WO2010064244A3 - Delivery system for delivering a graft from the middle thereof - Google Patents

Delivery system for delivering a graft from the middle thereof Download PDF

Info

Publication number
WO2010064244A3
WO2010064244A3 PCT/IL2009/001143 IL2009001143W WO2010064244A3 WO 2010064244 A3 WO2010064244 A3 WO 2010064244A3 IL 2009001143 W IL2009001143 W IL 2009001143W WO 2010064244 A3 WO2010064244 A3 WO 2010064244A3
Authority
WO
WIPO (PCT)
Prior art keywords
tube
externally extending
stent
graft
proximal portion
Prior art date
Application number
PCT/IL2009/001143
Other languages
French (fr)
Other versions
WO2010064244A2 (en
Inventor
Eran Bendory
Ido Kilemnik
Ehud Bendory
Original Assignee
Inverthis Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Inverthis Ltd filed Critical Inverthis Ltd
Publication of WO2010064244A2 publication Critical patent/WO2010064244A2/en
Publication of WO2010064244A3 publication Critical patent/WO2010064244A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/07—Stent-grafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
    • A61F2/966—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/954—Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
    • A61F2/915—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2002/065—Y-shaped blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2002/065—Y-shaped blood vessels
    • A61F2002/067—Y-shaped blood vessels modular
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/07—Stent-grafts
    • A61F2002/075—Stent-grafts the stent being loosely attached to the graft material, e.g. by stitching

Abstract

Delivery system (100), delivering a graft (124) through a surgically created opening, including a main tube (102,104), an inner tube (108), a distal stent (120), a distal cap (118), and an externally extending tube (116), the main tube includes a proximal portion (102), and is coupled with the inner tube and the externally extending tube, the externally extending tube pulls the proximal portion proximally, thereby positioning the middle of the graft adjacent to the opening, the cap covers the stent, the inner tube pushes the cap distally, thereby exposing the stent, the stent anchors the graft onto the blood vessel, the externally extending tube pushes the main tube distally, thereby positioning the main tube distally to the opening, the externally extending tube pulls the main tube out through the expanded stent and the opening, the proximal portion is located adjacent to the externally extending tube during delivery into the blood vessel, the proximal portion detaches from the externally extending tube after delivery into the blood vessel.
PCT/IL2009/001143 2008-12-04 2009-12-03 Delivery system for delivering a graft from the middle thereof WO2010064244A2 (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US11985308P 2008-12-04 2008-12-04
US61/119,853 2008-12-04
US17836709P 2009-05-14 2009-05-14
US61/178,367 2009-05-14

Publications (2)

Publication Number Publication Date
WO2010064244A2 WO2010064244A2 (en) 2010-06-10
WO2010064244A3 true WO2010064244A3 (en) 2010-07-29

Family

ID=41716668

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IL2009/001143 WO2010064244A2 (en) 2008-12-04 2009-12-03 Delivery system for delivering a graft from the middle thereof

Country Status (1)

Country Link
WO (1) WO2010064244A2 (en)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10039534B2 (en) 2010-02-26 2018-08-07 ProMed, Inc. Apparatus for vessel access closure
US10039657B2 (en) * 2012-12-21 2018-08-07 CARDINAL HEALTH SWITZERLAND 515 GmbH Cannulation guiding device for bifurcated stent and method of use
US20140180385A1 (en) * 2012-12-21 2014-06-26 Cordis Corporation Stent cannulation guiding device and method of use
EP3226814A1 (en) 2014-12-04 2017-10-11 TriVascular, Inc. Internal iliac preservation devices and methods
US20220126012A1 (en) * 2020-10-28 2022-04-28 Medtronic, Inc. Medical implants for enhancing the healing response and the effective longevity of blood vessels and anastomoses and methods of use thereof

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020004663A1 (en) * 1999-01-15 2002-01-10 Ventrica, Inc. Methods and devices for placing a conduit in fluid communication with a target vessel
US20040199177A1 (en) * 1996-06-14 2004-10-07 Ducksoo Kim Catheter apparatus having an improved shape-memory alloy cuff and inflatable on-demand balloon for creating a bypass graft in-vivo
WO2008094601A2 (en) * 2007-01-31 2008-08-07 William A. Cook Australia Pty. Ltd. Endoscopic delivery device
WO2008142696A1 (en) * 2007-05-24 2008-11-27 Inverthis Ltd. Bypass graft device and delivery system and method
WO2009055574A2 (en) * 2007-10-26 2009-04-30 Cook Critical Care Incorporated Vascular conduit and delivery system for open surgical placement

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5972017A (en) 1997-04-23 1999-10-26 Vascular Science Inc. Method of installing tubular medical graft connectors
US6090128A (en) 1997-02-20 2000-07-18 Endologix, Inc. Bifurcated vascular graft deployment device
US6056762A (en) 1997-05-22 2000-05-02 Kensey Nash Corporation Anastomosis system and method of use
US6099497A (en) 1998-03-05 2000-08-08 Scimed Life Systems, Inc. Dilatation and stent delivery system for bifurcation lesions
US6261316B1 (en) 1999-03-11 2001-07-17 Endologix, Inc. Single puncture bifurcation graft deployment system
AU2001296716A1 (en) 2000-10-13 2002-04-22 Rex Medical, Lp Covered stents with side branch
US6949121B1 (en) 2002-02-07 2005-09-27 Sentient Engineering & Technology, Llc Apparatus and methods for conduits and materials

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040199177A1 (en) * 1996-06-14 2004-10-07 Ducksoo Kim Catheter apparatus having an improved shape-memory alloy cuff and inflatable on-demand balloon for creating a bypass graft in-vivo
US20020004663A1 (en) * 1999-01-15 2002-01-10 Ventrica, Inc. Methods and devices for placing a conduit in fluid communication with a target vessel
WO2008094601A2 (en) * 2007-01-31 2008-08-07 William A. Cook Australia Pty. Ltd. Endoscopic delivery device
WO2008142696A1 (en) * 2007-05-24 2008-11-27 Inverthis Ltd. Bypass graft device and delivery system and method
WO2009055574A2 (en) * 2007-10-26 2009-04-30 Cook Critical Care Incorporated Vascular conduit and delivery system for open surgical placement

Also Published As

Publication number Publication date
WO2010064244A2 (en) 2010-06-10

Similar Documents

Publication Publication Date Title
WO2007090128A3 (en) Apparatus and methods for deployment of custom-length prostheses
EP3337412B1 (en) Loader for transcatheter heart valve
WO2008047354A3 (en) Transapical delivery system with ventriculo-arterial overflow bypass
WO2007092276A3 (en) Delivery system and meth0d for self-centering a proximal end of a stent graft
CA2624036A1 (en) Lens injector lumen tip for wound assisted delivery
AU2003248771B2 (en) Thoracic stent-graft introducer
US9005271B2 (en) Stent graft with integral side arm
WO2006124823A3 (en) Intravascular implant delivery device with anchoring features and associated method
WO2006094273A3 (en) Apparatus and method for sensor deployment and fixation
EP3583916A3 (en) Apparatus for facilitating deployment of an endoluminal prosthesis
JP2011522591A (en) Introducer
WO2007053592A3 (en) Composite stent graft
WO2009088953A3 (en) Bifurcation stent delivery system and methods
EP2387969A3 (en) Side branched endoluminal prostheses and methods of delivery thereof
WO2007002224A3 (en) Method and apparatus for delivering an implantable wireless sensor for in vivo pressure measurement
CA2505418A1 (en) Device and method for treating thoracic aorta
WO2010064244A3 (en) Delivery system for delivering a graft from the middle thereof
WO2010105195A3 (en) System and method for deploying an endoluminal prosthesis at a surgical site
WO2007146021A3 (en) Stent with a crush-resistant zone
WO2008034077A3 (en) Anchor for an implantable sensor
CA2609706A1 (en) Implantable graft to close a fistula
WO2005002466A3 (en) Implantable prosthetic devices particularly for transarterial delivery in the treatment of aortic stenosis, and methods of implanting such devices
WO2008034106A3 (en) Multi-segmented graft deployment system
WO2006007401A3 (en) Tissue prothesis processing technology
CA2484752A1 (en) Mechanism for the deployment of endovascular implants

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 09804334

Country of ref document: EP

Kind code of ref document: A2

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 09804334

Country of ref document: EP

Kind code of ref document: A2