Endovascular stent graft assembly and delivery device

    公开(公告)号:US10758387B2

    公开(公告)日:2020-09-01

    申请号:US14875925

    申请日:2015-10-06

    Abstract: A pre-loaded delivery device that facilitates accurate placement of a stent graft assembly in the aorta is disclosed. A stent graft is carried on the delivery device and held in a pre-deployment configuration by a sheath. A split in the sheath facilitates the pre-cannulation of one or more branch arteries extending from the aorta before the stent graft is fully released in the aorta. The stent graft comprises a tubular body having at least one scalloped fenestration formed in one end of the graft material and at least one fenestration formed in the graft material of the main tubular body. A helical internal side branch extends from the fenestration within the lumen of the main tubular body. The helical side branch is configured to curve at least partially around the scalloped fenestration. The assembly further comprises a connection stent graft extending from the fenestration into a branch vessel.

    Branched frozen elephant trunk device and method

    公开(公告)号:US11173024B2

    公开(公告)日:2021-11-16

    申请号:US15997075

    申请日:2018-06-04

    Abstract: An endoluminal prosthesis system for being deployed in a patient's aorta near the heart includes a graft having a tubular body with a lumen extending from proximal end configured to be deployed near a patient's heart to a distal end configured to be deployed away from the patient's heart. A collar around the graft is sized and configured to be sutured to a patient's aorta. Passageways in the middle portion of the graft permit fluid communication from the lumen of the graft to an exterior of the graft. A respective bridging branch is disposed at each of the passageways, each of the bridging branches having an inner opening and an outer opening so that the bridging branches provide fluid communication from the lumen of the graft to the exterior of the graft. A respective bridging graft is sized and arranged to mate with each of the bridging branches.

    APPARATUSES TO FACILITATE PROSTHESIS PLACEMENT

    公开(公告)号:US20200060855A1

    公开(公告)日:2020-02-27

    申请号:US16107082

    申请日:2018-08-21

    Abstract: Methods and apparatuses to place a prosthesis within a receiving structure are provided. A delivery apparatus includes an elongated support member including a support member distal end. A stop cap is disposed at the support member distal end and includes a stop cap transverse dimension larger than an inner diameter of a receiving lumen of the receiving structure. An elongated prosthesis-positioning member extends along the support member and stop cap so a distal surface of the prosthesis-positioning member is disposed at a position longitudinally coincident with a portion of the stop cap. A sheath comprises a sheath lumen receiving the prosthesis-positioning member so the sheath translates longitudinally relative to the prosthesis-positioning member. The delivery apparatus has a loaded configuration in which the prosthesis is received in the sheath lumen with a proximal end of the prosthesis abutting the prosthesis-positioning member distal surface.

    PRE-LOADED DELIVERY DEVICE WITH TRI-FOLD PROXIMAL PROSTHESIS ATTACHMENT
    6.
    发明申请
    PRE-LOADED DELIVERY DEVICE WITH TRI-FOLD PROXIMAL PROSTHESIS ATTACHMENT 审中-公开
    预付货物交付装置,具有三叉折叠假货附件

    公开(公告)号:US20160256301A1

    公开(公告)日:2016-09-08

    申请号:US15041433

    申请日:2016-02-11

    Abstract: A pre-loaded prosthesis delivery device is described. In one example, the prosthesis delivery device is pre-loaded with a single wire that allows the device to be tracked into place within a vessel and also facilitates cannulation of a branch vessel. The delivery device further comprises a prosthesis that is releasably coupled to a delivery catheter by using two attachment wires to secure the proximal end of the prosthesis to the delivery device in a tri-fold configuration.

    Abstract translation: 描述了预加载假体输送装置。 在一个示例中,假体递送装置预先加载有单个线,其允许将装置跟踪到容器内的适当位置,并且还便于插管分支容器。 递送装置还包括假体,其通过使用两个附接线可释放地联接到输送导管,以将假体的近端固定在三重构造中的输送装置。

    SYSTEMS AND METHODS TO POSITION A PROSTHESIS

    公开(公告)号:US20200146859A1

    公开(公告)日:2020-05-14

    申请号:US16600987

    申请日:2019-10-14

    Abstract: Systems and methods to place a prosthesis to have a preselected overlap with a receiving structure are provided. In one embodiment, a delivery system may include a primary sheath comprising a primary sheath lumen. The delivery system may further include a secondary sheath comprising a secondary sheath lumen. The primary sheath may be at least partially received within the secondary sheath lumen such that the primary sheath may translate longitudinally within the secondary sheath lumen. The delivery system may further include a prosthesis having proximal and distal ends and being received within the primary sheath lumen adjacent to the primary sheath distal end in a contracted delivery state. The delivery system may further include a length reference mechanism that indicates a length of the primary sheath distal end that extends distal to the secondary sheath distal end during the contracted delivery state of the prosthesis.

    Introducer with side opening
    8.
    发明授权

    公开(公告)号:US10433990B2

    公开(公告)日:2019-10-08

    申请号:US14978666

    申请日:2015-12-22

    Abstract: An introducer for an endoluminal prosthesis and a methods for delivering a prosthesis within a body vessel are described. The introducer comprises pusher catheter having a lumen extending therethrough, the lumen being in communication with an opening formed in the sidewall of the pusher. A sheath is disposed over the pusher catheter and also has an opening formed in its sidewall. The sheath is longitudinally movable relative to the pusher catheter between a prosthesis delivery position and a prosthesis deployment position. When the sheath is in the deployment position, the opening formed in the sidewall of the pusher catheter is at least partially longitudinally aligned with the opening formed in the sidewall of the sheath. A wire may extend though the opening in the sheath, the opening in the pusher, through the lumen of the pusher and through a fenestration in a prosthesis to cannulate a branch vessel.

    INTRODUCER WITH SIDE OPENING
    10.
    发明申请
    INTRODUCER WITH SIDE OPENING 审中-公开
    介绍与开放

    公开(公告)号:US20160175128A1

    公开(公告)日:2016-06-23

    申请号:US14978666

    申请日:2015-12-22

    CPC classification number: A61F2/95 A61F2/954 A61F2/966

    Abstract: An introducer for an endoluminal prosthesis and a methods for delivering a prosthesis within a body vessel are described. The introducer comprises pusher catheter having a lumen extending therethrough, the lumen being in communication with an opening formed in the sidewall of the pusher. A sheath is disposed over the pusher catheter and also has an opening formed in its sidewall. The sheath is longitudinally movable relative to the pusher catheter between a prosthesis delivery position and a prosthesis deployment position. When the sheath is in the deployment position, the opening formed in the sidewall of the pusher catheter is at least partially longitudinally aligned with the opening formed in the sidewall of the sheath. A wire may extend though the opening in the sheath, the opening in the pusher, through the lumen of the pusher and through a fenestration in a prosthesis to cannulate a branch vessel.

    Abstract translation: 描述了用于腔内假体的导引器和用于在体内容器内输送假体的方法。 引导器包括具有延伸穿过其中的内腔的推动器导管,该内腔与形成在推动器的侧壁中的开口连通。 护套设置在推动器导管上方并且还具有形成在其侧壁中的开口。 护套在假体递送位置和假体展开位置之间可相对于推动器导管纵向移动。 当护套处于展开位置时,形成在推动器导管的侧壁中的开口至少部分地与形成在护套的侧壁中的开口纵向对准。 线可以延伸穿过护套中的开口,推动器中的开口,穿过推动器的内腔并通过假体中的开窗来插管分支血管。

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