Modular aortic arch prosthetic assembly and method of use thereof

    公开(公告)号:US10702369B2

    公开(公告)日:2020-07-07

    申请号:US15830221

    申请日:2017-12-04

    Abstract: A prosthetic assembly configured for endovascular placement within an aortic arch and method of use thereof. The prosthetic assembly includes a proximal aortic stent-graft prosthesis configured to be positioned within a proximal portion of the aortic arch adjacent to the brachiocephalic artery, a distal aortic stent-graft prosthesis configured to be positioned within a distal portion of the aortic arch adjacent to the left subclavian artery, a first branch stent-graft prosthesis configured to be positioned within the brachiocephalic artery and a second branch stent-graft prosthesis configured to be positioned in one of the left common carotid and the left subclavian artery. When deployed, a proximal end of the first branch stent-graft prosthesis is disposed within a lumen of the proximal aortic stent-graft prosthesis to proximally displace the ostium of the brachiocephalic artery. When deployed, a proximal end of the distal aortic stent-graft prosthesis is disposed within the distal end of the proximal aortic stent-graft prosthesis to form an overlap between the proximal and distal aortic stent-graft prostheses. The overlap is relatively increased by the first branch stent-graft prosthesis proximally displacing the ostium of the brachiocephalic artery.

    Stent-graft delivery having a tip capture mechanism with elongated cables for gradual deployment and repositioning
    13.
    发明授权
    Stent-graft delivery having a tip capture mechanism with elongated cables for gradual deployment and repositioning 有权
    支架移植物递送具有尖端捕获机构,细长的电缆用于逐渐部署和重新定位

    公开(公告)号:US09095463B2

    公开(公告)日:2015-08-04

    申请号:US13773152

    申请日:2013-02-21

    Abstract: Stent-graft delivery systems having a tip capture mechanism with a plurality of elongated cables that allow for gradual deployment and repositioning of a stent-graft prosthesis. The tip capture mechanism includes a guiding assembly, a distal tip assembly, and a plurality of cables. In a first relative position, the distal tip assembly extends the guiding assembly to temporarily constrain the distal ends of the cables and an intermediate portion of each cable constrains an endmost crown of the prosthesis. In this first relative position, tension on the cables may be selectively adjusted to allow for both gradual continuous radial expansion and contraction of the endmost crowns of the stent-graft prosthesis. In a second relative position, the distal tip assembly does not extend over the guiding assembly and thus does not constrain the distal ends of the cables, and thereby the cables do not constrain the endmost crowns.

    Abstract translation: 支架移植物输送系统具有尖端捕获机构,其具有多个细长的电缆,其允许展开 - 移植假体的逐渐展开和重新定位。 尖端捕获机构包括引导组件,远侧末端组件和多个电缆。 在第一相对位置中,远侧末端组件延伸引导组件以临时约束电缆的远端,并且每个电缆的中间部分约束假体的最末端的冠部。 在该第一相对位置,可以选择性地调节电缆上的张力,以允许支架移植假体的最末端冠的逐渐连续的径向膨胀和收缩。 在第二相对位置中,远侧末端组件不延伸超过引导组件,因此不约束电缆的远端,并且因此电缆不限制最末端的冠部。

    Landing zone for endovascular procedures

    公开(公告)号:US11617641B2

    公开(公告)日:2023-04-04

    申请号:US17354629

    申请日:2021-06-22

    Abstract: Systems and methods for building a landing zone for an endovascular procedure are described. This procedure is “hybrid” in that it involves both direct access (e.g., sternotomy or partial sternotomy) to the site for installation of the landing zone, as well as endovascular installation of a TAVR or TEVAR device (e.g., stent graft) once the landing zone is installed. The landing zone is installed by wrapping a landing band around a portion of a vessel. The landing band may be selected to be fixed at a diameter so that it inhibits any expansion of the vessel, and also supports a later-installed TAVR or TEVAR device. The TAVR or TEVAR device is then endovascularly delivered to the vessel and deployed therein. The device expands until it contacts the vessel, which is supported from the outside by the landing band, which thus constrains and supports the device from outside.

    Bifurcating branch modular iliac branch device

    公开(公告)号:US11344402B2

    公开(公告)日:2022-05-31

    申请号:US16855780

    申请日:2020-04-22

    Abstract: The techniques of this disclosure generally relate to a stent-graft system including a bifurcated stent-graft, a first bifurcating branch device, and a first branch extension. The bifurcated stent-graft includes a body, a first branch limb, and a second branch limb. The first bifurcating branch device includes a body segment coupled to the first branch limb of the bifurcated stent-graft, a first branch limb, and a second branch limb. The first branch extension is within the first branch limb of the first bifurcating branch device and within an external iliac artery. The first bifurcating branch device has a wide patient applicability since the treatment can be extended proximal to the anatomical iliac bifurcation and is not limited by the common iliac artery length. The stent-graft system is suitable to treat a wide range of internal and external iliac artery diameters.

    Ring on a closed web stent-graft for use in tip capture

    公开(公告)号:US10335265B2

    公开(公告)日:2019-07-02

    申请号:US14509128

    申请日:2014-10-08

    Abstract: A stent-graft has a closed web end configuration in which endmost stent crowns do not extend beyond an end or edge of a tubular graft. In order to couple the stent-graft to tip capture fingers or prongs of a delivery system, the stent-graft includes a ring woven between the endmost crowns of an end stent. When end stent is in a compressed delivery configuration, sections of the ring between adjacent endmost crowns form attachment loops that longitudinally extend beyond the end of the tubular graft for engaging the tip capture fingers of a delivery system. When the end stent is in an expanded fully deployed configuration, the attachment loops retract back to the stent so that the ring is a circular band having a diameter substantially equal to the expanded diameter of the stent.

    Ring on a Closed Web Stent-Graft for Use in Tip Capture
    20.
    发明申请
    Ring on a Closed Web Stent-Graft for Use in Tip Capture 审中-公开
    戒指在封闭的Web支架上 - 用于提示捕获中的移植

    公开(公告)号:US20150025617A1

    公开(公告)日:2015-01-22

    申请号:US14509128

    申请日:2014-10-08

    Abstract: A stent-graft has a closed web end configuration in which endmost stent crowns do not extend beyond an end or edge of a tubular graft. In order to couple the stent-graft to tip capture fingers or prongs of a delivery system, the stent-graft includes a ring woven between the endmost crowns of an end stent. When end stent is in a compressed delivery configuration, sections of the ring between adjacent endmost crowns form attachment loops that longitudinally extend beyond the end of the tubular graft for engaging the tip capture fingers of a delivery system. When the end stent is in an expanded fully deployed configuration, the attachment loops retract back to the stent so that the ring is a circular band having a diameter substantially equal to the expanded diameter of the stent.

    Abstract translation: 支架移植物具有封闭的腹板端构造,其中最终的支架冠部不延伸超过管状移植物的端部或边缘。 为了将支架移植物连接到递送系统的尖端捕获手指或尖端,支架移植物包括在末端支架的最末端冠之间编织的环。 当末端支架处于压缩递送构造时,相邻最后牙冠之间的环的部分形成纵向延伸超过管状移植物的端部的附接环,用于接合递送系统的尖端捕获指状物。 当末端支架处于扩展的完全展开构型时,附接环回缩回支架,使得环是具有基本上等于支架膨胀直径的直径的圆形带。

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