Stent/graft device for open surgical placement

• US 8,821,565 B2
• Filed: 05/22/2012
• Issued: 09/02/2014
• Est. Priority Date: 07/27/2005
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Demetriades, Demetrios, Gingles, Bruce, Hunt, James B., McIntosh, Charles L.
• Primary Examiner(s): FISHBACK, ASHLEY LAUREN
• Application Number:
  US13/477,452
• Publication Number:
  US 20120232637A1
• Time in Patent Office: 833 Days
• Field of Search: 606/8, 606/108, 606152-155, 623 111- 116, 623/1.23, 623/1.36
• US Class Current: 623/1.13
• CPC Class Codes: A61F 2/064 with special features to facilitate anastomotic coupling anastomosis of natural blood vessels A61B17/11
• CPC Class Codes: A61F 2/07 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 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/97 the outer sleeve being splittable
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2002/8483 Barbs
• CPC Class Codes: Y10S 623/903 Blood vessel

Abstract

An assembly for open surgical repair of a damaged wall portion of a body vessel includes a stent/graft device comprising an elongated stent body and a graft material covering the stent body. The device is expandable from a compressed condition having a diameter less than a diameter of the vessel to an expanded condition at least as great as the diameter of the vessel. A sheath enclosing the device when in the compressed condition includes a sheath body and a pull string for selectively splitting the sheath body to allow expansion of the device. The device and enclosing sheath are sized for insertion through the damaged wall portion into the vessel, wherein the pull string is extendable through the damaged wall portion for splitting the sheath body.

Claims

1. An assembly for intraoperative repair of a damaged portion of a body vessel through an open air pathway from an outer layer of skin to said damaged vessel portion, comprising:

an elongated generally cylindrical stent body and a graft material covering at least a portion of said stent body, said stent body and graft material being expandable from a compressed condition having a diameter less than a diameter of the vessel to an expanded condition having a diameter at least as large as the diameter of the vessel; and

a sheath enclosing said stent body and graft material in said compressed condition, said sheath and enclosed stent body and graft material positionable within said vessel, said sheath having at least one mechanism for creating a linear split in a longitudinal direction along a length of said sheath to facilitate expansion of the stent body and graft material to the expanded condition in said vessel, wherein said at least one mechanism comprises two string members, each of said string members being positioned at a separate axial end of the sheath and selectively movable toward a center portion of the sheath for facilitating said removal of the stent body and graft material, said string members being extendable from said vessel through said open air pathway and outer layer of skin.

2. The assembly of claim 1, wherein said stent body has a length at least as long as a length of said damaged vessel portion undergoing said intraoperative repair.

3. The assembly of claim 1, wherein said stent body comprises a plurality of axially spaced stents, and said graft material covers said stents, said stents being expandable from said compressed condition to said expanded condition.

4. The assembly of claim 1, wherein said stent body comprises a pair of stents, and said graft material covers said stents, said stents spaced such that one of said stents is positioned at each axial end of the stent/graft device.

5. The assembly of claim 4, wherein said stent body includes a protrusion projecting from said stent body for anchoring said stent body to said vessel.

6. The assembly of claim 5, wherein said protrusion comprises at least one of barbs and hooks.

7. An assembly for open surgical repair of a damaged wall portion of a body vessel through an open air pathway from an outer layer of skin to said damaged vessel portion, comprising:

a stent/graft device comprising an elongated generally cylindrical stent body and a graft material covering at least a portion of said stent body, said device being expandable from a compressed condition having a diameter less than a diameter of the vessel to an expanded condition having a diameter at least as large as the diameter of the vessel, said device positionable within said vessel in said compressed condition and engageable with said vessel in said expandable condition; and

a sheath which substantially encloses said device when said device is positioned within said vessel in said compressed condition, said sheath comprising a substantially tubular sheath body and a mechanism for creating a linear split in a longitudinal direction along a length of said sheath body for expansion of said device to said expanded condition, said mechanism comprising a pair of pull strings, said device and said enclosing sheath being sized and configured for insertion through said damaged wall portion into said vessel in a manner such that said pull strings extend through said open air pathway, each of said pull strings positioned at a separate axial end of the sheath body, said respective pull strings configured such that each pull string splits a length of said sheath body from said respective axial end to a center portion of the sheath body.

8. The assembly of claim 7, wherein said stent/graft device has a length at least as long as a length of said damaged vessel wall portion undergoing open surgical repair.

9. The assembly of claim 7, wherein said stent body comprises a plurality of axially spaced stents, and said graft material covers said plurality of stents.

10. The assembly of claim 7, wherein said stent body comprises a pair of axially spaced stents, said stents spaced such that one of said stents is positioned at each axial end of said stent/graft device.

11. The assembly of claim 10, wherein said sheath comprises a first sheath member covering a first one of said stents and a second sheath member covering a second one of said stents, each of said sheath members having a pair of pull strings manipulatable for splitting said sheath member.

12. The assembly of claim 11, wherein each pair of pull strings is configured along a respective sheath member for spitting said sheath member from an axial end to a center portion of said sheath member.

13. The assembly of claim 7, wherein said stent/graft device includes a plurality of protrusions projecting from said stent body and extending along the length of said stent graft device for anchoring said device to said vessel.

14. The assembly of claim 13, wherein said protrusions comprise at least one of barbs and hooks.