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US5316023A Expired / Lapsed US ⏱️ 0.0 years remaining

Method for bilateral intra-aortic bypass

Assignee: Cordis US Corp
•
Filing: 1992-01-08
•
Granted: 1994-05-31
•
Expires: 2012-01-08
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Abstract

Abstract A bilateral intra-aortic bypass graft and method and apparatus for repairing an abdominal aortic aneurysm includes two tubular grafts which are intraluminally delivered to the aorta and secured to the aorta by the expansion and deformation of two expandable and deformable tubular members.

Inventors

  • 👤 Julio C. Palmaz
  • 👤 Jean C. LaBorde

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 11:15
CPC Classifications
A; A61; A61F; A61F2/00; A61F2/95; A61F2/958; A61F2/02; A61F2/04; A61F2/06; A61F2/954; A61L; A61L27/00; A61L27/14; A61F2/82; A61F2/86; A61F2/90; A61F2002/065; A61F2/07; A61F2002/072; A61F2002/075; A61F2230/00; A61F2230/0002; A61F2230/0028; A61F2230/0034

Claims Analysis

Total Claims: 81
Claim 1
Independent Claim 192 words
A method for repairing an abdominal aortic aneurysm in an aorta having two iliac arteries associated therewith, comprising the steps of: (a) providing a first tube connected to a first expandable and deformable, tubular member; (b) providing a second tube connected to a second expandable and deformable, tubular member, the second tube being separate from the first tube; (c) providing the first tube and first tubular member disposed upon a first catheter, providing the second tube and second tubular member disposed upon a second catheter, each catheter having an expandable inflatable portion with the tubular members disposed upon the expandable, inflatable portions; (d) intraluminally delivering the first and second tubes, tubular members, and catheters to the aorta and disposing at least a portion of each tube within the abdominal aortic aneurysm; and (e) expanding and expandable, inflatable portion of each catheter to expand and deform the tubular members to force the tubular members radially outwardly into contact with the aorta and each other, to secure the tubular members and at least a portion of each tube within the aorta, whereby the tubes provide a bilateral fluid passageway through the abdominal aortic aneurysm.
Claim 2
Independent Claim 192 words
A method for repairing an abdominal aortic aneurysm in an aorta having two iliac arteries associated therewith, comprising the steps of: (a) providing a first tube connected to a first expandable and deformable, tubular member; (b) providing a second tube connected to a second expandable and deformable, tubular member, the second tube being separate from the first tube; (c) providing the first tube and first tubular member disposed upon a first catheter, providing the second tube and second tubular member disposed upon a second catheter, each catheter having an expandable inflatable portion with the tubular members disposed upon the expandable, inflatable portions; (d) intraluminally delivering the first and second tubes, tubular members, and catheters to the aorta and disposing at least a portion of each tube within the abdominal aortic aneurysm; and (e) expanding and expandable, inflatable portion of each catheter to expand and deform the tubular members to force the tubular members radially outwardly into contact with the aorta and each other, to secure the tubular members and at least a portion of each tube within the aorta, whereby the tubes provide a bilateral fluid passageway through the abdominal aortic aneurysm.
Claim 3
Dependent Claim 17 words
The method of claim 1, including the step of providing a biologically inert coating on the tubes.
Claim 4
Dependent Claim 18 words
The method of claim 1, including the step of simultaneously expanding the expandable, inflatable portions of each catheter.
Claim 5
Dependent Claim 23 words
The method of claim 1, including the step of utilizing tubes made of a material which is impervious to the flow of fluid.
Claim 6
Dependent Claim 19 words
The method of claim 1, including the step of utilizing a tube made of a material which is bio-erodible.
Claim 7
Dependent Claim 14 words
The method of claim 1 wherein the tube is made by the replamineform process.
Claim 8
Dependent Claim 37 words
The method of claim 1, wherein the first tube, tubular member, and catheter are intraluminally delivered through a first femoral artery; and the second tube, tubular member, and catheter are intraluminally delivered through a second femoral artery.
Claim 9
Dependent Claim 65 words
The method of claim 1, wherein the first and second tubes each have first and second ends, the first end of each tube being connected to a tubular member and disposed within the aorta; and the second end of the first tube is disposed within one of the iliac arteries and the second end of the second tube is disposed within the other iliac artery.
Claim 10
Dependent Claim 82 words
The method of claim 8, wherein a third expandable and deformable, tubular member is connected to the second end of the first tube; a fourth expandable and deformable, tubular member is connected to the second end of the second tube; and the third and fourth tubular members are expanded and deformed to force the third and fourth tubular members radially outwardly into contact with an iliac artery by the expansion of the expandable, inflatable portion of each catheter associated with each tube.
Claim 11
Dependent Claim 74 words
The method of claim 1, including the step of forming each tube of a plurality of expandable and deformable, tubular members, each tubular member having a longitudinal axis, by aligning the plurality of tubular members with their longitudinal axes being substantially parallel with each other, each tubular member being detached, and spaced apart, from adjacent tubular members; and embedding the plurality of tubular members within a layer of a deformable and expandable plastic material.
Claim 12
Dependent Claim 11 words
The method of claim 10, wherein the plastic material is silicone.
Claim 13
Dependent Claim 11 words
The method of claim 10, wherein the plastic material is polytetrafluoroethylene.
Claim 14
Dependent Claim 12 words
The method of claim 12, wherein the plastic material is expanded polytetrafluoroethylene.
Claim 15
Dependent Claim 12 words
The method of claim 10, wherein the plastic material is expanded polyurethane.
Claim 16
Dependent Claim 48 words
The method of claim 10, including the step of simultaneously expanding the expandable, inflatable portion of each catheter to simultaneously expand and deform the first and second tubular members and the plurality of tubular members of each tube which are embedded in the deformable and expandable plastic material.
Claim 17
Dependent Claim 54 words
The method of claim 10, including the step of connecting the first and second tubular members to the first and second tubes by embedding a portion of the second ends of the first and second tubular members in the deformable and expandable plastic material of the tube to which it is to be connected.
Claim 18
Dependent Claim 168 words
The method of claim 1, further including the steps of: (a) providing a fifth expandable and deformable, tubular member disposed upon a fifth catheter having an expandable, inflatable portion, with the fifth tubular member disposed upon the expandable, inflatable portion; (b) intraluminally delivering the fifth tubular member and third catheter to the aorta; (c) expanding the expandable, inflatable portion of the third catheter to expand and deform the fifth tubular member to force the fifth tubular member radially outwardly into contact with the aorta to secure the fifth tubular member within the aorta; the foregoing steps (a)-(c) being conducted prior to the intraluminal delivery of the first and second tubes, tubular members, and catheters, whereby upon the expansion of the expandable, inflatable portions of the first and second catheters, the first and second tubular members are expanded and deformed radially outwardly into contact with the fifth tubular member and each other, to secure the first and second tubular members within the aorta and within the fifth tubular member.
Claim 19
Dependent Claim 86 words
The method of claim 1, including the steps of providing each tube formed of a plurality of expandable and deformable, tubular members, each tubular member having a longitudinal axis, providing the plurality of tubular members with their longitudinal axes being aligned substantially parallel with each other, each tubular member being spaced apart from adjacent tubular members with a single, flexible connector member being disposed between adjacent tubular members; and providing the plurality of tubular members embedded within a layer of a deformable and expandable plastic material.
Claim 20
Dependent Claim 11 words
The method of claim 18, wherein the plastic material is silicone.
Claim 21
Dependent Claim 11 words
The method of claim 18, wherein the plastic material is polytetrafluoroethylene.
Claim 22
Dependent Claim 12 words
The method of claim 20, wherein the plastic material is expanded polytetrafluoroethylene.
Claim 23
Dependent Claim 12 words
The method of claim 18, wherein the plastic material is expanded polyurethane.
Claim 24
Dependent Claim 48 words
The method of claim 18, including the step of simultaneously expanding the expandable, inflatable portion of each catheter to simultaneously expand and deform the first and second tubular members and the plurality of tubular members of each tube which are embedded in the deformable and expandable plastic material.
Claim 25
Dependent Claim 50 words
The method of claim 18, including the step of connecting the first and second tubular members to the first and second tubes by embedding a portion of the first and second tubular members in the deformable and expandable plastic material of the tube to which it is to be connected.
Claim 26
Dependent Claim 17 words
The method of claim 1, including the step of utilizing tubes made of a synthetic polyester material.
Claim 27
Dependent Claim 14 words
The method of claim 1, including the step of utilizing tubes made of polytetrafluoroethylene.
Claim 28
Independent Claim 118 words
A method for repairing an abdominal aortic aneurysm in an aorta having two iliac arteries association therewith, comprising the steps of: (a) providing a first tube connected to a first expandable and deformable, tubular member; (b) providing a second tube connected to a second expandable and deformable, tubular member, the second tube being separate from the first tube; and (c) expanding the expandable and deformable tubular members to expand and deform the tubular members to force the tubular members radially outwardly into contact with the aorta and each other, to secure the tubular members and at least a portion of each tube within the aorta, whereby the tubes provide a bilateral fluid passageway through the abdominal aortic aneurysm.
Claim 29
Independent Claim 118 words
A method for repairing an abdominal aortic aneurysm in an aorta having two iliac arteries association therewith, comprising the steps of: (a) providing a first tube connected to a first expandable and deformable, tubular member; (b) providing a second tube connected to a second expandable and deformable, tubular member, the second tube being separate from the first tube; and (c) expanding the expandable and deformable tubular members to expand and deform the tubular members to force the tubular members radially outwardly into contact with the aorta and each other, to secure the tubular members and at least a portion of each tube within the aorta, whereby the tubes provide a bilateral fluid passageway through the abdominal aortic aneurysm.
Claim 30
Dependent Claim 17 words
The method of claim 27, including the step of providing a biologically inert coating on the tubes.
Claim 31
Dependent Claim 17 words
The method of claim 27, including the step of utilizing tubes made of a synthetic polyester material.
Claim 32
Dependent Claim 14 words
The method of claim 27, including the step of utilizing tubes made of polytetrafluoroethylene.
Claim 33
Dependent Claim 16 words
The method of claim 27, including the step of simultaneously expanding and deforming the tubular members.
Claim 34
Dependent Claim 23 words
The method of claim 27, including the step of utilizing tubes made of a material which is impervious to the flow of fluid.
Claim 35
Dependent Claim 19 words
The method of claim 27, including the step of utilizing a tube made of a material which is bioerodible.
Claim 36
Dependent Claim 14 words
The method of claim 27, wherein the tube is made by the replamineform process.
Claim 37
Dependent Claim 35 words
The method of claim 27, wherein the first tube and tubular member are intraluminally delivered through a first femoral artery; and the second tube and tubular member are intraluminally delivered through a second femoral artery.
Claim 38
Dependent Claim 65 words
The method of claim 27, wherein the first and second tubes each have first and second ends, the first end of each tube being connected to a tubular member and disposed within the aorta; and the second end of the first tube is disposed within one of the iliac arteries and the second end of the second tube is disposed within the other iliac artery.
Claim 39
Dependent Claim 70 words
The method of claim 36 including the steps of: providing a third expandable and deformable, tubular member connected to the second end of the first tube; providing a fourth expandable and deformable, tubular member connected to the second end of the second tube; and the third and fourth tubular members are expanded and deformed to force the third and fourth tubular members radially outwardly into contact with an iliac artery.
Claim 40
Dependent Claim 75 words
The method of claim 27, including the steps of providing each tube formed of a plurality of expandable and deformable, tubular members, each tubular member having a longitudinal axis, the plurality of tubular members with their longitudinal axes being aligned substantially parallel with each other, each tubular member being detached, and spaced apart, from adjacent tubular members; and providing the plurality of tubular members embedded within a layer of a deformable and expandable plastic material.
Claim 41
Dependent Claim 11 words
The method of claim 38, wherein the plastic material is silicone.
Claim 42
Dependent Claim 11 words
The method of claim 38, wherein the plastic material is polytetrafluoroethylene.
Claim 43
Dependent Claim 12 words
The method of claim 40, wherein the plastic material is expanded polytetrafluoroethylene.
Claim 44
Dependent Claim 12 words
The method of claim 38, wherein the plastic material is expanded polyurethane.
Claim 45
Dependent Claim 38 words
The method of claim 38, including the step of simultaneously expanding and deforming the first and second tubular members and the plurality of tubular members of each tube which are embedded in the deformable and expandable plastic material.
Claim 46
Dependent Claim 56 words
The method of claim 38, including the step of providing the first and second tubular members connected to the first and second tubes by providing a portion of the second ends of the first and second tubular members embedded in the deformable and expandable plastic material of the tube to which it is to be connected.
Claim 47
Dependent Claim 111 words
The method of claim 27, further including the step of: (a) expanding and deforming a fifth tubular member to force the fifth tubular member radially outwardly into contact with the aorta to secure the fifth tubular member within the aorta; the foregoing step (a) being conducted prior to the expansion and deformation of the first and second tubular members, whereby upon the expansion and deformation of the first and second tubular members, the first and second tubular members are expanded and deformed radially outwardly into contact with the fifth tubular member and each other, to secure the first and second tubular members within the aorta and within the fifth tubular member.
Claim 48
Dependent Claim 86 words
The method of claim 27, including the steps of providing each tube formed of a plurality of expandable and deformable, tubular members, each tubular member having a longitudinal axis, providing the plurality of tubular members with their longitudinal axes being aligned substantially parallel with each other, each tubular member being spaced apart from adjacent tubular members with a single, flexible connector member being disposed between adjacent tubular members; and providing the plurality of tubular members embedded within a layer of a deformable and expandable plastic material.
Claim 49
Dependent Claim 11 words
The method of claim 46, wherein the plastic material is silicone.
Claim 50
Dependent Claim 11 words
The method of claim 46, wherein the plastic material is polytetrafluoroethylene.
Claim 51
Dependent Claim 12 words
The method of claim 48, wherein the plastic material is expanded polytetrafluoroethylene.
Claim 52
Dependent Claim 12 words
The method of claim 46, wherein the plastic material is expanded polyurethane.
Claim 53
Dependent Claim 38 words
The method of claim 46, including the step of simultaneously expanding and deforming the first and second tubular members and the plurality of tubular members of each tube which are embedded in the deformable and expandable plastic material.
Claim 54
Dependent Claim 52 words
The method of claim 46, including the step of providing the first and second tubular members connected to the first and second tubes by providing a portion of the first and second tubular members embedded in the deformable and expandable plastic material of the tube to which it is to be connected.
Claim 55
Independent Claim 109 words
A method for repairing a body passageway comprising the steps of: (a) providing a first tube connected to a first expandable and deformable, tubular member; (b) providing a second tube connected to a second expandable and deformable, tubular member, the second tube being separate from the first tube; and (c) expanding the expandable and deformable tubular members to expand and deform the tubular members to force the tubular members radially outwardly into contact with the body passageway and each other, to secure the tubular members and at least a portion of each tube within the body passageway, whereby the tubes provide a bilateral fluid passageway through the body passageway.
Claim 56
Independent Claim 109 words
A method for repairing a body passageway comprising the steps of: (a) providing a first tube connected to a first expandable and deformable, tubular member; (b) providing a second tube connected to a second expandable and deformable, tubular member, the second tube being separate from the first tube; and (c) expanding the expandable and deformable tubular members to expand and deform the tubular members to force the tubular members radially outwardly into contact with the body passageway and each other, to secure the tubular members and at least a portion of each tube within the body passageway, whereby the tubes provide a bilateral fluid passageway through the body passageway.
Claim 57
Dependent Claim 17 words
The method of claim 53, including the step of providing a biologically inert coating on the tubes.
Claim 58
Dependent Claim 17 words
The method of claim 53, including the step of utilizing tubes made of a synthetic polyester material.
Claim 59
Dependent Claim 14 words
The method of claim 53, including the step of utilizing tubes made of polytetrafluoroethylene.
Claim 60
Dependent Claim 16 words
The method of claim 53, including the step of simultaneously expanding and deforming the tubular members.
Claim 61
Dependent Claim 23 words
The method of claim 53, including the step of utilizing tubes made of a material which is impervious to the flow of fluid.
Claim 62
Dependent Claim 19 words
The method of claim 53, including the step of utilizing a tube made of a material which is bioerodible.
Claim 63
Dependent Claim 14 words
The method of claim 53, wherein the tube is made by the replamineform process.
Claim 64
Dependent Claim 35 words
The method of claim 53, wherein the first tube and tubular member are intraluminally delivered through a first femoral artery; and the second tube and tubular member are intraluminally delivered through a second femoral artery.
Claim 65
Dependent Claim 63 words
The method of claim 53, wherein the first and second tubes each have first and second ends, the first end of each tube being connected to a tubular member and disposed within the body passageway; and the second end of the first tube is disposed within the body passageway and the second end of the second tube is disposed within the body passageway.
Claim 66
Dependent Claim 70 words
The method of claim 62, including the steps of: providing a third expandable and deformable, tubular member connected to the second end of the first tube; providing a fourth expandable and deformable, tubular member connected to the second end of the second tube; and the third and fourth tubular members are expanded and deformed to force the third and fourth tubular members radially outwardly into contact with the body passageway.
Claim 67
Dependent Claim 76 words
The method of claim 53, including the steps of providing each tube formed of a plurality of expandable and deformable, tubular members, each tubular member having a longitudinal axis, providing the plurality of tubular members with their longitudinal axes being aligned substantially parallel with each other, each tubular member being detached, and spaced apart, from adjacent tubular member; and providing the plurality of tubular members embedded within a layer of a deformable and expandable plastic material.
Claim 68
Dependent Claim 11 words
The method of claim 64, wherein the plastic material is silicone.
Claim 69
Dependent Claim 11 words
The method of claim 64, wherein the plastic material is polytetrafluoroethylene.
Claim 70
Dependent Claim 12 words
The method of claim 66, wherein the plastic material is expanded polytetrafluoroethylene.
Claim 71
Dependent Claim 12 words
The method of claim 64, wherein the plastic material is expanded polyurethane.
Claim 72
Dependent Claim 38 words
The method of claim 64, including the step of simultaneously expanding and deforming the first and second tubular members and the plurality of tubular members of each tube which are embedded in the deformable and expandable plastic material.
Claim 73
Dependent Claim 55 words
The method of claim 64, including the steps of providing the first and second tubular members connected to the first and second tubes by embedding a portion of the second ends of the first and second tubular members in the deformable and expandable plastic material of the tube to which it is to be connected.
Claim 74
Dependent Claim 114 words
The method of claim 53, further including the step of: (a) expanding and deforming a fifth tubular member to force the fifth tubular member radially outwardly into contact with the body passageway to secure the fifth tubular member within the body passageway; the foregoing step (a) being conducted prior to the expansion and deformation of the first and second tubular members, whereby upon the expansion and deformation of the first and second tubular members, the first and second tubular members are expanded and deformed radially outwardly into contact with the fifth tubular member and each other, to secure the first and second tubular members within the body passageway and within the fifth tubular member.
Claim 75
Dependent Claim 86 words
The method of claim 53, including the steps of providing each tube formed of a plurality of expandable and deformable, tubular members, each tubular member having a longitudinal axis, providing the plurality of tubular members with their longitudinal axes being aligned substantially parallel with each other, each tubular member being spaced apart from adjacent tubular members with a single, flexible connector member being disposed between adjacent tubular members; and providing the plurality of tubular members embedded within a layer of a deformable and expandable plastic material.
Claim 76
Dependent Claim 11 words
The method of claim 72, wherein the plastic material is silicone.
Claim 77
Dependent Claim 11 words
The method of claim 72, wherein the plastic material is polytetrafluoroethylene.
Claim 78
Dependent Claim 12 words
The method of claim 74, wherein the plastic material is expanded polytetrafluoroethylene.
Claim 79
Dependent Claim 12 words
The method of claim 72, wherein the plastic material is expanded polyurethane.
Claim 80
Dependent Claim 38 words
The method of claim 72, including the step of simultaneously expanding and deforming the first and second tubular members and the plurality of tubular members of each tube which are embedded in the deformable and expandable plastic material.
Claim 81
Dependent Claim 52 words
The method of claim 72, including the step of providing the first and second tubular members connected to the first and second tubes by providing a portion of the first and second tubular members embedded in the deformable and expandable plastic material of the tube to which it is to be connected.

References Cited (Backward Citations)

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US4776337B1 Cited
US5195984A Cited
US5078726A Cited
EP0461791A1 Cited
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USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1997-05-30 1997-11-29 1998-05-31 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2001-05-30 2001-11-29 2002-05-31 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2005-05-30 2005-11-29 2006-05-31 $7700.00 Window Closed / Lapsed

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