WO2005041783A1 - A wrap - Google Patents
A wrap Download PDFInfo
- Publication number
- WO2005041783A1 WO2005041783A1 PCT/AU2004/001484 AU2004001484W WO2005041783A1 WO 2005041783 A1 WO2005041783 A1 WO 2005041783A1 AU 2004001484 W AU2004001484 W AU 2004001484W WO 2005041783 A1 WO2005041783 A1 WO 2005041783A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- wrap
- sides
- along
- vessel
- aorta
- Prior art date
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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
Definitions
- the present invention relates to a wrap for securing about a blood vessel, and in particular for holding a vessel deformer adjacent an arterial vessel.
- the invention has been primarily developed for use in securing the inflatable balloon or chamber of an implantable counter-pulsation heart assist device against the ascending aorta and will be described hereinafter with reference to this application.
- wraps have been manufactured from a length of substantially inflexible woven polyester material.
- Fig. 3 shows a section of aorta 10 encased by a known wrap 12. If the wrap 12 is over-tightened (as shown), its sides cause a sharp depression or kink in the aorta 10, in the regions indicated by the reference numeral 14. This can also occur due to the aorta 10 enlarging slightly as the patient recovers or with age.
- This depression kinldng places a higher strain on the wall of the aorta 10 and can damage same. Also, the kink in the internal wall of the aorta 10 induces turbulence in the blood flow, which increases the likelihood of plaque formation. Wrapping a curved vessel with a flat straight piece of fabric also leads to bunching or folding of the fabric. This is undesirable as it encourages secondary growth or potential infection in the bunched/folded region and results in uneven load distribution. It is also known to place static wraps around blood vessels, for instance to reinforce vessels suffering from aneurysmal disease. Any aortic compliance may be lost by placement of non-elastic or non shape- changing wrap, which may reduce the natural advantage of aortic compliance on cardiac function. It is an object of the present invention to provide a wrap that substantially overcome or at least ameliorate one or more of the above disadvantages.
- the present invention provides a wrap for securing about a blood vessel by encasing a section of the vessel, the wrap being of thin flexible construction having two ends and two sides. It is preferable that the wrap is more elastic or stretchable at, near, or along at least some of its sides compared to at, near, or along its centre, to provide strain relief from wrapped to unwrapped aorta. It is preferable that the wrap is not inelastic, and that loss of aortic compliance is minimised, or in fact enhanced.
- the present invention provides a wrap for securing about a blood vessel by encasing a section of the vessel, the wrap being of thin flexible construction having two ends and two sides and being adapted to apply, in use, less compressive force at, near, or along at least some of its sides compared to at, near, or along its centre.
- the wrap is preferably adapted for securing a vessel deformer adjacent the vessel, by sandwiching the deformer between the vessel and the wrap.
- the vessel deformer is preferably part of an implantable counter-pulsation heart assist device and most preferably is in the form of an inflatable balloon or chamber.
- the wrap is preferably adapted to secure the inflatable balloon or chamber against an aorta, most preferably the ascending aorta.
- the wrap is preferably of woven or knitted construction, or a combination, and made of material such as polyester or PET (polyethylene terepthalate).
- the wrap has slits along some of its sides, most preferably a series of spaced part slits that are normal to the direction of the sides. The slits make those parts of the sides more elastic or stretchable than the centre of the wrap.
- the wrap has warp fibres at, near, or along its sides that are more elastic than the warp fibres at, near, or along its centre, hi this form, the warp fibres, near or along its sides are preferably crimped and the warp fibres at, near, or along its centre are preferably un-crimped or less crimped.
- the wrap includes a strip of substantially centrally placed material, that has a tensile strength greater than that of the rest of the wrap.
- the woven fabric may be cut on the bias to allow a more conformal wrap and with some improved elasticity along the edge areas of the wrap.
- the two sides of the wrap can be of similar, or differing, elasticity or stretchability to each other. In the case of differing, the more elastic or stretchable side is positioned closer to the heart, as this is where there is greater movement.
- the wrap is thinner at, near, or along its sides compared to at, near, or along its centre. The wrap is preferably about six times longer than it is wide, most preferably with a slimmed region at or near its longitudinal midpoint.
- the wrap desirably includes one or more, preferably two, longitudinal slits near its thinned region to allow the wrap to conform radially more closely with the inner curve of the aorta.
- the wrap is preferably shaped to allow good conformance with the curved aorta - the slits allow improved conformity.
- the wrap preferably also includes an opening for a fluid tube.
- the wrap may be coated with a material to reduce its surface area and to limit tissue ingrowth.
- the wrap is preferably coated on one or both sides with either silicone or polyurethane or a co-polymer of both.
- the wrap may be of an open weave structure (such as by gauze weaving using a leno weave) or a mesh, to allow vascular ingrowth from external to the wrap to provide nourishment of the outer wall of the aorta.
- the slits on the inner curvature of the wrap may also achieve this, as may further slits circumferentially on the lateral or outer curvature aspects of the wrap.
- Fig. 1 is a top view of a first embodiment of a wrap according to the invention
- Fig. 2 is a perspective view of the wrap shown in Fig. 1
- Fig. 3 is a schematic cross-sectional view of a prior art wrap around an aorta
- Fig. 4 is a schematic cross-sectional view of the wrap shown in Fig. 1 around an aorta
- Fig. 5 is a partial top view of a second embodiment of a wrap according to the invention
- Fig. 6 is a partial top view of a third embodiment according to the invention.
- a wrap 20 according to a first embodiment of the invention.
- the wrap 20 is produced from woven polyester or similar non-absorbable biostable and biocompatible material and includes ends 22, 24 and sides 26, 28.
- the wrap 20 includes an opening 30 for a fluid tube to be connected to, for example, the inflatable balloon or chamber (not shown) of a heart assist device.
- the wrap 20 also includes a thinned region with a pair of curved longitudinal slits 32, which serve to prevent the wrap from kinking or folding when it is wrapped around a curved portion of aorta.
- slits 34 which are substantially normal to the longitudinal axis of the wrap 20. These slits 34 results in those parts of the sides 26, 28 of the wrap 20 being more elastic or stretchable than the intermediate central portion of the wrap 20. As a result, when the wrap 20 is placed around a section of aorta and tightened to a snug fit, less tension is placed in the sides 26, 28 or edges of the wrap 20 than in the centre. This avoids the depression/kinking, and associated high strain levels, associated with l ⁇ iown wraps (as was discussed in relation to Fig. 3). A schematic illustration of the wrap 20 around a section of aorta 36 is shown in Fig. 4.
- the regions 38 of the aorta 36 adjacent the sides 26, 28 of the wrap have a smooth curved transition from a larger to smaller diameter. These curved transition regions 38 result in less strain in the wall of the aorta 36, which reduces the chance of damage to same. The curved transition zones 38 also reduce turbulence in the blood flow through the aorta 36 and thereby reduce the likelihood of plaque formation.
- a second embodiment of wrap 40 is shown in Fig. 5.
- the wrap 40 according to the invention is again of woven polyester construction with longitudinal warp fibres 42 and lateral weft fibres 44.
- Fig. 6 shows another embodiment of wrap 50 according to the invention which is again of woven polyester construction.
- the wrap 50 includes a second polyester strip 52 attached to its centre.
- the strip 52 has a tensile strength greater than that of the rest of the wrap 50 which results in the sides 54, 56 being more elastic or stretchable than the centre 52.
Abstract
Description
Claims
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/595,602 US7862499B2 (en) | 2003-10-30 | 2004-10-28 | Blood vessel wrap |
GB0606808A GB2423028B (en) | 2003-10-30 | 2004-10-28 | A wrap |
US12/962,327 US8469873B2 (en) | 2003-10-30 | 2010-12-07 | Blood vessel wrap |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU2003905992 | 2003-10-30 | ||
AU2003905992A AU2003905992A0 (en) | 2003-10-30 | A Wrap |
Related Child Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/595,602 A-371-Of-International US7862499B2 (en) | 2003-10-30 | 2004-10-28 | Blood vessel wrap |
US12/962,327 Continuation US8469873B2 (en) | 2003-10-30 | 2010-12-07 | Blood vessel wrap |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2005041783A1 true WO2005041783A1 (en) | 2005-05-12 |
WO2005041783A8 WO2005041783A8 (en) | 2005-07-21 |
Family
ID=34528650
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/AU2004/001484 WO2005041783A1 (en) | 2003-10-30 | 2004-10-28 | A wrap |
Country Status (3)
Country | Link |
---|---|
US (2) | US7862499B2 (en) |
GB (1) | GB2423028B (en) |
WO (1) | WO2005041783A1 (en) |
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WO2008022379A1 (en) * | 2006-08-21 | 2008-02-28 | Sunshine Heart Company Pty Ltd | An improved wrap for a heart assist device |
WO2008053469A2 (en) * | 2006-10-29 | 2008-05-08 | Alon Shalev | An extra-vascular wrapping for treating aneurysmatic aorta and methods thereof |
US8425397B2 (en) | 2003-10-31 | 2013-04-23 | Sunshine Heart Company Pty Ltd | Percutaneous gas-line |
US8469873B2 (en) | 2003-10-30 | 2013-06-25 | Sunshine Heart Company Pty Ltd | Blood vessel wrap |
US8702583B2 (en) | 2003-11-11 | 2014-04-22 | Sunshine Heart Company Pty, Ltd. | Actuator for a heart assist device |
US9042979B2 (en) | 2010-04-02 | 2015-05-26 | Sunshine Heart Company Pty Limited | Combination heart assist systems, methods, and devices |
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US9668892B2 (en) | 2013-03-11 | 2017-06-06 | Endospan Ltd. | Multi-component stent-graft system for aortic dissections |
US9770350B2 (en) | 2012-05-15 | 2017-09-26 | Endospan Ltd. | Stent-graft with fixation elements that are radially confined for delivery |
US9839510B2 (en) | 2011-08-28 | 2017-12-12 | Endospan Ltd. | Stent-grafts with post-deployment variable radial displacement |
US9855046B2 (en) | 2011-02-17 | 2018-01-02 | Endospan Ltd. | Vascular bands and delivery systems therefor |
US9918825B2 (en) | 2009-06-23 | 2018-03-20 | Endospan Ltd. | Vascular prosthesis for treating aneurysms |
US9993360B2 (en) | 2013-01-08 | 2018-06-12 | Endospan Ltd. | Minimization of stent-graft migration during implantation |
US10201413B2 (en) | 2009-11-30 | 2019-02-12 | Endospan Ltd. | Multi-component stent-graft system for implantation in a blood vessel with multiple branches |
US10485684B2 (en) | 2014-12-18 | 2019-11-26 | Endospan Ltd. | Endovascular stent-graft with fatigue-resistant lateral tube |
US10603197B2 (en) | 2013-11-19 | 2020-03-31 | Endospan Ltd. | Stent system with radial-expansion locking |
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AUPQ090499A0 (en) | 1999-06-10 | 1999-07-01 | Peters, William S | Heart assist device and system |
AUPR669001A0 (en) | 2001-07-30 | 2001-08-23 | Sunshine Heart Company Pty Ltd | A fluid pressure generating means |
AU2002952691A0 (en) * | 2002-11-15 | 2002-11-28 | Sunshine Heart Company Pty Ltd | Heart assist device utilising aortic deformation |
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US8317856B2 (en) | 2007-03-05 | 2012-11-27 | Endospan Ltd. | Multi-component expandable supportive bifurcated endoluminal grafts and methods for using same |
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US8951298B2 (en) | 2011-06-21 | 2015-02-10 | Endospan Ltd. | Endovascular system with circumferentially-overlapping stent-grafts |
US9254209B2 (en) | 2011-07-07 | 2016-02-09 | Endospan Ltd. | Stent fixation with reduced plastic deformation |
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Also Published As
Publication number | Publication date |
---|---|
US20070135677A1 (en) | 2007-06-14 |
US20110196467A1 (en) | 2011-08-11 |
US8469873B2 (en) | 2013-06-25 |
US7862499B2 (en) | 2011-01-04 |
GB2423028A (en) | 2006-08-16 |
GB0606808D0 (en) | 2006-05-17 |
WO2005041783A8 (en) | 2005-07-21 |
GB2423028B (en) | 2007-12-19 |
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