Devices, systems, and methods for the treatment of vascular defects

• US 10,675,036 B2
• Filed: 08/22/2017
• Issued: 06/09/2020
• Est. Priority Date: 08/22/2017
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Rosqueta, Arturo, Krishnamurthy, Gaurav, Gonzalez, Jose, Quinn, Patrick, Yu, Eric
• Primary Examiner(s): Severson, Ryan J.
• Application Number:
  US15/683,627
• Publication Number:
  US 20190059907A1
• Time in Patent Office: 1,022 Days
• CPC Class Codes: A61B 17/12113 within an aneurysm
• CPC Class Codes: A61B 17/12163 having a string of elements connected to each other
• CPC Class Codes: A61B 17/12172 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61B 17/12177 comprising additional materials, e.g. thrombogenic, having filaments, having fibers or being coated
• CPC Class Codes: A61B 2017/1205 Introduction devices

Abstract

Devices, systems, and methods for treating vascular defects are disclosed herein. One aspect of the present technology, for example, is directed toward an occlusive device that includes a first mesh having an expanded state in which it curves about a first axis to form a first band, and a second mesh having an expanded state in which it curves about a second axis different than the first axis to form a second band. The second band may be positioned radially inward of the first band such that the device includes first and second overlap regions in which the first band overlaps the second band.

Claims

1. An occlusive device for treating an aneurysm, wherein a neck of the aneurysm opens to a blood vessel, the device comprising:

a first elongated mesh having a low-profile state for intravascular delivery to the aneurysm and an expanded state in which the first elongated mesh is curved about a first axis to form a first band, the first elongated mesh having a first length and a generally constant width along the entire first length; and

a second elongated mesh having a low-profile state for intravascular delivery to the aneurysm and an expanded state in which the second elongated mesh is curved about a second axis different than the first axis to form a second band, the second elongated mesh having a second length and a generally constant width along the entire second length, wherein a distal end of the second elongated mesh is coupled to a proximal end of the first elongated mesh,

wherein the second band is positioned radially inward of the first band such that the device includes first and second overlap regions in which the first band overlaps the second band, and wherein the first and second overlap regions are spaced apart from one another along a circumference of the first band.

2. The device of claim 1, wherein the first and second elongated meshes are self-expanding.

3. The device of claim 1, wherein the first and second bands together bound a generally spherical shape, and wherein the first and second bands conform to an interior geometry of the aneurysm when the device is positioned within the aneurysm.

4. The device of claim 1, wherein the device is configured to be positioned in the aneurysm in an expanded state such that the first or second overlap region is positioned at the neck of the aneurysm, thereby substantially covering the neck and reducing blood flow through the neck from a parent vessel.

5. The device of claim 1, wherein the first axis is generally perpendicular to the second axis.

6. The device of claim 1, wherein at least one of the first elongated mesh and the second elongated mesh is a braid.

7. The device of claim 1, wherein at least one of the first elongated mesh and the second elongated mesh is a flattened tubular braid.

8. The device of claim 1, wherein a proximal end of the first elongated mesh is configured to be detachably coupled to an elongated delivery member.

9. An occlusive device for treating an aneurysm, wherein a neck of the aneurysm opens to a blood vessel, the device comprising:

a first elongated mesh strip having a low-profile state for intravascular delivery to the aneurysm and an expanded state in which the first elongated mesh strip is curved about a first axis to form a first band encircling at least a portion of a first opening;

a second elongated mesh strip having a low-profile state for intravascular delivery to the aneurysm and an expanded state in which the second elongated mesh strip is curved about a second axis to form a second band encircling at least a portion of a second opening, wherein a distal end of the second elongated mesh strip is coupled to a proximal end of the first elongated mesh strip; and

a third elongated mesh strip having a low-profile state for intravascular delivery to the aneurysm and an expanded state in which the third elongated mesh strip is curved about a third axis to form a third band encircling at least a portion of a third opening, wherein a distal end of the third elongated mesh strip is coupled to a proximal end of the second elongated mesh strip;

wherein, when the device is in an expanded, unconstrained state, the first, second, and third openings are aligned with first, second, and third planes, respectively, and the first second and third planes are perpendicular to one another, and

wherein the first and second elongated mesh strips having respective first and second lengths, and wherein each of the first and second elongated mesh strips have a generally constant width along their entire respective first second lengths.

10. The device of claim 9, wherein:

the first, second, and third bands together bound a predetermined, three-dimensional shape,

the first elongated mesh has first longitudinal side edges,

the second elongated mesh is bound by second longitudinal side edges,

the third elongated mesh is bound by third longitudinal side edges, and

when the device is in the expanded state, the first, second, and third side edges are spaced apart from one another along at least a portion of their circumferential lengths such that the device includes openings at its outer surface.

11. The device of claim 9, wherein:

the first, second, and third bands together bound a predetermined, three-dimensional shape,

the first elongated mesh has first longitudinal side edges,

the second elongated mesh is bound by second longitudinal side edges, and

when the device is in the expanded state, the first and the second side edges contact one another along at least a portion of their circumferential lengths and/or overlap one another along at least a portion of their circumferential lengths such that the first, second, and third bands define a continuous outer surface of the three-dimensional shape.

12. The device of claim 9, wherein, when the device is in an expanded, unconstrained state, the third band is radially inward of the second band, and the second band is radially inward of the first band.

13. The device of claim 12, wherein, in the expanded state, the first band is an open band such that when the first band is viewed in cross section, it does not form a closed shape.

14. The device of claim 12, wherein, in the expanded state, the second band is an open band such that when the second band is viewed in cross section, it does not form a closed shape.

15. The device of claim 12, wherein, in the expanded state, the third band is an open band such that when the third band is viewed in cross section, it does not form a closed shape.

16. The device of claim 12, wherein, in the expanded state, the first band is a closed band such that when the first band is viewed in cross section, it forms a closed shape.

17. The device of claim 12, wherein, in the expanded state, the second band is a closed band such that when the second band is viewed in cross section, it forms a closed shape.

18. The device of claim 12, wherein, in the expanded state, the third band is a closed band such that when the third band is viewed in cross section, it forms a closed shape.

19. A method for treating an aneurysm with an occlusive device including a first elongated mesh and a second elongated mesh, wherein a neck of the aneurysm opens to a blood vessel, the method comprising:

pushing the first elongated mesh distally from a delivery catheter into an interior region of the aneurysm, the first elongated mesh having a first length and a generally constant width along the entire first length, wherein pushing the first elongated mesh distally includes curving the first elongated mesh back on itself to form a first band that expands against and conforms to an inner surface of the aneurysm wall;

pushing a second elongated mesh distally from the delivery catheter into the interior region of the aneurysm, the second elongated mesh having a second length and a generally constant width along the entire second length, wherein a distal end of the second elongated mesh is coupled to a proximal end of the first elongated mesh, and wherein pushing the second elongated mesh distally includes curving the second elongated mesh back on itself to form a second band that expands against and conforms to the inner surface of the aneurysm wall, wherein the first and second bands intersect at first and second overlap regions when the device is in an expanded state; and

positioning the device within the aneurysm such that the first or second overlap region is positioned at the neck of the aneurysm, thereby substantially covering the neck and reducing blood flow from a parent vessel through the neck.

20. The method of claim 19, wherein the first elongated mesh is pushed distally from the delivery catheter before the second elongated mesh is pushed distally from the delivery catheter.

21. The method of claim 19, wherein:

curving the first elongated mesh back on itself to form a first band includes curving the first elongated mesh around a first axis; and

curving the second elongated mesh back on itself to form a second band includes curving the second elongated mesh around a second axis different than the first axis.

22. The method of claim 21, wherein the first axis is perpendicular to the second axis.

23. The method of claim 19, wherein the first and second elongated meshes are formed of a single, continuous elongated mesh.

24. The method of claim 19, further comprising pushing a third elongated mesh distally from the delivery catheter into the interior region of the aneurysm, wherein pushing the third elongated mesh distally includes curving the third elongated mesh back on itself to form a third band that expands against and conforms to the inner surface of the aneurysm wall.