Patent ID: 8118854

Claim:
An endovascular delivery device for delivery of a fenestrated stent graft and pre-catheterization of a branch vessel in combination with a stent graft, the delivery device comprising a pusher catheter, the pusher catheter comprising a distal end and a proximal end and a lumen for a guide wire catheter, the guide wire catheter extending through the lumen of the pusher catheter to and through a nose cone dilator at a proximal end of the guide wire catheter whereby the guide wire catheter is moveable longitudinally and rotationally with respect to the pusher catheter and fixed thereto by the use of a pin vice, a handle at the distal end of the pusher catheter, the stent graft being retained on the delivery device, a flexible sheath over the pusher catheter and extending to the nose cone dilator and thereby retaining the stent graft in a contracted conformation distally of the nose cone dilator, the flexible sheath comprising a proximal end and a distal end, a manipulator and haemostatic seal at the distal end of the flexible sheath, the manipulator and haemostatic seal comprising at least one auxiliary access port, the pusher catheter comprising at least one longitudinal groove on an outside surface thereof, the at least one longitudinal groove extending from the proximal end of the pusher catheter distally to terminate at a distal end within the manipulator and haemostatic seal, wherein the haemostatic seal seals against the pusher catheter distally of the termination of the at least one longitudinal groove, at least one auxiliary catheter extending through the at least one auxiliary access port and proximally between the pusher catheter and the flexible sheath towards the nose cone dilator along the at least one longitudinal groove, the at least one auxiliary catheter comprising a lumen through which a side arm delivery device for a side arm stent can be deployed, a dilator comprising a lumen extending through the lumen of the at least one auxiliary catheter and an auxiliary guide wire extending through the lumen of the dilator, wherein the at least one auxiliary catheter is operable to be advanced over the auxiliary guide wire to a fenestration of the stent graft, thereby to facilitate pre-catheterization of the branch vessel, the stent graft comprising a tubular body of a biocompatible material with a lumen therethrough and a plurality of stents, the stent graft being mounted onto the delivery device for deployment therefrom and being positioned on the guide wire catheter distally of the nose cone dilator and proximally of the pusher catheter and around the guide wire catheter and the auxiliary guide wire passing through the lumen of the stent graft.