Endograft visualization with pre-integrated or removable optical shape sensing attachments

Patent metadata

Field	Value
Publication number	US-11344440-B2
Application number	US-201615544527-A
Country	US
Kind code	B2
Filing date	Jan 7, 2016
Priority date	Jan 22, 2015
Publication date	May 31, 2022
Grant date	May 31, 2022

Abstract

An endograft ( 102 ) includes a stent structure. An optical shape sensing (OSS) system ( 104 ) is associated with the endograft and is configured to measure shape, position and/or orientation of the stent structure. The OSS system ( 104 ) is connected to the stent structure and removable in a plurality of ways. Methods for deployment and removal of the OSS system are also provided.

First claim

The invention claimed is:

1. An endograft, comprising:
a stent structure;
at least one attachment mechanism configured to releasably attach to the stent structure; and
at least one optical shape sensing system having one or more optical fibers for generating optical shape sensing data, wherein said optical shape sensing system is coupled to the at least one attachment mechanism and is configured to measure at least one of shape, position or orientation of the stent structure based on the optical shape sensing data.

2. The endograft as recited in claim 1 , wherein the at least one attachment mechanism includes a hook, a clip, a clamp, a magnet and a capture tube.

3. The endograft as recited in claim 1 , wherein the at least one attachment mechanism is coupled at a distal end of the at least one optical shape sensing system.

4. The endograft as recited in claim 1 , wherein the at least one attachment mechanism attached to the stent structure at attachment point of a geometric landmark.

5. The endograft as recited in claim 4 , wherein the attachment point includes one or more of a ring of the endograft, a fenestration, a scallop or a bifurcation junction.

6. The endograft as recited in claim 1 , wherein the at least one attachment mechanism is selectively releasable from the stent structure.

7. The endograft as recited in claim 1 , wherein the at least one attachment mechanism includes a plurality of attachment points on the stent structure for at least one of the at least one optical shape sensing system.

8. An endograft, comprising:
a stent structure;
at least one deployable instrument pre-cannulated through a fenestration in the stent structure; and
the at least one deployable instrument including an optical shape sensing system having one or more optical fibers for generating optical shape sensing data, wherein said optical shape sensing system is configured to measure at least one of shape, position or orientation of the stent structure based on the optical shape sensing data and to align the fenestration with a branch of a blood vessel for placement of the endograft based on the optical shape sensing data.

9. The endograft as recited in claim 8 , wherein the deployable instrument includes a guidewire.

10. An endograft, comprising:
a stent structure having a wall;
a lumen formed within the wall of the stent structure; and
an optical shape sensing system having one or more optical fibers for generating optical shape sensing data, wherein said optical shape sensing system is configured to pass into the lumen, to be releasably secured to the stent structure and to be configured to measure at least one of shape, position or orientation of the stent structure based on the optical shape sensing data.

11. The endograft as recited in claim 10 , wherein the stent structure includes a retractable optical shape sensing portion wherein at least a portion of the optical shape sensing system can be removed.

12. The endograft as recited in claim 10 , wherein the lumen is at least partially included in a hollow stent wire.

13. The endograft as recited in claim 10 , wherein the lumen follows a path that extends along a plurality of different directions within the wall.

14. An endograft, comprising:
a stent structure having a lumen with concentric supporting members;
an eye formed with at least one of the concentric supporting members; and
an optical shape sensing system having one or more optical fibers for generating optical shape sensing data, wherein said optical shape sensing system is configured to pass through the eye, to be releasably secured to the stent structure and to be configured to measure at least one of shape, position or orientation of the stent structure based on the optical shape sensing data.

15. A method for endograft deployment, comprising:
deploying at least one optical shape sensing system associated with an endograft, said optical shape sensing system having One or more optical fibers;
measuring at least one of shape, position or orientation of the endograft during deployment using the at least one optical shape sensing system;
registering optical shape sensing data with image data on a blood vessel where the endograft is placed; anchoring the endograft in the blood vessel; and
removing at least a portion of the optical shape sensing system from the endograft.

Assignees

• Koninklijke Philips Nv

Inventors

• Cole Gregory
• Flexman Molly Lara
• Noonan David Paul
• Kahya Neriman Nicoletta

Classifications

• A61F2/07 Primary

  Stent-grafts · CPC title

• A61F2220/0075

  sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable · CPC title

• A61F2002/072

  Encapsulated stents, e.g. wire or whole stent embedded in lining · CPC title

• A61B2034/2061

  using shape-sensors, e.g. fiber shape sensors with Bragg gratings · CPC title

• A61F2/954 Primary

  for placing stents or stent-grafts in a bifurcation · CPC title