Lumen repair device with capture structure

• US 9,198,786 B2
• Filed: 02/01/2007
• Issued: 12/01/2015
• Est. Priority Date: 09/03/2003
• Status: Active Grant

• Current Assignee: Bolton Medical, Inc. (Terumo Corporation)
• Original Assignee: Bolton Medical, Inc. (Terumo Corporation)
• Inventors: Moore, Michael, Arbefeuille, Samuel, Berra, Humberto
• Primary Examiner(s): Erezo, Darwin
• Assistant Examiner(s): YABUT, DIANE D
• Application Number:
  US11/701,867
• Publication Number:
  US 20070135889A1
• Time in Patent Office: 3,225 Days
• Field of Search: 623/1.13, 623/1.11, 623/1.23
• US Class Current: 1/1
• 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 2/95 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 2/9522 Means for mounting a stent or stent-graft onto or into a placement instrument
• CPC Class Codes: A61F 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2002/825 having longitudinal struts
• CPC Class Codes: A61F 2002/826 more than one stent being applied sequentially
• CPC Class Codes: A61F 2002/828 Means for connecting a plurality of stents allowing flexibility of the whole structure
• 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 2002/9528 for retrieval of stents
• CPC Class Codes: A61F 2002/9665 with additional retaining means
• 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 2230/0054 V-shaped
• CPC Class Codes: A61F 2230/0067 conical
• CPC Class Codes: A61F 2230/008 paraboloidal
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers

Abstract

A vascular repair device includes a tubular graft body having upstream and downstream ends, and an interior surface and a clasping stent partially attached to the interior surface. The clasping stent circumference defines upstream and downstream apices, and struts connecting respective adjacent apices. The struts each have upstream and downstream portions. The upstream portion of some of the struts is unattached from the interior surface and some of the upstream apices adjacent the unattached struts are also unattached. A crown stent can be attached circumferentially to the graft body adjacent the upstream end as a part of the support framework. The downstream apices and the downstream portion of the struts can be attached to the interior surface of the graft body with only some of the upstream halves and the upstream apices attached to the interior surface of the graft body.

Claims

1. A vascular repair device, comprising:

a tubular graft body having an upstream end, a downstream end, and an interior surface;

a clasping stent partially attached to said interior surface of said graft body which covers said clasping stent, said clasping stent having a circumference defining upstream apices, downstream apices, and struts that define respective adjacent ones of said upstream and downstream apices, each of said struts having an upstream portion and a downstream portion, said upstream portion of at least some of said struts being unattached from said interior surface of said graft body, and said upstream apices defined by said unattached struts and being unattached from said interior surface of said graft body, whereby at least one continuous length of the clasping stent, the continuous length including adjacent unattached upstream portions of the struts and the upstream apex they define, is unattached from the tubular graft body; and

a crown stent between the clasping stent and the upstream end of the tubular graft body and fixed along the entire length of the crown stent to the tubular graft body, the crown stent being adjacent to the clasping stent and the crown stent including upstream and downstream apices, wherein the upstream apices of the clasping stent are nested between downstream apices of the crown stent and attached portions of the clasping stent extend upstream of portions of downstream apices of the crown stent that are fixed to the tubular graft body, and wherein the at least one unattached continuous length of the clasping stent is upstream of the downstream apices of the crown stent, whereby radial collapse of the at least one unattached continuous length of the clasping stent causes at least partial radial collapse of the crown stent and the graft body.

2. The device according to claim 1, wherein said downstream apices of the clasping stent are attached to said interior surface of said graft body.

3. The device according to claim 1, wherein said crown stent is attached to said interior surface.

4. The device according to claim 1, wherein:

said graft body has an exterior surface and

said crown stent is attached circumferentially to said exterior surface.

5. The device according to claim 1, wherein said crown stent is a scalloped ring defining downstream apices.

6. The device according to claim 5, wherein:

said scalloped ring has convexly curved projections, as viewed from said upstream end, connected to one another by said downstream apices; and

said downstream apices are V-shaped extensions having a vertex extending towards a respective downstream apex of said clasping stent and at least between a pair of adjacent upstream apices of said clasping stent.

7. The device according to claim 6, wherein:

said struts of said clasping stent are substantially linear; and

said V-shaped extensions have substantially linear struts adjacent each of said vertices.

8. The device according to claim 1, wherein said downstream portion is between approximately 10 percent and approximately 90 percent of a length of said struts.

9. The device according to claim 1, wherein said downstream portion is between approximately 60 percent and approximately 70 percent of a length of said struts.

10. The device according to claim 1, wherein said upstream end defines an opening plane and said crown stent is attached to said graft body downstream of said opening plane.

11. The device according to claim 1, wherein said clasping stent is disposed downstream of said crown stent at a distance to place a stent capturing assembly inside said graft body when said clasping stent is captured thereby.

12. The device according to claim 1, wherein at least one of said clasping stent and said crown stent are of a material selected from one of a group consisting of nitinol, stainless steel, biopolymers, cobalt chrome alloys, and titanium alloys.

13. The device according to claim 1, wherein said crown stent and said clasping stent are sewn to said graft body with stitches having stitch spacings between approximately 0.5 mm and approximately 5 mm.

14. The device according to claim 1, wherein said graft body has an expanded diameter and said crown and clasping stents have an at-rest diameter larger than said expanded diameter.

15. The device according to claim 1, wherein said upstream apices of the clasping stent and said downstream apices of the clasping stent are rounded.

16. The device according to claim 1, wherein said downstream apices of the clasping stent have a given radius of curvature and said upstream apices of the clasping stent have a radius of curvature at least as large as said given radius of curvature.

17. The device according to claim 1, wherein said struts number between 10 and 20.

18. The device according to claim 1, further comprising at least one stent attached circumferentially to said graft body downstream of said clasping stent.

19. The device according to claim 18, wherein said graft body has an exterior surface and said at least one stent is sewn to at least one of said interior and exterior surfaces.

20. The device according to claim 18, wherein:

said at least one stent has a number of apices; and

said clasping stent has a number of apices greater than said at least one stent.

21. The device according to claim 18, wherein:

said at least one stent has upstream and downstream apices; and

a radius of curvature of said downstream apices of said clasping stent is substantially equal to a radius of curvature of said upstream and downstream apices of said at least one stent.

22. The device according to claim 21, wherein said radius of curvature of said downstream apices of said clasping stent is equal to a radius of curvature of said upstream apices of said at least one stent adjacent said clasping stent.

23. The device according to claim 18, wherein at least one of said crown stent and said clasping stent has an amplitude greater than an amplitude of said at least one stent.

24. The device according to claim 1, wherein said graft body, said upstream portions of the clasping stent, and said upstream apices of the clasping stent define connection areas for releasably connecting to a stent grasping device.

25. The device according to claim 1, further comprising a second crown stent attached circumferentially to said graft body adjacent said downstream end.

26. The device according to claim 1, wherein:

said crown stent is a scalloped ring defining convexly curved projections as viewed from said upstream end connected to one another by downstream apices; and

said graft body is at least partially removed between respective pairs of said downstream apices.

27. A tubular graft body having an upstream end, a downstream end, and an interior surface, and a support framework comprising:

a crown stent attached circumferentially along its entire length to said graft body adjacent said upstream end;

a clasping stent partially attached to the interior surface of said tubular graft body downstream of said crown stent and adjacent said crown stent, said clasping stent having a circumference defining upstream apices, downstream apices, and struts that define respective adjacent ones of said upstream and downstream apices, each of said struts having an upstream portion and a downstream portion, at least a portion of said upstream portion of at least some of said struts being unattached from said interior surface of said graft body, and said adjacent upstream apices defined by said unattached struts and being unattached from said interior surface of said graft body, whereby at least one continuous length of the clasping stent, the continuous length including adjacent upstream portions of unattached struts and the upstream apex they define, is unattached to the tubular graft body, and attached portions of the clasping stent extending upstream of the downstream apices of the crown stent that are fixed to the tubular graft body, and wherein the at least one unattached continuous length of the clasping stent is upstream of downstream apices of the crown stent, whereby radial collapse of the at least one unattached continuous length of the clasping stent causes at least partial radial collapse of the crown stent and the graft body.

28. A vascular repair device, comprising:

a tubular graft body having an upstream end and an interior surface;

a clasping stent partially attached to said interior surface of said graft body and covering said clasping stent, said clasping stent having a circumference defining upstream apices, downstream apices, and struts that define respective adjacent ones of said upstream and downstream apices, each of said struts having an upstream portion and a downstream portion, said downstream apices and said downstream portion of said struts being attached to said interior surface of said graft body, and only some of said upstream portions and said upstream apices being attached to said interior surface of said graft body, whereby at least one continuous length of the clasping stent, the continuous length including adjacent unattached upstream portions of the struts and the upstream apex they define, is unattached from the tubular graft body; and

a crown stent between the clasping stent and the upstream end of the tubular graft body and fixed along the entire length of the crown stent to the tubular graft body, the crown stent being adjacent to the clasping stent, the crown stent including upstream and downstream apices, wherein the upstream apices of the clasping stent are nested between downstream apices of the crown stent and attached portions of the clasping stent extend upstream of portions of the downstream apices of the crown stent that are fixed to the tubular graft body, and wherein the at least one unattached continuous length of the clasping stent is upstream to the downstream apices of the crown stent, whereby radial collapse of the at least one unattached continuous length of the clasping stent causes at least partial radial collapse of the crown stent and the graft body.

29. The device according to claim 28, wherein at least three of said upstream apices of the clasping stent are unattached from said graft body.

30. The device according to claim 29, wherein capture of said at least three upstream apices of the clasping stent defines a central opening sufficiently large to permit fluid flow through said graft body.

31. The device according to claim 28, wherein:

at least three of said upstream apices of the clasping stent are unattached from said graft body; and

said crown stent forces said upstream end open to permit fluid flow through said graft body when said at least three upstream apices of the clasping stent are captured centrally within said graft body.

32. A vascular repair device, comprising:

a tubular graft body having an interior surface, upstream end, a downstream end, and an interior surface, and a structural framework having at least two stents;

a first of said stents being circumferentially connected along its entire length to said graft body adjacent said upstream end; and

a second of said stents being partially attached to the interior surface of said graft body downstream of said first stent, said second stent having a circumference defining upstream apices, downstream apices, and struts that define respective adjacent ones of said upstream and downstream apices, each of said struts having an upstream portion and a downstream portion, said upstream portion of at least some of said struts being unattached from said interior surface of said tubular graft body, whereby at least one continuous length of the clasping stent, the continuous length including adjacent unattached upstream portions of the struts and the upstream apex they define, is unattached from the tubular graft body, and said upstream apices adjacent said unattached struts being unattached from said interior surface of said graft body and attached portions of the second stent extending upstream of portions of downstream apices of the first stent that are fixed to the tubular graft body, and wherein said second stent is partially attached to said interior surface of said graft body downstream of and adjacent said first stent, whereby radial collapse of the at least one unattached continuous length of the clasping stent causes at least partial radial collapse of the first stent and the graft body.

33. A vascular repair device, comprising:

a tubular graft body having an interior surface, upstream end, a downstream end, and an interior surface;

a structural framework having at least two stents;

a first of said stents being circumferentially connected along its entire length to said graft body adjacent said upstream end; and

a second of said stents being partially attached to the interior surface said graft body downstream of said first stent, said second stent having a circumference defining upstream apices, downstream apices, and struts that define respective adjacent ones of said upstream and downstream apices, each of said struts having an upstream portion and a downstream portion, said downstream apices and said downstream portion of said struts being attached to said interior surface of said graft body, and only some of said upstream portions and said upstream apices defined by the upstream portions being attached to said interior surface of said graft body, whereby at least one continuous length of the clasping stent, the continuous length including adjacent unattached upstream portions of the struts and the upstream apex they define, is unattached from the tubular graft body, and attached portions of the second stent extending upstream of portions of downstream apices of the first stent that are fixed to the tubular graft body, and wherein said second stent is attached to said interior surface of said graft body downstream of and adjacent said first stent, whereby radial collapse of the unattached portions of struts of the second of the stents cause at least partial radial collapse of the first of the stents and the graft body.