摘要:
A stent-graft (100) is provided with a tightenable loop element (104) having a first end terminated in a slip knot or self-tightening knot (112) and a second end which is received in and can slide in the knot (112). The knot (112) is tied by a suture to the stent-graft (100) so as to be fixed thereto. The loop (104) is fitted to the stent-graft (100) in a manner as to pass between the inside to the outside of the graft material and in such a manner that controlled curvature of the stent-graft (100) is possible, in particular control of the overlapping of adjacent stents held within the zone of the loop (104). An introducer assembly is also disclosed which includes a control cannula (120) able to the fixed to the stent-graft (100) during the deployment procedure, as well as a mechanism of suture loops (150, 152) at the proximal end of the stent-graft (100) for retaining this in a constricted form during the process of curving the latter during the deployment process.
摘要:
An introducer (10) includes release wires (42') that constrain at least one stent (4') while the remainder of a stent graft (18) is expanded during deployment. By allowing the constrained stent (4') to expand after an adjacent stent (4), the constrained stent (4') overlaps with the interior of the adjacent stent (4) where the stent graft (18) is deployed within a curved body lumen (70).
摘要:
A stent graft introducer (1) has a distally opening capsule (5) on a nose cone dilator (3) and a plug device (17; 53) in the capsule. The plug device (17; 53) is movable longitudinally within the capsule (5) to move to a distal end (7) of the capsule (5) to extend from the capsule (5) whereby to provide a smooth transition from the otherwise distal opening (7) of the capsule (5) to enable retraction of the nose cone dilator (3) through a deployed stent graft (35). The capsule (5) includes an in-turned distal end (7) and the plug device (17; 53) has a proximal shoulder (25) whereby to prevent the plug device (17; 53) from being completely withdrawn from the capsule (5). The plug device (17; 53) has a distal linearly tapered surface (27) or a distally facing bullet shaped surface (57). There can be an arrangement (72; 80) to prevent subsequent retraction of the plug device (53; 17).
摘要:
A fenestrated stent graft with a tubular side arm extending there from in which the side arm can be turned inside out to extend into the stent graft during deployment of the stent graft and extended out during deployment. Also disclosed is a deployment device for such a side arm stent graft which has a deployment catheter and a side arm guide, the side arm guide is releasably fastened at a proximal end to the branch tube and is able to be moved independently of the deployment catheter such that the branch tube can be extended from the tubular body of the stent graft while it is fastened onto the side arm guide. The side arm guide can be formed from a side arm catheter and a side arm guide wire carried in the side arm catheter.
摘要:
An introducer assembly for introducing a stent-graft (70) or other device into a vessel of a patient includes a pre-shaped curved cannula (60) made preferably of a shape memory material. The curved cannula can pull the proximal end (74) of the stent-graft (70) against the inner side wall of the vessel thereby to ensure a good leak free connection at this point. The assembly is particularly useful in deploying stent-grafts into the aortic arch.
摘要:
There is disclosed a locking unit (100) for locking a pusher (128) to a sheath assembly (164). The locking unit (100) includes a longitudinal locking portion (102) and a radial locking portion (104). The longitudinal locking portion (102) includes a plurality of cantilevered fingers (110) provided with longitudinally extending teeth (112) on internal surfaces thereof. A nut (108) can be tightened in order to bias the cantilevered arms (110) towards a pusher (128) such that the teeth (112) indent the outer surface of the pusher (128) to produce a strong and stable locking connection thereto. The radial locking section (104) latches onto the assembly integral with the sheath (164) so as to provide a radial locking action as well as a longitudinal locking action. The locking unit (100) provides a strong and reliable locking action between the pusher (128) and the sheath assembly (164) and can be easily removed by a clinician or surgeon during the deployment process.
摘要:
A thoracic stent graft (20) has a tubular bio-compatible graft material body (22) with a lumen therethrough with a proximal end (26) and a distal end (27). There is a sealing stent (28) at the proximal end of the tubular body with an anchoring device which may be a barb (30) affixed to the sealing stent. A distal attachment stent (34) with barbs (36) can be affixed to and extend from the distal end (27) of the graft material body. Intermediate stents (24) are provided along the length of the body. The thoracic stent graft can be in one or two portions.
摘要:
A stent assembly (42) adapted for endoluminal placement by endovascular deployment for the treatment of a false lumen (10) associated with a vascular dissection. The stent assembly has a number of self expanding stents (35) connected together to define an elongate substantially cylindrical lumen wall engaging surface. The stents are adapted to provided pressure on the wall of the lumen adjacent to and extending away from a rupture. A deployment device (40) for the stent assembly includes a sheath (48) and a retention and release arrangement (50) to retain the proximal end (37) of the stent graft to the deployment device. Release of the stent assembly is by withdrawal of the sheath before release of its proximal end by the use of a trigger wire (54) of the retention and release arrangement.
摘要:
An introducer assembly (100) including at its distal end a dilator tip (20) and an inner catheter for supporting an implantable medical device (1) for deployment, is provided with a plurality of strut elements (102, 202) extending from the dilator tip (20) to the proximal end of the medical device (1 ). The strut elements (102, 202) act to apply both a pulling and a pushing force against the proximal end of the medical device (1), having the effect of assisting in the correct positioning of the proximal end of the medical device in a patient's lumen, particularly where this is curved such as with the aortic arch. The strut elements (102, 202) form part of the introducer assembly and are removed from the patient following the deployment procedure. The device avoids the need for bare stents at the end of a stent graft.
摘要:
A stent graft (18) for deployment in a curved lumen such as the aortic or thoracic arch (130) comprises a constraining mechanism at its proximal end. A stent (4′) provided at the proximal end of the stent graft (18) includes loops of material (11) that co-operate with restraining wires (42) that extend between a central guide wire carrier (24) and a restraining wire cannula (8). The constraining mechanism acts to maintain the proximal stent (4′) constrained at three points around its circumference at both the proximal and distal ends of the proximal stent (4′). The proximal stent (4′) is thus allowed to expand after expansion of the remainder of the stent graft (18) during deployment. In an embodiment, the constraining mechanism acts to constrain two adjacent struts of the proximal stent (4′) at three points radially therearound, at the proximal end of the stent (4′) and at the distal end of the stent (4′). The proximal stent (4′) may then overlap with the interior of an adjacent stent at an inner part (31) of a curved vessel.