Mobile external coupling for branch vessel connection

• US 9,839,542 B2
• Filed: 04/19/2011
• Issued: 12/12/2017
• Est. Priority Date: 04/19/2011
• Status: Active Grant

• Current Assignee: Medtronic Vascular, Inc. (Medtronic Plc)
• Original Assignee: Medtronic Ardian Luxembourg SARL (Medtronic Plc)
• Inventors: Bruszewski, Walter, Desai, Malhar
• Primary Examiner(s): Anderson, Gregory
• Assistant Examiner(s): SIMPSON, SARAH A
• Application Number:
  US13/089,545
• Publication Number:
  US 20120271401A1
• Time in Patent Office: 2,429 Days
• Field of Search: 623 113, 623 116, 623 135
• 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 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• 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 2002/061 provided with means for allowing access to secondary lumens
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• 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 2002/9665 with additional retaining means
• CPC Class Codes: A61F 2220/0075 sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable

Abstract

An endovascular prosthesis includes a tubular body and a mobile external coupling. The tubular body includes a graft material and stents coupled thereto, and forms a lumen therethrough. The mobile external coupling includes a graft material, extends outwardly from the tubular body, and is generally frustoconically shaped. The mobile external coupling includes a base coupled to the tubular body, a top spaced from the tubular body, and a coupling lumen disposed between the base and the top that is in flow communication with the body lumen. An annular support wireform is coupled to the mobile external coupling, and is formed into a sinusoidal configuration having a plurality of opposing first crowns and second crowns, the first crowns of the support wireform extending around of the top of the mobile external coupling. The coupling graft material extending between the second crowns of the support wireform and the tubular body is unsupported.

Claims

1. An endovascular prosthesis comprising:

a tubular body having a proximal end, a distal end, and a lumen disposed between the proximal and distal ends, the tubular body including a body graft material and a plurality of stents coupled to the body graft material;

a mobile external coupling extending outwardly from the tubular body, which includes a base coupled to the tubular body, a top spaced from the tubular body, and a coupling lumen disposed between the base and the top, wherein the coupling lumen is in flow communication with the body lumen and wherein the mobile external coupling includes a coupling graft material; and

an annular support wireform attached to and extending around the mobile external coupling, the annular support wireform formed into a sinusoidal configuration having a plurality of opposing first crowns and second crowns, wherein the first crowns of the support wireform extend around of the top of the mobile external coupling and wherein the coupling graft material extending between the second crowns of the support wireform and the tubular body is unsupported, wherein a height of the support wireform is between 25% and 33% of a height of the mobile external coupling.

2. The prosthesis of claim 1, wherein the support wireform is generally frustoconically shaped.

3. The prosthesis of claim 1, wherein the support wireform is generally cylindrical.

4. The prosthesis of claim 1, wherein the support wireform is formed from a shape memory material.

5. The prosthesis of claim 1, wherein the support wireform is attached to the mobile external coupling via stitching.

6. The prosthesis of claim 5, wherein the stitching extends for an entire length of the support wireform in a continuous manner.

7. The prosthesis of claim 5, wherein the stitching extends along only the first and second crowns of the support wireform in an intermittent manner.

8. The prosthesis of claim 1, wherein a top ring is disposed at the top of the mobile external coupling and the first crowns of the support wireform are coupled directly to the top ring.

9. The prosthesis of claim 1, wherein the mobile external coupling includes excess coupling graft material that results in wrinkling between the base and the top.

10. A prosthesis assembly comprising:

a main prosthesis configured for placement in a main vessel, the main prosthesis including a tubular body and a mobile external coupling, the tubular body having a proximal end, a distal end, a body lumen disposed between the proximal and distal ends, and a body graft material, the mobile external coupling extending outwardly from the tubular body, and the mobile external coupling including a coupling graft material and including a coupling lumen in flow communication with the body lumen, the mobile external coupling including a base coupled to the tubular body, a top spaced from the tubular body, and an annular support wireform attached to and extending around the mobile external coupling, the annular support wireform formed into a sinusoidal configuration having a plurality of opposing first crowns and second crowns, wherein the first crowns of the support wireform extend around of the top of the mobile external coupling and wherein the coupling graft material extending between the second crowns of the support wireform and the tubular body is unsupported; and

a branch vessel prosthesis configured for placement in a branch vessel that extends from the main vessel, wherein the branch vessel prosthesis is expandable such that an outside surface of a portion of the branch vessel prosthesis is in contact with an inner surface of a portion of the mobile external coupling and the support wireform creates a seal between the branch vessel prosthesis and the mobile external coupling,

wherein a deployed diameter of the support wireform is smaller than a deployed diameter of the branch vessel prosthesis, wherein the deployed diameter of the support wireform is approximately 30% smaller than the deployed diameter of the branch vessel prosthesis.