Aortic graft and method of treating abdominal aortic aneurysms
First Claim
1. An aortic graft for treatment of abdominal aortic aneurysms, the graft comprising a tubular hollow material for intraluminal insertion in the aorta, the aorta having an upper proximal aortic neck and a distal aortic lower portion forming an iliac bifurcation dividing into two iliac arteries, the graft comprising:
- a compliant graft main portion having a generally cylindrical shape with an upper end for secure attachment to the aortic proximal neck, and a lower free end constructed so as to wholly reside at a position inside the aneurysm and above the iliac bifurcation, andat least one compliant graft iliac leg portion having a generally elongated cylindrical shape with a lower end for secure attachment to one of the iliac arteries, and an upper end for secure attachment in fluid communication to the lower end of the graft main portion.
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Accused Products
Abstract
An aortic graft and method for treatment of abdominal aortic aneurysms by inserting into the aorta and into the iliac arteries of the patient the graft in a way to exclude the aneurysm from the blood circulatory system, the graft comprising a tubular hollow fabric material including a trunk portion and at least one leg portion capable of being accommodated to any rotation of the graft resulting from the installation of the graft and to any varying ratio between the diameters of an aortic neck and the iliac arteries, the graft being also adapted to different shapes of the aorta, thus diminishing and even avoiding the risks of misplacing the graft inside the aorta. The trunk also includes an inelastic edge to retain a stent in an expanded condition to attach the trunk and the leg portions together.
109 Citations
42 Claims
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1. An aortic graft for treatment of abdominal aortic aneurysms, the graft comprising a tubular hollow material for intraluminal insertion in the aorta, the aorta having an upper proximal aortic neck and a distal aortic lower portion forming an iliac bifurcation dividing into two iliac arteries, the graft comprising:
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a compliant graft main portion having a generally cylindrical shape with an upper end for secure attachment to the aortic proximal neck, and a lower free end constructed so as to wholly reside at a position inside the aneurysm and above the iliac bifurcation, and at least one compliant graft iliac leg portion having a generally elongated cylindrical shape with a lower end for secure attachment to one of the iliac arteries, and an upper end for secure attachment in fluid communication to the lower end of the graft main portion. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15)
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16. An aortic bifurcated graft for treatment of abdominal aortic aneurysms, the graft comprising a tubular hollow material for intraluminal insertion in the aorta, the aorta having an upper proximal aortic neck and a lower distal portion defining an aortic bifurcation dividing into two iliac arteries, the graft comprising:
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a compliant graft trunk portion made of a flexible fabric material, the portion having a generally cylindrical shape with an upper end for secure attachment to the aortic proximal neck, and a lower bifurcated short portion forming two lower side-by-side connecting ends, the connecting ends constructed so as to wholly reside inside the aorta and upwardly and spaced apart from the aortic bifurcation, and a pair of compliant graft iliac leg portions made of a flexible fabric material, each portion having a generally elongated cylindrical shape with a lower end for secure attachment to one of the iliac arteries, and an upper end for secure connection in fluid communication to a respective one of the lower connecting ends of the lower bifurcated portion of the trunk portion. - View Dependent Claims (17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34)
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35. An aortic graft for treatment of abdominal aortic aneurysms, the graft comprising a tubular hollow material to be intraluminally inserted in the aorta, the aorta having an upper proximal aortic neck and a distal aortic lower portion forming an iliac bifurcation dividing into two iliac arteries, the graft comprising:
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a graft main portion having an upper end to be securely attached to the aortic proximal neck, and a lower end hanging free at a position inside the aneurysm an above the iliac bifurcation, and at least one graft iliac leg portion having a generally elongated cylindrical shape with a lower end to be securely attached to one of the iliac arteries, and an upper end to be securely connected in fluid flow communication to the lower end of the graft main portion, at least the main graft portion being made of a compliant, elastic knitted material, and the main portion terminating in an inelastic lower edge, whereby the upper end of the leg portion may be retained within the lower portion of the main portion by anchoring means, with the inelastic edge encircling the upper end of the graft leg portion and at least part of the anchoring means remaining within the graft main portion upwardly of the inelastic edge. - View Dependent Claims (36, 37, 38, 39, 40, 41, 42)
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Specification