occlusion of the desired flow.

2. An external vein support according to claim 1 wherein said body is fixedly deformable in diameter at a plurality of points along a length of the body.

3. An external vein support according to claim 2 wherein said body is radially elastic in at least one point of the plurality of points fixedly deformed.

4. An external vein support according to claim 1 wherein said body comprises a substantially non-uniform diameter.

5. An external vein support according to claim 1 wherein said body comprises a plurality of fibers arranged so that at a first average diameter, the resilience of said body relative to said axis is substantially greater than at a second average diameter.

6. An external vein support according to claim 5 wherein said axis is a longitudinal axis of said axial body.

7. An external vein support according to claim 5 wherein said axis is a transverse axis of said axial body.

8. An external vein support according to claim 6, wherein a reduction of the diameter decreases said resilience.

9. An external vein support according to claim 7, wherein a reduction of the diameter increases said resilience.

10. An external vein support according to claim 1 wherein said body comprises a plurality of fibers arranged so that the support is radially elastic having previously been fixedly deformed.

11. An external vein support according to claim 1 wherein said body comprises at least one plastically deformable element.

12. An external vein support according to claim 10 wherein the plastically deformable element is a plastically deformable fiber.

13. An external vein support according to claim 12 wherein the at least one plastically deformable fiber is spirally interlaced along the body.

14. An external vein support according to claim 1 wherein said body comprises a plurality of non-plastically deformable elements.

15. An external vein support according to claim 1 further comprising an extension attachable to an end portion of said body.

16. An external vein support according to claim 1 wherein an end portion of said body is elastically deformable longitudinally along said axis.

17. An external vein support according to claim 1 wherein said axial body is manipulatable from a pre-deformation relaxed length to a post-deformation relaxed length different than the pre-deformation relaxed length.

18. An external vein support according to claim 17 wherein said post-deformation relaxed length is greater than said pre-deformation relaxed length.

19. An external vein support according to claim 17 wherein said post-deformation relaxed length is smaller than said pre-deformation relaxed length.

20. An external vein support according to claim 17 wherein said axial body is tubular when in said pre-deformation relaxed length.

21. An external vein support according to claim 17 wherein said axial body is in the form of a truncated cone when in said post-deformation relaxed length.

22. An external vein support according to claim 17 wherein said axial body is tubular when in said post-deformation relaxed length.

23. An external vein support according to claim 17 configured to form a composite graft using natural cell growth through a periphery of said axial body when in said post-deformation relaxed length.

24. An external vein support according to claim 23 wherein said vein support is capable of resilient radial expansion in a manner providing compliance in the range of 3-30%/100 mm Hg.

25. An external vein support according to claim 23 wherein said vein support is capable of resilient radial expansion in a manner providing compliance less than 5%/100 mm Hg.

26. An external vein support according to claim 17 wherein said axial body is further manipulatable to a chosen substantially non-linear contoured path.

27. An external vein support according to claim 1 wherein said body includes at least two plastically deformable elements intersecting to form a braiding angle, wherein a plasticity of said support increases along a longitudinal axis as said angle decreases from a larger angle in a support first less extended position, to a smaller angle in a support second more extended position.

28. An external vein support according to claim 1, wherein said vein support is adapted for mounting on and conforming to a vein in-situ and in-vivo without requiring the fixing of said external support to said vein along said vein.

29. An external vein support comprising an elongate resilient axial body including an axis, said body is plastically deformable by at least one of:

stretching, bending, twisting, and any combination thereof, relative to said axis;

wherein said external vein support body comprises a plurality of fibers arranged so that at a first average diameter, the resilience of said body relative to said axis is substantially greater than at a second average diameter.

30. An external vein support according to claim 29, wherein said axis is a longitudinal axis of said axial body.

31. An external vein support according to claim 29, wherein said axis is a transverse axis of said axial body.

32. An external vein support according to claim 30, wherein a reduction of the diameter decreases said resilience.

33. An external vein support according to claim 31, wherein a reduction of the diameter increases said resilience.

34. An external vein support according to claim 29, wherein said axial body is manipulatable from a pre-deformation relaxed length to a post-deformation relaxed length different than the pre-deformation relaxed length.

35. An external vein support according to claim 29, wherein said vein support is adapted for mounting on and conforming to a vein in-situ and in-vivo without requiring the fixing of said external support to said vein along said vein.

36. An external vein support comprising an elongate axial body including an axis, said body is plastically deformable by at least one of:

stretching, bending, twisting, and any combination thereof, relative to said axis;

wherein said body comprises a plurality of non-plastically deformable elements.

37. An external vein support according to claim 36, wherein at least one of said non-plastically deformable elements is an elastic fiber.

38. An external vein support according to claim 36, wherein said axial body is manipulatable from a pre-deformation relaxed length to a post-deformation relaxed length different than the pre-deformation relaxed length.

39. An external vein support according to claim 36, wherein said vein support is adapted for mounting on and conforming to a vein in-situ and in-vivo without requiring the fixing of said external support to said vein along said vein.

40. An external vein support comprising an elongate axial body including an axis, said body is plastically deformable by at least one of:

stretching, bending, twisting, and any combination thereof, relative to said axis;

wherein said external vein support body includes at least two plastically deformable elements intersecting to form a braiding angle, wherein a plasticity of said support increases along a longitudinal axis as said angle decreases from a larger angle in a support first less extended position, to a smaller angle in a support second more extended position.

41. An external vein support according to claim 40, wherein the braiding angle is between 30 degrees and 150 degrees, inclusively.

42. An external vein support according to claim 40, wherein said body is fixedly deformable in diameter at a plurality of points along a length of said body.

43. An external vein support according to claim 40, wherein said axial body is manipulatable from a pre-deformation relaxed length to a post-deformation relaxed length different than the pre-deformation relaxed length.

44. An external vein support according to claim 40, wherein said vein support is adapted for mounting on and conforming to a vein in-situ and in-vivo without requiring the fixing of said external support to said vein along said vein.