Stopper to prevent graft material slippage in a closed web stent-graft

• US 9,700,399 B2
• Filed: 04/26/2012
• Issued: 07/11/2017
• Est. Priority Date: 04/26/2012
• Status: Active Grant

• Current Assignee: Medtronic Vascular, Inc. (Medtronic Plc)
• Original Assignee: Medtronic Vascular, Inc. (Medtronic Plc)
• Inventors: Acosta-Acevedo, Luz
• Primary Examiner(s): Miles, Jonathan
• Assistant Examiner(s): OBU, KENDRA NNEAMAKA
• Application Number:
  US13/457,475
• Publication Number:
  US 20130289700A1
• Time in Patent Office: 1,902 Days
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/2418 Scaffolds therefor, e.g. support stents
• CPC Class Codes: A61F 2/86 Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
• 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 2002/072 Encapsulated stents, e.g. wire or whole stent embedded in lining
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching

Abstract

A stent-graft has a closed web configuration in which end stent crowns or apexes do not extend beyond an end of a tubular graft. In order to permit interaction of the endmost crowns with tip capture fingers or prongs of a delivery system, the graft covers the endmost crowns but the endmost crowns are not coupled to the graft material and thus free to interact with the delivery system. In order to prevent slippage of the graft material at the endmost crowns and secure the longitudinal position of the graft material, one of a pair of stoppers is coupled on each of the opposing struts between which the unattached endmost crown is formed. In an embodiment, the stoppers are cylindrical tubes of a radiopaque material having a longitudinally-extending slit in a wall thereof.

Claims

1. A prosthesis for implantation within a body lumen, the prosthesis comprising:

a tubular graft of a graft material;

a stent comprised of a plurality of crowns and a plurality of struts with each crown being formed between a pair of opposing struts, the stent being coupled to the graft material proximate to an end of the tubular graft so as to have a first set of crowns adjacent to the end of the tubular graft and a second set of crowns distant from the end of the tubular graft relative to the first set of crowns;

a pair of stoppers coupled adjacent to each crown of the first set of crowns, wherein each stopper has a tubular configuration and is attached to a respective one of the pair of opposing struts that the crown is formed between; and

at least one stitch made adjacent to each end of each stopper, wherein the stitches abut against and contact an end face of each stopper in order to secure a longitudinal position of the graft material relative to each stopper and the strut it is attached to such that the first set of crowns are covered by and free of direct attachment to the graft material of the tubular graft.

2. The prosthesis of claim 1, wherein each stopper is a cylindrical body defining a lumen there through.

3. The prosthesis of claim 2, wherein the cylindrical body includes a slit through a wall of the cylindrical body that extends the entire length of the cylindrical body.

4. The prosthesis of claim 1, wherein the graft material is secured to the stent with a single stitch adjacent to a first end of each stopper and wherein the graft material is secured to the stent with at least a double stitch adjacent to a second end of each stopper, the second end of each stopper being closer to the crown than the first end of each stopper.

5. The prosthesis of claim 1, wherein each stopper is formed of a radiopaque material.

6. The prosthesis of claim 1, further comprising:

a plurality of stents coupled to a body of the tubular graft, wherein each stent is a sinusoidal patterned ring formed from a self-expanding material.

7. The prosthesis of claim 1, wherein the stent is coupled to an inside surface of the tubular graft.

8. A prosthesis for implantation within a body lumen, the prosthesis comprising:

a tubular graft of a graft material;

a stent coupled to the tubular graft and having endmost crowns that are inwardly spaced from a first end of the tubular graft, each endmost crown being a curved segment formed between a pair of opposing struts, wherein one or more of the endmost crowns are covered by and free of direct attachment to the graft material of the tubular graft;

a pair of stoppers coupled adjacent to each endmost crown that is covered by and free of direct attachment to the graft material, wherein each stopper has a tubular configuration and is attached to a respective one of the pair of opposing struts that the crown is formed between; and

at least one stitch made adjacent to each end of each stopper, wherein the stitches abut against and contact an end face of each stopper in order to secure a longitudinal position of the graft material relative to each stopper and the strut it is attached to.

9. The prosthesis of claim 8, wherein each stopper is a cylindrical body defining a lumen there through.

10. The prosthesis of claim 9, wherein the cylindrical body includes a slit through a wall of the cylindrical body that extends the entire length of the cylindrical body.

11. The prosthesis of claim 8, wherein the graft material is secured to the stent with a single stitch adjacent to a first end of each stopper and wherein the graft material is secured to the stent with at least a double stitch adjacent to a second end of each stopper, the second end of each stopper being closer to the endmost crown than the first end of each stopper.

12. The prosthesis of claim 8, wherein each stopper is formed of a radiopaque material.

13. The prosthesis of claim 8, wherein the stent is coupled to the tubular graft to extend from the first end of the tubular graft to a second end of the tubular graft.

14. The prosthesis of claim 8, further comprising:

a plurality of stents coupled to a body of the tubular graft, wherein each stent is a sinusoidal patterned ring formed from a self-expanding material.

15. A prosthesis for implantation within a body lumen, the prosthesis comprising:

a tubular graft of a graft material;

a stent coupled to the tubular graft and including a plurality of crowns and a plurality of struts with each crown being formed between a pair of opposing struts, the stent having endmost crowns that are proximate to an end of the tubular graft, wherein one or more of the endmost crowns are covered by and free of direct attachment to the graft material of the tubular graft;

a pair of stoppers coupled adjacent to each endmost crown that is covered by and unattached to the graft material, wherein each stopper is attached to a respective one of the pair of opposing struts that the crown is formed between to be longitudinally fixed in position relative thereto and an outer diameter of each stopper is greater than an outer diameter of the struts such that each stopper end is a raised feature relative to the respective strut; and

at least one stitch made adjacent to each end of each stopper, wherein the stitches abut against and contact the respective raised feature of each stopper end in order to secure a longitudinal position of the graft material relative to each stopper and the strut it is attached to.

16. The prosthesis of claim 15, wherein each stopper is a cylindrical body defining a lumen there through and the raised feature is an end surface thereof.

17. The prosthesis of claim 16, wherein the cylindrical body includes a slit through a wall of the cylindrical body that extends the entire length of the cylindrical body.

18. The prosthesis of claim 15, wherein the graft material is secured to the stent with a single stitch adjacent to a first end of each stopper and wherein the graft material is secured to the stent with at least a double stitch adjacent to a second end of each stopper, the second end of each stopper being closer to the crown than the first end of each stopper.

19. The prosthesis of claim 15, wherein each stopper is formed of a radiopaque material.

20. The prosthesis of claim 15, further comprising:

a plurality of stents coupled to a body of the tubular graft, wherein each stent is a sinusoidal patterned ring formed from a self-expanding material.