Device with tensioners

• US 10,524,941 B2
• Filed: 09/04/2018
• Issued: 01/07/2020
• Est. Priority Date: 10/19/2015
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Klausen, Kasper
• Primary Examiner(s): Gherbi, Suzette J
• Application Number:
  US16/120,880
• Publication Number:
  US 20180368998A1
• Time in Patent Office: 490 Days
• Field of Search: 623 115- 148
• CPC Class Codes: A61F 2/013 Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
• CPC Class Codes: A61F 2/89 the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
• CPC Class Codes: A61F 2002/016 made from wire-like elements
• CPC Class Codes: A61F 2210/0076 multilayered, e.g. laminated structures
• CPC Class Codes: A61F 2230/0021 square
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2230/0073 Quadric-shaped
• CPC Class Codes: A61F 2240/001 Designing or manufacturing processes
• CPC Class Codes: A61F 2250/0018 differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2250/0048 differing in mechanical expandability, e.g. in mechanical, self- or balloon expandability

Abstract

This disclosure provides for a medical device to be implanted in the vasculature and a method for treatment in the vasculature. The device has an outer layer of a first material and an inner layer of a second material attached to the outer layer. The inner layer further has a plurality of elastomeric tensioners. If the device experiences relaxation, resulting in a decreased radial force against the vessel wall, the elastomeric tensioners may provide a contraction force to the inner layer and the outer layer, resulting in a maintained radial force on the vessel wall.

Claims

1. A method of deploying a medical device in a body vessel having a vessel wall, the method comprising:

disposing the medical device within the body vessel, the medical device having a longitudinal axis and comprising;

an outer layer comprising a first material and a plurality of outer cells arranged in outer circumferential rows, each outer cell having an outer perimeter comprising a first outer cell edge attached to a second outer cell edge at a distal outer cell end, defining a distal outer angle, and a third outer cell edge attached to a fourth outer cell edge at a proximal outer cell end, defining a proximal outer angle, the distal outer angle being distal the proximal outer angle along the longitudinal axis;

an inner layer comprising a second material being elastomeric and a plurality of inner cells arranged in inner circumferential rows, each inner cell having an inner perimeter comprising a first inner cell edge attached to a second inner cell edge at a distal inner cell end, defining a distal inner angle, and a third inner cell edge attached to a fourth inner cell edge at a proximal inner cell end, defining a proximal inner angle, the distal inner angle being distal the proximal inner angle along the longitudinal axis, wherein at least one outer perimeter is attached to at least one inner perimeter, the outer and inner layers defining a tubular body having a proximal end extending to a distal end and a lumen formed therethrough; and

a plurality of tensioners having an extended length and a contracted length and comprising the second material, each inner cell having one tensioner being attached to the proximal inner cell end and extending distally to the distal inner cell end to apply a contraction force on the inner cell;

lengthening the outer layer by a lengthening force; and

countering the lengthening force by the contraction force to maintain a radial force on the vessel wall.

2. The method of claim 1 wherein the step of lengthening the outer layer comprises the lengthening force being perpendicular to the longitudinal axis.

3. The method of claim 1 wherein the step of countering the lengthening force comprises countering with a first contraction force in a first direction and a second contraction force in a second direction, the first and second directions being along the longitudinal axis.

4. The method of claim 3 wherein the first direction and the second direction are opposite from each other.

5. The method of claim 1 wherein each tensioner moves from the extended length to the contracted length to maintain a radial force on the vessel wall.

6. The method of claim 1 wherein the contraction force increases the proximal inner angle and the distal inner angle.

7. The method of claim 1 wherein the contraction force increases the proximal outer angle and the distal outer angle.

8. The method of claim 1 wherein the first and second materials are biodegradable.

9. The method of claim 8 further comprising allowing the medical device to biodegrade after the step of countering the lengthening force.

10. The method of claim 1 wherein the medical device further comprises a plurality of filter struts attached to the inner layer.

11. The method of claim 10 wherein each filter strut comprises a proximal segment attached to the distal end and extending distally to a distal segment wherein all distal segments are attached to each other.