US20040122508A1 - Intraluminal graft - Google Patents

Intraluminal graft Download PDF

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Publication number
US20040122508A1
US20040122508A1 US10/733,292 US73329203A US2004122508A1 US 20040122508 A1 US20040122508 A1 US 20040122508A1 US 73329203 A US73329203 A US 73329203A US 2004122508 A1 US2004122508 A1 US 2004122508A1
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Prior art keywords
graft
wires
wire
intraluminal
vessel
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US10/733,292
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Geoffrey White
Weiyun Yu
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WL Gore and Associates Inc
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Individual
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First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=27766610&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=US20040122508(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Priority claimed from US08/446,672 external-priority patent/US5782904A/en
Application filed by Individual filed Critical Individual
Priority to US10/733,292 priority Critical patent/US20040122508A1/en
Assigned to ENDOGAD RESEARCH PTY LIMITED reassignment ENDOGAD RESEARCH PTY LIMITED ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: YU, WEIYUN, WHITE, GEOFFREY H.
Publication of US20040122508A1 publication Critical patent/US20040122508A1/en
Priority to US11/556,788 priority patent/US8052742B2/en
Priority to US12/036,819 priority patent/US20080147172A1/en
Assigned to GORE ENTERPRISE HOLDING, INC. reassignment GORE ENTERPRISE HOLDING, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: ENDOGAD RESEARCH PTY. LIMITED
Assigned to W. L. GORE & ASSOCIATES, INC. reassignment W. L. GORE & ASSOCIATES, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: GORE ENTERPRISE HOLDINGS, INC.
Abandoned legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • A61F2/07Stent-grafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/958Inflatable balloons for placing stents or stent-grafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/89Stents 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • A61F2/07Stent-grafts
    • A61F2002/075Stent-grafts the stent being loosely attached to the graft material, e.g. by stitching

Definitions

  • the present invention relates to an intraluminal graft for use in treatment of aneurysms or occlusive diseases.
  • stents and intraluminal grafts of various designs for the treatment of aneurysms such as aortal aneurysms and for the treatment of occlusive diseases such as the occlusion of blood vessels or like ducts such as the bile duct and the ureter (which are all hereinafter called “vessels”). It is known to form such an intraluminal graft of a sleeve in which is disposed a plurality of self expanding wire stents (see Balko A.
  • the present invention consists in an intraluminal graft comprising a tubular graft body which is circumferentially reinforced along its length by a plurality of separate, spaced-apart, maleable wires, each of which has a generally closed sinusoidal or zig-zag shape, one of the wires being located adjacent to one end of the graft body such that alternate crests or apices of the wire projects beyond at least part of that end.
  • the invention in another aspect relates to a method for positioning an intraluminal graft as defined above comprising introducing a catheter into a vein, artery or other vessel in the body, causing an intraluminal graft as defined above to be carried through the catheter on an inflatable balloon until the graft extends into the vessel from the proximal end of the catheter, inflating the balloon to cause the alternate crests or apices of the one wire to be urged into contact with the wall of the vessel, deflating the balloon and withdrawing the balloon and the catheter from the vessel.
  • each end of the graft will be provided with a wire which has alternate crests or apices extending beyond the adjacent end of the graft body. While the graft will normally have wires at each end of the graft with their crests extending beyond the graft body it may be necessary or desirable for a surgeon to shorten a graft and this may be achieved by cutting off part of the graft body. In this case the graft will have extending crests at only one end.
  • the wire crests may extend across the lumen of a vessel opening into the vessel in which the graft is being placed without occluding that lumen. This allows the intraluminal graft to be used in situations in which the aneurysm to be bridged commences closely adjacent divergent blood vessels. In most cases there will be crests of wire actually projecting totally beyond the end of the graft materials.
  • the one wire has a greater amplitude than at least the next adjacent one or two wires. This allows the wires at the end of the graft to be positioned more closely together than would be the case if they were all of the same amplitude. It is desirable to space the wires adjacent the end of the graft that will be placed “upstream” in the patient as close together as is possible as the neck of the aneurysm with which the graft is engaged can be quite short. Close spacing of the wires maximises the number of wires reinforcing that part of the graft in contact with the neck of the aneurysm. The spacing of the rest of the wires is desirably greater than those adjacent the one end of the graft as this avoids unnecessarily reducing the flexibility of the graft.
  • the wavelength of the wires in the graft is preferably substantially the same when compressed however when expanded the end wires will have a shorter wavelength than the intermediate wires as the intermediate wires will not bear against the arterial wall and may therefore be more fully expanded.
  • the edge of the one end of the graft is scooped out or scalloped between each projecting crest of the one wire. This reduces the possibility that a piece of the graft between those crests could project into the arterial lumen and partially occlude it or direct blood around the outside of the graft.
  • the tubular graft body is preferably formed of a thin biocompatible material such as Dacron or PTFE.
  • the tube material is preferably crimped along its length to increase its flexibility, however, uncrimped material may be used in suitable circumstances.
  • the graft body may be formed from a material having a limited amount of diametric elasticity to ensure that it can be expanded into contact with the vessel wall.
  • the length and diameter of the graft body will be determined by the individual circumstances of the application to which the intraluminal graft is to be put.
  • the vessel will be assessed by X-ray or other similar examination and a suitably dimensioned graft selected for that application.
  • the wires are preferably formed of stainless steel or another metal or a plastic which is maleable and is biocompatible. Each wire is preferably woven into the fabric of the graft body to integrate the body and the reinforcing wires. This prevents any possibility of the wire reinforcement separating from the graft body during introduction of the graft or throughout its life. If the graft body is of a woven material the wires may be interwoven with the graft body during its production or alternatively they may be interwoven with the graft body after its manufacture. If the graft body is not woven but is knitted or of an impervious sheet material then the wires may be threaded through suitable holes formed in the graft body.
  • the interweaving of the wires with the graft body has been found to be particularly desirable as it prevents separation of the wires from the graft body which could have serious adverse consequences. It has also been found that this technique is very good for causing the graft to expand effectively with the wires.
  • the wires may be held in place by sutures or adhesives or may be sandwiched between layers of a multi-layered tubular graft body.
  • the wires are preferably disposed substantially within the graft body. It is, however, within the ambit of the invention that the wires may be connected to, and be disposed on, the outside surface of the graft body.
  • the intraluminal grafts according to this invention may be used to treat aneurysms or occlusive disease.
  • they are particularly suitable for treating aneurysms of the femoral artery, the popliteal artery, the thoracic segment of the aorta, visceral arteries such as the renal and mesenteric arteries, the iliac artery and the sub-clavian artery.
  • the presence of the metal wires in the intraluminal grafts according to this invention assists in placing the graft as the wires are X-ray detectable. As the wires are arrayed along the length of the graft the complete position of the graft in the body can be continuously monitored.
  • the grafts according to this invention are typically substantially of constant diameter along their length ie, they are substantially cylindrical. It is possible, however, for the grafts to be frusto-conical in shape with a diameter that increases, or decreases, along the length of the graft.
  • the ends of the wires are joined together to form a tail which is preferably on the outside of the graft body and is positioned to lie along its radially outer surface.
  • the ends may be joined by welding, by being twisted together or in any other suitable manner.
  • the ends of the wires may inadvertently perforate the vessel in which the graft is placed, however, any such perforation will be occluded by the graft body thus ensuring that such a perforation will not adversely affect the patient.
  • the ends of adjacent wires are preferably spaced apart radially about the graft body so as not to affect its flexibility and to avoid a line of ends engaging the wall of the vessel.
  • the ends of adjacent wires preferably project in opposite directions along the vessel body.
  • the first or upstream graft preferably has at its downstream end a “skirt” without reinforcing wires.
  • This skirt is typically 10 to 15 mm in length.
  • the second or downstream graft is inserted into the downstream end of the first graft and is expanded to engage with it.
  • the aneurysm extends up to or slightly beyond an arterial bifurcation.
  • a graft according to the present invention which has a bifurcation at its downstream end, a so-called “trouser graft”, wholly within the primary artery.
  • a supplemental graft may then be introduced through each of the subsidiary arteries and overlapped with the respective lumenae of the bifurcated part of the primary graft.
  • the primary graft of the “trouser” type would be placed in the aorta through one of the iliac arteries.
  • Supplemental grafts which dock with the bifurcated end of the primary graft would then be inserted through each of the iliac arteries.
  • the skirt may be provided with a small number of linear reinforcement wires extending longitudinally of the graft. In this case, the wires are spaced about the circumference of the skirt.
  • the skirt may be provided with at least one resilient annular reinforcement wire. The resilient reinforcement wire will spring into an expanded condition upon being released from the catheter through which it is introduced into the body. This latter arrangement is particularly suitable in the case of “trouser grafts” wherein one leg of the graft will have a skirt which cannot be expanded by a balloon catheter.
  • FIG. 1 is a diagrammatic partially cut-away ventral view of a patient with an aortic aneurysm which has been bridged by an intraluminal graft according to the present invention
  • FIG. 2 is a side elevational view of the intraluminal graft of FIG. 1;
  • FIG. 3 is a longitudinal sectional view through the intraluminal graft of FIG. 2;
  • FIG. 4 is a detailed longitudinal sectional view through the intraluminal graft of FIG. 2 as it is being expanded into contact with the aorta of a patient during placement;
  • FIG. 5 is a detailed longitudinal sectional wire through the intraluminal graft of FIG. 2 after it has been inserted into the aorta of a patient;
  • FIG. 6 is a detailed elevational view of one end of the intraluminal graft of FIG. 2;
  • FIG. 7 is a detailed perspective view of the one end of the intraluminal graft of FIG. 6 showing how the alternate crests of the end wire of the graft are pushed radially outwardly during insertion of the graft.
  • the intraluminal graft 10 is adapted for insertion transfemorally into a patient to achieve bridging and occlusion of the aneurysm present in the aorta.
  • the aorta 11 is connected to the left and right femoral arteries 12 and 13 .
  • the aortic aneurysm is located between the renal arteries 14 and 15 and the junctions of the femoral arteries 12 and 13 with the aorta 11 .
  • the graft 10 is, as will be described subsequently in more detail, inserted inside a catheter introduced into one of the femoral arteries 12 or 13 in a leg of the patient.
  • the graft 10 is ejected from the catheter and expanded so that each end is in intimate contact around its full periphery with the aorta 11 .
  • the graft 10 then bridges the aneurysm and isolates any thrombosis or gelatinuous material associated with the aneurysm outside the graft 10 to reduce the risk of embolisation.
  • the intraluminal graft 10 comprises a crimped tube 16 of woven Dacron.
  • the tube is reinforced along its length by a number of separate and spaced apart stainless-steel wires 17 (each of which has a generally closed sinusoidal shape).
  • the wires 17 are preferably as thin as possible and are typically 0.3 to 0.4 mm in diameter.
  • the wires 17 are maleable and may be bent into any desired shape, ie they are not resilient to any substantial extent so that they have to be physically expanded into contact with the aorta rather than expanding by virtue of their own resilience.
  • the wires 17 are each woven into the fabric of the tube 16 such that alternate crests of each wire 17 are outside the tube 16 with the remainder of that wire 17 inside the tube (except in the case of the endmost wires as will be hereinafter described).
  • the ends of each wire 17 are located outside the tube 16 and are twisted together to form a tail 18 .
  • the tails 18 of alternate wires 17 are bent to extend in opposite longitudinal directions along the outside surface of the tube 16 .
  • the endmost ones of the wires 17 overhang the respective ends of the tube 17 so that alternate crests of those wires extend longitudinally beyond the end of the tube 16 .
  • the endmost wire 17 preferably has an amplitude of about 6 mm and a wavelength such that between six and eight crests are spaced around the circumference of a 22 mm diameter graft.
  • the next two adjacent wires 18 preferably are spaced as close as possible to the wire 17 and respectively have amplitudes of 4 mm and 5 mm. These wires will typically have the same wavelength initially as the wire 17 . Thereafter throughout the graft 10 the wires 18 are spaced at 15 mm intervals, have an amplitude of 6 mm, and have substantially the same initial wavelength as the wire 17 .
  • the graft 10 is radially compressed about an inflation balloon 19 (see FIG. 4) and the assembly is inserted into the end of a sheath catheter 21 .
  • the sheath catheter 21 is inserted in a known manner through the femoral artery into the aorta 11 until the proximal end of the catheter 21 is beyond the proximal end of the aneurysm.
  • the balloon 19 and the collapsed graft 10 disposed on it, are held stationary and the catheter withdrawn until the graft 10 is fully exposed and spans the aneurysm.
  • the balloon is then inflated to expand the graft 10 .
  • the diameter of the tube 16 determines the maximum expansions of the majority of the graft 10 and this diameter has been selected in advance by X-ray examination, or the like, to be substantially equal or only very slightly larger than, the diameter of the undistended aorta 11 .
  • the balloon is, however, able to expand the alternating crests of the end wires 17 so that they are pushed firmly into contact with the wall of the aorta. These radially outwardly displaced crests serve to more effectively restrain the graft 10 against longitudinal movement relative to the aorta.

Abstract

An intraluminal graft includes a tubular graft body extending along a cylindrical axis, a plurality of wires spaced apart from each other and arranged to circumferentially reinforce said tubular graft body along a substantial portion of its length, and a body surface including an inner surface region and an outer surface region. The body surface defines a plurality of apertures extending from an exterior space, and a first portion of a first wire is in the interior space while a second portion of the first wire is in the exterior space.

Description

    FIELD OF THE INVENTION
  • The present invention relates to an intraluminal graft for use in treatment of aneurysms or occlusive diseases. [0001]
  • BACKGROUND ART
  • It is known to use stents and intraluminal grafts of various designs for the treatment of aneurysms such as aortal aneurysms and for the treatment of occlusive diseases such as the occlusion of blood vessels or like ducts such as the bile duct and the ureter (which are all hereinafter called “vessels”). It is known to form such an intraluminal graft of a sleeve in which is disposed a plurality of self expanding wire stents (see Balko A. et al., “Transfemoral Placement of Intraluminal Polyurethane Prosthesis for Abdominal Aortic Aneurysms”, Journal of Surgical Research [0002] 40, 305-309 (1986); Mirich D. et al, “Percutaneously Placed Endovascular Grafts for Aortic Aneurysms: Feasibility Study” Radiology, Vol. 170, No. 3, part 2, 1033-1037 (1989)). Such intraluminal grafts are inserted through the femoral artery into the aorta in a catheter. Upon the release of the graft from the catheter it expands to the size of the aorta above and below the aneurysms and bridges the aneurysms.
  • There are a number of problems associated with such known grafts. These include the problem of twisting or kinking of the graft when it has to extend along a non-linear path which, twisting or kinking can lead to occlusion of the lumen of the graft; lack of precise control of the expansion of the graft in the lumen; avoidance of inadvertent separation of a supporting stent and the covering sleeve; and maintaining the graft against longitudinal movement along the lumen in which it is placed. The present invention is directed to an alternative form of intraluminal graft which provides an alternative to the known grafts. [0003]
  • DISCLOSURE OF THE INVENTION
  • In a first aspect the present invention consists in an intraluminal graft comprising a tubular graft body which is circumferentially reinforced along its length by a plurality of separate, spaced-apart, maleable wires, each of which has a generally closed sinusoidal or zig-zag shape, one of the wires being located adjacent to one end of the graft body such that alternate crests or apices of the wire projects beyond at least part of that end. [0004]
  • In another aspect the invention relates to a method for positioning an intraluminal graft as defined above comprising introducing a catheter into a vein, artery or other vessel in the body, causing an intraluminal graft as defined above to be carried through the catheter on an inflatable balloon until the graft extends into the vessel from the proximal end of the catheter, inflating the balloon to cause the alternate crests or apices of the one wire to be urged into contact with the wall of the vessel, deflating the balloon and withdrawing the balloon and the catheter from the vessel. [0005]
  • In preferred embodiments of the invention each end of the graft will be provided with a wire which has alternate crests or apices extending beyond the adjacent end of the graft body. While the graft will normally have wires at each end of the graft with their crests extending beyond the graft body it may be necessary or desirable for a surgeon to shorten a graft and this may be achieved by cutting off part of the graft body. In this case the graft will have extending crests at only one end. [0006]
  • The projection of alternate crests or apices of the end wire or wires beyond at least part of the end or ends of the graft body is an important feature of this invention. As the graft is expanded by a balloon the expansion of the wires, and of the balloon, will be limited by the diameter of the tubular graft body except in the region of the alternate crests or apices of the end wire or wires. The balloon will be able to expand these crests slightly more than the remainder of the wire so that they bell outwardly away from the adjacent end of the graft body. The crests are forced into contact with the wall of the vessel and thereby become at least partly embedded into the vessel wall. This belling out of the crests of the wires at one or both ends of the graft body into contact with the inside surface of the vessel wall and then being at least partly embedded in the wall will assist in resisting any tendency for the graft to move longitudinally within the vessel after insertion. The wire crests may extend across the lumen of a vessel opening into the vessel in which the graft is being placed without occluding that lumen. This allows the intraluminal graft to be used in situations in which the aneurysm to be bridged commences closely adjacent divergent blood vessels. In most cases there will be crests of wire actually projecting totally beyond the end of the graft materials. It would, however, be possible to have flaps of graft material protruding up the outside of each crest even though intermediate the crests the end of the graft stops well short of the crests. In this latter arrangement the crests are still free to bell outwardly as has been described above even though the crests do not extend absolutely beyond the end of the graft. [0007]
  • It is preferred that the one wire has a greater amplitude than at least the next adjacent one or two wires. This allows the wires at the end of the graft to be positioned more closely together than would be the case if they were all of the same amplitude. It is desirable to space the wires adjacent the end of the graft that will be placed “upstream” in the patient as close together as is possible as the neck of the aneurysm with which the graft is engaged can be quite short. Close spacing of the wires maximises the number of wires reinforcing that part of the graft in contact with the neck of the aneurysm. The spacing of the rest of the wires is desirably greater than those adjacent the one end of the graft as this avoids unnecessarily reducing the flexibility of the graft. [0008]
  • The wavelength of the wires in the graft is preferably substantially the same when compressed however when expanded the end wires will have a shorter wavelength than the intermediate wires as the intermediate wires will not bear against the arterial wall and may therefore be more fully expanded. [0009]
  • It is preferred that the edge of the one end of the graft is scooped out or scalloped between each projecting crest of the one wire. This reduces the possibility that a piece of the graft between those crests could project into the arterial lumen and partially occlude it or direct blood around the outside of the graft. [0010]
  • The tubular graft body is preferably formed of a thin biocompatible material such as Dacron or PTFE. The tube material is preferably crimped along its length to increase its flexibility, however, uncrimped material may be used in suitable circumstances. In preferred embodiments of the invention the graft body may be formed from a material having a limited amount of diametric elasticity to ensure that it can be expanded into contact with the vessel wall. The length and diameter of the graft body will be determined by the individual circumstances of the application to which the intraluminal graft is to be put. Typically, the vessel will be assessed by X-ray or other similar examination and a suitably dimensioned graft selected for that application. [0011]
  • The wires are preferably formed of stainless steel or another metal or a plastic which is maleable and is biocompatible. Each wire is preferably woven into the fabric of the graft body to integrate the body and the reinforcing wires. This prevents any possibility of the wire reinforcement separating from the graft body during introduction of the graft or throughout its life. If the graft body is of a woven material the wires may be interwoven with the graft body during its production or alternatively they may be interwoven with the graft body after its manufacture. If the graft body is not woven but is knitted or of an impervious sheet material then the wires may be threaded through suitable holes formed in the graft body. The interweaving of the wires with the graft body has been found to be particularly desirable as it prevents separation of the wires from the graft body which could have serious adverse consequences. It has also been found that this technique is very good for causing the graft to expand effectively with the wires. [0012]
  • In alternative embodiments the wires may be held in place by sutures or adhesives or may be sandwiched between layers of a multi-layered tubular graft body. In all of the foregoing arrangements the wires are preferably disposed substantially within the graft body. It is, however, within the ambit of the invention that the wires may be connected to, and be disposed on, the outside surface of the graft body. [0013]
  • The intraluminal grafts according to this invention may be used to treat aneurysms or occlusive disease. In addition to treating aortic aneurysms they are particularly suitable for treating aneurysms of the femoral artery, the popliteal artery, the thoracic segment of the aorta, visceral arteries such as the renal and mesenteric arteries, the iliac artery and the sub-clavian artery. The presence of the metal wires in the intraluminal grafts according to this invention assists in placing the graft as the wires are X-ray detectable. As the wires are arrayed along the length of the graft the complete position of the graft in the body can be continuously monitored. [0014]
  • The grafts according to this invention are typically substantially of constant diameter along their length ie, they are substantially cylindrical. It is possible, however, for the grafts to be frusto-conical in shape with a diameter that increases, or decreases, along the length of the graft. [0015]
  • The ends of the wires are joined together to form a tail which is preferably on the outside of the graft body and is positioned to lie along its radially outer surface. The ends may be joined by welding, by being twisted together or in any other suitable manner. The ends of the wires may inadvertently perforate the vessel in which the graft is placed, however, any such perforation will be occluded by the graft body thus ensuring that such a perforation will not adversely affect the patient. The ends of adjacent wires are preferably spaced apart radially about the graft body so as not to affect its flexibility and to avoid a line of ends engaging the wall of the vessel. The ends of adjacent wires preferably project in opposite directions along the vessel body. When the intraluminal graft is inserted into a vessel those wire ends which engage the inside surface of the vessel wall will assist in preventing the graft from inadvertent movement along the vessel. Causing the ends of alternate wires to project in opposite longitudinal directions along the graft body will assist in preventing longitudinal movement of the graft along the vessel in either direction. [0016]
  • In some circumstances it is desirable to insert two or more overlapped intraluminal grafts according to the present invention. In this case the first or upstream graft preferably has at its downstream end a “skirt” without reinforcing wires. This skirt is typically 10 to 15 mm in length. The second or downstream graft is inserted into the downstream end of the first graft and is expanded to engage with it. There is preferably an overlap of at least 10 mm however the degree of overlap is often adjusted so that the downstream end of the second graft is correctly placed in the downstream neck of the aneurysm being treated. This can lead to a greater overlap than is the minimum required but is a useful technique to ensure that the overall length of the graft is correct. [0017]
  • It is sometimes the case that the aneurysm extends up to or slightly beyond an arterial bifurcation. In such a case it is possible to place a graft according to the present invention which has a bifurcation at its downstream end, a so-called “trouser graft”, wholly within the primary artery. A supplemental graft may then be introduced through each of the subsidiary arteries and overlapped with the respective lumenae of the bifurcated part of the primary graft. In the case of an aneurysm in the aorta, for instance, that extended into each of the iliac arteries the primary graft of the “trouser” type would be placed in the aorta through one of the iliac arteries. Supplemental grafts which dock with the bifurcated end of the primary graft would then be inserted through each of the iliac arteries. [0018]
  • In those cases where one graft according to this invention is to be inserted into the downstream end of another such graft it may be desirable to provide means to stop the “skirt” on the downstream end of the other graft from being distorted by the insertion of the one graft. This may conveniently be done in one or other of two ways. The skirt may be provided with a small number of linear reinforcement wires extending longitudinally of the graft. In this case, the wires are spaced about the circumference of the skirt. Alternatively, the skirt may be provided with at least one resilient annular reinforcement wire. The resilient reinforcement wire will spring into an expanded condition upon being released from the catheter through which it is introduced into the body. This latter arrangement is particularly suitable in the case of “trouser grafts” wherein one leg of the graft will have a skirt which cannot be expanded by a balloon catheter.[0019]
  • BRIEF DESCRIPTION OF DRAWINGS
  • Hereinafter given by way of example is a preferred embodiment of the present invention described with reference to the accompanying drawings, in which:- [0020]
  • FIG. 1 is a diagrammatic partially cut-away ventral view of a patient with an aortic aneurysm which has been bridged by an intraluminal graft according to the present invention; [0021]
  • FIG. 2 is a side elevational view of the intraluminal graft of FIG. 1; [0022]
  • FIG. 3 is a longitudinal sectional view through the intraluminal graft of FIG. 2; [0023]
  • FIG. 4 is a detailed longitudinal sectional view through the intraluminal graft of FIG. 2 as it is being expanded into contact with the aorta of a patient during placement; [0024]
  • FIG. 5 is a detailed longitudinal sectional wire through the intraluminal graft of FIG. 2 after it has been inserted into the aorta of a patient; [0025]
  • FIG. 6 is a detailed elevational view of one end of the intraluminal graft of FIG. 2; and [0026]
  • FIG. 7 is a detailed perspective view of the one end of the intraluminal graft of FIG. 6 showing how the alternate crests of the end wire of the graft are pushed radially outwardly during insertion of the graft.[0027]
  • BEST MODE OF CARRYING OUT THE INVENTION
  • The [0028] intraluminal graft 10 is adapted for insertion transfemorally into a patient to achieve bridging and occlusion of the aneurysm present in the aorta. As is seen in FIG. 1 the aorta 11 is connected to the left and right femoral arteries 12 and 13. The aortic aneurysm is located between the renal arteries 14 and 15 and the junctions of the femoral arteries 12 and 13 with the aorta 11. The graft 10 is, as will be described subsequently in more detail, inserted inside a catheter introduced into one of the femoral arteries 12 or 13 in a leg of the patient. Once the catheter is located appropriately with its proximal end in the aorta 11 the graft 10 is ejected from the catheter and expanded so that each end is in intimate contact around its full periphery with the aorta 11. The graft 10 then bridges the aneurysm and isolates any thrombosis or gelatinuous material associated with the aneurysm outside the graft 10 to reduce the risk of embolisation.
  • The [0029] intraluminal graft 10 comprises a crimped tube 16 of woven Dacron. The tube is reinforced along its length by a number of separate and spaced apart stainless-steel wires 17 (each of which has a generally closed sinusoidal shape). The wires 17 are preferably as thin as possible and are typically 0.3 to 0.4 mm in diameter. The wires 17 are maleable and may be bent into any desired shape, ie they are not resilient to any substantial extent so that they have to be physically expanded into contact with the aorta rather than expanding by virtue of their own resilience. The wires 17 are each woven into the fabric of the tube 16 such that alternate crests of each wire 17 are outside the tube 16 with the remainder of that wire 17 inside the tube (except in the case of the endmost wires as will be hereinafter described). The ends of each wire 17 are located outside the tube 16 and are twisted together to form a tail 18. The tails 18 of alternate wires 17 are bent to extend in opposite longitudinal directions along the outside surface of the tube 16.
  • The endmost ones of the [0030] wires 17 overhang the respective ends of the tube 17 so that alternate crests of those wires extend longitudinally beyond the end of the tube 16. The endmost wire 17 preferably has an amplitude of about 6 mm and a wavelength such that between six and eight crests are spaced around the circumference of a 22 mm diameter graft. The next two adjacent wires 18 preferably are spaced as close as possible to the wire 17 and respectively have amplitudes of 4 mm and 5 mm. These wires will typically have the same wavelength initially as the wire 17. Thereafter throughout the graft 10 the wires 18 are spaced at 15 mm intervals, have an amplitude of 6 mm, and have substantially the same initial wavelength as the wire 17.
  • In use the [0031] graft 10 is radially compressed about an inflation balloon 19 (see FIG. 4) and the assembly is inserted into the end of a sheath catheter 21. The sheath catheter 21 is inserted in a known manner through the femoral artery into the aorta 11 until the proximal end of the catheter 21 is beyond the proximal end of the aneurysm. The balloon 19 and the collapsed graft 10 disposed on it, are held stationary and the catheter withdrawn until the graft 10 is fully exposed and spans the aneurysm. The balloon is then inflated to expand the graft 10. The diameter of the tube 16 determines the maximum expansions of the majority of the graft 10 and this diameter has been selected in advance by X-ray examination, or the like, to be substantially equal or only very slightly larger than, the diameter of the undistended aorta 11. The balloon is, however, able to expand the alternating crests of the end wires 17 so that they are pushed firmly into contact with the wall of the aorta. These radially outwardly displaced crests serve to more effectively restrain the graft 10 against longitudinal movement relative to the aorta.

Claims (11)

1. An intraluminal graft comprising a tubular graft body which is circumferentially reinforced along its length by a plurality of separate, spaced-apart, maleable wires, each of which has a generally closed ainusoidal or zig-zag shape, one of the wires being located adjacent to one end of the graft body such that alternate crests or apices of the wire projects beyond at least part of that end.
2. An intraluminal graft as claimed in claim 1 in which each end of the graft body is provided with a wire which has alternate crests or apices extending beyond the adjacent end of the graft body.
3. An intraluminal graft as claimed in claim 1 in which the one wire has a greater amplitude than the next adjacent wire, and preferably the next two adjacent wires.
4. An intraluminal graft as claimed in claim 1 in which wires adjacent the one end of the graft body are more closely spaced than wires intermediate the ends of the graft body.
5. An intraluminal graft as claimed in claim 1 in which the wavelength of the wires is substantially constant along the length of the graft body.
6. An intraluminal graft as claimed in claim 1 in which the one wire has a greater amplitude and a smaller wavelength than at least a majority of the other wires in the graft.
7. An intraluminal graft as claimed in claim 1 in which the edge of the one end of the graft is scooped out or scalloped between each projecting crest or apex of the one wire.
8. An intraluminal graft as claimed in claim 1 in which wires are interwoven with the graft body.
9. An intraluminar graft as claimed in claim 8 in which the ends of each wire are twisted together on the outside of the graft body.
10. An intraluminar graft as claimed in claim 1 in which the alternate crests or apices extend completely beyond the end of the graft body.
11. A method for positioning an intraluminal graft, comprising introducing a catheter into a vein, artery or other vessel in the body, causing an intraluminal graft as claimed in any one of claims 1 to 10 to be carried through the catheter on an inflatable balloon until the graft extends into the vessel from the proximal end of the catheter, inflating the balloon to cause the alternate crests or apices of the one wire to be urged into contact with the wall of the vessel, deflating the balloon and withdrawing the balloon and the catheter from the vessel.
US10/733,292 1993-09-30 2003-12-12 Intraluminal graft Abandoned US20040122508A1 (en)

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US10/733,292 US20040122508A1 (en) 1993-09-30 2003-12-12 Intraluminal graft
US11/556,788 US8052742B2 (en) 1993-09-30 2006-11-06 Intraluminal graft
US12/036,819 US20080147172A1 (en) 1993-09-30 2008-02-25 Intraluminal Graft

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AUPM153793 1993-09-30
AUPM1537 1993-09-30
US08/446,672 US5782904A (en) 1993-09-30 1994-09-29 Intraluminal graft
US09/071,731 US6582458B1 (en) 1993-09-30 1998-05-01 Intraluminal graft
US09/478,352 US6689158B1 (en) 1993-09-30 2000-01-06 Intraluminal graft
US10/733,292 US20040122508A1 (en) 1993-09-30 2003-12-12 Intraluminal graft

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US10/733,292 Abandoned US20040122508A1 (en) 1993-09-30 2003-12-12 Intraluminal graft
US11/556,788 Expired - Fee Related US8052742B2 (en) 1993-09-30 2006-11-06 Intraluminal graft
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Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050143806A1 (en) * 1998-01-26 2005-06-30 Phillips Peter W. Reinforced graft and method of deployment
US20130190676A1 (en) * 2006-04-20 2013-07-25 Limflow Gmbh Devices and methods for fluid flow through body passages
US9314329B2 (en) 2013-03-08 2016-04-19 Limflow Gmbh Methods and systems for providing or maintaining fluid flow through body passages
US9545263B2 (en) 2014-06-19 2017-01-17 Limflow Gmbh Devices and methods for treating lower extremity vasculature
US9669194B2 (en) 2013-03-14 2017-06-06 W. L. Gore & Associates, Inc. Conformable balloon devices and methods
US9730726B2 (en) 2011-10-07 2017-08-15 W. L. Gore & Associates, Inc. Balloon assemblies having controllably variable topographies
US10398580B2 (en) 2004-09-08 2019-09-03 Limflow Gmbh Minimally invasive surgical apparatus and methods
US10543308B2 (en) 2017-04-10 2020-01-28 Limflow Gmbh Methods for routing a guidewire from a first vessel and through a second vessel in lower extremity vasculature
US10835367B2 (en) 2013-03-08 2020-11-17 Limflow Gmbh Devices for fluid flow through body passages
US11116943B2 (en) 2018-10-09 2021-09-14 Limflow Gmbh Methods for accessing pedal veins
US20220273416A1 (en) * 2015-05-11 2022-09-01 Trivascular, Inc. Stent-graft with improved flexibility
US11612397B2 (en) 2019-11-01 2023-03-28 Limflow Gmbh Devices and methods for increasing blood perfusion to a distal extremity

Families Citing this family (71)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6685736B1 (en) * 1993-09-30 2004-02-03 Endogad Research Pty Limited Intraluminal graft
US6051020A (en) * 1994-02-09 2000-04-18 Boston Scientific Technology, Inc. Bifurcated endoluminal prosthesis
US6352561B1 (en) * 1996-12-23 2002-03-05 W. L. Gore & Associates Implant deployment apparatus
US20050154446A1 (en) * 1998-01-26 2005-07-14 Peter Phillips Reinforced graft
US6395019B2 (en) * 1998-02-09 2002-05-28 Trivascular, Inc. Endovascular graft
US6623521B2 (en) 1998-02-17 2003-09-23 Md3, Inc. Expandable stent with sliding and locking radial elements
US20070142901A1 (en) * 1998-02-17 2007-06-21 Steinke Thomas A Expandable stent with sliding and locking radial elements
US6287335B1 (en) * 1999-04-26 2001-09-11 William J. Drasler Intravascular folded tubular endoprosthesis
US7547321B2 (en) * 2001-07-26 2009-06-16 Alveolus Inc. Removable stent and method of using the same
US7147661B2 (en) 2001-12-20 2006-12-12 Boston Scientific Santa Rosa Corp. Radially expandable stent
AU2003270070A1 (en) * 2002-09-04 2004-03-29 Reva Medical, Inc. A slide and lock stent and method of manufacture from a single piece shape
US20040093056A1 (en) * 2002-10-26 2004-05-13 Johnson Lianw M. Medical appliance delivery apparatus and method of use
US7959671B2 (en) * 2002-11-05 2011-06-14 Merit Medical Systems, Inc. Differential covering and coating methods
US7875068B2 (en) 2002-11-05 2011-01-25 Merit Medical Systems, Inc. Removable biliary stent
US7527644B2 (en) * 2002-11-05 2009-05-05 Alveolus Inc. Stent with geometry determinated functionality and method of making the same
US7637942B2 (en) * 2002-11-05 2009-12-29 Merit Medical Systems, Inc. Coated stent with geometry determinated functionality and method of making the same
US20040111146A1 (en) * 2002-12-04 2004-06-10 Mccullagh Orla Stent-graft attachment
AU2004208554B2 (en) * 2003-01-28 2008-11-06 Gambro Lundia Ab An apparatus and method for monitoring a vascular access of a patient
US7637934B2 (en) * 2003-03-31 2009-12-29 Merit Medical Systems, Inc. Medical appliance optical delivery and deployment apparatus and method
US20050033416A1 (en) * 2003-05-02 2005-02-10 Jacques Seguin Vascular graft and deployment system
US8298280B2 (en) * 2003-08-21 2012-10-30 Boston Scientific Scimed, Inc. Stent with protruding branch portion for bifurcated vessels
US8292943B2 (en) 2003-09-03 2012-10-23 Bolton Medical, Inc. Stent graft with longitudinal support member
US20080264102A1 (en) 2004-02-23 2008-10-30 Bolton Medical, Inc. Sheath Capture Device for Stent Graft Delivery System and Method for Operating Same
US11596537B2 (en) 2003-09-03 2023-03-07 Bolton Medical, Inc. Delivery system and method for self-centering a proximal end of a stent graft
US9198786B2 (en) 2003-09-03 2015-12-01 Bolton Medical, Inc. Lumen repair device with capture structure
US20070198078A1 (en) * 2003-09-03 2007-08-23 Bolton Medical, Inc. Delivery system and method for self-centering a Proximal end of a stent graft
US8500792B2 (en) * 2003-09-03 2013-08-06 Bolton Medical, Inc. Dual capture device for stent graft delivery system and method for capturing a stent graft
US11259945B2 (en) 2003-09-03 2022-03-01 Bolton Medical, Inc. Dual capture device for stent graft delivery system and method for capturing a stent graft
US7763063B2 (en) 2003-09-03 2010-07-27 Bolton Medical, Inc. Self-aligning stent graft delivery system, kit, and method
US7763065B2 (en) * 2004-07-21 2010-07-27 Reva Medical, Inc. Balloon expandable crush-recoverable stent device
CA2586018A1 (en) * 2004-11-03 2006-07-13 Jacques Seguin Vascular graft and deployment system
US8292944B2 (en) * 2004-12-17 2012-10-23 Reva Medical, Inc. Slide-and-lock stent
EP1879520B1 (en) 2005-05-09 2013-03-13 Angiomed GmbH & Co. Medizintechnik KG Implant delivery device
US20070010780A1 (en) * 2005-06-27 2007-01-11 Venkataramana Vijay Methods of implanting an aorto-coronary sinus shunt for myocardial revascularization
US20070010781A1 (en) * 2005-06-27 2007-01-11 Venkataramana Vijay Implantable aorto-coronary sinus shunt for myocardial revascularization
US9149378B2 (en) 2005-08-02 2015-10-06 Reva Medical, Inc. Axially nested slide and lock expandable device
US7914574B2 (en) * 2005-08-02 2011-03-29 Reva Medical, Inc. Axially nested slide and lock expandable device
WO2007053592A2 (en) * 2005-10-31 2007-05-10 Cook Incorporated Composite stent graft
US20080097620A1 (en) * 2006-05-26 2008-04-24 Nanyang Technological University Implantable article, method of forming same and method for reducing thrombogenicity
US20080082159A1 (en) * 2006-09-28 2008-04-03 Cook Incorporated Stent for Endovascular Procedures
US7704275B2 (en) 2007-01-26 2010-04-27 Reva Medical, Inc. Circumferentially nested expandable device
US8177834B2 (en) * 2007-03-12 2012-05-15 Cook Medical Technologies Llc Woven fabric with shape memory element strands
US8663309B2 (en) 2007-09-26 2014-03-04 Trivascular, Inc. Asymmetric stent apparatus and method
US8066755B2 (en) 2007-09-26 2011-11-29 Trivascular, Inc. System and method of pivoted stent deployment
US8226701B2 (en) 2007-09-26 2012-07-24 Trivascular, Inc. Stent and delivery system for deployment thereof
EP2194921B1 (en) 2007-10-04 2018-08-29 TriVascular, Inc. Modular vascular graft for low profile percutaneous delivery
US8083789B2 (en) 2007-11-16 2011-12-27 Trivascular, Inc. Securement assembly and method for expandable endovascular device
US8328861B2 (en) 2007-11-16 2012-12-11 Trivascular, Inc. Delivery system and method for bifurcated graft
JP5216098B2 (en) 2007-11-30 2013-06-19 レヴァ メディカル、 インコーポレイテッド Axial and radially nested expandable device
US8834552B2 (en) * 2007-12-27 2014-09-16 Cook Medical Technologies Llc Stent graft having floating yarns
US8187316B2 (en) * 2007-12-27 2012-05-29 Cook Medical Technologies Llc Implantable graft device having treated yarn and method for making same
US20090171451A1 (en) * 2007-12-27 2009-07-02 Cook Incorporated Implantable device having composite weave
FR2926214B1 (en) * 2008-01-10 2010-12-31 Novatech Sa ENDOPROSTHESIS FOR ANATOMICAL CANAL
US8206635B2 (en) 2008-06-20 2012-06-26 Amaranth Medical Pte. Stent fabrication via tubular casting processes
US8206636B2 (en) 2008-06-20 2012-06-26 Amaranth Medical Pte. Stent fabrication via tubular casting processes
AU2009269146B2 (en) 2008-06-30 2013-05-16 Bolton Medical, Inc. Abdominal aortic aneurysms: systems and methods of use
EP2331014B1 (en) 2008-10-10 2017-08-09 Reva Medical, Inc. Expandable slide and lock stent
US8641753B2 (en) * 2009-01-31 2014-02-04 Cook Medical Technologies Llc Preform for and an endoluminal prosthesis
BRPI1012599A2 (en) 2009-03-13 2016-03-22 Bolton Medical Inc system and method for placing an endoluminal prosthesis in a surgical site
EP2519189B1 (en) 2009-12-28 2014-05-07 Cook Medical Technologies LLC Endoluminal device with kink-resistant regions
US20110218617A1 (en) * 2010-03-02 2011-09-08 Endologix, Inc. Endoluminal vascular prosthesis
WO2011127452A1 (en) 2010-04-10 2011-10-13 Reva Medical, Inc Expandable slide and lock stent
DE102010035543A1 (en) * 2010-08-26 2012-03-01 Acandis Gmbh & Co. Kg Medical device and system with such a device
DE102011053021B4 (en) 2010-08-26 2013-12-19 Acandis Gmbh & Co. Kg Electrode for medical applications, system with an electrode and method of making an electrode
US20120283811A1 (en) * 2011-05-02 2012-11-08 Cook Medical Technologies Llc Biodegradable, bioabsorbable stent anchors
AU2012203620B9 (en) 2011-06-24 2014-10-02 Cook Medical Technologies Llc Helical Stent
US8992595B2 (en) 2012-04-04 2015-03-31 Trivascular, Inc. Durable stent graft with tapered struts and stable delivery methods and devices
US9498363B2 (en) 2012-04-06 2016-11-22 Trivascular, Inc. Delivery catheter for endovascular device
ES2618221T3 (en) 2012-04-12 2017-06-21 Bolton Medical Inc. Vascular prosthesis administration device and method of use
US9408732B2 (en) 2013-03-14 2016-08-09 Reva Medical, Inc. Reduced-profile slide and lock stent
US9439751B2 (en) 2013-03-15 2016-09-13 Bolton Medical, Inc. Hemostasis valve and delivery systems

Citations (94)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US575612A (en) * 1897-01-19 Car-coupling
US3304557A (en) * 1965-09-28 1967-02-21 Ethicon Inc Surgical prosthesis
US3868956A (en) * 1972-06-05 1975-03-04 Ralph J Alfidi Vessel implantable appliance and method of implanting it
US3878565A (en) * 1971-07-14 1975-04-22 Providence Hospital Vascular prosthesis with external pile surface
US3890977A (en) * 1974-03-01 1975-06-24 Bruce C Wilson Kinetic memory electrodes, catheters and cannulae
US3966938A (en) * 1972-10-26 1976-06-29 Sandoz Ltd. Treatment of thrombosis and the inhibition of blood platelet aggregation
US4149911A (en) * 1977-01-24 1979-04-17 Raychem Limited Memory metal article
US4425908A (en) * 1981-10-22 1984-01-17 Beth Israel Hospital Blood clot filter
US4503569A (en) * 1983-03-03 1985-03-12 Dotter Charles T Transluminally placed expandable graft prosthesis
US4512338A (en) * 1983-01-25 1985-04-23 Balko Alexander B Process for restoring patency to body vessels
US4562596A (en) * 1984-04-25 1986-01-07 Elliot Kornberg Aortic graft, device and method for performing an intraluminal abdominal aortic aneurysm repair
US4577631A (en) * 1984-11-16 1986-03-25 Kreamer Jeffry W Aneurysm repair apparatus and method
US4580568A (en) * 1984-10-01 1986-04-08 Cook, Incorporated Percutaneous endovascular stent and method for insertion thereof
US4649922A (en) * 1986-01-23 1987-03-17 Wiktor Donimik M Catheter arrangement having a variable diameter tip and spring prosthesis
US4655771A (en) * 1982-04-30 1987-04-07 Shepherd Patents S.A. Prosthesis comprising an expansible or contractile tubular body
US4665918A (en) * 1986-01-06 1987-05-19 Garza Gilbert A Prosthesis system and method
US4665906A (en) * 1983-10-14 1987-05-19 Raychem Corporation Medical devices incorporating sim alloy elements
US4681110A (en) * 1985-12-02 1987-07-21 Wiktor Dominik M Catheter arrangement having a blood vessel liner, and method of using it
US4728328A (en) * 1984-10-19 1988-03-01 Research Corporation Cuffed tubular organic prostheses
US4729766A (en) * 1980-08-28 1988-03-08 Astra Meditec Aktiebolag Vascular prosthesis and method in producing it
US4731073A (en) * 1981-02-13 1988-03-15 Thoratec Laboratories Corporation Arterial graft prosthesis
US4732152A (en) * 1984-12-05 1988-03-22 Medinvent S.A. Device for implantation and a method of implantation in a vessel using such device
US4733665A (en) * 1985-11-07 1988-03-29 Expandable Grafts Partnership Expandable intraluminal graft, and method and apparatus for implanting an expandable intraluminal graft
US4762128A (en) * 1986-12-09 1988-08-09 Advanced Surgical Intervention, Inc. Method and apparatus for treating hypertrophy of the prostate gland
US4800882A (en) * 1987-03-13 1989-01-31 Cook Incorporated Endovascular stent and delivery system
US4820298A (en) * 1987-11-20 1989-04-11 Leveen Eric G Internal vascular prosthesis
US4830003A (en) * 1988-06-17 1989-05-16 Wolff Rodney G Compressive stent and delivery system
US4856516A (en) * 1989-01-09 1989-08-15 Cordis Corporation Endovascular stent apparatus and method
US4913141A (en) * 1988-10-25 1990-04-03 Cordis Corporation Apparatus and method for placement of a stent within a subject vessel
US4922905A (en) * 1985-11-30 1990-05-08 Strecker Ernst P Dilatation catheter
US4923464A (en) * 1985-09-03 1990-05-08 Becton, Dickinson And Company Percutaneously deliverable intravascular reconstruction prosthesis
US4950227A (en) * 1988-11-07 1990-08-21 Boston Scientific Corporation Stent delivery system
US4994071A (en) * 1989-05-22 1991-02-19 Cordis Corporation Bifurcating stent apparatus and method
US5015253A (en) * 1989-06-15 1991-05-14 Cordis Corporation Non-woven endoprosthesis
US5019085A (en) * 1988-10-25 1991-05-28 Cordis Corporation Apparatus and method for placement of a stent within a subject vessel
US5019090A (en) * 1988-09-01 1991-05-28 Corvita Corporation Radially expandable endoprosthesis and the like
US5035706A (en) * 1989-10-17 1991-07-30 Cook Incorporated Percutaneous stent and method for retrieval thereof
US5037392A (en) * 1989-06-06 1991-08-06 Cordis Corporation Stent-implanting balloon assembly
US5037427A (en) * 1987-03-25 1991-08-06 Terumo Kabushiki Kaisha Method of implanting a stent within a tubular organ of a living body and of removing same
US5041126A (en) * 1987-03-13 1991-08-20 Cook Incorporated Endovascular stent and delivery system
US5078726A (en) * 1989-02-01 1992-01-07 Kreamer Jeffry W Graft stent and method of repairing blood vessels
US5078736A (en) * 1990-05-04 1992-01-07 Interventional Thermodynamics, Inc. Method and apparatus for maintaining patency in the body passages
US5085635A (en) * 1990-05-18 1992-02-04 Cragg Andrew H Valved-tip angiographic catheter
US5102417A (en) * 1985-11-07 1992-04-07 Expandable Grafts Partnership Expandable intraluminal graft, and method and apparatus for implanting an expandable intraluminal graft
US5104404A (en) * 1989-10-02 1992-04-14 Medtronic, Inc. Articulated stent
US5104399A (en) * 1986-12-10 1992-04-14 Endovascular Technologies, Inc. Artificial graft and implantation method
US5108416A (en) * 1990-02-13 1992-04-28 C. R. Bard, Inc. Stent introducer system
US5116318A (en) * 1989-06-06 1992-05-26 Cordis Corporation Dilatation balloon within an elastic sleeve
US5122154A (en) * 1990-08-15 1992-06-16 Rhodes Valentine J Endovascular bypass graft
US5123917A (en) * 1990-04-27 1992-06-23 Lee Peter Y Expandable intraluminal vascular graft
US5133732A (en) * 1987-10-19 1992-07-28 Medtronic, Inc. Intravascular stent
US5178630A (en) * 1990-08-28 1993-01-12 Meadox Medicals, Inc. Ravel-resistant, self-supporting woven graft
US5183085A (en) * 1991-09-27 1993-02-02 Hans Timmermans Method and apparatus for compressing a stent prior to insertion
US5192307A (en) * 1987-12-08 1993-03-09 Wall W Henry Angioplasty stent
US5192297A (en) * 1991-12-31 1993-03-09 Medtronic, Inc. Apparatus and method for placement and implantation of a stent
US5195984A (en) * 1988-10-04 1993-03-23 Expandable Grafts Partnership Expandable intraluminal graft
US5201901A (en) * 1987-10-08 1993-04-13 Terumo Kabushiki Kaisha Expansion unit and apparatus for expanding tubular organ lumen
US5207695A (en) * 1989-06-19 1993-05-04 Trout Iii Hugh H Aortic graft, implantation device, and method for repairing aortic aneurysm
US5211658A (en) * 1991-11-05 1993-05-18 New England Deaconess Hospital Corporation Method and device for performing endovascular repair of aneurysms
US5219355A (en) * 1990-10-03 1993-06-15 Parodi Juan C Balloon device for implanting an aortic intraluminal prosthesis for repairing aneurysms
US5275622A (en) * 1983-12-09 1994-01-04 Harrison Medical Technologies, Inc. Endovascular grafting apparatus, system and method and devices for use therewith
US5282860A (en) * 1991-10-16 1994-02-01 Olympus Optical Co., Ltd. Stent tube for medical use
US5282824A (en) * 1990-10-09 1994-02-01 Cook, Incorporated Percutaneous stent assembly
US5282823A (en) * 1992-03-19 1994-02-01 Medtronic, Inc. Intravascular radially expandable stent
US5290305A (en) * 1991-10-11 1994-03-01 Kanji Inoue Appliance collapsible for insertion into human organs and capable of resilient restoration
US5292331A (en) * 1989-08-24 1994-03-08 Applied Vascular Engineering, Inc. Endovascular support device
US5304200A (en) * 1991-05-29 1994-04-19 Cordis Corporation Welded radially expandable endoprosthesis and the like
US5314472A (en) * 1991-10-01 1994-05-24 Cook Incorporated Vascular stent
US5316023A (en) * 1992-01-08 1994-05-31 Expandable Grafts Partnership Method for bilateral intra-aortic bypass
US5330500A (en) * 1990-10-18 1994-07-19 Song Ho Y Self-expanding endovascular stent with silicone coating
US5330528A (en) * 1989-12-01 1994-07-19 British Technology Group Limited Vascular surgical devices
US5383892A (en) * 1991-11-08 1995-01-24 Meadox France Stent for transluminal implantation
US5383928A (en) * 1992-06-10 1995-01-24 Emory University Stent sheath for local drug delivery
US5387235A (en) * 1991-10-25 1995-02-07 Cook Incorporated Expandable transluminal graft prosthesis for repair of aneurysm
US5389106A (en) * 1993-10-29 1995-02-14 Numed, Inc. Impermeable expandable intravascular stent
US5403341A (en) * 1994-01-24 1995-04-04 Solar; Ronald J. Parallel flow endovascular stent and deployment apparatus therefore
US5405377A (en) * 1992-02-21 1995-04-11 Endotech Ltd. Intraluminal stent
US5409019A (en) * 1992-10-30 1995-04-25 Wilk; Peter J. Coronary artery by-pass method
US5413597A (en) * 1990-12-29 1995-05-09 Krajicek; Milan Three-layer vascular prostheses
US5415664A (en) * 1994-03-30 1995-05-16 Corvita Corporation Method and apparatus for introducing a stent or a stent-graft
US5429144A (en) * 1992-10-30 1995-07-04 Wilk; Peter J. Coronary artery by-pass method
US5489295A (en) * 1991-04-11 1996-02-06 Endovascular Technologies, Inc. Endovascular graft having bifurcation and apparatus and method for deploying the same
US5507771A (en) * 1992-06-15 1996-04-16 Cook Incorporated Stent assembly
US5507767A (en) * 1992-01-15 1996-04-16 Cook Incorporated Spiral stent
US5522880A (en) * 1990-06-11 1996-06-04 Barone; Hector D. Method for repairing an abdominal aortic aneurysm
US5609627A (en) * 1994-02-09 1997-03-11 Boston Scientific Technology, Inc. Method for delivering a bifurcated endoluminal prosthesis
US5609605A (en) * 1994-08-25 1997-03-11 Ethicon, Inc. Combination arterial stent
US5639278A (en) * 1993-10-21 1997-06-17 Corvita Corporation Expandable supportive bifurcated endoluminal grafts
US5709713A (en) * 1995-03-31 1998-01-20 Cardiovascular Concepts, Inc. Radially expansible vascular prosthesis having reversible and other locking structures
US5752522A (en) * 1995-05-04 1998-05-19 Cardiovascular Concepts, Inc. Lesion diameter measurement catheter and method
US5782904A (en) * 1993-09-30 1998-07-21 Endogad Research Pty Limited Intraluminal graft
US5860923A (en) * 1995-01-30 1999-01-19 Cardiovascular Concepts, Inc. Lesion measurement catheter and method
US5871536A (en) * 1993-11-08 1999-02-16 Lazarus; Harrison M. Intraluminal vascular graft and method
US6689158B1 (en) * 1993-09-30 2004-02-10 Endogad Research Pty Limited Intraluminal graft

Family Cites Families (87)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US531623A (en) * 1895-01-01 Armature for dynamo-electric machines or motors
US649051A (en) 1900-01-22 1900-05-08 Joseph A Hamman Stack-former.
DE1766921U (en) 1957-03-25 1958-05-14 Claire Josephine Agne Perreard PEN.
US3996938A (en) 1975-07-10 1976-12-14 Clark Iii William T Expanding mesh catheter
FR2333487A1 (en) 1975-12-02 1977-07-01 Rhone Poulenc Ind Implantable surgical tubing with sewable ends - has radially elastic wall including a fleece layer and reinforcement
US4140126A (en) 1977-02-18 1979-02-20 Choudhury M Hasan Method for performing aneurysm repair
DE2713321A1 (en) * 1977-03-25 1978-09-28 Duerr Dental Kg DEVICE FOR INSTALLATION IN DENTAL SUCTION SYSTEMS FOR SEPARATING LIQUID AND SOLID COMPONENTS
US4130904A (en) 1977-06-06 1978-12-26 Thermo Electron Corporation Prosthetic blood conduit
FR2409747A1 (en) 1977-11-28 1979-06-22 Rey Pierre NEW TOTAL OR PARTIAL URETERAL PROSTHESES
JPS6037734B2 (en) 1978-10-12 1985-08-28 住友電気工業株式会社 Tubular organ prosthesis material and its manufacturing method
US4416028A (en) 1981-01-22 1983-11-22 Ingvar Eriksson Blood vessel prosthesis
GB2106190A (en) 1981-07-31 1983-04-07 Leuven Res & Dev Vzw Thermally responsive actuators utilising shape memory, and exercising devices utilising the same
DE3250058C2 (en) 1981-09-16 1992-08-27 Medinvent S.A., Lausanne, Ch
CA1246956A (en) 1983-10-14 1988-12-20 James Jervis Shape memory alloys
US5067957A (en) 1983-10-14 1991-11-26 Raychem Corporation Method of inserting medical devices incorporating SIM alloy elements
US4560374A (en) 1983-10-17 1985-12-24 Hammerslag Julius G Method for repairing stenotic vessels
US4787899A (en) 1983-12-09 1988-11-29 Lazarus Harrison M Intraluminal graft device, system and method
US5669936A (en) 1983-12-09 1997-09-23 Endovascular Technologies, Inc. Endovascular grafting system and method for use therewith
US4617932A (en) 1984-04-25 1986-10-21 Elliot Kornberg Device and method for performing an intraluminal abdominal aortic aneurysm repair
SU1217402A1 (en) 1984-05-22 1986-03-15 Харьковский научно-исследовательский институт общей и неотложной хирургии Blood vessel prosthesis
SU1318235A1 (en) 1984-07-10 1987-06-23 Харьковский научно-исследовательский институт общей и неотложной хирургии Arrangement for fitting a prosthesis into a blood vessel
US4577051A (en) 1984-09-28 1986-03-18 The Standard Oil Company Bypass diode assembly for photovoltaic modules
EP0183372A1 (en) 1984-10-19 1986-06-04 RAYCHEM CORPORATION (a Delaware corporation) Prosthetic stent
US4649222A (en) * 1986-01-22 1987-03-10 Pennwalt Corporation 2-(substituted amino)-2-[2-hydroxy-2-alkyl (or phenyl)ethyl]tricyclo[3.3.1.13,7 ]decane hydrohalides
EP0257091B1 (en) 1986-02-24 1993-07-28 Robert E. Fischell An intravascular stent and percutaneous insertion system
US4878906A (en) 1986-03-25 1989-11-07 Servetus Partnership Endoprosthesis for repairing a damaged vessel
SE453258B (en) 1986-04-21 1988-01-25 Medinvent Sa ELASTIC, SELF-EXPANDING PROTEST AND PROCEDURE FOR ITS MANUFACTURING
US4655906A (en) * 1986-05-02 1987-04-07 Phillips Petroleum Company Hydrotreating process employing a novel catalytic composition
US4772264A (en) 1986-06-23 1988-09-20 Regents Of The University Of Minnesota Catheter introduction set
US4793348A (en) 1986-11-15 1988-12-27 Palmaz Julio C Balloon expandable vena cava filter to prevent migration of lower extremity venous clots into the pulmonary circulation
IT1202558B (en) 1987-02-17 1989-02-09 Alberto Arpesani INTERNAL PROSTHESIS FOR THE REPLACEMENT OF A PART OF THE HUMAN BODY PARTICULARLY IN THE VASCULAR OPERATIONS
SU1457921A1 (en) 1987-03-10 1989-02-15 Харьковский научно-исследовательский институт общей и неотложной хирургии Self-fixing prosthesis of blood vessel
US4872874A (en) 1987-05-29 1989-10-10 Taheri Syde A Method and apparatus for transarterial aortic graft insertion and implantation
US4969458A (en) 1987-07-06 1990-11-13 Medtronic, Inc. Intracoronary stent and method of simultaneous angioplasty and stent implant
JPH088933B2 (en) 1987-07-10 1996-01-31 日本ゼオン株式会社 Catheter
US4886062A (en) 1987-10-19 1989-12-12 Medtronic, Inc. Intravascular radially expandable stent and method of implant
US5266073A (en) 1987-12-08 1993-11-30 Wall W Henry Angioplasty stent
FR2627982B1 (en) 1988-03-02 1995-01-27 Artemis TUBULAR ENDOPROSTHESIS FOR ANATOMICAL CONDUITS, AND INSTRUMENT AND METHOD FOR ITS PLACEMENT
US4886065A (en) 1988-08-08 1989-12-12 California Institute Of Technology In vivo electrode implanting system
US5179630A (en) * 1988-10-06 1993-01-12 Kaiser Optical Systems, Inc. Laser protection window with tilted modulated index of refraction filter elements
US5163958A (en) 1989-02-02 1992-11-17 Cordis Corporation Carbon coated tubular endoprosthesis
JPH067843B2 (en) 1990-02-15 1994-02-02 寛治 井上 Artificial blood vessel with frame
US5057092A (en) 1990-04-04 1991-10-15 Webster Wilton W Jr Braided catheter with low modulus warp
IL94138A (en) 1990-04-19 1997-03-18 Instent Inc Device for the treatment of constricted fluid conducting ducts
US5344426A (en) 1990-04-25 1994-09-06 Advanced Cardiovascular Systems, Inc. Method and system for stent delivery
EP0461791B1 (en) 1990-06-11 1997-01-02 Hector D. Barone Aortic graft and apparatus for repairing an abdominal aortic aneurysm
US5578071A (en) 1990-06-11 1996-11-26 Parodi; Juan C. Aortic graft
US5064435A (en) 1990-06-28 1991-11-12 Schneider (Usa) Inc. Self-expanding prosthesis having stable axial length
US5344425A (en) 1990-09-14 1994-09-06 Interface Biomedical Laboratories, Corp. Intravascular stent and method for conditioning the surfaces thereof
US5161547A (en) 1990-11-28 1992-11-10 Numed, Inc. Method of forming an intravascular radially expandable stent
US5135536A (en) 1991-02-05 1992-08-04 Cordis Corporation Endovascular stent and method
US5360459A (en) 1991-05-13 1994-11-01 The Lubrizol Corporation Copper-containing organometallic complexes and concentrates and diesel fuels containing same
NL9101159A (en) 1991-07-03 1993-02-01 Industrial Res Bv FORMATTABLE EXPANDABLE RING, CYLINDER OR SLEEVE.
FR2678508B1 (en) 1991-07-04 1998-01-30 Celsa Lg DEVICE FOR REINFORCING VESSELS OF THE HUMAN BODY.
US5356433A (en) 1991-08-13 1994-10-18 Cordis Corporation Biocompatible metal surfaces
US5443498A (en) 1991-10-01 1995-08-22 Cook Incorporated Vascular stent and method of making and implanting a vacsular stent
US5151105A (en) 1991-10-07 1992-09-29 Kwan Gett Clifford Collapsible vessel sleeve implant
US5366504A (en) 1992-05-20 1994-11-22 Boston Scientific Corporation Tubular medical prosthesis
US5354309A (en) 1991-10-11 1994-10-11 Angiomed Ag Apparatus for widening a stenosis in a body cavity
US5456713A (en) 1991-10-25 1995-10-10 Cook Incorporated Expandable transluminal graft prosthesis for repairs of aneurysm and method for implanting
EP0539237A1 (en) 1991-10-25 1993-04-28 Cook Incorporated Expandable transluminal graft prosthesis for repair of aneurysm and method for implanting
CA2380683C (en) 1991-10-28 2006-08-08 Advanced Cardiovascular Systems, Inc. Expandable stents and method for making same
GR920100104A (en) 1992-03-13 1993-11-30 Christodoulos I Stefanadis Temporary luminal stent for the support of the vascular wall.
US5370683A (en) 1992-03-25 1994-12-06 Cook Incorporated Vascular stent
FR2689388B1 (en) 1992-04-07 1999-07-16 Celsa Lg PERFECTIONALLY RESORBABLE BLOOD FILTER.
US5354308A (en) 1992-05-01 1994-10-11 Beth Israel Hospital Association Metal wire stent
US5342387A (en) 1992-06-18 1994-08-30 American Biomed, Inc. Artificial support for a blood vessel
FR2693366B1 (en) 1992-07-09 1994-09-02 Celsa Lg Device forming a vascular prosthesis usable for the treatment of aneurysms.
US5382928A (en) * 1993-01-22 1995-01-17 The Whitaker Corporation RF filter having composite dielectric layer and method of manufacture
DE4303181A1 (en) 1993-02-04 1994-08-11 Angiomed Ag Implantable catheter
US5383895A (en) * 1993-02-10 1995-01-24 Unisurge, Inc. Endoscopic surgical grasper and method
NL9300500A (en) 1993-03-22 1994-10-17 Industrial Res Bv Expandable hollow sleeve for locally supporting and / or strengthening a body vessel, as well as a method for manufacturing it.
AU689094B2 (en) 1993-04-22 1998-03-26 C.R. Bard Inc. Non-migrating vascular prosthesis and minimally invasive placement system therefor
US5464449A (en) 1993-07-08 1995-11-07 Thomas J. Fogarty Internal graft prosthesis and delivery system
US5443497A (en) 1993-11-22 1995-08-22 The Johns Hopkins University Percutaneous prosthetic by-pass graft and method of use
DE9319267U1 (en) 1993-12-15 1994-02-24 Vorwerk Dierk Dr Aortic endoprosthesis
US6165213A (en) 1994-02-09 2000-12-26 Boston Scientific Technology, Inc. System and method for assembling an endoluminal prosthesis
DE69518275T3 (en) 1994-06-08 2007-10-18 CardioVascular Concepts, Inc., Portola Valley Blood vessel graft
US5683451A (en) 1994-06-08 1997-11-04 Cardiovascular Concepts, Inc. Apparatus and methods for deployment release of intraluminal prostheses
US5575817A (en) 1994-08-19 1996-11-19 Martin; Eric C. Aorto femoral bifurcation graft and method of implantation
US5562727A (en) 1994-10-07 1996-10-08 Aeroquip Corporation Intraluminal graft and method for insertion thereof
US5683449A (en) 1995-02-24 1997-11-04 Marcade; Jean Paul Modular bifurcated intraluminal grafts and methods for delivering and assembling same
US5709701A (en) 1996-05-30 1998-01-20 Parodi; Juan C. Apparatus for implanting a prothesis within a body passageway
US5676697A (en) 1996-07-29 1997-10-14 Cardiovascular Dynamics, Inc. Two-piece, bifurcated intraluminal graft for repair of aneurysm
US5824055A (en) 1997-03-25 1998-10-20 Endotex Interventional Systems, Inc. Stent graft delivery system and methods of use
JP4253856B2 (en) 1998-02-19 2009-04-15 味の素株式会社 Gastrointestinal motor function improver
US6878565B2 (en) * 2002-10-28 2005-04-12 Finisar Corporation Process for improving yield of DFB lasers

Patent Citations (103)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US575612A (en) * 1897-01-19 Car-coupling
US3304557A (en) * 1965-09-28 1967-02-21 Ethicon Inc Surgical prosthesis
US3878565A (en) * 1971-07-14 1975-04-22 Providence Hospital Vascular prosthesis with external pile surface
US3868956A (en) * 1972-06-05 1975-03-04 Ralph J Alfidi Vessel implantable appliance and method of implanting it
US3966938A (en) * 1972-10-26 1976-06-29 Sandoz Ltd. Treatment of thrombosis and the inhibition of blood platelet aggregation
US3890977A (en) * 1974-03-01 1975-06-24 Bruce C Wilson Kinetic memory electrodes, catheters and cannulae
US4149911A (en) * 1977-01-24 1979-04-17 Raychem Limited Memory metal article
US4729766A (en) * 1980-08-28 1988-03-08 Astra Meditec Aktiebolag Vascular prosthesis and method in producing it
US4731073A (en) * 1981-02-13 1988-03-15 Thoratec Laboratories Corporation Arterial graft prosthesis
US4425908A (en) * 1981-10-22 1984-01-17 Beth Israel Hospital Blood clot filter
US4655771A (en) * 1982-04-30 1987-04-07 Shepherd Patents S.A. Prosthesis comprising an expansible or contractile tubular body
US4655771B1 (en) * 1982-04-30 1996-09-10 Medinvent Ams Sa Prosthesis comprising an expansible or contractile tubular body
US4512338A (en) * 1983-01-25 1985-04-23 Balko Alexander B Process for restoring patency to body vessels
US4503569A (en) * 1983-03-03 1985-03-12 Dotter Charles T Transluminally placed expandable graft prosthesis
US4665906A (en) * 1983-10-14 1987-05-19 Raychem Corporation Medical devices incorporating sim alloy elements
US5397345A (en) * 1983-12-09 1995-03-14 Endovascular Technologies, Inc. Artificial graft and implantation method
US5275622A (en) * 1983-12-09 1994-01-04 Harrison Medical Technologies, Inc. Endovascular grafting apparatus, system and method and devices for use therewith
US4562596A (en) * 1984-04-25 1986-01-07 Elliot Kornberg Aortic graft, device and method for performing an intraluminal abdominal aortic aneurysm repair
US4580568A (en) * 1984-10-01 1986-04-08 Cook, Incorporated Percutaneous endovascular stent and method for insertion thereof
US4728328A (en) * 1984-10-19 1988-03-01 Research Corporation Cuffed tubular organic prostheses
US4577631A (en) * 1984-11-16 1986-03-25 Kreamer Jeffry W Aneurysm repair apparatus and method
US4732152A (en) * 1984-12-05 1988-03-22 Medinvent S.A. Device for implantation and a method of implantation in a vessel using such device
US4923464A (en) * 1985-09-03 1990-05-08 Becton, Dickinson And Company Percutaneously deliverable intravascular reconstruction prosthesis
US4733665A (en) * 1985-11-07 1988-03-29 Expandable Grafts Partnership Expandable intraluminal graft, and method and apparatus for implanting an expandable intraluminal graft
US4739762A (en) * 1985-11-07 1988-04-26 Expandable Grafts Partnership Expandable intraluminal graft, and method and apparatus for implanting an expandable intraluminal graft
US5102417A (en) * 1985-11-07 1992-04-07 Expandable Grafts Partnership Expandable intraluminal graft, and method and apparatus for implanting an expandable intraluminal graft
US4739762B1 (en) * 1985-11-07 1998-10-27 Expandable Grafts Partnership Expandable intraluminal graft and method and apparatus for implanting an expandable intraluminal graft
US4733665C2 (en) * 1985-11-07 2002-01-29 Expandable Grafts Partnership Expandable intraluminal graft and method and apparatus for implanting an expandable intraluminal graft
US4733665B1 (en) * 1985-11-07 1994-01-11 Expandable Grafts Partnership Expandable intraluminal graft,and method and apparatus for implanting an expandable intraluminal graft
US4922905A (en) * 1985-11-30 1990-05-08 Strecker Ernst P Dilatation catheter
US4681110A (en) * 1985-12-02 1987-07-21 Wiktor Dominik M Catheter arrangement having a blood vessel liner, and method of using it
US4665918A (en) * 1986-01-06 1987-05-19 Garza Gilbert A Prosthesis system and method
US4649922A (en) * 1986-01-23 1987-03-17 Wiktor Donimik M Catheter arrangement having a variable diameter tip and spring prosthesis
US4762128A (en) * 1986-12-09 1988-08-09 Advanced Surgical Intervention, Inc. Method and apparatus for treating hypertrophy of the prostate gland
US5104399A (en) * 1986-12-10 1992-04-14 Endovascular Technologies, Inc. Artificial graft and implantation method
US4800882A (en) * 1987-03-13 1989-01-31 Cook Incorporated Endovascular stent and delivery system
US5041126A (en) * 1987-03-13 1991-08-20 Cook Incorporated Endovascular stent and delivery system
US5037427A (en) * 1987-03-25 1991-08-06 Terumo Kabushiki Kaisha Method of implanting a stent within a tubular organ of a living body and of removing same
US5201901A (en) * 1987-10-08 1993-04-13 Terumo Kabushiki Kaisha Expansion unit and apparatus for expanding tubular organ lumen
US5133732A (en) * 1987-10-19 1992-07-28 Medtronic, Inc. Intravascular stent
US4820298A (en) * 1987-11-20 1989-04-11 Leveen Eric G Internal vascular prosthesis
US5192307A (en) * 1987-12-08 1993-03-09 Wall W Henry Angioplasty stent
US4830003A (en) * 1988-06-17 1989-05-16 Wolff Rodney G Compressive stent and delivery system
US5019090A (en) * 1988-09-01 1991-05-28 Corvita Corporation Radially expandable endoprosthesis and the like
US5195984A (en) * 1988-10-04 1993-03-23 Expandable Grafts Partnership Expandable intraluminal graft
US5019085A (en) * 1988-10-25 1991-05-28 Cordis Corporation Apparatus and method for placement of a stent within a subject vessel
US4913141A (en) * 1988-10-25 1990-04-03 Cordis Corporation Apparatus and method for placement of a stent within a subject vessel
US4950227A (en) * 1988-11-07 1990-08-21 Boston Scientific Corporation Stent delivery system
US4856516A (en) * 1989-01-09 1989-08-15 Cordis Corporation Endovascular stent apparatus and method
US5078726A (en) * 1989-02-01 1992-01-07 Kreamer Jeffry W Graft stent and method of repairing blood vessels
US4994071A (en) * 1989-05-22 1991-02-19 Cordis Corporation Bifurcating stent apparatus and method
US5037392A (en) * 1989-06-06 1991-08-06 Cordis Corporation Stent-implanting balloon assembly
US5116318A (en) * 1989-06-06 1992-05-26 Cordis Corporation Dilatation balloon within an elastic sleeve
US5015253A (en) * 1989-06-15 1991-05-14 Cordis Corporation Non-woven endoprosthesis
US5207695A (en) * 1989-06-19 1993-05-04 Trout Iii Hugh H Aortic graft, implantation device, and method for repairing aortic aneurysm
US5292331A (en) * 1989-08-24 1994-03-08 Applied Vascular Engineering, Inc. Endovascular support device
US5104404A (en) * 1989-10-02 1992-04-14 Medtronic, Inc. Articulated stent
US5035706A (en) * 1989-10-17 1991-07-30 Cook Incorporated Percutaneous stent and method for retrieval thereof
US5330528A (en) * 1989-12-01 1994-07-19 British Technology Group Limited Vascular surgical devices
US5108416A (en) * 1990-02-13 1992-04-28 C. R. Bard, Inc. Stent introducer system
US5123917A (en) * 1990-04-27 1992-06-23 Lee Peter Y Expandable intraluminal vascular graft
US5078736A (en) * 1990-05-04 1992-01-07 Interventional Thermodynamics, Inc. Method and apparatus for maintaining patency in the body passages
US5085635A (en) * 1990-05-18 1992-02-04 Cragg Andrew H Valved-tip angiographic catheter
US5522880A (en) * 1990-06-11 1996-06-04 Barone; Hector D. Method for repairing an abdominal aortic aneurysm
US5122154A (en) * 1990-08-15 1992-06-16 Rhodes Valentine J Endovascular bypass graft
US5178630A (en) * 1990-08-28 1993-01-12 Meadox Medicals, Inc. Ravel-resistant, self-supporting woven graft
US5219355A (en) * 1990-10-03 1993-06-15 Parodi Juan C Balloon device for implanting an aortic intraluminal prosthesis for repairing aneurysms
US5282824A (en) * 1990-10-09 1994-02-01 Cook, Incorporated Percutaneous stent assembly
US5330500A (en) * 1990-10-18 1994-07-19 Song Ho Y Self-expanding endovascular stent with silicone coating
US5413597A (en) * 1990-12-29 1995-05-09 Krajicek; Milan Three-layer vascular prostheses
US5489295A (en) * 1991-04-11 1996-02-06 Endovascular Technologies, Inc. Endovascular graft having bifurcation and apparatus and method for deploying the same
US5304200A (en) * 1991-05-29 1994-04-19 Cordis Corporation Welded radially expandable endoprosthesis and the like
US5183085A (en) * 1991-09-27 1993-02-02 Hans Timmermans Method and apparatus for compressing a stent prior to insertion
US5314472A (en) * 1991-10-01 1994-05-24 Cook Incorporated Vascular stent
US5290305A (en) * 1991-10-11 1994-03-01 Kanji Inoue Appliance collapsible for insertion into human organs and capable of resilient restoration
US5282860A (en) * 1991-10-16 1994-02-01 Olympus Optical Co., Ltd. Stent tube for medical use
US5387235A (en) * 1991-10-25 1995-02-07 Cook Incorporated Expandable transluminal graft prosthesis for repair of aneurysm
US5211658A (en) * 1991-11-05 1993-05-18 New England Deaconess Hospital Corporation Method and device for performing endovascular repair of aneurysms
US5383892A (en) * 1991-11-08 1995-01-24 Meadox France Stent for transluminal implantation
US5192297A (en) * 1991-12-31 1993-03-09 Medtronic, Inc. Apparatus and method for placement and implantation of a stent
US5316023A (en) * 1992-01-08 1994-05-31 Expandable Grafts Partnership Method for bilateral intra-aortic bypass
US5507767A (en) * 1992-01-15 1996-04-16 Cook Incorporated Spiral stent
US5405377A (en) * 1992-02-21 1995-04-11 Endotech Ltd. Intraluminal stent
US5282823A (en) * 1992-03-19 1994-02-01 Medtronic, Inc. Intravascular radially expandable stent
US5383928A (en) * 1992-06-10 1995-01-24 Emory University Stent sheath for local drug delivery
US5507771A (en) * 1992-06-15 1996-04-16 Cook Incorporated Stent assembly
US5409019A (en) * 1992-10-30 1995-04-25 Wilk; Peter J. Coronary artery by-pass method
US5429144A (en) * 1992-10-30 1995-07-04 Wilk; Peter J. Coronary artery by-pass method
US6689158B1 (en) * 1993-09-30 2004-02-10 Endogad Research Pty Limited Intraluminal graft
US6582458B1 (en) * 1993-09-30 2003-06-24 Geoffrey H. White Intraluminal graft
US5782904A (en) * 1993-09-30 1998-07-21 Endogad Research Pty Limited Intraluminal graft
US5639278A (en) * 1993-10-21 1997-06-17 Corvita Corporation Expandable supportive bifurcated endoluminal grafts
US5389106A (en) * 1993-10-29 1995-02-14 Numed, Inc. Impermeable expandable intravascular stent
US5871536A (en) * 1993-11-08 1999-02-16 Lazarus; Harrison M. Intraluminal vascular graft and method
US5403341A (en) * 1994-01-24 1995-04-04 Solar; Ronald J. Parallel flow endovascular stent and deployment apparatus therefore
US5718724A (en) * 1994-02-09 1998-02-17 Boston Scientific Technology, Inc. Bifurcated endoluminal prosthesis
US5716365A (en) * 1994-02-09 1998-02-10 Boston Scientific Technologies, Inc. Bifurcated endoluminal prosthesis
US5609627A (en) * 1994-02-09 1997-03-11 Boston Scientific Technology, Inc. Method for delivering a bifurcated endoluminal prosthesis
US5415664A (en) * 1994-03-30 1995-05-16 Corvita Corporation Method and apparatus for introducing a stent or a stent-graft
US5609605A (en) * 1994-08-25 1997-03-11 Ethicon, Inc. Combination arterial stent
US5860923A (en) * 1995-01-30 1999-01-19 Cardiovascular Concepts, Inc. Lesion measurement catheter and method
US5709713A (en) * 1995-03-31 1998-01-20 Cardiovascular Concepts, Inc. Radially expansible vascular prosthesis having reversible and other locking structures
US5752522A (en) * 1995-05-04 1998-05-19 Cardiovascular Concepts, Inc. Lesion diameter measurement catheter and method

Cited By (36)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050143806A1 (en) * 1998-01-26 2005-06-30 Phillips Peter W. Reinforced graft and method of deployment
US11446170B2 (en) 2004-09-08 2022-09-20 Limflow Gmbh Minimally invasive surgical apparatus and methods
US10398580B2 (en) 2004-09-08 2019-09-03 Limflow Gmbh Minimally invasive surgical apparatus and methods
US11241304B2 (en) 2006-04-20 2022-02-08 Limflow Gmbh Method for fluid flow through body passages
US9326792B2 (en) 2006-04-20 2016-05-03 Limflow Gmbh Methods for fluid flow through body passages
US9532803B2 (en) 2006-04-20 2017-01-03 Limflow Gmbh Devices for fluid flow through body passages
US10136987B2 (en) 2006-04-20 2018-11-27 Limflow Gmbh Devices for fluid flow through body passages
US9108018B2 (en) 2006-04-20 2015-08-18 Limflow Gmbh Methods for fluid flow through body passages
US9782201B2 (en) 2006-04-20 2017-10-10 Limflow Gmbh Methods for fluid flow through body passages
US20130190676A1 (en) * 2006-04-20 2013-07-25 Limflow Gmbh Devices and methods for fluid flow through body passages
US10390933B2 (en) 2006-04-20 2019-08-27 Limflow Gmbh Devices for fluid flow through body vessels
US10881426B2 (en) 2011-10-07 2021-01-05 W. L. Gore & Associates, Inc. Balloon assemblies having controllably variable topographies
US9730726B2 (en) 2011-10-07 2017-08-15 W. L. Gore & Associates, Inc. Balloon assemblies having controllably variable topographies
US10524894B1 (en) 2013-03-08 2020-01-07 Limflow Gmbh Methods for effecting retroperfusion in a body passage
US10835367B2 (en) 2013-03-08 2020-11-17 Limflow Gmbh Devices for fluid flow through body passages
US9314329B2 (en) 2013-03-08 2016-04-19 Limflow Gmbh Methods and systems for providing or maintaining fluid flow through body passages
AU2014226234B2 (en) * 2013-03-08 2017-12-07 Limflow Gmbh Methods and systems for providing or maintaining fluid flow through body passages
US10405967B1 (en) 2013-03-08 2019-09-10 Limflow Gmbh Methods for puncturing an expandable member to confirm advancement into a body passage
US9706998B2 (en) 2013-03-08 2017-07-18 Limflow Gmbh Methods for targeting body passages
US10285800B2 (en) 2013-03-08 2019-05-14 Limflow Gmbh Systems for providing or maintaining fluid flow through body passages
US11471262B2 (en) 2013-03-08 2022-10-18 Limflow Gmbh Methods for targeting a body passage to effect fluid flow
US9669194B2 (en) 2013-03-14 2017-06-06 W. L. Gore & Associates, Inc. Conformable balloon devices and methods
US10617853B2 (en) 2013-03-14 2020-04-14 W. L. Gore & Associates, Inc. Comformable balloon devices and methods
US11690984B2 (en) 2013-03-14 2023-07-04 W. L. Gore & Associates, Inc. Conformable balloon devices and methods
US10076642B2 (en) 2013-03-14 2018-09-18 W. L. Gore & Associates, Inc. Conformable balloon devices
US10596356B2 (en) 2014-06-19 2020-03-24 Limflow Gmbh Methods for placing a stent-graft to cover collateral vessels in lower extremity vasculature
US9545263B2 (en) 2014-06-19 2017-01-17 Limflow Gmbh Devices and methods for treating lower extremity vasculature
US20220273416A1 (en) * 2015-05-11 2022-09-01 Trivascular, Inc. Stent-graft with improved flexibility
US10543308B2 (en) 2017-04-10 2020-01-28 Limflow Gmbh Methods for routing a guidewire from a first vessel and through a second vessel in lower extremity vasculature
US11826504B2 (en) 2017-04-10 2023-11-28 Limflow Gmbh Methods for routing a guidewire from a first vessel and through a second vessel in lower extremity vasculature
US11311700B2 (en) 2018-10-09 2022-04-26 Limflow Gmbh Methods for accessing pedal veins
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US11478614B2 (en) 2018-10-09 2022-10-25 Limflow Gmbh Method for accessing pedal veins for deep vein arterialization
US11116943B2 (en) 2018-10-09 2021-09-14 Limflow Gmbh Methods for accessing pedal veins
US11850379B2 (en) 2018-10-09 2023-12-26 Limflow Gmbh Devices and methods for catheter alignment
US11612397B2 (en) 2019-11-01 2023-03-28 Limflow Gmbh Devices and methods for increasing blood perfusion to a distal extremity

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US20080147172A1 (en) 2008-06-19
US20070067024A1 (en) 2007-03-22
US8052742B2 (en) 2011-11-08
US6689158B1 (en) 2004-02-10

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