Stent-graft with positioning anchor

• US 9,814,612 B2
• Filed: 10/21/2015
• Issued: 11/14/2017
• Est. Priority Date: 09/20/2002
• Status: Expired due to Fees

• Current Assignee: Endologix
• Original Assignee: Nellix, Inc.
• Inventors: Taylor, Charles S., Zarins, Christopher, Geshlider, Robert A., Morejohn, Dwight P., Johansson, Peter, Vican, Susan W., McKinley, James T.
• Primary Examiner(s): Pellegrino, Brian
• Application Number:
  US14/697,433
• Publication Number:
  US 20160030215A1
• Time in Patent Office: 755 Days
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• 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 2002/077 having means to fill the space between stent-graft and aneurysm wall, e.g. a sleeve
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2240/002 Designing or making customized prostheses
• CPC Class Codes: A61F 2250/0003 having an inflatable pocket filled with fluid, e.g. liquid or gas

Abstract

A positioning anchor is provided for a stent-graft for implantation to treat a damaged body lumen. The positioning anchor is generally tubular surrounding a primary fluid conduit. Arms extend laterally from the generally tubular structure of the anchor surrounding lateral fluid conduits. The form of these arms is preferably custom configured to match a particular patient'"'"'s luminal geometry. The anchor thus fits within the luminal geometry to remain in a desired fixed position for implantation of the anchor and any stent-graft coupled to the anchor. The anchor is most preferably formed with two walls having a void therebetween which can be filled with fixation media to further secure the anchor at the desired implantation site. A lumen shaper balloon and delivery catheter are also disclosed for proper delivery, expansion and inflation of the positioning anchor and stent-graft elements according to this invention.

Claims

1. A catheter system for intraluminal delivery of an aneurysm treatment system, the catheter system comprising:

a catheter having a proximal end and a distal end, the catheter having a delivery portion near the distal end, a balloon inflation fluid pathway extending from a proximal portion of the catheter to an expandable balloon on the delivery portion of the catheter, and a fixation medium delivery pathway extending from the proximal portion to the delivery portion; and

an implantable double-walled filling structure disposed on the balloon and adapted for intraluminal placement at an intersection of a main vessel and at least two side branch vessel, the filling structure comprising an inner wall, an outer wall outside of an exterior of the inner wall, and a fillable void between the inner and outer wall,

wherein, when deployed by filling the void with a fixation media delivered through the fixation medium delivery pathway, the inner wall surrounds and defines a primary fluid conduit having an upper and lower opening to facilitate blood flow across the intersection and further surrounds and defines at least two lateral fluid conduits extending laterally from and transverse to an axis of the primary fluid conduit, the at least two fluid conduits being in fluid communication with the primary fluid conduit between the upper and lower openings to facilitate blood flow from the primary fluid conduit through the at least two lateral fluid conduits into the at least two side branch vessels, and the outer wall conforms to an inside wall of the main vessel along the primary fluid conduit and to an inside wall of the at least two lateral fluid conduits along at least two arms of the filling structure extending into the at least two sidebranch vessels, each arm surrounding and defining a respective lateral fluid conduit, so as to substantially fill a space between an outside surface of the outer wall and the wall of each of the main vessel and the at least two side branch vessel at the intersection of the main and the at least two side branch vessels, wherein the fillable void between the inner and outer wall surrounds the primary fluid conduit and extends into each of the at least two arms in which the at least two lateral fluid conduits are defined and surrounds each lateral fluid conduit such that filling the fillable void expands the outer wall to contact the inside wall of each of the main vessel and the at least two sidebranch vessels when implanted within the main vessel and at least two side branch vessel.

2. The catheter system of claim 1, wherein the catheter further comprises a central conduit extending along the delivery portion of the catheter from a bypass inlet at one end of the deliver portion and a bypass outlet at an other end of the delivery portion so as to facilitate blood flow across the intersection during deployment of the filling structure.

3. The catheter system of claim 2, wherein the balloon is adapted to be expanded so as to substantially occlude a lumen in which the catheter is located such that blood flow through the intersection is directed through the central conduit during deployment.

4. The catheter system of claim 1, wherein the catheter is formed entirely of a material sufficiently flexible to allow the catheter to pass intraluminally from a femoral artery to an aorta of a patient.

5. The catheter system of claim 1, wherein at least a portion of the catheter and/or the balloon is formed of a radiopaque material.

6. The catheter system of claim 5 wherein the radiopaque material is selectively located at a plurality of positions axially and radially spaced from each other so that a position and orientation of the catheter system can be determined through fluoroscopy.

7. The catheter system of claim 1, further comprising:

a sheath adapted to be slidably disposed over the filing structure collapsed on the balloon during delivery of the filling structure to the aneurysm.

8. The catheter system of claim 1, wherein the balloon comprises a lumen shaper balloon adapted to expand into an inflated form having a contour that at least partly matches a contour of the filling structure adjacent the at least two lateral fluid conduits of the at least two arms of the filling structure during deployment.

9. The catheter system of claim 8, wherein the lumen shaper balloon is adapted so that the contour positions the arm of the double-walled filling structure into the at least one sidebranch vessel during deployment.

10. The catheter system of claim 8, wherein the lumen shaper balloon is customized so as to match to a particular morphology of a patient.

11. The catheter system of claim 10, wherein the filling structure is customized so as to match to a particular morphology of a patient.

12. The catheter system of claim 1, further comprising:

one or more radially expandable stents adapted for deployment within the filling structure adjacent the upper and/or lower ends of the primary fluid conduit.

13. The catheter system of claim 1, further comprising:

one or more radially expandable stents adapted for deployment within each arm of the filling structure.

14. The catheter system of claim 1, wherein the double-walled filling structure comprises an anchor adapted for attachment to a graft, the graft having a tubular form surrounding a primary fluid conduit so as to extend the primary fluid conduit downstream of the anchor.

15. The catheter system of claim 14, wherein the graft is formed integrally with the anchor.