Endograft for treating branched vessels

1. An endograft comprising a proximal end and a distal most end, the endograft comprising a tube of biocompatible material and having a graft material wall, the tube comprising:

a main lumen extending longitudinally from the proximal end to the distal most end, the main lumen including a proximal portion, an intermediate portion and a distal portion;

a branch within the intermediate portion of the main lumen having a proximal opening a distal opening and a branch lumen; and

an internal stitched seam, the stitched seam extending longitudinally beside both the branch lumen and from the proximal opening of the branch to the distal most end of the endograft,

wherein the tube comprises a lateral cross-section defining a tubular wall, wherein a portion of the tubular wall is pinched together at the seam to form the branch.

2. The endograft as claimed in claim 1 wherein the branch distal opening is within the main lumen and faces the distal opening of the endograft, and the branch proximal opening opens externally through the tubular wall of the main lumen and faces the proximal end of the endograft.

3. The endograft as claimed in claim 2 comprising a recess in the graft material wall, wherein the proximal opening opens up into the recess externally of the main lumen.

4. The endograft as claimed in claim 3 wherein the tube is supported by a plurality of zig zag stents, each of the stents comprising a plurality of struts and bends, the bends being between adjacent struts,

wherein the recess is at least partly disposed within a V-shaped region formed between two adjacent struts and a bend of one of the plurality of zig zag stents.

5. The endograft as claimed in claim 4 wherein the tubular wall of the main lumen comprises at least one seam adjacent the V-shaped region formed between two adjacent struts and a bend of one of the plurality of zig zag stents.

6. The endograft as claimed in claim 3 wherein the recess is configured to receive a side arm, the side arm having an upstream end and a downstream end, the upstream end positionable within the branch lumen and the downstream end positionable within a branch vessel.

7. The endograft as claimed in claim 2 wherein the branch comprises a reinforcing ring about the proximal opening.

8. The endograft as claimed in claim 7 wherein the branch comprises a reinforcing ring about the distal opening.

9. The endograft as claimed in claim 1 , wherein the branch comprises a reinforcement in the form of a space frame.

10. The endograft as claimed in claim 9 wherein the space frame comprises an assembly of a first ring and strut component and a second ring and strut component separate from the first ring and strut component, wherein each of the first and second ring and strut components has a circular ring defining a plane and a strut extending at right angles to the plane of the circular ring from a periphery of the circular ring portion,

whereby one of the two circular rings forms the entrance reinforcing ring and the other of the two circular rings forms the exit reinforcing ring.

11. The endograft as claimed in claim 9 wherein the space frame comprises super-elastic wire.

12. The endograft as claimed in claim 11 , wherein the super-elastic wire of the space frame comprises nitinol.

13. An endograft comprising a proximal end, a distal most end and a longitudinal axis, the endograft comprising a tube of biocompatible material, the tube comprising:

a main lumen extending longitudinally from the proximal end to the distal most end, the main lumen including a proximal portion, an intermediate portion and a distal portion;

a branch within the intermediate portion of the main lumen having a proximal opening, a distal opening, and a branch lumen; and

a stitched seam, the stitched seam extending longitudinally beside both the branch lumen and from the proximal opening of the branch to the distal most end of the endograft,

wherein the tube comprises a lateral cross-section defining a tubular wall, wherein a portion of the tubular wall is pinched together at the stitched seam to form the branch,

wherein the proximal opening opens to an exterior of the endograft and the distal opening of the branch is within the main lumen of the endograft, and both the proximal and distal openings are substantially perpendicular to the longitudinal axis.

14. An endograft comprising a proximal end, a distal end, a longitudinal axis, and having a first configuration and a second implantable configuration, the endograft comprising a tube of biocompatible material, the tube comprising:

a main lumen extending longitudinally from the proximal end to the distal end, the main lumen including a proximal portion, an intermediate portion and a distal portion;

a branch disposed at the intermediate portion of the main lumen having a proximal opening, a distal opening, and a branch lumen; and

a stitched seam, the stitched seam extending longitudinally beside both the branch lumen and from the proximal opening of the branch to the distal most end of the endograft,

wherein the tube comprises a lateral cross-section defining a tubular wall, wherein a portion of the tubular wall is pinched together by a seam to form the branch,

wherein in the first configuration the branch is external of the main lumen and the proximal opening is within the main lumen, and in the second implantable configuration the branch is within the main lumen and the proximal opening opens to an exterior of the endograft and the distal opening of the branch is within the main lumen of the endograft.