US 12,133,793 B2
Endoluminal prosthesis having multiple branches or fenestrations and methods of deployment
Roy K. Greenberg, Bratenahl, OH (US); Karl J. West, Geneva, OH (US); Timothy A. Resch, Lund (SE); and Blayne A. Roeder, Bloomington, IN (US)
Assigned to Cook Medical Technologies LLC, Bloomington, IN (US); and The Cleveland Clinic Foundation, Cleveland, OH (US)
Filed by Cook Medical Technologies LLC, Bloomington, IN (US); and The Cleveland Clinic Foundation, Cleveland, OH (US)
Filed on Mar. 17, 2023, as Appl. No. 18/185,928.
Application 18/185,928 is a continuation of application No. 16/938,232, filed on Jul. 24, 2020, granted, now 11,607,304.
Application 16/938,232 is a continuation of application No. 15/888,710, filed on Feb. 5, 2018, granted, now 10,722,342, issued on Jul. 28, 2020.
Application 15/888,710 is a continuation of application No. 14/873,799, filed on Oct. 2, 2015, granted, now 9,883,938, issued on Feb. 6, 2018.
Application 14/873,799 is a continuation of application No. 13/457,092, filed on Apr. 26, 2012, granted, now 9,149,382, issued on Oct. 6, 2015.
Claims priority of provisional application 61/581,475, filed on Dec. 29, 2011.
Claims priority of provisional application 61/526,061, filed on Aug. 22, 2011.
Claims priority of provisional application 61/480,091, filed on Apr. 28, 2011.
Prior Publication US 2023/0293284 A1, Sep. 21, 2023
This patent is subject to a terminal disclaimer.
Int. Cl. A61F 2/07 (2013.01); A61F 2/06 (2013.01); A61F 2/82 (2013.01); A61F 2/86 (2013.01); A61F 2/95 (2013.01); A61F 2/954 (2013.01); A61F 2/962 (2013.01); A61F 2/89 (2013.01); A61F 2/966 (2013.01)
CPC A61F 2/07 (2013.01) [A61F 2/06 (2013.01); A61F 2/82 (2013.01); A61F 2/86 (2013.01); A61F 2/95 (2013.01); A61F 2/954 (2013.01); A61F 2/962 (2013.01); A61F 2002/061 (2013.01); A61F 2002/072 (2013.01); A61F 2002/075 (2013.01); A61F 2002/821 (2013.01); A61F 2002/826 (2013.01); A61F 2/89 (2013.01); A61F 2002/9665 (2013.01); A61F 2220/0075 (2013.01); A61F 2230/0091 (2013.01); A61F 2250/0007 (2013.01); A61F 2250/0017 (2013.01); A61F 2250/0018 (2013.01); A61F 2250/0039 (2013.01)] 20 Claims
OG exemplary drawing
 
1. A prosthesis system comprising:
a delivery system;
a prosthesis, comprising:
a tubular body of biocompatible graft material having a proximal end, a distal end, an inner lumen, a sidewall, and a longitudinal axis from the proximal end to the distal end;
a proximal portion having a first diameter;
a distal portion having a second diameter;
a tapered portion between the proximal portion and the distal portion;
a first fenestration in the sidewall of the tapered portion;
a second fenestration in the sidewall of the tapered portion;
a first antegrade portal connected to and extending entirely longitudinally from the first fenestration and having an inner lumen and a distally extending open end, the first portal disposed at least partially in the tapered portion and configured to permit antegrade flow therethrough;
a second antegrade portal connected to and extending entirely longitudinally from the second fenestration and having an inner lumen and a distally extending open end, the second portal disposed at least partially in the tapered portion and configured to permit antegrade flow therethrough;
a first auxiliary guide preloaded in the prosthesis prior to delivery to a patient, wherein a portion of the first auxiliary guide extends through the inner lumen of the prosthesis and through the inner lumen the first antegrade portal and a portion extends beyond the proximal end of the prosthesis; and
a second auxiliary guide preloaded in the prosthesis prior to delivery to a patient, wherein a portion of the second auxiliary guide extends through the inner lumen of the prosthesis and through the inner lumen the second antegrade portal.