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WO2005112821A3 - Enhanced biological fixation of grafts - Google Patents

Enhanced biological fixation of grafts Download PDF

Info

Publication number
WO2005112821A3
WO2005112821A3 PCT/US2005/017878 US2005017878W WO2005112821A3 WO 2005112821 A3 WO2005112821 A3 WO 2005112821A3 US 2005017878 W US2005017878 W US 2005017878W WO 2005112821 A3 WO2005112821 A3 WO 2005112821A3
Authority
WO
WIPO (PCT)
Prior art keywords
biological fixation
grafts
provision
enhanced biological
mechanical treatment
Prior art date
Application number
PCT/US2005/017878
Other languages
French (fr)
Other versions
WO2005112821A2 (en
Inventor
Alan R Leewood
Clinton D Bahler
Jichao Sun
Neal E Fearnot
Original Assignee
Med Inst Inc
Alan R Leewood
Clinton D Bahler
Jichao Sun
Neal E Fearnot
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 Med Inst Inc, Alan R Leewood, Clinton D Bahler, Jichao Sun, Neal E Fearnot filed Critical Med Inst Inc
Priority to EP05757101A priority Critical patent/EP1750616A2/en
Priority to CA002567296A priority patent/CA2567296A1/en
Priority to AU2005244993A priority patent/AU2005244993B2/en
Priority to JP2007527502A priority patent/JP2007537842A/en
Publication of WO2005112821A2 publication Critical patent/WO2005112821A2/en
Publication of WO2005112821A3 publication Critical patent/WO2005112821A3/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
    • A61F2/82—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
    • 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
    • A61F2/0077—Special surfaces of prostheses, e.g. for improving ingrowth
    • A61F2002/0086—Special surfaces of prostheses, e.g. for improving ingrowth for preferentially controlling or promoting the growth of specific types of cells or tissues
    • 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
    • A61F2002/8486—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 provided on at least one of the ends
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0008—Fixation appliances for connecting prostheses to the body
    • A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0075—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028—Shapes in the form of latin or greek characters
    • A61F2230/005—Rosette-shaped, e.g. star-shaped
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028—Shapes in the form of latin or greek characters
    • A61F2230/0054—V-shaped
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0067—Three-dimensional shapes conical
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0039—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in diameter

Landscapes

  • Health & Medical Sciences (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pulmonology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Materials For Medical Uses (AREA)

Abstract

A stent graft (1) has a substantially tubular body having a proximal and a distal end, at least the proximal end (5) comprising a region intended in use to engage a landing zone in a vessel in the body in use, the region comprising a mechanical treatment to enhance biological fixation to the landing zone. The mechanical treatment can be provision of apertures (92), provision of relatively rigid engagement portions (17), impregnation with a SIS gel or digest (72) and mounting of a cuff or collar of SIS (60) or some other biocompatible material.
PCT/US2005/017878 2004-05-20 2005-05-20 Enhanced biological fixation of grafts WO2005112821A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
EP05757101A EP1750616A2 (en) 2004-05-20 2005-05-20 Enhanced biological fixation of grafts
CA002567296A CA2567296A1 (en) 2004-05-20 2005-05-20 Enhanced biological fixation of grafts
AU2005244993A AU2005244993B2 (en) 2004-05-20 2005-05-20 Enhanced biological fixation of grafts
JP2007527502A JP2007537842A (en) 2004-05-20 2005-05-20 Enhanced biological fixation of grafts

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US57280604P 2004-05-20 2004-05-20
US57280704P 2004-05-20 2004-05-20
US57280804P 2004-05-20 2004-05-20
US60/572,808 2004-05-20
US60/572,806 2004-05-20
US60/572,807 2004-05-20

Publications (2)

Publication Number Publication Date
WO2005112821A2 WO2005112821A2 (en) 2005-12-01
WO2005112821A3 true WO2005112821A3 (en) 2006-04-27

Family

ID=34971854

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2005/017878 WO2005112821A2 (en) 2004-05-20 2005-05-20 Enhanced biological fixation of grafts

Country Status (5)

Country Link
EP (1) EP1750616A2 (en)
JP (1) JP2007537842A (en)
AU (1) AU2005244993B2 (en)
CA (1) CA2567296A1 (en)
WO (1) WO2005112821A2 (en)

Families Citing this family (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070198078A1 (en) 2003-09-03 2007-08-23 Bolton Medical, Inc. Delivery system and method for self-centering a Proximal end of a stent graft
US8500792B2 (en) 2003-09-03 2013-08-06 Bolton Medical, Inc. Dual capture device for stent graft delivery system and method for capturing a stent graft
US8292943B2 (en) 2003-09-03 2012-10-23 Bolton Medical, Inc. Stent graft with longitudinal support member
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
US11259945B2 (en) 2003-09-03 2022-03-01 Bolton Medical, Inc. Dual capture device for stent graft delivery system and method for capturing a stent graft
US7763063B2 (en) 2003-09-03 2010-07-27 Bolton Medical, Inc. Self-aligning stent graft delivery system, kit, and method
US20080264102A1 (en) 2004-02-23 2008-10-30 Bolton Medical, Inc. Sheath Capture Device for Stent Graft Delivery System and Method for Operating Same
US9198786B2 (en) 2003-09-03 2015-12-01 Bolton Medical, Inc. Lumen repair device with capture structure
EP1746952A1 (en) 2004-05-20 2007-01-31 Cook Incorporated Endoluminal device with extracellular matrix material and methods
US8211168B2 (en) 2006-02-21 2012-07-03 Cook Biotech Incorporated Graft material, stent graft and method
US8906081B2 (en) * 2007-09-13 2014-12-09 W. L. Gore & Associates, Inc. Stented vascular graft
CA3010828A1 (en) * 2008-01-17 2009-07-23 Boston Scientific Scimed, Inc. Stent with anti-migration feature
US9364314B2 (en) 2008-06-30 2016-06-14 Bolton Medical, Inc. Abdominal aortic aneurysms: systems and methods of use
US8394138B2 (en) * 2008-09-05 2013-03-12 Cook Medical Technologies Llc Multi-strand helical stent
BRPI1012599A2 (en) 2009-03-13 2016-03-22 Bolton Medical Inc system and method for placing an endoluminal prosthesis in a surgical site
CA3192669A1 (en) * 2011-12-06 2013-06-13 Aortic Innovations Llc Device for endovascular aortic repair and method of using the same
JP6238959B2 (en) 2012-04-12 2017-11-29 ボルトン メディカル インコーポレイテッド Vascular prosthesis delivery device and method of use
US9700400B2 (en) 2013-02-20 2017-07-11 Cook Medical Technology LLC Attachment of stent to graft fabric with an anchoring machine stitching
US9439751B2 (en) 2013-03-15 2016-09-13 Bolton Medical, Inc. Hemostasis valve and delivery systems
US10610386B2 (en) 2014-06-27 2020-04-07 Boston Scientific Scimed, Inc. Compositions, devices, kits and methods for attaching stent-containing medical devices to tissue
WO2016054536A1 (en) * 2014-10-02 2016-04-07 Boston Scientific Scimed, Inc. Controlled ingrowth feature for antimigration
US9238090B1 (en) 2014-12-24 2016-01-19 Fettech, Llc Tissue-based compositions
US10765539B2 (en) * 2015-05-27 2020-09-08 W. L. Gore & Associates, Inc. Stent graft device with anchoring members having adjustable geometries
WO2021146021A1 (en) 2020-01-13 2021-07-22 Boston Scientific Scimed, Inc. Anti-migration stent
EP4171449A1 (en) 2020-06-24 2023-05-03 Bolton Medical, Inc. Anti-backspin component for vascular prosthesis delivery device
WO2022009923A1 (en) * 2020-07-07 2022-01-13 国立大学法人広島大学 Stent graft

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000045737A1 (en) * 1999-02-05 2000-08-10 Pietro Quaretti Urethral, biliary or esophagal tubular endoprosthesis
US20020052649A1 (en) * 2000-10-31 2002-05-02 Greenhalgh E. Skott Graft having region for biological seal formation
US20020066360A1 (en) * 2000-10-31 2002-06-06 Greenhalgh E. Skott Supported lattice for cell cultivation
US20020123790A1 (en) * 1999-09-28 2002-09-05 White Geoffrey Hamilton Enhanced engagement member for anchoring prosthetic devices in body lumen
US20030120332A1 (en) * 2001-12-19 2003-06-26 Cook Incorporated Stent graft with improved graft adhesion
US20030204249A1 (en) * 2002-04-25 2003-10-30 Michel Letort Endovascular stent graft and fixation cuff
WO2005065583A1 (en) * 2003-12-30 2005-07-21 Scimed Life Systems, Inc Non-porous graft with fastening elements

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ATE416718T1 (en) * 2000-05-04 2008-12-15 Univ Oregon Health & Science ENDOVASCULAR STENT GRAFT

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000045737A1 (en) * 1999-02-05 2000-08-10 Pietro Quaretti Urethral, biliary or esophagal tubular endoprosthesis
US20020123790A1 (en) * 1999-09-28 2002-09-05 White Geoffrey Hamilton Enhanced engagement member for anchoring prosthetic devices in body lumen
US20020052649A1 (en) * 2000-10-31 2002-05-02 Greenhalgh E. Skott Graft having region for biological seal formation
US20020066360A1 (en) * 2000-10-31 2002-06-06 Greenhalgh E. Skott Supported lattice for cell cultivation
US20030120332A1 (en) * 2001-12-19 2003-06-26 Cook Incorporated Stent graft with improved graft adhesion
US20030204249A1 (en) * 2002-04-25 2003-10-30 Michel Letort Endovascular stent graft and fixation cuff
WO2005065583A1 (en) * 2003-12-30 2005-07-21 Scimed Life Systems, Inc Non-porous graft with fastening elements

Also Published As

Publication number Publication date
EP1750616A2 (en) 2007-02-14
CA2567296A1 (en) 2005-12-01
AU2005244993B2 (en) 2011-03-31
AU2005244993A1 (en) 2005-12-01
JP2007537842A (en) 2007-12-27
WO2005112821A2 (en) 2005-12-01

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