Devices for fluid flow through body vessels

• US 10,390,933 B2
• Filed: 09/11/2017
• Issued: 08/27/2019
• Est. Priority Date: 04/20/2006
• Status: Active Grant

• Current Assignee: Inari Medical, Inc.
• Original Assignee: LimFlow GmbH
• Inventors: Dickinson, Robert Julian, Pacey, Andrew Robert, Rothman, Martin Terry
• Primary Examiner(s): Stewart, Jason-Dennis N
• Application Number:
  US15/701,060
• Publication Number:
  US 20170367734A1
• Time in Patent Office: 715 Days
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 2017/00252 for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
• CPC Class Codes: A61F 2/06 Blood vessels
• CPC Class Codes: A61F 2/064 with special features to facilitate anastomotic coupling anastomosis of natural blood vessels A61B17/11
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2002/072 Encapsulated stents, e.g. wire or whole stent embedded in lining
• CPC Class Codes: A61F 2230/0067 conical
• CPC Class Codes: A61F 2250/001 for adjusting a diameter
• CPC Class Codes: A61F 2250/0017 differing in yarn density
• CPC Class Codes: A61F 2250/0029 differing in bending or flexure capacity
• CPC Class Codes: A61F 2250/0031 made from both resorbable and non-resorbable prosthetic parts, e.g. adjacent parts
• CPC Class Codes: A61F 2250/0039 differing in diameter
• CPC Class Codes: A61M 1/3613 Reperfusion, e.g. of the coronary vessels, e.g. retroperfusion
• CPC Class Codes: A61M 1/3655 Arterio-venous shunts or fistulae
• CPC Class Codes: A61M 27/002 Implant devices for drainage of body fluids from one part of the body to another intraocular A61F9/00781; middle ear A61F11/202

Abstract

A device includes a first end portion, a second end portion, an intermediate portion between the first end portion and the second end portion, and a graft material coupled to at least the intermediate portion. The first end portion has a first end diameter. The second end portion has a second end diameter larger than the first end diameter. The intermediate portion tapers between the first end portion and the second end portion. A method of diverting fluid flow from a first passage to a second passage comprising deploying the device in a third passage between the first passage and the second passage, expanding the first end portion against sidewalls of the first passage, and expanding the second end portion against sidewalls of the second passage.

Claims

1. A device for supplying fluid flow in a human or animal body, the device comprising:

a first end portion configured to anchor the device in a first vessel;

a second end portion configured to anchor the device in a second vessel different than the first vessel, wherein the first end portion and the second end portion are diametrically expandable to anchor the device in the first vessel and the second vessel;

an intermediate portion located between the first end portion and the second end portion, the intermediate portion configured to permit movement of the first end portion and the second end portion relative to each another, the intermediate portion being diametrically expandable to dilate at least the intermediate portion;

a fluid pathway at least partially defined by the first end portion, the second end portion, and the intermediate portion;

a support structure comprising a mesh extending between the first end portion and the second end portion; and

a polymer tube at least partially defining a lumen, the lumen comprising at least a portion of the fluid flow pathway,

wherein the first end portion, the second end portion, and the intermediate portion are self-expanding, and

wherein the intermediate portion is configured to be expanded by a balloon after self-expanding.

2. The device of claim 1, wherein part of the support structure extends longitudinally beyond the intermediate portion.

3. The device of claim 1, wherein the first end portion has a first diameter, and wherein the second end portion has a second diameter different than the first diameter.

4. The device of claim 1, wherein the first end portion and the second end portion are configured to be expanded by a balloon after self-expanding.

5. The device of claim 4, wherein the mesh has a mesh density, wherein the mesh density at the first end portion is higher than the mesh density at the intermediate portion, wherein the mesh comprises shape memory material, wherein the shape memory material comprises nitinol, wherein the tube comprises a polymeric material.

6. A device for supplying fluid flow in a human or animal body, the device comprising:

a first end portion configured to anchor the device in a first vessel;

a second end portion configured to anchor the device in a second vessel different than the first vessel, wherein the first end portion and the second end portion are diametrically expandable to anchor the device in the first vessel and the second vessel;

an intermediate portion located between the first end portion and the second end portion, the intermediate portion being diametrically expandable to dilate at least the intermediate portion;

a support structure; and

a polymer tube,

wherein the first end portion, the second end portion, and the intermediate portion are self-expanding, and

wherein the intermediate portion is configured to be expanded by a balloon after self-expanding.

7. The device of claim 6, wherein the first end portion and the second end portion are configured to be expanded by a balloon after self-expanding.

8. The device of claim 6, wherein the first end portion has a first diameter, and wherein the second end portion has a second diameter different than the first diameter.

9. The device of claim 6, wherein the support structure comprises a mesh extending between the first end portion and the second end portion.

10. The device of claim 9, wherein part of the support structure extends longitudinally beyond the intermediate portion.

11. The device of claim 9, wherein the mesh has a mesh density, and wherein the mesh density at the first end portion is higher than the mesh density at the intermediate portion.

12. The device of claim 11, wherein the first end portion and the second end portion are configured to be expanded by a balloon after self-expanding, wherein the at least one mesh comprises shape memory material, wherein the shape memory material comprises nitinol, and wherein the tube comprises a polymeric material.

13. A device for supplying fluid flow in a human or animal body, the device comprising:

a first end portion configured to anchor the device in a first vessel;

a second end portion configured to anchor the device in a second vessel different than the first vessel, wherein the first end portion and the second end portion are diametrically expandable to anchor the device in the first vessel and the second vessel; and

an intermediate portion located between the first end portion and the second end portion, the intermediate portion being diametrically expandable to dilate at least the intermediate portion; and

,

wherein the intermediate portion is self-expanding, and

wherein the intermediate portion is configured to be expanded by a balloon after self-expanding.

14. The device of claim 13, wherein the first end portion and the second end portion are self-expanding, and wherein the first end portion and the second end portion are configured to be expanded by a balloon after self-expanding.

15. The device of claim 13, further comprising a polymer tube at least partially defining a lumen, the lumen comprising at least a portion of a fluid flow pathway.

16. The device of claim 13, wherein the first end portion has a first diameter, and wherein the second end portion has a second diameter different than the first diameter.

17. The device of claim 13, further comprising a support structure comprising a mesh extending between the first end portion and the second end portion.

18. The device of claim 17, wherein part of the support structure extends longitudinally beyond the intermediate portion.

19. The device of claim 17, wherein the mesh has a mesh density, and wherein the mesh density at the first end portion is higher than the mesh density at the intermediate portion.

20. The device of claim 19, further comprising a polymer tube at least partially defining a lumen, the lumen comprising at least a portion of a fluid flow pathway, wherein the mesh comprises shape memory material, wherein the shape memory material comprises nitinol, wherein the tube comprises a polymeric material, wherein the first end portion and the second end portion are self-expanding, and wherein the first end portion and the second end portion are configured to be expanded by a balloon after self-expanding.