WO2004002371A2 - Thoracic stent-graft introducer - Google Patents

Thoracic stent-graft introducer Download PDF

Info

Publication number
WO2004002371A2
WO2004002371A2 PCT/US2003/020651 US0320651W WO2004002371A2 WO 2004002371 A2 WO2004002371 A2 WO 2004002371A2 US 0320651 W US0320651 W US 0320651W WO 2004002371 A2 WO2004002371 A2 WO 2004002371A2
Authority
WO
WIPO (PCT)
Prior art keywords
stent graft
proximal end
nose cone
distal
delivery system
Prior art date
Application number
PCT/US2003/020651
Other languages
French (fr)
Other versions
WO2004002371A3 (en
Inventor
Roy K. Greenberg
David Ernest Hartley
Erik E. Rasmussen
Original Assignee
Cook Incorporated
William A. Cook Australia Pty. Ltd.
William Cook Europe Aps
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 Cook Incorporated, William A. Cook Australia Pty. Ltd., William Cook Europe Aps filed Critical Cook Incorporated
Priority to AT03762267T priority Critical patent/ATE536148T1/en
Priority to DK03762267.7T priority patent/DK1517652T3/en
Priority to JP2004518151A priority patent/JP4743836B2/en
Priority to AU2003248771A priority patent/AU2003248771B2/en
Priority to EP03762267A priority patent/EP1517652B1/en
Priority to CA2487131A priority patent/CA2487131C/en
Publication of WO2004002371A2 publication Critical patent/WO2004002371A2/en
Publication of WO2004002371A3 publication Critical patent/WO2004002371A3/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
    • 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
    • A61F2/9517—Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies therefor
    • 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
    • A61F2/02—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
    • 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
    • A61F2/848—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs
    • A61F2002/8483—Barbs

Definitions

  • This invention relates to the field of medical devices and more particularly to devices for introduction of vascular devices into the body of a human or animal.
  • endovascular implantable devices have been developed for treatment of aortic aneurysm. These devices are delivered to the treatment site through the vascular system of the patient rather than by open surgery.
  • the devices include a tubular or cylindrical framework or scaffolding of one or more stents to which is secured a tubular shape of graft material such as woven Dacron, polyester polytetrafluoroethylene or the like.
  • the devices are initially reduced to a small diameter, placed into the leading or proximal end of a catheter delivery system whereafter the delivery system is inserted into the vascular system of the patient such as through a femoral incision. The leading end of the delivery system is manoeuvred to the treatment site over a previously positioned guide wire.
  • the implantable device is then deployed by holding the device at its location and drawing a surrounding sheath.
  • the stent graft or implantable device can then self expand or is expanded through the use of a balloon which is introduced with the stent graft introducible device.
  • the stent graft becomes anchored into position to healthy wall tissue in the aorta such as by barbs whereafter the delivery system is then removed leaving the device in position for reversing an aneurysm in the aorta.
  • All blood flow is channelled through the stent graft so that no blood flow enters the aneurysm thereafter, such that not only does the aneurysm no longer continue to grow and possibly rupture but the aneurysm actually begins to shrink and commonly disappears entirely.
  • an implantable device which is essentially a tube is deployed in the thoracic arch by first releasing the proximal end, that is the end nearer the heart, then blood flow could inflate the stent graft in the manner of a wind sock and there will be considerable pressure of blood flowto displace the implantable device from its intended position.
  • a deployment device or deployment system which enables release of the distal end of a stent graft or implantable device before the proximal end.
  • a stent graft delivery system for a thoracic aorta stent graft comprising, a tubular central carrier having a distal end and a proximal end, a nose cone dilator positioned at the proximal end of the tubular carrier, a capsule having a passage way extending there in with the distal end closed and attached to the tubular carrier and an open air proximal end facing a nose cone dilator, the capsule being axially movable along the tubular carrier with respect to the nose cone dilator.
  • tubular central carrier Preferably there is a longitudinal lumen through the tubular central carrier and a guide wire catheter extending through the longitudinal lumen for a guide wire and the nose cone dilator being attached to the guide wire catheter.
  • the tubular central carrier and nose cone dilator together are curved to provide a curved proximal end which can have a radius of curvature of from 70 to 150 millimetres.
  • the nose cone dilator is curved.
  • the capsule provides a first retention arrangement on the tubular carrier for the distal end of a stent graft.
  • the first retention arrangement includes an aperture extending through the capsule and a distal trigger wire extending along the tubular carrier and extendable through the aperture.
  • the distal trigger wire extends through the longitudinal lumen.
  • the tubular carrier for the proximal end of the stent graft.
  • the second retention arrangement can be distal of the nose cone dilator.
  • the nose cone dilator can have one or more apertures extending longitudinally therein and wherein the delivery system can include one or more proximal trigger wires extending longitudinally along said tubular carrier and independently extendable into said one or more apertures of said nose cone.
  • a stent graft delivery system for a thoracic aorta stent graft comprising; a tubular central carrier having a distal end and a proximal end; a nose cone dilator at the proximal end of the tubular carrier; a first retention arrangement on the tubular carrier for the distal end of a stent graft; and the tubular carrier and the nose cone dilator having a curved proximal end.
  • a stent graft delivery system for a thoracic aorta stent graft comprising; a tubular central carrier having a distal end and a proximal end; a nose cone dilator positioned at the proximal end of the tubular carrier; a capsule having a passageway extending therein with the distal closed end attached to the tubular carrier and an open proximal end facing the nose cone dilator; the capsule being axially moveable along the tubular carrier with respect to the nose cone dilator; and the tubular carrier and the nose cone dilator having a curved proximal end.
  • a stent graft delivery system for a thoracic aorta stent graft comprising; a tubular central carrier having a distal end and a proximal end; a nose cone dilator positioned at the proximal end of the tubular carrier; a capsule having a passageway extending therein with the distal closed end attached to the tubular carrier and an open proximal end facing the nose cone dilator; the capsule being axially moveable along the tubular carrier with respect to the nose cone dilator; a longitudinal lumen through the tubular central carrier; a guide wire catheter extending through the longitudinal lumen, the nose cone dilator being attached to the guide wire catheter; and the tubular carrier and the nose cone dilator having a curved proximal end.
  • a stent graft delivery system for a thoracic aorta stent graft comprising; a tubular central carrier having a distal end and a proximal end; a longitudinal lumen through the tubular central carrier; a guide wire catheter extending through the longitudinal lumen and extending proximally of the tubular central carrier the guide wire catheter having a proximal end and a distal end; the guide wire catheter being movable longitudinally and rotationally with respect to the tubular central carrier; a nose cone dilator being attached to proximal end of the guide wire catheter and extending proximally thereof; a capsule having a passageway extending therein with the distal closed end attached to the proximal end of the tubular carrier and an open proximal end facing the nose cone dilator, the capsule providing a distal retention arrangementfor the stent graft; and the nose cone dilator having a curved proximal end
  • coaxial sheath over the tubular central carrier, the coaxial sheath being movable with respect to the tubular central carrier and extending to the nose cone dilator.
  • a proximal retention arrangement on the guide wire catheter distal of the nose cone dilator for the proximal end of the stent graft can be a proximal retention arrangement on the guide wire catheter distal of the nose cone dilator for the proximal end of the stent graft.
  • a stent graft deployment apparatus comprising; a deployment catheter having a proximal end adapted to be introduced into a patient and a distal end adapted to remain outside a patient, the catheter having at a proximal end thereof a region adapted in use to contain a stent graft; a sheath arrangement adapted in use to extend over and cover the region adapted to be moved with respect to the catheter to expose the region to thereby enable deployment of the stent graft; a nose cone dilator positioned at the proximal end of the deployment catheter; a distal retention arrangement for the stent graft at a distal end of the region and comprising a capsule having a passageway extending therein with a distal closed end and an open proximal end facing the nose cone dilator.
  • the proximal retention arrangement can include at least one proximal trigger wire with the trigger wire extending from the outside of the patient where it is retained by a trigger wire release mechanism on a handle at the distal end of the deployment catheter.
  • Fig. 1 shows a general view of a stent graft delivery system according to one embodiment of the present invention with a stent graft partially released;
  • Fig.2 shows a part cross-sectional view of the embodiment shown in Fig.
  • Fig. 3 shows one embodiment of nose cone dilator according to the invention
  • Fig. 4 shows a part cross-sectional view of the capsule portion of a deployment device according to an embodiment of this invention.
  • Prosthesis For Repair Of Aneurysm discloses apparatus and methods of retaining grafts onto deployment devices.
  • U.S. Patent No. 5,720,776 entitled “Barb and Expandable Transluminal Graft Prosthesis for Repair of Aneurysm” discloses improved barbs with various forms of mechanical attachment to a stent. These features and other features disclosed in U.S. Patent No. 5,720,776 could be used with the present invention and the disclosure of U.S. Patent No. 5,720,776 is herewith incorporated in its entirety into this specification.
  • U.S. Patent No. 6,206,931 entitled “Graft Prosthesis Materials” discloses graft prosthesis materials and a method for implanting, transplanting replacing and repairing a part of a patient and particularly the manufacture and use of a purified, collagen based matrix structure removed from a submucosa tissue source. These features and other features disclosed in U.S. Patent No. 6,206,931 could be used with the present invention and the disclosure of U.S. Patent No. 6,206,931 is herewith incorporated in its entirety into this specification.
  • PCT Patent Publication No. WO 98/53761 entitled "A Prosthesis And A Method And Means Of Deploying A Prosthesis” discloses an introducer for a prosthesis which retains the prosthesis so that each end can be moved independently.
  • PCT Patent Publication No. WO 99/29262 entitled “Endoluminal Aortic Stents” discloses a fenestrated prosthesis for placement where there are intersecting arteries. This feature and other features disclosed in PCT Patent
  • PCT Patent Publication Number WO 03/034948 entitled "Prosthesis for Curved Lumens” discloses prostheses with arrangements for bending the prosthesis for placement into curved lumens. This feature and other features disclosed in PCT Patent Publication No. WO 03/034948 could be used with the present invention and the disclosure of PCT Patent Publication No. WO 03/034948 is herewith incorporated in its entirety into this specification.
  • Patent Application Serial No.60/392,667 is herewith incorporated in its entirety into this specification.
  • U.S. Provisional Patent Application Serial Number 60/392,599, filed June 28, 2002, entitled “Thoracic Aortic Aneurysm Stent Graft” discloses stent grafts that are useful in treating aortic aneurysms particularly in the thoracic arch. This feature and other features disclosed in U.S. Provisional Patent Application Serial No. 60/392,599, could be used with the present invention and the disclosure of U.S. Provisional Patent Application Serial No. 60/392,599, is herewith incorporated in its entirety into this specification.
  • U.S. Provisional Patent Application No.60/405,367 filed August 23, 2002, entitled “Asymmetric Stent Graft Attachment” discloses retention arrangements for retaining onto and releasing prostheses from introducer devices. This feature and other features disclosed in U.S. Provisional Patent Application No.60/405,367 could be used with the present invention and the disclosure of U.S. Provisional Patent Application No. 60/405,367 is herewith incorporated in its entirety into this specification.
  • a stent graft delivery system 1 has a distal end 3 which in use is intended to remain outside a patient and a proximal end 5 which is introduced into the patient.
  • a handle arrangement 7 which includes trigger wire release apparatus 9 as will be discussed later.
  • the main body of the deployment device includes a tubular carrier 11 which extends from the handle 7 to a distal retention arrangement general shown as 13.
  • a guide wire catheter 15 extends out through the distal retention arrangement 13 and extends to a nose cone dilator 17 atthe proximal end of the deployment device 1.
  • the nose cone dilator 17 is curved and in the embodiment shown in Fig. 1 the guide wire catheter 15 is also curved towards its proximal end so that the proximal end 5 of the deployment device has a curve which may have a radius of curvature 19 of between 70 to 150 millimetres. This curvature enables the stent graft deployment device of the present invention to be introduced into the thoracic arch of a patient without excessive load being placed on the walls of the aorta.
  • a stent graft 21 is retained on the deployment device between the distal end 23 of the nose cone dilator 17 and the distal retention arrangement 13.
  • a sleeve 25 fits over the tubular carrier 11 and by operation of a sleeve manipulator 27 the sleeve can be extended forward to extend to the nose cone dilator 17.
  • the stent graft 21 can be held in a constrained position within the sleeve.
  • a proximal retention arrangement 31 is provided at the proximal end of the stent graft just distal of the distal end 23 of the nose cone dilator 17 .
  • the proximal retention arrangement 31 includes a trigger wire 33 which engages a knot 35 of suture material which is fastened to the trigger wire 33 and the guide wire catheter 15.
  • the nose cone dilator 17 can have one or more apertures extending longitudinally, and the proximal trigger wire 33 can extend into one of these apertures.
  • the distal retention arrangement 13 as shown in detail in Fig. 4 includes a capsule 40 which is part of a capsule assembly 41 which is joined by a screw thread 43 to the proximal end 42 of the central carrier 11.
  • the capsule 40 includes a passageway 44 within it with a distal closed end 46 and an open proximal end 48.
  • the open proximal end 48 faces the nose cone dilator 17 and the guide wire catheter 15 passes through the center of passageway 44.
  • the stent graft 21 has a distally extending exposed stent 48 and this distally extending exposed stent 48 is received within the capsule 40 which holds it constrained during deployment. If the distally extending exposed stent 48 has barbs extending from its struts then the capsule keeps the barbs from prematurely engaging the walls of the vessel it is being deployed in and also prevents them from catching in the sleeve 25.
  • a trigger wire 50 passes through aperture 52 in the side of the capsule, engages a loop of the exposed stent 48 within the capsule and then passes along the annular recess 54 between the guide wire catheter 15 and the tubular carrier 11 to the trigger wire release mechanism 9.
  • the trigger wire release mechanism 9 includes a distal release mechanism 56 and a proximal end release mechanism 58.
  • the sleeve 25 is withdrawn by pulling back on the sleeve manipulator 27 while holding the handle 7 stationary.
  • the distal release mechanism 56 on the handle 7 is then released by loosening the thumb screw 60 and completely withdrawing the distal release mechanism 56 which pulls out the trigger wire 50 from the capsule 40.
  • Pin vice 62 which fixes the position of the guide wire catheter with aspect to the handle 7 and central carrier 11 is then loosened so that the guide wire catheter 15 can be held stationary which holds the nose cone dilator and hence the proximal retention arrangement 31 stationary while the handle is pulled back to remove the capsule 40 from the exposed stent 48 which releases the distal end of the stent graft.
  • the proximal release mechanism 58 can then be removed by release of the thumb screw 64 and complete removal of the proximal release mechanism 58 which pulls the guide wire 33 from the proximal end of the stent graft which releases the suture knot 35 which releases the proximal end of the stent graft.
  • FIG. 3 shows an alternative embodiment of nose cone dilator.
  • the guide wire catheter 15 is substantially straight and the curved proximal end of the deployment device has a curvature only in the region of the nose cone dilator 66.
  • the radius of curvature of this nose cone dilator may be in the range of 100 to 150 millimetres and it can have a length of from 80 mm as shown by 66a up to 100 mm as shown by 66.

Abstract

A stent graft deployment apparatus (10) which has a deployment catheter (11) with a proximal end (5) to be introduced into a patient and a distal end (3) to remain outside a patient and at a proximal end thereof a region to contain a stent graft (21). A sheath (25) extends over and covers the stent graft and can be moved to expose the stent graft to enable deployment of the stent graft. A nose cone dilator (17) is positioned at the proximal end of the deployment catheter and can be curved. A capsule (40) provides a distal retention arrangement for the stent graft.

Description

THORACIC INTRODUCER
Description Technical Field
This invention relates to the field of medical devices and more particularly to devices for introduction of vascular devices into the body of a human or animal. Background of the Invention
In recent years endovascular implantable devices have been developed for treatment of aortic aneurysm. These devices are delivered to the treatment site through the vascular system of the patient rather than by open surgery. The devices include a tubular or cylindrical framework or scaffolding of one or more stents to which is secured a tubular shape of graft material such as woven Dacron, polyester polytetrafluoroethylene or the like. The devices are initially reduced to a small diameter, placed into the leading or proximal end of a catheter delivery system whereafter the delivery system is inserted into the vascular system of the patient such as through a femoral incision. The leading end of the delivery system is manoeuvred to the treatment site over a previously positioned guide wire. Through manipulation of a control system that extends to the proximal end of the catheter from the distal end of the system outside the patient the implantable device is then deployed by holding the device at its location and drawing a surrounding sheath. The stent graft or implantable device can then self expand or is expanded through the use of a balloon which is introduced with the stent graft introducible device. The stent graft becomes anchored into position to healthy wall tissue in the aorta such as by barbs whereafter the delivery system is then removed leaving the device in position for reversing an aneurysm in the aorta. All blood flow is channelled through the stent graft so that no blood flow enters the aneurysm thereafter, such that not only does the aneurysm no longer continue to grow and possibly rupture but the aneurysm actually begins to shrink and commonly disappears entirely. Fortreatment of thoracic aortic aneurysms in particular it is necessary to introduce the implantable device high up in the aorta and in a region of the aorta which is curved and where there can be strong blood flow.
If an implantable device which is essentially a tube is deployed in the thoracic arch by first releasing the proximal end, that is the end nearer the heart, then blood flow could inflate the stent graft in the manner of a wind sock and there will be considerable pressure of blood flowto displace the implantable device from its intended position.
It is desirable therefore that a deployment device or deployment system is provided which enables release of the distal end of a stent graft or implantable device before the proximal end.
It is the object of this invention to provide a device which will overcome at least some of these problems or at least provide the physician with a useful alternative. Summary of the Invention
In one form therefore although this may not necessarily be the only or broadest form the invention is said to reside in a stent graft delivery system for a thoracic aorta stent graft comprising, a tubular central carrier having a distal end and a proximal end, a nose cone dilator positioned at the proximal end of the tubular carrier, a capsule having a passage way extending there in with the distal end closed and attached to the tubular carrier and an open air proximal end facing a nose cone dilator, the capsule being axially movable along the tubular carrier with respect to the nose cone dilator.
Preferably there is a longitudinal lumen through the tubular central carrier and a guide wire catheter extending through the longitudinal lumen for a guide wire and the nose cone dilator being attached to the guide wire catheter.
In one embodiment the tubular central carrier and nose cone dilator together are curved to provide a curved proximal end which can have a radius of curvature of from 70 to 150 millimetres. Alternatively just the nose cone dilator is curved. The capsule provides a first retention arrangement on the tubular carrier for the distal end of a stent graft. Preferably the first retention arrangement includes an aperture extending through the capsule and a distal trigger wire extending along the tubular carrier and extendable through the aperture. Preferably the distal trigger wire extends through the longitudinal lumen.
There can be a second retention arrangement on the tubular carrier for the proximal end of the stent graft. The second retention arrangement can be distal of the nose cone dilator.
The nose cone dilator can have one or more apertures extending longitudinally therein and wherein the delivery system can include one or more proximal trigger wires extending longitudinally along said tubular carrier and independently extendable into said one or more apertures of said nose cone.
In an alternative form the invention is said to reside in a stent graft delivery system for a thoracic aorta stent graft comprising; a tubular central carrier having a distal end and a proximal end; a nose cone dilator at the proximal end of the tubular carrier; a first retention arrangement on the tubular carrier for the distal end of a stent graft; and the tubular carrier and the nose cone dilator having a curved proximal end.
In an alternative form the invention is said to reside in a stent graft delivery system for a thoracic aorta stent graft comprising; a tubular central carrier having a distal end and a proximal end; a nose cone dilator positioned at the proximal end of the tubular carrier; a capsule having a passageway extending therein with the distal closed end attached to the tubular carrier and an open proximal end facing the nose cone dilator; the capsule being axially moveable along the tubular carrier with respect to the nose cone dilator; and the tubular carrier and the nose cone dilator having a curved proximal end.
In an alternative form the invention is said to reside in a stent graft delivery system for a thoracic aorta stent graft comprising; a tubular central carrier having a distal end and a proximal end; a nose cone dilator positioned at the proximal end of the tubular carrier; a capsule having a passageway extending therein with the distal closed end attached to the tubular carrier and an open proximal end facing the nose cone dilator; the capsule being axially moveable along the tubular carrier with respect to the nose cone dilator; a longitudinal lumen through the tubular central carrier; a guide wire catheter extending through the longitudinal lumen, the nose cone dilator being attached to the guide wire catheter; and the tubular carrier and the nose cone dilator having a curved proximal end.
In an alternative form the invention is said to reside in a stent graft delivery system for a thoracic aorta stent graft comprising; a tubular central carrier having a distal end and a proximal end; a longitudinal lumen through the tubular central carrier; a guide wire catheter extending through the longitudinal lumen and extending proximally of the tubular central carrier the guide wire catheter having a proximal end and a distal end; the guide wire catheter being movable longitudinally and rotationally with respect to the tubular central carrier; a nose cone dilator being attached to proximal end of the guide wire catheter and extending proximally thereof; a capsule having a passageway extending therein with the distal closed end attached to the proximal end of the tubular carrier and an open proximal end facing the nose cone dilator, the capsule providing a distal retention arrangementfor the stent graft; and the nose cone dilator having a curved proximal end.
Preferably there is a coaxial sheath over the tubular central carrier, the coaxial sheath being movable with respect to the tubular central carrier and extending to the nose cone dilator.
There can be a proximal retention arrangement on the guide wire catheter distal of the nose cone dilator for the proximal end of the stent graft.
In an alternative form the invention is said to reside in a stent graft deployment apparatus comprising; a deployment catheter having a proximal end adapted to be introduced into a patient and a distal end adapted to remain outside a patient, the catheter having at a proximal end thereof a region adapted in use to contain a stent graft; a sheath arrangement adapted in use to extend over and cover the region adapted to be moved with respect to the catheter to expose the region to thereby enable deployment of the stent graft; a nose cone dilator positioned at the proximal end of the deployment catheter; a distal retention arrangement for the stent graft at a distal end of the region and comprising a capsule having a passageway extending therein with a distal closed end and an open proximal end facing the nose cone dilator.
The proximal retention arrangement can include at least one proximal trigger wire with the trigger wire extending from the outside of the patient where it is retained by a trigger wire release mechanism on a handle at the distal end of the deployment catheter. Brief Description of the Drawing
Fig. 1 shows a general view of a stent graft delivery system according to one embodiment of the present invention with a stent graft partially released;
Fig.2 shows a part cross-sectional view of the embodiment shown in Fig.
1 ;
Fig. 3 shows one embodiment of nose cone dilator according to the invention; and Fig. 4 shows a part cross-sectional view of the capsule portion of a deployment device according to an embodiment of this invention.
Detailed Description
US Patent No. 5,387,235 entitled "Expandable Transluminal Graft
Prosthesis For Repair Of Aneurysm" discloses apparatus and methods of retaining grafts onto deployment devices. These features and other features disclosed in
U.S. Patent No. 5,387,235 could be used with the present invention and the disclosure of U.S. Patent No. 5,387,235 is herewith incorporated in its entirety into this specification.
U.S. Patent No. 5,720,776 entitled "Barb and Expandable Transluminal Graft Prosthesis for Repair of Aneurysm" discloses improved barbs with various forms of mechanical attachment to a stent. These features and other features disclosed in U.S. Patent No. 5,720,776 could be used with the present invention and the disclosure of U.S. Patent No. 5,720,776 is herewith incorporated in its entirety into this specification. U.S. Patent No. 6,206,931 entitled "Graft Prosthesis Materials" discloses graft prosthesis materials and a method for implanting, transplanting replacing and repairing a part of a patient and particularly the manufacture and use of a purified, collagen based matrix structure removed from a submucosa tissue source. These features and other features disclosed in U.S. Patent No. 6,206,931 could be used with the present invention and the disclosure of U.S. Patent No. 6,206,931 is herewith incorporated in its entirety into this specification.
PCT Patent Publication No. WO 98/53761 entitled "A Prosthesis And A Method And Means Of Deploying A Prosthesis" discloses an introducer for a prosthesis which retains the prosthesis so that each end can be moved independently. These features and other features disclosed in PCT Patent Publication No. WO 98/53761 could be used with the present invention and the disclosure of PCT Patent Publication No. WO 98/53761 is herewith incorporated in its entirety into this specification.
PCT Patent Publication No. WO 99/29262 entitled "Endoluminal Aortic Stents" discloses a fenestrated prosthesis for placement where there are intersecting arteries. This feature and other features disclosed in PCT Patent
Publication No. WO 99/29262 could be used with the present invention and the disclosure of PCT Patent Publication No. W099/29262 is herewith incorporated in its entirety into this specification.
PCT Patent Publication Number WO 03/034948 entitled "Prosthesis for Curved Lumens" discloses prostheses with arrangements for bending the prosthesis for placement into curved lumens. This feature and other features disclosed in PCT Patent Publication No. WO 03/034948 could be used with the present invention and the disclosure of PCT Patent Publication No. WO 03/034948 is herewith incorporated in its entirety into this specification. U.S. Provisional Patent Application Serial No. 60/392,682, filed June 28,
2003, entitled "Trigger Wires" discloses release wire systems for the release of stent grafts retained on introducer devices. This feature and other features disclosed in U.S. Provisional Patent Application Serial No.60/392,682 could be used with the present invention and the disclosure of U.S. Provisional Patent Application Serial No. 60/392,682 is herewith incorporated in its entirety into this specification. U.S. Provisional Patent Application Serial No. 60/392,667, filed June 28, 2002, entitled "Thoracic Deployment Device" discloses introducer devices adapted for deployment of stent grafts particularly in the thoracic arch. This feature and other features disclosed in U.S. Provisional Patent Application Serial No.60/392,667 could be used with the present invention and the disclosure of U.S. Provisional
Patent Application Serial No.60/392,667 is herewith incorporated in its entirety into this specification.
U.S. Provisional Patent Application Serial Number 60/392,599, filed June 28, 2002, entitled "Thoracic Aortic Aneurysm Stent Graft" discloses stent grafts that are useful in treating aortic aneurysms particularly in the thoracic arch. This feature and other features disclosed in U.S. Provisional Patent Application Serial No. 60/392,599, could be used with the present invention and the disclosure of U.S. Provisional Patent Application Serial No. 60/392,599, is herewith incorporated in its entirety into this specification. U.S. Provisional Patent Application Serial No. 60/391 ,737, filed June 26,
2002, entitled "Stent-Graft Fastening Arrangement" discloses arrangements for fastening stents onto grafts particularly for exposed stents. This feature and other features disclosed in U.S. Provisional Patent Application Serial No.60/391 ,737 could be used with the present invention and the disclosure of U.S. Provisional Patent Application Serial No. 60/391 ,737 is herewith incorporated in its entirety into this specification.
U.S. Provisional Patent Application No.60/405,367, filed August 23, 2002, entitled "Asymmetric Stent Graft Attachment" discloses retention arrangements for retaining onto and releasing prostheses from introducer devices. This feature and other features disclosed in U.S. Provisional Patent Application No.60/405,367 could be used with the present invention and the disclosure of U.S. Provisional Patent Application No. 60/405,367 is herewith incorporated in its entirety into this specification.
U.S. Patent Application Serial No. 10/322,862, filed December 18, 2002 as attorney docket no. PA-5306 entitled "Stent Graft With Improved Adhesion" discloses arrangements on stent grafts for enhancing the adhesion of such stent grafts into walls of vessels in which they are deployed. This feature and other features disclosed in U.S. Patent Application Serial No. 10/322,862 could be used with the present invention and the disclosure of U.S. Patent Application Serial No. 10/322,862 is herewith incorporated in its entirety into this specification. This then generally describes the invention but to assist with the understanding, reference will now be made to the accompanying drawings which show a preferred embodiment of the invention.
Now looking more closely at Figs. 1 and 2 it will be seen that a stent graft delivery system 1 according to the invention has a distal end 3 which in use is intended to remain outside a patient and a proximal end 5 which is introduced into the patient.
Towards the distal end there is a handle arrangement 7 which includes trigger wire release apparatus 9 as will be discussed later. The main body of the deployment device includes a tubular carrier 11 which extends from the handle 7 to a distal retention arrangement general shown as 13.
Within a longitudinal lumen 14 in the central carrier 11 extends a guide wire catheter 15. The guide wire catheter 15 extends out through the distal retention arrangement 13 and extends to a nose cone dilator 17 atthe proximal end of the deployment device 1. The nose cone dilator 17 is curved and in the embodiment shown in Fig. 1 the guide wire catheter 15 is also curved towards its proximal end so that the proximal end 5 of the deployment device has a curve which may have a radius of curvature 19 of between 70 to 150 millimetres. This curvature enables the stent graft deployment device of the present invention to be introduced into the thoracic arch of a patient without excessive load being placed on the walls of the aorta.
A stent graft 21 is retained on the deployment device between the distal end 23 of the nose cone dilator 17 and the distal retention arrangement 13. A sleeve 25 fits over the tubular carrier 11 and by operation of a sleeve manipulator 27 the sleeve can be extended forward to extend to the nose cone dilator 17. By the use of the sleeve 25 the stent graft 21 can be held in a constrained position within the sleeve. At the proximal end of the stent graft just distal of the distal end 23 of the nose cone dilator 17 a proximal retention arrangement 31 is provided.
The proximal retention arrangement 31 includes a trigger wire 33 which engages a knot 35 of suture material which is fastened to the trigger wire 33 and the guide wire catheter 15. When the trigger wire 33 is withdrawn as will be discussed later, the suture knot 25 is released and the proximal end of the stent graft can be released. The nose cone dilator 17 can have one or more apertures extending longitudinally, and the proximal trigger wire 33 can extend into one of these apertures. The distal retention arrangement 13 as shown in detail in Fig. 4 includes a capsule 40 which is part of a capsule assembly 41 which is joined by a screw thread 43 to the proximal end 42 of the central carrier 11. The capsule 40 includes a passageway 44 within it with a distal closed end 46 and an open proximal end 48. The open proximal end 48 faces the nose cone dilator 17 and the guide wire catheter 15 passes through the center of passageway 44.
The stent graft 21 has a distally extending exposed stent 48 and this distally extending exposed stent 48 is received within the capsule 40 which holds it constrained during deployment. If the distally extending exposed stent 48 has barbs extending from its struts then the capsule keeps the barbs from prematurely engaging the walls of the vessel it is being deployed in and also prevents them from catching in the sleeve 25. A trigger wire 50 passes through aperture 52 in the side of the capsule, engages a loop of the exposed stent 48 within the capsule and then passes along the annular recess 54 between the guide wire catheter 15 and the tubular carrier 11 to the trigger wire release mechanism 9. The trigger wire release mechanism 9 includes a distal release mechanism 56 and a proximal end release mechanism 58.
To release the stent graft after it has been placed in the desired position in the thoracic arch, the sleeve 25 is withdrawn by pulling back on the sleeve manipulator 27 while holding the handle 7 stationary. The distal release mechanism 56 on the handle 7 is then released by loosening the thumb screw 60 and completely withdrawing the distal release mechanism 56 which pulls out the trigger wire 50 from the capsule 40. Pin vice 62 which fixes the position of the guide wire catheter with aspect to the handle 7 and central carrier 11 is then loosened so that the guide wire catheter 15 can be held stationary which holds the nose cone dilator and hence the proximal retention arrangement 31 stationary while the handle is pulled back to remove the capsule 40 from the exposed stent 48 which releases the distal end of the stent graft.
Once the position of the proximal end of the stent graft 21 has been checked, the proximal release mechanism 58 can then be removed by release of the thumb screw 64 and complete removal of the proximal release mechanism 58 which pulls the guide wire 33 from the proximal end of the stent graft which releases the suture knot 35 which releases the proximal end of the stent graft.
The tubular central carrier 11 can then be advanced while holding the nose cone dilator 17 stationary so that the deployment device can be made more compact for withdrawal. Fig. 3 shows an alternative embodiment of nose cone dilator. In this embodiment, the guide wire catheter 15 is substantially straight and the curved proximal end of the deployment device has a curvature only in the region of the nose cone dilator 66. The radius of curvature of this nose cone dilator may be in the range of 100 to 150 millimetres and it can have a length of from 80 mm as shown by 66a up to 100 mm as shown by 66.
Throughout this specification various indications have been given as to the scope of the invention but the invention is not limited to any one of these but may reside in two or more of these combined together. The examples are given for illustration only and not for limitation.

Claims

Claims
1. A stent graft delivery system for a thoracic aorta stent graft comprising: a tubular central carrier having a distal end and a proximal end; a nose cone dilator positioned at the proximal end of the tubular carrier; a capsule having a passageway extending therein with a distal closed end attached to the tubular carrier and an open proximal end facing the nose cone dilator; the capsule being axially moveable along thetubularcarrier with respect to the nose cone dilator; and the system having a curved proximal end.
2. The delivery system of claim 1 further including a longitudinal lumen through the tubular central carrier for a guide wire.
3. The delivery system of claim 2 further including a guide wire catheter extending through the longitudinal lumen, the nose cone dilator being attached to the guide wire catheter.
4. A delivery system as in claim 1 wherein the tubular central carrier and nose cone dilator together are curved to provide the curved proximal end.
5. The delivery system of claim 1 wherein the curved proximal end has a radius of curvature of from 70 to 150 millimetres.
6. A delivery system as in claim 1 wherein the capsule provides a first retention arrangement on the tubular carrier for the distal end of a stent graft.
7. A delivery system as in claim 6 wherein the first retention arrangement includes an aperture extending through the capsule and a distal trigger wire extending along the tubular carrier and extendable through the aperture.
8. A delivery system as in Claim 7 including a longitudinal lumen through the tubular central carrier for a guide wire and a guide wire catheter extending through the longitudinal lumen and the distal trigger wire extending through the longitudinal lumen.
9. A delivery system as in claim 1 further including a second retention arrangement on the tubular carrier for the proximal end of the stent graft.
10. A delivery system of claim 9 wherein the second retention arrangement is distal of the nose cone dilator.
11. The delivery system of claim 1 wherein the nose cone dilator has one or more apertures extending longitudinally therein and wherein said delivery system further comprises one or more proximal trigger wires extending longitudinally along said tubular carrier and independently extendable into said one or more apertures of said nose cone.
12. A stent graft delivery system for a thoracic aorta stent graft comprising: a tubular central carrier having a distal end and a proximal end; a nose cone dilator at the proximal end of the tubular carrier; a first retention arrangement on the tubular carrier for the distal end of a stent graft; and the tubular carrier and the nose cone dilator having a curved proximal end.
13. A delivery system as in claim 12 wherein the curved proximal end has a radius of curvature of from 70 to 150 millimetres.
14. A delivery system as in claim 12 further including a second retention arrangement on the tubular carrier for the proximal end of the stent graft.
15. A delivery system as in claim 12 wherein the first retention arrangement includes a capsule having a passageway extending therein with a distal closed end attached to the tubular carrier and an open proximal end facing the nose cone dilator, the capsule being adapted to receive the distal end if the stent graft.
16. The delivery system of claim 12 further including a longitudinal lumen through the tubular central carrier for a guide wire.
17. The delivery system of claim 16 further including a guide wire catheter extending through the longitudinal lumen, the nose cone dilator being attached to the guide wire catheter.
18. The delivery system of claim 14 wherein the second retention arrangement is distal of the nose cone dilator.
19. A stent graft delivery system for a thoracic aorta stent graft comprising: a tubular central carrier having a distal end and a proximal end; a nose cone dilator positioned at the proximal end of the tubular carrier; a capsule having a passageway extending therein with the distal closed end attached to the tubular carrier and an open proximal end facing the nose cone dilator; the capsule being axia I ly moveable a long the tubular carrier with respect to the nose cone dilator; a longitudinal lumen through the tubular central carrier; a guide wire catheter extending through the longitudinal lumen, the nose cone dilator being attached to the guide wire catheter; and the tubular carrier and the nose cone dilator having a curved proximal end.
20. A stent graft delivery system for a thoracic aorta stent graft comprising: a tubular central carrier having a distal end and a proximal end; a longitudinal lumen through the tubular central carrier; a guide wire catheter extending through the longitudinal lumen and extending proximally of the tubular central carrier the guide wire catheter having a proximal end and a distal end; the guide wire catheter being movable longitudinally and rotationally with respect to the tubular central carrier; a nose cone dilator being attached to proximal end of the guide wire catheter and extending proximally thereof; a capsule having a passageway extending therein with the distal closed end attached to the proximal end of the tubular carrier and an open proximal end facing the nose cone dilator, the capsule providing a distal retention arrangement for the stent graft; and the nose cone dilator having a curved proximal end.
21. A stent graft delivery system for a thoracic aorta stent graft as in Claim 20 including a coaxial sheath over the tubular central carrier, the coaxial sheath being movable with respect to the tubular central carrier and extending to the nose cone dilator.
22. A stent graft delivery system for a thoracic aorta stent graft as in Claim 20 including a proximal retention arrangement on the guide wire catheter distal of the nose cone dilator for the proximal end of the stent graft.
23. A stent graft delivery system for a thoracic aorta stent graft as in Claim 22 wherein the proximal retention arrangement includes at least one proximal trigger wire.
24. A stent graft delivery system for a thoracic aorta stent graft as in Claim 20 wherein the distal retention arrangement includes an aperture extending through the capsule and a distal trigger wire extending along the longitudinal lumen and extendable through the aperture.
25. A stent graft deployment apparatus comprising: a deployment catheter having a proximal end adapted to be introduced into a patient and a distal end adapted to remain outside a patient, the catheter having at a proximal end thereof a region adapted in use to contain a stent graft; a sheath arrangement adapted in use to extend over and cover the region adapted to be moved with respect to the catheter to expose the region to thereby enable deployment of the stent graft; a nose cone dilator positioned at the proximal end of the deployment catheter; a distal retention arrangement for the stent graft at a distal end of the region and comprising a capsule having a passageway extending therein with a distal closed end and an open proximal end facing the nose cone dilator.
26. A stent graft deployment apparatus as in Claim 25 wherein the nose cone dilator is curved.
27. A stent graft deployment apparatus as in Claim 25 including a longitudinal lumen through the deployment catheter: a guide wire catheter extending through the longitudinal lumen and extending proximally of the deployment catheter, the guide wire catheter having a proximal end and a distal end; the guide wire catheter being movable longitudinally and rotationally with respect to the deployment catheter; and the nose cone dilator being attached to proximal end of the guide wire catheter and extending proximally thereof.
28. A stent graft deployment apparatus as in Claim 27 including a proximal retention arrangement on the guide wire catheter distal of the nose cone dilator for the proximal end of the stent graft.
29. A stent graft deployment apparatus as in Claim 28 wherein the proximal retention arrangement includes at least one proximal trigger wire.
30. A stent graft deployment apparatus as in Claim 29 wherein the trigger wire extends from the outside of the patient where it is retained by a trigger wire release mechanism on a handle at the distal end of the deployment catheter.
31. A stent graft deployment apparatus as in Claim 25 wherein the distal retention arrangement includes an aperture extending through the capsule and a distal trigger wire extending along the deployment catheter and extendable through the aperture.
32. A stent graft deployment apparatus as in Claim 31 wherein the trigger wire extends from the outside of the patient where it is retained by a trigger wire release mechanism on a handle at the distal end of the deployment catheter.
PCT/US2003/020651 2002-06-28 2003-06-30 Thoracic stent-graft introducer WO2004002371A2 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
AT03762267T ATE536148T1 (en) 2002-06-28 2003-06-30 THORAX INSERTION INSTRUMENT
DK03762267.7T DK1517652T3 (en) 2002-06-28 2003-06-30 Thorax introduces
JP2004518151A JP4743836B2 (en) 2002-06-28 2003-06-30 Chest introducer
AU2003248771A AU2003248771B2 (en) 2002-06-28 2003-06-30 Thoracic stent-graft introducer
EP03762267A EP1517652B1 (en) 2002-06-28 2003-06-30 Thoracic introducer
CA2487131A CA2487131C (en) 2002-06-28 2003-06-30 Thoracic stent graft introducer

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US39259902P 2002-06-28 2002-06-28
US60/392,599 2002-06-28

Publications (2)

Publication Number Publication Date
WO2004002371A2 true WO2004002371A2 (en) 2004-01-08
WO2004002371A3 WO2004002371A3 (en) 2004-04-01

Family

ID=30000900

Family Applications (2)

Application Number Title Priority Date Filing Date
PCT/US2003/020651 WO2004002371A2 (en) 2002-06-28 2003-06-30 Thoracic stent-graft introducer
PCT/US2003/020642 WO2004002370A1 (en) 2002-06-28 2003-06-30 Thoracic aortic aneurysm stent graft

Family Applications After (1)

Application Number Title Priority Date Filing Date
PCT/US2003/020642 WO2004002370A1 (en) 2002-06-28 2003-06-30 Thoracic aortic aneurysm stent graft

Country Status (9)

Country Link
US (2) US7611529B2 (en)
EP (2) EP1517651B1 (en)
JP (3) JP4743836B2 (en)
AT (2) ATE536148T1 (en)
AU (2) AU2003258976B2 (en)
CA (2) CA2489495C (en)
DE (1) DE60332733D1 (en)
DK (2) DK1517652T3 (en)
WO (2) WO2004002371A2 (en)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007084547A1 (en) * 2006-01-18 2007-07-26 William A. Cook Australia Pty. Ltd. Endoluminal delivery device
US8241346B2 (en) 2001-12-20 2012-08-14 Trivascular, Inc. Endovascular graft and method of delivery
US9788933B2 (en) 2010-10-29 2017-10-17 Cook Medical Technologies Llc Medical device delivery system and deployment method
US10159557B2 (en) 2007-10-04 2018-12-25 Trivascular, Inc. Modular vascular graft for low profile percutaneous delivery
US11717430B2 (en) 2017-03-10 2023-08-08 Serenity Medical, Inc. Method and system for delivering a self-expanding stent to the venous sinuses

Families Citing this family (263)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6395019B2 (en) 1998-02-09 2002-05-28 Trivascular, Inc. Endovascular graft
US20070265563A1 (en) * 2006-05-11 2007-11-15 Heuser Richard R Device for treating chronic total occlusion
FR2811218B1 (en) 2000-07-05 2003-02-28 Patrice Suslian IMPLANTABLE DEVICE FOR CORRECTING URINARY INCONTINENCE
GB0025068D0 (en) 2000-10-12 2000-11-29 Browning Healthcare Ltd Apparatus and method for treating female urinary incontinence
US20060205995A1 (en) 2000-10-12 2006-09-14 Gyne Ideas Limited Apparatus and method for treating female urinary incontinence
US8167785B2 (en) 2000-10-12 2012-05-01 Coloplast A/S Urethral support system
GB0108088D0 (en) 2001-03-30 2001-05-23 Browning Healthcare Ltd Surgical implant
US7147661B2 (en) * 2001-12-20 2006-12-12 Boston Scientific Santa Rosa Corp. Radially expandable stent
EP1517651B1 (en) 2002-06-28 2010-05-26 Cook Incorporated Thoracic aortic aneurysm stent graft
CA2492630C (en) 2002-08-02 2009-01-13 C.R. Bard, Inc. Self anchoring sling and introducer system
US7550004B2 (en) * 2002-08-20 2009-06-23 Cook Biotech Incorporated Endoluminal device with extracellular matrix material and methods
DK1545396T3 (en) * 2002-08-23 2009-03-02 Cook William A Australia composite prosthesis
US7300459B2 (en) * 2002-10-17 2007-11-27 Heuser Richard R Stent with covering and differential dilation
US9125733B2 (en) 2003-01-14 2015-09-08 The Cleveland Clinic Foundation Branched vessel endoluminal device
US7166088B2 (en) 2003-01-27 2007-01-23 Heuser Richard R Catheter introducer system
GB0307082D0 (en) 2003-03-27 2003-04-30 Gyne Ideas Ltd Drug delivery device and method
DE602004024972D1 (en) * 2003-04-08 2010-02-25 Cook Inc INTRALUMINAL SUPPORT WITH GRAFT
US7279003B2 (en) * 2003-04-24 2007-10-09 Medtronic Vascular, Inc. Stent graft tapered spring
US7101390B2 (en) * 2003-05-27 2006-09-05 Scimed Life Systems, Inc. Staged deployment endograft
US8721710B2 (en) * 2003-08-11 2014-05-13 Hdh Medical Ltd. Anastomosis system and method
US7402141B2 (en) * 2003-08-27 2008-07-22 Heuser Richard R Catheter guidewire system using concentric wires
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
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
US7763063B2 (en) 2003-09-03 2010-07-27 Bolton Medical, Inc. Self-aligning stent graft delivery system, kit, and method
US9198786B2 (en) 2003-09-03 2015-12-01 Bolton Medical, Inc. Lumen repair device with capture structure
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
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
AU2004270239C1 (en) * 2003-09-04 2011-07-07 Cook Biotech Incorporated Extracellular matrix composite materials, and manufacture and use thereof
EP3045136B1 (en) 2003-09-12 2021-02-24 Vessix Vascular, Inc. Selectable eccentric remodeling and/or ablation of atherosclerotic material
WO2005034807A1 (en) 2003-10-10 2005-04-21 William A. Cook Australia Pty. Ltd Composite stent graft
ATE440564T1 (en) * 2003-10-10 2009-09-15 Cleveland Clinic Foundation ENDOLUMINAL PROSTHESIS WITH CONNECTABLE MODULES
US8043357B2 (en) 2003-10-10 2011-10-25 Cook Medical Technologies Llc Ring stent
CA2540830C (en) 2003-10-10 2012-08-14 William A. Cook Australia Pty. Ltd. Fenestrated stent grafts
US7998186B2 (en) 2003-10-14 2011-08-16 William A. Cook Australia Pty. Ltd. Introducer for a side branch device
EP1691719B1 (en) 2003-10-14 2016-09-14 Cook Medical Technologies LLC Introducer for an iliac side branch device
IL158960A0 (en) 2003-11-19 2004-05-12 Neovasc Medical Ltd Vascular implant
ATE499073T1 (en) * 2004-01-20 2011-03-15 Cook Inc MULTIPLE STITCHES TO ATTACH A STENT TO A PROSTHESIS
US8998973B2 (en) 2004-03-02 2015-04-07 Boston Scientific Scimed, Inc. Medical devices including metallic films
US8591568B2 (en) 2004-03-02 2013-11-26 Boston Scientific Scimed, Inc. Medical devices including metallic films and methods for making same
US7901447B2 (en) 2004-12-29 2011-03-08 Boston Scientific Scimed, Inc. Medical devices including a metallic film and at least one filament
US8992592B2 (en) 2004-12-29 2015-03-31 Boston Scientific Scimed, Inc. Medical devices including metallic films
US8632580B2 (en) 2004-12-29 2014-01-21 Boston Scientific Scimed, Inc. Flexible medical devices including metallic films
AU2005232726B2 (en) * 2004-04-12 2010-07-15 Cook Medical Technologies Llc Stent graft repair device
GB0411360D0 (en) 2004-05-21 2004-06-23 Mpathy Medical Devices Ltd Implant
US8043354B2 (en) 2004-06-16 2011-10-25 William A. Cook Australia Pty. Ltd. Thoracic deployment device and stent graft
US20090012429A1 (en) * 2004-08-25 2009-01-08 Heuser Richard R Catheter guidewire system using concentric wires
US8545418B2 (en) 2004-08-25 2013-10-01 Richard R. Heuser Systems and methods for ablation of occlusions within blood vessels
GB0419954D0 (en) 2004-09-08 2004-10-13 Advotek Medical Devices Ltd System for directing therapy
US9713730B2 (en) 2004-09-10 2017-07-25 Boston Scientific Scimed, Inc. Apparatus and method for treatment of in-stent restenosis
US8396548B2 (en) 2008-11-14 2013-03-12 Vessix Vascular, Inc. Selective drug delivery in a lumen
US8920414B2 (en) 2004-09-10 2014-12-30 Vessix Vascular, Inc. Tuned RF energy and electrical tissue characterization for selective treatment of target tissues
US7699883B2 (en) * 2004-10-25 2010-04-20 Myles Douglas Vascular graft and deployment system
WO2006071243A1 (en) * 2004-12-29 2006-07-06 Boston Scientific Limited Medical devices including metallic films and methods for making same
US8454678B2 (en) * 2005-03-19 2013-06-04 Cook Biotech Incorporated Prosthetic implants including ECM composite material
US7854760B2 (en) 2005-05-16 2010-12-21 Boston Scientific Scimed, Inc. Medical devices including metallic films
US20060276883A1 (en) * 2005-06-01 2006-12-07 Cook Incorporated Tapered and distally stented elephant trunk stent graft
US20080109058A1 (en) * 2005-06-01 2008-05-08 Cook Incorporated Intraoperative Anastomosis Method
GB2427554B (en) * 2005-06-23 2007-05-23 Vascutek Ltd Aneurysm graft with markers
CA2615535C (en) 2005-07-27 2013-12-24 Cook Critical Care Incorporated Stent/graft device and method for open surgical placement
WO2007035895A2 (en) * 2005-09-21 2007-03-29 Cook Incorporated Endoluminal stent graft delivery assembly
US7399314B2 (en) * 2005-11-15 2008-07-15 Cordis Corporation Systems and methods for securing graft material to intraluminal devices
US8709060B2 (en) * 2005-12-23 2014-04-29 Cook Medical Technologies Llc Prosthesis deployment system
US8062321B2 (en) 2006-01-25 2011-11-22 Pq Bypass, Inc. Catheter system for connecting adjacent blood vessels
US8518098B2 (en) 2006-02-21 2013-08-27 Cook Medical Technologies Llc Split sheath deployment system
WO2007100716A2 (en) * 2006-02-27 2007-09-07 William A. Cook Australia Pty. Ltd. Retention of stents
US8357194B2 (en) * 2006-03-15 2013-01-22 Cordis Corporation Stent graft device
US9308105B2 (en) * 2006-04-19 2016-04-12 Cook Medical Technologies Llc Delivery device for an endoluminal prosthesis
CN101484090B (en) * 2006-04-19 2011-04-27 威廉A·库克澳大利亚有限公司 Twin bifurcated stent graft
US20130190676A1 (en) 2006-04-20 2013-07-25 Limflow Gmbh Devices and methods for fluid flow through body passages
US8019435B2 (en) 2006-05-02 2011-09-13 Boston Scientific Scimed, Inc. Control of arterial smooth muscle tone
US8118853B2 (en) * 2006-06-19 2012-02-21 Cook Medical Technologies Llc Prosthesis delivery and deployment device
US7722665B2 (en) * 2006-07-07 2010-05-25 Graft Technologies, Inc. System and method for providing a graft in a vascular environment
US7892275B2 (en) * 2006-07-24 2011-02-22 William A. Cook Australia Pty. Ltd. Docking arrangement
EP2076194B1 (en) 2006-10-18 2013-04-24 Vessix Vascular, Inc. System for inducing desirable temperature effects on body tissue
EP2992850A1 (en) 2006-10-18 2016-03-09 Vessix Vascular, Inc. Inducing desirable temperature effects on body tissue
EP2079397B1 (en) * 2006-10-24 2010-03-24 Cook Incorporated Stent member
US8317856B2 (en) 2007-03-05 2012-11-27 Endospan Ltd. Multi-component expandable supportive bifurcated endoluminal grafts and methods for using same
US7766953B2 (en) * 2007-05-16 2010-08-03 Med Institute, Inc. Deployment system for an expandable stent
US9119742B2 (en) * 2007-07-16 2015-09-01 Cook Medical Technologies Llc Prosthesis delivery and deployment device
JP5364933B2 (en) * 2007-08-13 2013-12-11 クック・メディカル・テクノロジーズ・リミテッド・ライアビリティ・カンパニー Placement device
US8226701B2 (en) 2007-09-26 2012-07-24 Trivascular, Inc. Stent and delivery system for deployment thereof
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
US9474641B2 (en) * 2007-10-23 2016-10-25 Cook Medical Technologies Llc Indwelling catheter arrangement
WO2009055574A2 (en) 2007-10-26 2009-04-30 Cook Critical Care Incorporated Vascular conduit and delivery system for open surgical placement
US7972374B2 (en) * 2007-10-29 2011-07-05 Cleveland Clinic Foundation Securing rods and modular graft systems
US9107741B2 (en) 2007-11-01 2015-08-18 Cook Medical Technologies Llc Flexible stent graft
EP2210248B1 (en) * 2007-11-13 2016-04-20 Cook Medical Technologies LLC Intraluminal bypass prosthesis
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
CN101965162B (en) 2007-12-15 2014-12-10 恩多斯潘有限公司 Extra-vascular wrapping for treating aneurysmatic aorta in conjunction with endovascular stent-graft and methods thereof
US9226813B2 (en) 2007-12-26 2016-01-05 Cook Medical Technologies Llc Low profile non-symmetrical stent
GB2476451A (en) * 2009-11-19 2011-06-29 Cook William Europ Stent Graft
US9180030B2 (en) 2007-12-26 2015-11-10 Cook Medical Technologies Llc Low profile non-symmetrical stent
US8574284B2 (en) 2007-12-26 2013-11-05 Cook Medical Technologies Llc Low profile non-symmetrical bare alignment stents with graft
GB2475494B (en) 2009-11-18 2011-11-23 Cook William Europ Stent graft and introducer assembly
WO2009091899A2 (en) 2008-01-17 2009-07-23 Boston Scientific Scimed, Inc. Stent with anti-migration feature
WO2009105699A1 (en) 2008-02-22 2009-08-27 Endologix, Inc. Design and method of placement of a graft or graft system
KR20090108143A (en) * 2008-04-11 2009-10-15 주식회사 에스앤지바이오텍 Stent used in blood vessel
US10456554B2 (en) * 2008-04-17 2019-10-29 W. L. Gore & Associates, Inc. Device delivery catheter having a curved distal tip
US20090264898A1 (en) * 2008-04-17 2009-10-22 Medtronic Vascular, Inc. Steerable Endovascular Retrieval Device
US20100305686A1 (en) * 2008-05-15 2010-12-02 Cragg Andrew H Low-profile modular abdominal aortic aneurysm graft
BRPI0913877A2 (en) 2008-06-30 2015-10-27 Bolton Medical Inc abdominal aortic aneurysms: systems and methods of use
KR100958578B1 (en) * 2008-07-16 2010-05-18 주식회사 에스앤지바이오텍 Stent used in blood vessel
AU2009271596B2 (en) * 2008-07-18 2014-06-05 Cook Medical Technologies Llc Introducer for endovascular implants
US8845715B2 (en) * 2008-08-18 2014-09-30 Hisham M. F. SHERIF Total aortic arch reconstruction graft
EP2317958B1 (en) * 2008-08-26 2012-02-29 William A. Cook Australia Pty. Ltd. Thoracic introducer
GB2464978B (en) * 2008-10-31 2010-10-20 Cook William Europ Introducer for deploying a stent graft in a curved lumen
US11376114B2 (en) 2008-10-31 2022-07-05 Cook Medical Technologies Llc Introducer for deploying a stent graft in a curved lumen and stent graft therefor
GB2464977B (en) * 2008-10-31 2010-11-03 William Cook Europe As Introducer for deploying a stent graft in a curved lumen and stent graft therefor
CA2743992A1 (en) 2008-11-17 2010-05-20 Minnow Medical, Inc. Selective accumulation of energy with or without knowledge of tissue topography
US8734502B2 (en) * 2008-12-17 2014-05-27 Cook Medical Technologies Llc Tapered stent and flexible prosthesis
AU2009200350B1 (en) * 2009-02-02 2009-07-16 Cook Incorporated Preloaded stent graft delivery device
AU2010223953B2 (en) 2009-03-13 2014-05-01 Bolton Medical, Inc. System and method for deploying an endoluminal prosthesis at a surgical site
WO2010126889A1 (en) 2009-04-27 2010-11-04 Med Institute, Inc. Stent with protected barbs
EP2429452B1 (en) 2009-04-28 2020-01-15 Endologix, Inc. Endoluminal prosthesis system
US8858613B2 (en) 2010-09-20 2014-10-14 Altura Medical, Inc. Stent graft delivery systems and associated methods
EP3434225B1 (en) 2009-06-23 2023-11-01 Endospan Ltd. Vascular prosthesis for treating aneurysms
WO2011004374A1 (en) 2009-07-09 2011-01-13 Endospan Ltd. Apparatus for closure of a lumen and methods of using the same
US9095456B2 (en) 2009-10-13 2015-08-04 Cook Medical Technologies Llc Paraplegia prevention stent graft
WO2011047004A1 (en) 2009-10-13 2011-04-21 William Cook Europe Aps Paraplegia prevention stent graft
US9757263B2 (en) 2009-11-18 2017-09-12 Cook Medical Technologies Llc Stent graft and introducer assembly
CA2782357C (en) 2009-11-30 2018-06-05 Endospan Ltd. Multi-component stent-graft system for implantation in a blood vessel with multiple branches
US9572652B2 (en) * 2009-12-01 2017-02-21 Altura Medical, Inc. Modular endograft devices and associated systems and methods
US9101457B2 (en) 2009-12-08 2015-08-11 Endospan Ltd. Endovascular stent-graft system with fenestrated and crossing stent-grafts
CA2785953C (en) 2009-12-31 2016-02-16 Endospan Ltd. Endovascular flow direction indicator
EP2533722B1 (en) 2010-02-08 2017-03-29 Endospan Ltd. Thermal energy application for prevention and management of endoleaks in stent-grafts
CN103068330B (en) 2010-04-09 2016-06-29 Vessix血管股份有限公司 Power for treating tissue occurs and controls device
US9192790B2 (en) 2010-04-14 2015-11-24 Boston Scientific Scimed, Inc. Focused ultrasonic renal denervation
US8473067B2 (en) 2010-06-11 2013-06-25 Boston Scientific Scimed, Inc. Renal denervation and stimulation employing wireless vascular energy transfer arrangement
US9358365B2 (en) 2010-07-30 2016-06-07 Boston Scientific Scimed, Inc. Precision electrode movement control for renal nerve ablation
US9408661B2 (en) 2010-07-30 2016-08-09 Patrick A. Haverkost RF electrodes on multiple flexible wires for renal nerve ablation
US9463062B2 (en) 2010-07-30 2016-10-11 Boston Scientific Scimed, Inc. Cooled conductive balloon RF catheter for renal nerve ablation
US9155589B2 (en) 2010-07-30 2015-10-13 Boston Scientific Scimed, Inc. Sequential activation RF electrode set for renal nerve ablation
US9084609B2 (en) 2010-07-30 2015-07-21 Boston Scientific Scime, Inc. Spiral balloon catheter for renal nerve ablation
AU2015202398B2 (en) * 2010-08-13 2017-01-19 Cook Medical Technologies Llc Precannulated fenestration
CA2747610C (en) * 2010-08-13 2014-09-16 Cook Medical Technologies Llc Precannulated fenestration
US9101455B2 (en) 2010-08-13 2015-08-11 Cook Medical Technologies Llc Preloaded wire for endoluminal device
US8974451B2 (en) 2010-10-25 2015-03-10 Boston Scientific Scimed, Inc. Renal nerve ablation using conductive fluid jet and RF energy
US9220558B2 (en) 2010-10-27 2015-12-29 Boston Scientific Scimed, Inc. RF renal denervation catheter with multiple independent electrodes
US20120109279A1 (en) 2010-11-02 2012-05-03 Endologix, Inc. Apparatus and method of placement of a graft or graft system
US9028485B2 (en) 2010-11-15 2015-05-12 Boston Scientific Scimed, Inc. Self-expanding cooling electrode for renal nerve ablation
US9668811B2 (en) 2010-11-16 2017-06-06 Boston Scientific Scimed, Inc. Minimally invasive access for renal nerve ablation
US9089350B2 (en) 2010-11-16 2015-07-28 Boston Scientific Scimed, Inc. Renal denervation catheter with RF electrode and integral contrast dye injection arrangement
US9566149B2 (en) 2010-11-16 2017-02-14 W. L. Gore & Associates, Inc. Devices and methods for in situ fenestration of a stent-graft at the site of a branch vessel
US9326751B2 (en) 2010-11-17 2016-05-03 Boston Scientific Scimed, Inc. Catheter guidance of external energy for renal denervation
US9060761B2 (en) 2010-11-18 2015-06-23 Boston Scientific Scime, Inc. Catheter-focused magnetic field induced renal nerve ablation
US9023034B2 (en) 2010-11-22 2015-05-05 Boston Scientific Scimed, Inc. Renal ablation electrode with force-activatable conduction apparatus
US9192435B2 (en) 2010-11-22 2015-11-24 Boston Scientific Scimed, Inc. Renal denervation catheter with cooled RF electrode
US20120157993A1 (en) 2010-12-15 2012-06-21 Jenson Mark L Bipolar Off-Wall Electrode Device for Renal Nerve Ablation
US9220561B2 (en) 2011-01-19 2015-12-29 Boston Scientific Scimed, Inc. Guide-compatible large-electrode catheter for renal nerve ablation with reduced arterial injury
US9526638B2 (en) 2011-02-03 2016-12-27 Endospan Ltd. Implantable medical devices constructed of shape memory material
WO2012111006A1 (en) 2011-02-17 2012-08-23 Endospan Ltd. Vascular bands and delivery systems therefor
EP2680788A4 (en) 2011-03-02 2014-12-10 Endospan Ltd Reduced-strain extra- vascular ring for treating aortic aneurysm
EP2517671B1 (en) 2011-04-28 2016-05-11 Cook Medical Technologies LLC Apparatus for facilitating deployment of an endoluminal prosthesis
US9381078B2 (en) 2011-04-29 2016-07-05 The Cleveland Clinic Foundation Power and/or signal trigger wire for an endovascular delivery system
US9005267B2 (en) 2011-04-29 2015-04-14 Cleveland Clinic Foundation Rotational alignment wire system for an endovascular delivery system
US8574287B2 (en) 2011-06-14 2013-11-05 Endospan Ltd. Stents incorporating a plurality of strain-distribution locations
US8951298B2 (en) 2011-06-21 2015-02-10 Endospan Ltd. Endovascular system with circumferentially-overlapping stent-grafts
US9254209B2 (en) 2011-07-07 2016-02-09 Endospan Ltd. Stent fixation with reduced plastic deformation
CN103813745B (en) 2011-07-20 2016-06-29 波士顿科学西美德公司 In order to visualize, be directed at and to melt transcutaneous device and the method for nerve
CN103813829B (en) 2011-07-22 2016-05-18 波士顿科学西美德公司 There is the neuromodulation system of the neuromodulation element that can be positioned in spiral guiding piece
WO2013030818A2 (en) 2011-08-28 2013-03-07 Endospan Ltd. Stent-grafts with post-deployment variable axial and radial displacement
US9662196B2 (en) 2011-09-27 2017-05-30 Cook Medical Technologies Llc Endoluminal prosthesis with steerable branch
WO2013055826A1 (en) 2011-10-10 2013-04-18 Boston Scientific Scimed, Inc. Medical devices including ablation electrodes
US10085799B2 (en) 2011-10-11 2018-10-02 Boston Scientific Scimed, Inc. Off-wall electrode device and methods for nerve modulation
US9420955B2 (en) 2011-10-11 2016-08-23 Boston Scientific Scimed, Inc. Intravascular temperature monitoring system and method
US9364284B2 (en) 2011-10-12 2016-06-14 Boston Scientific Scimed, Inc. Method of making an off-wall spacer cage
EP2768568B1 (en) 2011-10-18 2020-05-06 Boston Scientific Scimed, Inc. Integrated crossing balloon catheter
EP2768563B1 (en) 2011-10-18 2016-11-09 Boston Scientific Scimed, Inc. Deflectable medical devices
US9427339B2 (en) 2011-10-30 2016-08-30 Endospan Ltd. Triple-collar stent-graft
CN108095821B (en) 2011-11-08 2021-05-25 波士顿科学西美德公司 Orifice renal nerve ablation
US8728148B2 (en) 2011-11-09 2014-05-20 Cook Medical Technologies Llc Diameter reducing tie arrangement for endoluminal prosthesis
US9119600B2 (en) 2011-11-15 2015-09-01 Boston Scientific Scimed, Inc. Device and methods for renal nerve modulation monitoring
US9681939B2 (en) 2011-11-18 2017-06-20 Cook Medical Technologies Llc Silane bonded medical devices and method of making same
US9119632B2 (en) 2011-11-21 2015-09-01 Boston Scientific Scimed, Inc. Deflectable renal nerve ablation catheter
WO2013084235A2 (en) 2011-12-04 2013-06-13 Endospan Ltd. Branched stent-graft system
US9265969B2 (en) 2011-12-21 2016-02-23 Cardiac Pacemakers, Inc. Methods for modulating cell function
EP2985007B1 (en) 2011-12-22 2019-11-13 Cook Medical Technologies LLC Preloaded wire for endoluminal device
EP2793724B1 (en) 2011-12-23 2016-10-12 Vessix Vascular, Inc. Apparatuses for remodeling tissue of or adjacent to a body passage
CN104135958B (en) 2011-12-28 2017-05-03 波士顿科学西美德公司 By the apparatus and method that have the new ablation catheter modulation nerve of polymer ablation
US9050106B2 (en) 2011-12-29 2015-06-09 Boston Scientific Scimed, Inc. Off-wall electrode device and methods for nerve modulation
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
EP3141223A1 (en) 2012-04-12 2017-03-15 Bolton Medical, Inc. Vascular prosthetic delivery device
WO2013169927A1 (en) 2012-05-08 2013-11-14 Boston Scientific Scimed, Inc. Renal nerve modulation devices
US9770350B2 (en) 2012-05-15 2017-09-26 Endospan Ltd. Stent-graft with fixation elements that are radially confined for delivery
CA2881535A1 (en) 2012-08-10 2014-02-13 Altura Medical, Inc. Stent delivery systems and associated methods
CN104540465A (en) 2012-08-24 2015-04-22 波士顿科学西美德公司 Intravascular catheter with a balloon comprising separate microporous regions
CN104780859B (en) 2012-09-17 2017-07-25 波士顿科学西美德公司 Self-positioning electrode system and method for renal regulation
WO2014047411A1 (en) 2012-09-21 2014-03-27 Boston Scientific Scimed, Inc. System for nerve modulation and innocuous thermal gradient nerve block
US10549127B2 (en) 2012-09-21 2020-02-04 Boston Scientific Scimed, Inc. Self-cooling ultrasound ablation catheter
US10835305B2 (en) 2012-10-10 2020-11-17 Boston Scientific Scimed, Inc. Renal nerve modulation devices and methods
US9913740B2 (en) * 2012-10-25 2018-03-13 W. L. Gore & Associates, Inc. Stent with varying cross-section
EP2745813A1 (en) 2012-12-18 2014-06-25 Cook Medical Technologies LLC Preloaded wire for endoluminal device
US9622893B2 (en) 2012-12-20 2017-04-18 Cook Medical Technologies Llc Apparatus and method for improved deployment of endovascular grafts
CN105007860B (en) 2013-01-08 2017-05-10 恩多斯潘有限公司 Minimization of stent-graft migration during implantation
US10835367B2 (en) 2013-03-08 2020-11-17 Limflow Gmbh Devices for fluid flow through body passages
CA2898879C (en) 2013-03-08 2023-05-02 Limflow Gmbh Methods and systems for providing or maintaining fluid flow through body passages
US9668892B2 (en) 2013-03-11 2017-06-06 Endospan Ltd. Multi-component stent-graft system for aortic dissections
WO2014163987A1 (en) 2013-03-11 2014-10-09 Boston Scientific Scimed, Inc. Medical devices for modulating nerves
US9693821B2 (en) 2013-03-11 2017-07-04 Boston Scientific Scimed, Inc. Medical devices for modulating nerves
US9808311B2 (en) 2013-03-13 2017-11-07 Boston Scientific Scimed, Inc. Deflectable medical devices
US9545324B2 (en) 2013-03-13 2017-01-17 Cook Medical Technologies Llc Pre-loaded iliac branch device and methods of deployment
WO2014144809A1 (en) 2013-03-15 2014-09-18 Altura Medical, Inc. Endograft device delivery systems and associated methods
JP6220044B2 (en) 2013-03-15 2017-10-25 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． Medical device for renal nerve ablation
US9439751B2 (en) 2013-03-15 2016-09-13 Bolton Medical, Inc. Hemostasis valve and delivery systems
US9297845B2 (en) 2013-03-15 2016-03-29 Boston Scientific Scimed, Inc. Medical devices and methods for treatment of hypertension that utilize impedance compensation
US10265122B2 (en) 2013-03-15 2019-04-23 Boston Scientific Scimed, Inc. Nerve ablation devices and related methods of use
JP2016523147A (en) 2013-06-21 2016-08-08 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． Renal denervation balloon catheter with a riding-type electrode support
US10022182B2 (en) 2013-06-21 2018-07-17 Boston Scientific Scimed, Inc. Medical devices for renal nerve ablation having rotatable shafts
US9707036B2 (en) 2013-06-25 2017-07-18 Boston Scientific Scimed, Inc. Devices and methods for nerve modulation using localized indifferent electrodes
WO2015002787A1 (en) 2013-07-01 2015-01-08 Boston Scientific Scimed, Inc. Medical devices for renal nerve ablation
US10413357B2 (en) 2013-07-11 2019-09-17 Boston Scientific Scimed, Inc. Medical device with stretchable electrode assemblies
EP3019105B1 (en) 2013-07-11 2017-09-13 Boston Scientific Scimed, Inc. Devices for nerve modulation
CN105682594B (en) 2013-07-19 2018-06-22 波士顿科学国际有限公司 Helical bipolar electrodes renal denervation dominates air bag
EP3024405A1 (en) 2013-07-22 2016-06-01 Boston Scientific Scimed, Inc. Renal nerve ablation catheter having twist balloon
EP3024406B1 (en) 2013-07-22 2019-06-19 Boston Scientific Scimed, Inc. Medical devices for renal nerve ablation
WO2015027096A1 (en) 2013-08-22 2015-02-26 Boston Scientific Scimed, Inc. Flexible circuit having improved adhesion to a renal nerve modulation balloon
US9895194B2 (en) 2013-09-04 2018-02-20 Boston Scientific Scimed, Inc. Radio frequency (RF) balloon catheter having flushing and cooling capability
EP3043733A1 (en) 2013-09-13 2016-07-20 Boston Scientific Scimed, Inc. Ablation balloon with vapor deposited cover layer
US11246654B2 (en) 2013-10-14 2022-02-15 Boston Scientific Scimed, Inc. Flexible renal nerve ablation devices and related methods of use and manufacture
US9687166B2 (en) 2013-10-14 2017-06-27 Boston Scientific Scimed, Inc. High resolution cardiac mapping electrode array catheter
US9770606B2 (en) 2013-10-15 2017-09-26 Boston Scientific Scimed, Inc. Ultrasound ablation catheter with cooling infusion and centering basket
US9962223B2 (en) 2013-10-15 2018-05-08 Boston Scientific Scimed, Inc. Medical device balloon
EP3057521B1 (en) 2013-10-18 2020-03-25 Boston Scientific Scimed, Inc. Balloon catheters with flexible conducting wires
US10271898B2 (en) 2013-10-25 2019-04-30 Boston Scientific Scimed, Inc. Embedded thermocouple in denervation flex circuit
US10603197B2 (en) 2013-11-19 2020-03-31 Endospan Ltd. Stent system with radial-expansion locking
EP3091922B1 (en) 2014-01-06 2018-10-17 Boston Scientific Scimed, Inc. Tear resistant flex circuit assembly
US11000679B2 (en) 2014-02-04 2021-05-11 Boston Scientific Scimed, Inc. Balloon protection and rewrapping devices and related methods of use
EP3424453A1 (en) 2014-02-04 2019-01-09 Boston Scientific Scimed, Inc. Alternative placement of thermal sensors on bipolar electrode
US9545263B2 (en) 2014-06-19 2017-01-17 Limflow Gmbh Devices and methods for treating lower extremity vasculature
US10959826B2 (en) 2014-10-16 2021-03-30 Cook Medical Technology LLC Support structure for scalloped grafts
CA2967904C (en) 2014-12-18 2023-01-10 Endospan Ltd. Endovascular stent-graft with fatigue-resistant lateral tube
US10219891B2 (en) * 2015-02-18 2019-03-05 Medtronic Vascular, Inc. Stent-graft prostheses having a stitch path that permits relative movement between a stent and a tubular graft
US10478591B2 (en) 2015-03-05 2019-11-19 Cook Medical Technologies Llc Stent graft delivery device pre-loaded with a single wire for device tracking and cannulation
US10426646B2 (en) 2015-03-05 2019-10-01 Cook Medical Technologies Llc Pre-loaded delivery device with tri-fold proximal prosthesis attachment
CN107624056B (en) 2015-06-30 2020-06-09 恩朵罗杰克斯股份有限公司 Locking assembly and related system and method
US10335301B2 (en) * 2015-09-01 2019-07-02 Cook Medical Technologies Llc Modular handle comprising a trigger wire actuation mechanism for a prosthesis delivery device
US10188538B2 (en) 2015-12-30 2019-01-29 Cook Medical Technologies Llc Hybrid trigger wire for endografts
US10610393B2 (en) 2016-03-24 2020-04-07 Cook Medical Technologies Llc Wire retention and release mechanisms
WO2017176730A1 (en) * 2016-04-05 2017-10-12 Bolton Medical, Inc. Stent graft with internal tunnels and fenestrations and methods of use
US10772751B2 (en) 2016-09-09 2020-09-15 Cook Medical Technologies Llc Fenestrated endoluminal prosthesis and system and method of deployment thereof
US10537419B2 (en) 2016-10-27 2020-01-21 Cook Medical Technologies Llc Prosthesis with branched portion
US10646324B2 (en) 2017-01-31 2020-05-12 Cook Medical Technologies, LLC Bifurcated stent graft with hemodynamic blood flow dividing wall
EP3372202B1 (en) 2017-03-09 2022-04-06 Cook Medical Technologies LLC Low profile stent delivery system and method
CN110730634A (en) 2017-04-10 2020-01-24 林弗洛公司 Apparatus and method for treating the vasculature of a lower limb
US10709541B2 (en) 2017-04-28 2020-07-14 Cook Medical Technologies Llc Systems and methods for adjusting the diameter of an endoluminal prosthesis and an endoluminal prosthesis configured for the same
US10441221B2 (en) 2017-06-26 2019-10-15 Cook Medical Technologies Llc Graft prosthesis with pocket for microsystem
US11096810B2 (en) 2017-11-29 2021-08-24 Cook Medical Technologies Llc Preloaded pusher tip for endografts
US11291570B2 (en) 2018-04-27 2022-04-05 Cook Medical Technologies Llc Hybrid stent and delivery system
EP3830239A1 (en) 2018-08-16 2021-06-09 TERUMO Kabushiki Kaisha Cell culture substrate
EP3863707A4 (en) 2018-10-09 2022-07-13 LimFlow GmbH Devices and methods for catheter alignment
WO2020150557A1 (en) 2019-01-18 2020-07-23 W. L. Gore & Associates, Inc. Bioabsorbable medical devices
EP3990095A4 (en) 2019-06-28 2023-07-12 Theodosios Alexander Removable mechanical circulatory support for short term use
CA3153757A1 (en) 2019-11-01 2021-05-06 Limflow Gmbh Devices and methods for increasing blood perfusion to a distal extremity
RU2742451C1 (en) * 2020-03-04 2021-02-05 Заза Александрович Кавтеладзе Bifurcation stent-graft system for treating aneurism of abdominal aorta and method of treating aneurism of abdominal aorta using thereof
US11478371B2 (en) * 2020-04-20 2022-10-25 Exovitra LLC Methods and systems for treatment of aneurysms
GB2605559B (en) 2021-01-07 2023-04-05 Cook Medical Technologies Llc Stent graft
WO2023091379A1 (en) * 2021-11-16 2023-05-25 Theodosios Alexander Collapsing mechanical circulatory support device for temporary use
EP4356875A1 (en) 2022-10-17 2024-04-24 Cook Medical Technologies LLC Stent graft assembly

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5387235A (en) 1991-10-25 1995-02-07 Cook Incorporated Expandable transluminal graft prosthesis for repair of aneurysm
US5720776A (en) 1991-10-25 1998-02-24 Cook Incorporated Barb and expandable transluminal graft prosthesis for repair of aneurysm
WO1998053761A1 (en) 1997-05-26 1998-12-03 William A. Cook Australia Pty. Ltd. A prosthesis and a method and means of deploying a prosthesis
WO1999029262A1 (en) 1997-12-10 1999-06-17 William A. Cook Australia Pty. Ltd. Endoluminal aortic stents
US6206931B1 (en) 1996-08-23 2001-03-27 Cook Incorporated Graft prosthesis materials
WO2003034948A1 (en) 2001-10-26 2003-05-01 Cook Incorporated Prostheses for curved lumens

Family Cites Families (27)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2907321A (en) * 1956-04-04 1959-10-06 Nat Electric Instr Co Inc Obturating means for endoscopic sheaths
US5693083A (en) * 1983-12-09 1997-12-02 Endovascular Technologies, Inc. Thoracic graft and delivery catheter
US5104399A (en) * 1986-12-10 1992-04-14 Endovascular Technologies, Inc. Artificial graft and implantation method
US4665918A (en) * 1986-01-06 1987-05-19 Garza Gilbert A Prosthesis system and method
US5147334A (en) * 1991-01-02 1992-09-15 Moss James P Catheter for cholangiography
IL108455A (en) * 1993-01-27 1997-04-15 Instent Inc Vascular and coronary stents
AU689094B2 (en) * 1993-04-22 1998-03-26 C.R. Bard Inc. Non-migrating vascular prosthesis and minimally invasive placement system therefor
DE59308956D1 (en) * 1993-06-24 1998-10-08 Schneider Europ Gmbh Aspiration catheter assembly
CA2125258C (en) * 1993-08-05 1998-12-22 Dinah B Quiachon Multicapsule intraluminal grafting system and method
DE69419877T2 (en) * 1993-11-04 1999-12-16 Bard Inc C R Fixed vascular prosthesis
US5662675A (en) * 1995-02-24 1997-09-02 Intervascular, Inc. Delivery catheter assembly
DE69635659T2 (en) * 1995-06-01 2006-07-06 Meadox Medicals, Inc. IMPLANTABLE INTRALUMINARY PROSTHESIS
US5776142A (en) * 1996-12-19 1998-07-07 Medtronic, Inc. Controllable stent delivery system and method
US6331191B1 (en) * 1997-11-25 2001-12-18 Trivascular Inc. Layered endovascular graft
US6183481B1 (en) * 1999-09-22 2001-02-06 Endomed Inc. Delivery system for self-expanding stents and grafts
US6280466B1 (en) * 1999-12-03 2001-08-28 Teramed Inc. Endovascular graft system
DK1263349T3 (en) * 2000-03-14 2009-10-19 Cook Inc Endovascular stent graft
WO2002000288A1 (en) * 2000-06-26 2002-01-03 Kanji Inoue Transporting device for transplanting instrument
US6699274B2 (en) * 2001-01-22 2004-03-02 Scimed Life Systems, Inc. Stent delivery system and method of manufacturing same
AUPR961701A0 (en) 2001-12-19 2002-01-24 Cook Incorporated Improving graft adhesion
US6641606B2 (en) * 2001-12-20 2003-11-04 Cleveland Clinic Foundation Delivery system and method for deploying an endovascular prosthesis
WO2003101518A1 (en) 2002-05-29 2003-12-11 William A. Cook Australia Pty. Ltd. Trigger wire system for a prosthesis deployment device
EP2165675B1 (en) 2002-06-26 2018-03-07 Cook Medical Technologies LLC Stent-graft fastening
WO2004028399A2 (en) 2002-06-28 2004-04-08 Cook Incorporated Thoracic deployment device
EP1517651B1 (en) 2002-06-28 2010-05-26 Cook Incorporated Thoracic aortic aneurysm stent graft
US7722657B2 (en) 2002-08-23 2010-05-25 William A. Cook Australia Pty. Ltd. Asymmetric stent graft attachment
US7347866B2 (en) * 2003-03-10 2008-03-25 Boston Scientific Scimed, Inc. Medical stent and related methods

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5387235A (en) 1991-10-25 1995-02-07 Cook Incorporated Expandable transluminal graft prosthesis for repair of aneurysm
US5720776A (en) 1991-10-25 1998-02-24 Cook Incorporated Barb and expandable transluminal graft prosthesis for repair of aneurysm
US6206931B1 (en) 1996-08-23 2001-03-27 Cook Incorporated Graft prosthesis materials
WO1998053761A1 (en) 1997-05-26 1998-12-03 William A. Cook Australia Pty. Ltd. A prosthesis and a method and means of deploying a prosthesis
WO1999029262A1 (en) 1997-12-10 1999-06-17 William A. Cook Australia Pty. Ltd. Endoluminal aortic stents
WO2003034948A1 (en) 2001-10-26 2003-05-01 Cook Incorporated Prostheses for curved lumens

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8241346B2 (en) 2001-12-20 2012-08-14 Trivascular, Inc. Endovascular graft and method of delivery
US8864814B2 (en) 2001-12-20 2014-10-21 Trivascular, Inc. Method of delivering advanced endovascular graft and system
WO2007084547A1 (en) * 2006-01-18 2007-07-26 William A. Cook Australia Pty. Ltd. Endoluminal delivery device
AU2007207612B2 (en) * 2006-01-18 2012-02-23 Cook Incorporated Endoluminal delivery device
US8740964B2 (en) 2006-01-18 2014-06-03 Cook Medical Technologies Llc Endoluminal delivery device
US10159557B2 (en) 2007-10-04 2018-12-25 Trivascular, Inc. Modular vascular graft for low profile percutaneous delivery
US10682222B2 (en) 2007-10-04 2020-06-16 Trivascular, Inc. Modular vascular graft for low profile percutaneous delivery
US9788933B2 (en) 2010-10-29 2017-10-17 Cook Medical Technologies Llc Medical device delivery system and deployment method
US11717430B2 (en) 2017-03-10 2023-08-08 Serenity Medical, Inc. Method and system for delivering a self-expanding stent to the venous sinuses

Also Published As

Publication number Publication date
AU2003248771B2 (en) 2008-02-07
DK1517651T3 (en) 2010-08-02
JP2010269161A (en) 2010-12-02
JP5108997B2 (en) 2012-12-26
US20040106974A1 (en) 2004-06-03
US20040106978A1 (en) 2004-06-03
EP1517651A1 (en) 2005-03-30
JP2005537824A (en) 2005-12-15
ATE468828T1 (en) 2010-06-15
US7611529B2 (en) 2009-11-03
AU2003258976A1 (en) 2004-01-19
AU2003258976B2 (en) 2008-05-29
JP2006506107A (en) 2006-02-23
CA2487131C (en) 2011-04-26
DK1517652T3 (en) 2012-03-19
JP5621093B2 (en) 2014-11-05
CA2489495A1 (en) 2004-01-08
EP1517652B1 (en) 2011-12-07
US7232459B2 (en) 2007-06-19
EP1517651B1 (en) 2010-05-26
WO2004002371A3 (en) 2004-04-01
WO2004002370A1 (en) 2004-01-08
CA2489495C (en) 2010-07-13
CA2487131A1 (en) 2004-01-08
DE60332733D1 (en) 2010-07-08
AU2003248771A1 (en) 2004-01-19
ATE536148T1 (en) 2011-12-15
EP1517652A2 (en) 2005-03-30
JP4743836B2 (en) 2011-08-10

Similar Documents

Publication Publication Date Title
CA2487131C (en) Thoracic stent graft introducer
EP2204141B1 (en) Prosthesis deployment system retention device
EP1791498B1 (en) Stent graft with integral side arm
AU2004228046B2 (en) Branch stent graft deployment and method
US8043354B2 (en) Thoracic deployment device and stent graft
EP2387379B1 (en) Stent graft and introducer assembly
EP1509271B1 (en) Trigger wire system for a prosthesis deployment device
JP4928449B2 (en) Endoluminal prosthesis
US8361135B2 (en) Prosthesis deployment system
AU2003273274B2 (en) Branch grafting device and method

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A2

Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BY BZ CA CH CN CO CR CU CZ DE DK DM DZ EC EE ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MA MD MG MK MN MW MX MZ NI NO NZ OM PH PL PT RO RU SC SD SE SG SK SL TJ TM TN TR TT TZ UA UG UZ VC VN YU ZA ZM ZW

AL Designated countries for regional patents

Kind code of ref document: A2

Designated state(s): GH GM KE LS MW MZ SD SL SZ TZ UG ZM ZW AM AZ BY KG KZ MD RU TJ TM AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IT LU MC NL PT RO SE SI SK TR BF BJ CF CG CI CM GA GN GQ GW ML MR NE SN TD TG

121 Ep: the epo has been informed by wipo that ep was designated in this application
WWE Wipo information: entry into national phase

Ref document number: 2487131

Country of ref document: CA

WWE Wipo information: entry into national phase

Ref document number: 2003248771

Country of ref document: AU

WWE Wipo information: entry into national phase

Ref document number: 2004518151

Country of ref document: JP

WWE Wipo information: entry into national phase

Ref document number: 2003762267

Country of ref document: EP

WWP Wipo information: published in national office

Ref document number: 2003762267

Country of ref document: EP