Space-filling device

• US 10,039,660 B2
• Filed: 02/04/2016
• Issued: 08/07/2018
• Est. Priority Date: 08/02/2012
• Status: Active Grant

• Current Assignee: W. L. Gore & Associates (W.L. Gore & Associates)
• Original Assignee: W. L. Gore & Associates (W.L. Gore & Associates)
• Inventors: Cully, Edward H., Vonesh, Michael J.
• Primary Examiner(s): SHI, KATHERINE MENGLIN
• Application Number:
  US15/015,677
• Publication Number:
  US 20160151186A1
• Time in Patent Office: 915 Days
• Field of Search: 606191, 606194, 606198, 606200
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 17/12099 characterised by the location of the occluder
• CPC Class Codes: A61B 17/12109 in a blood vessel
• CPC Class Codes: A61B 17/12113 within an aneurysm
• CPC Class Codes: A61B 17/12122 within the heart for closing a cardiac septal defect A61B17/0057
• CPC Class Codes: A61B 17/12136 Balloons
• CPC Class Codes: A61B 17/1214 Coils or wires
• CPC Class Codes: A61B 17/12186 liquid materials adapted to be injected
• CPC Class Codes: A61B 17/1219 expandable in contact with liquids
• CPC Class Codes: A61B 2017/00632 Occluding a cavity, i.e. closing a blind opening
• CPC Class Codes: A61B 2017/00654 entirely comprised between the two sides of the opening
• CPC Class Codes: A61B 2017/00818 Treatment of the gastro-intestinal system
• CPC Class Codes: A61B 2017/00858 high friction, non-slip on handles A61B2017/00429
• CPC Class Codes: A61B 2017/00893 pharmaceutically effective
• CPC Class Codes: A61B 2017/0225 flexible, e.g. fabrics, meshes, or membranes
• CPC Class Codes: A61B 2017/1205 Introduction devices
• CPC Class Codes: A61B 90/02 Devices for expanding tissue, e.g. skin tissue implements for holding wounds open, surgical tractors A61B17/02; implantable mammary prosthesis A61F2/12; dilators A61M29/00
• CPC Class Codes: A61F 5/003 inflatable
• CPC Class Codes: A61F 5/0036 Intragastrical devices
• CPC Class Codes: A61M 25/00 Catheters; Hollow probes dilators A61M29/00; peritoneal catheters A61M1/285; tracheal tubes A61M16/04; for drainage A61M27/00; for uterus, vagina or rectum A61M31/00 ; for measuring or testing A61B; materials for catheters A61L29/00

Abstract

A medical device includes a vessel member, a port that couples a compartment interior of the vessel member to a region exterior of the vessel member, and a tubular member that defines a lumen. A distal end of the tubular member is attached to an internal surface of the vessel member within the compartment so that a portion of the internal surface of the vessel member provides a seal at a distal end of the lumen. The tubular member passes through the port, and the proximal end of the tubular member is configured to remain exterior of the compartment. A delivery of a sufficient amount of a filling material into the lumen of the tubular member causes a length of the tubular member to pass through the port and into the vessel compartment.

Claims

1. A method of implanting a space-filling medical device within a body of a patient, the method comprising:

delivering a medical device to a target site within the body, the medical device configured to occupy a space at the target site, wherein the medical device comprises;

a vessel member that defines a compartment interior of the vessel member,

a port, the port coupling the compartment interior and a region exterior of the vessel member, and

a tubular member that defines a lumen and includes a distal end and a proximal end, the distal end of the tubular member being attached to an internal surface of the vessel member within the compartment so that a portion of the internal surface of the vessel member provides a seal at a distal end of the lumen, wherein the tubular member extends through the port and wherein the proximal end of the tubular member is configured to remain in the region exterior of the vessel member, and wherein the tubular member is configured to receive a filling material delivered into the lumen of the tubular member, and further wherein the vessel member and the tubular member are porous or micro-porous, and the filling material includes a therapeutic substance that diffuses out of the space-filling device through the pores or micro-pores of the vessel member and the tubular member;

delivering the filling material into the lumen of the tubular member; and

coupling a stopping member with the proximal end of the tubular member, wherein at least a portion of the stopping member is sized larger than the port such that the proximal end of the tubular member is prevented from passing through the port and into the compartment interior.

2. A method according to claim 1, wherein the vessel member occupies a first volume prior to the delivery of the filling material into the lumen of the tubular member, and wherein the vessel member occupies a second volume after the delivery of the filling material into the lumen of the tubular member, the second volume being greater than the first volume.

3. A method according to claim 1, further comprising adjusting a buoyancy of the medical device.

4. A method according to claim 3, wherein the lumen of the tubular member carries a first filling material comprising a foam, the method further comprising reducing the buoyancy by delivering a second filling material into the lumen of the tubular member, the second filling material comprising a liquid.

5. A method according to claim 3, wherein the lumen of the tubular member carries a first filling material comprising a foam, the method further comprising increasing the buoyancy by delivering a second filling material into the lumen of the tubular member, the second filling material comprising a gas.

6. A method according to claim 3, further comprising delivering one or more liquids and one or more gasses into the lumen of the tubular member.

7. A method according to claim 1, further comprising coupling the medical device with a delivery catheter, the delivery catheter including a conduit through which the filling material flows into the lumen of the tubular member.

8. A method according to claim 7, further comprising inserting the delivery catheter within the tubular member.

9. A method according to claim 7, further comprising inserting the tubular member within the delivery catheter.

10. A method according to claim 7, wherein the delivery catheter extends into the compartment interior for at least a part of the time while the filling material is delivered into the lumen of the tubular member.

11. A method according to claim 7, further comprising coupling the delivery catheter with a pressurized filling material delivery apparatus, the pressurized filling material delivery apparatus configured to controllably deliver the filling material into the delivery catheter.

12. A method according to claim 1, wherein the proximal end of the tubular member is prevented from passing through the port such that the proximal end of the tubular member remains in the region exterior of the vessel member.

13. A method according to claim 1, wherein the filling material comprises one or more of a liquid, a gas, a foam, a gel, a solid, a radio opaque material, and silicone.

14. A method according to claim 1, wherein the filling material comprises at least one of a bioinert material and a biocompatible material.

15. A method according to claim 1, further comprising removing the medical device from the body by pulling the proximal end of the tubular member in a proximal direction.

16. A method according to claim 1, wherein the vessel member is a balloon device.

17. A method of treating a patient, the method comprising:

delivering a medical device to a target site in the patient, the medical device configured to occupy a space in the patient, wherein the medical device comprises;

a vessel member that defines a compartment interior of the vessel member,

a port attached to the vessel member, the port coupling the compartment interior of the vessel member to a region exterior of the vessel member, and

a tubular member comprising a lumen, a distal end, and a proximal end, wherein the distal end of the tubular member is attached to an internal surface of the vessel member in the compartment interior, wherein the proximal end of the tubular member extends through the port and is releasably attachable to a delivery catheter that has an advancement component for advancing the tubular member into the compartment interior to at least partially fill the vessel member, and wherein the distal end of the tubular member has a seal; and

delivering filling material into the lumen of the tubular member.

18. The method according to claim 17, wherein the delivery of filling material into the lumen of the tubular member causes an additional length of the tubular member to pass through the port and into the compartment interior of the vessel member, the filling material being contained within the lumen of the tubular member.