Expandable stent grafts
View Patent ↗This invention relates to a medical device and, in particular, to a prosthesis or stent graft assembly for use within the human or animal body and, more particularly, to the fastening of a stent to the graft material of the stent graft assembly or prosthesis.
1. A stent graft assembly comprising:
a tubular graft member having a lumen disposed about a longitudinal axis, the graft member comprising a graft material;
a support frame extending axially and circumferentially around the longitudinal axis, being movable between a compressed state and a radially expanded state; and
at least one fastener that secures the tubular graft member to the support frame in a manner that permits the support frame to move circumferentially with respect to the tubular graft member when the support frame is moved between the compressed state and the expanded state;
wherein the support frame comprises a sheet of biocompatible material having a specified thickness and reinforced with a reinforcing member extending longitudinally therealong and a plurality of cells extending laterally from said reinforcing member in a surface of said sheet of material, selected of said cells being a closed cell and including a fixedly sized aperture extending through said surface of said sheet of material, said sheet of material having a tubular shape including an overlapping state in which certain of said cells overlap said reinforcing member while none of cells overlap each other and form a combined thickness anywhere along said reinforcing member of no more than substantially twice said specified thickness of said sheet of material.
2. The stent graft assembly of claim 1 , wherein the graft material is a bioremodelable material.
3. The stent graft assembly of claim 2 , wherein the graft material is selected from the group consisting of a reconstituted collagenous material, naturally-derived collagenous material, a collagenous extracellular matrix material, submucosa, renal capsule membrane, dermal collagen, dura mater, pericardium, fascia lata, serosa, peritoneum membrane layers, basement membrane layers, intestinal submucosa, small intestinal submucosa, stomach submucosa, urinary bladder submucosa, and uterine submucosa.
4. The stent graft assembly of claim 1 , wherein the graft material comprises an angiogenic collagenous extracellular matrix material.
5. The stent graft assembly of claim 1 , wherein the graft material comprises a biocompatible polyurethane.
6. The stent graft assembly of claim 1 , further comprising a bioactive material attached to the stent graft assembly.
7. The stent graft assembly of claim 1 , wherein the fastener is a suture, loop, staple, wire or fiber.
8. The stent graft assembly of claim 1 , wherein the graft material is selected from the group consisting of a biocompatible polyurethane, a reconstituted collagenous material, naturally-derived collagenous material, a collagenous extracellular matrix material, submucosa, renal capsule membrane, dermal collagen, dura mater, pericardium, fascia lata, serosa, peritoneum membranes layers, basement membrane layers, intestinal submucosa, small intestinal submucosa, stomach submucosa, urinary bladder submucosa, and uterine submucosa;
wherein the support frame comprises a nickel-titanium alloy; and
wherein the fastener is a suture, loop, staple, wire or fiber.