Devices and methods for treatment of vascular aneurysms

• US 10,470,868 B2
• Filed: 01/07/2016
• Issued: 11/12/2019
• Est. Priority Date: 11/26/2001
• Status: Active Grant

• Current Assignee: Endologix
• Original Assignee: Thomas J. Fogarty
• Inventors: Kim, Steven W., Shiu, Brian K.
• Primary Examiner(s): Severson, Ryan J.
• Application Number:
  US14/990,698
• Publication Number:
  US 20160113659A1
• Time in Patent Office: 1,405 Days
• CPC Class Codes: A61B 17/12022 Occluding by internal devices, e.g. balloons or releasable wires plugging an opening in the wall of an organ A61B17/0057; occluders for the cervical canal A61F6/146; vas deferens occluders A61F6/20
• CPC Class Codes: A61B 17/12036 partial occlusion
• CPC Class Codes: A61B 17/12118 for positioning in conjunction with a stent
• CPC Class Codes: A61B 17/12136 Balloons
• 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 17/12195 comprising a curable material
• CPC Class Codes: A61B 2017/00898 expandable upon contact with fluid
• CPC Class Codes: A61B 2017/00986 Malecots, e.g. slotted tubes, of which the distal end is pulled to deflect side struts
• CPC Class Codes: A61B 2017/1205 Introduction devices
• CPC Class Codes: A61B 2017/3484 Anchoring means, e.g. spreading-out umbrella-like structure
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/077 having means to fill the space between stent-graft and aneurysm wall, e.g. a sleeve
• CPC Class Codes: A61F 2002/823 Stents, different from stent-grafts, adapted to cover an aneurysm
• CPC Class Codes: A61F 2250/0003 having an inflatable pocket filled with fluid, e.g. liquid or gas

Abstract

The present invention relates to devices and methods for the treatment of diseases in the vasculature, and more specifically, devices and methods for treatment of aneurysms found in blood vessels. In a first embodiment of the present invention, a two part prostheses, where one part is an expandable sponge structure and the other part is an expandable tubular mesh structure, is provided. In the first embodiment, the expandable sponge structure is intended to fill the aneurysm cavity to prevent further dilatation of the vessel wall by creating a buffer or barrier between the pressurized pulsating blood flow and the thinning vessel wall. In the first embodiment, the expandable tubular mesh structure is placed across the aneurysm, contacting the inner wall of healthy vessel proximal and distal to the aneurysm.

Claims

1. A system for treating an aneurysm comprising:

a catheter delivery system having a distal tip, wherein when the catheter delivery system is in a deployed configuration, the distal tip of the catheter delivery system is placed between an outside surface of a stent and a luminal wall of the aneurysm; and

an aneurysm filler,

wherein the aneurysm filler is passable through the distal tip of the catheter delivery system such that the aneurysm filler, when in a first deployed configuration, deploys through the distal tip between the outside surface of the stent and the luminal wall,

wherein when the aneurysm filler is in a second deployed configuration, a portion of the aneurysm filler contacts the stent and the luminal wall,

wherein the aneurysm filler forms into a foam configuration when exposed to a fluid,

wherein when the aneurysm filler is in the first deployed configuration, the aneurysm filler has a first length, wherein when the aneurysm filler is in the second deployed configuration, the aneurysm filler has a second length, wherein the second length is greater than the first length, and wherein the second length has more bends than the first length.

2. The system of claim 1, wherein the stent bifurcates at a bifurcation point,

wherein when the catheter delivery system is in the deployed configuration, the distal tip of the catheter delivery system is superior to the bifurcation point,

wherein the aneurysm filler is deployable through the catheter delivery system such that the aneurysm filler exits the catheter delivery system in a direction parallel to a length of a longitudinal axis of the catheter delivery system,

wherein the aneurysm filler expands into an expanded configuration when exposed to the fluid, and

wherein the fluid is blood.

3. The system of claim 1, wherein the stent bifurcates at a bifurcation point.

4. The system of claim 3, wherein the distal tip of the catheter delivery system is superior to the bifurcation point when the catheter delivery system is in the deployed configuration.

5. The system of claim 1, wherein the aneurysm filler is deployable through the catheter delivery system such that the aneurysm filler exits the catheter delivery system in a direction parallel to a length of a longitudinal axis of the catheter delivery system.

6. The system of claim 1, wherein the aneurysm filler expands into an expanded configuration when exposed to the fluid.

7. The system of claim 1, wherein the fluid is blood.

8. The system of claim 1, wherein the aneurysm filler is porous.

9. The system of claim 1, wherein when the aneurysm filler is in the second deployed configuration, the aneurysm filler coils in the aneurysm.

10. The system of claim 1, wherein the aneurysm filler is expandable to a size greater than an open cell of the stent.

11. The system of claim 1, wherein the aneurysm filler is a polymer.

12. The system of claim 1, wherein when the aneurysm filler is in the second deployed configuration, the aneurysm filler has a fold.

13. A system for treating an aneurysm comprising:

a catheter having a distal end, wherein when the catheter is in a deployed configuration, the distal end of the catheter is placed within the aneurysm between an outer surface of a stent and a luminal wall of the aneurysm;

an aneurysm filler; and

an outer skin,

wherein the aneurysm filler is passable through s the distal end of the catheter in a direction parallel to a length of a longitudinal axis of the catheter,

wherein when the aneurysm filler is in a deployed configuration, a portion of the aneurysm filler is between the stent and the outer skin,

wherein the aneurysm filler forms into an expanded foam configuration when exposed to blood,

wherein when the aneurysm filler expands into the expanded foam configuration, the aneurysm filler is larger than an open cell of the stent,

wherein the stent is configured to bifurcate at a bifurcation point,

wherein the distal end of the catheter is superior to the bifurcation point when the catheter is in the deployed configuration,

wherein when the aneurysm filler is in the deployed configuration, the aneurysm filler is a continuous foam structure, and

wherein when the aneurysm filler is in the deployed configuration, the continuous foam structure is foldable between the outside surface of the stent and the luminal wall of the aneurysm.

14. The system of claim 13, wherein the aneurysm filler is a polymer.

15. The system of claim 13, wherein when the aneurysm filler is in the expanded foam configuration, the aneurysm filler is porous.

16. The system of claim 13, wherein, when the aneurysm filler is in the deployed configuration, the aneurysm filler coils between the outer surface of the stent and the luminal wall.

17. A method for treating an aneurysm comprising:

placing a distal end of a catheter delivery system within the aneurysm between an outer surface of a stent and a luminal wall of the aneurysm; and

introducing an aneurysm filler and an outer skin,

wherein the aneurysm filler is passable through the distal end of the catheter delivery system such that the aneurysm filler exits the distal end between the outer surface of the stent and the luminal wall,

wherein the aneurysm filler has a first deployed configuration and a second deployed configuration,

wherein when the aneurysm filler is in the second deployed configuration, a first side of the outer skin contacts the aneurysm filler and a second side of the outer skin contacts the luminal wall,

wherein the aneurysm filler forms into an expanded foam configuration when exposed to a fluid,

wherein when the aneurysm filler is in the first deployed configuration, the aneurysm filler has a first length, wherein when the aneurysm filler is in the second deployed configuration, the aneurysm filler has a second length, and wherein the second length has more bends than the first length.

18. The method of claim 17, wherein the aneurysm filler is a polymer,

wherein the aneurysm filler exits the distal end of the catheter delivery system in a direction parallel to a length of a longitudinal axis of the catheter delivery system,

wherein the aneurysm filling in the expanded foam configuration is larger than an open cell of the stent,

wherein the fluid is blood,

wherein the stent bifurcates at a bifurcation point, and

wherein the distal end of the catheter delivery system is superior to the bifurcation point when the catheter delivery system is in a deployed configuration.

19. The method of claim 17, wherein when the aneurysm filler is in the second deployed configuration, the outer skin is in conformal contact with a wall of the aneurysm.

20. The method of claim 17, wherein, when the aneurysm filler is in the second deployed configuration, the aneurysm filler is fully confined within the aneurysm.

21. The method of claim 17, wherein the aneurysm filler coils in the aneurysm.