Devices and methods for the treatment of vascular defects

• US 10,675,037 B2
• Filed: 12/19/2017
• Issued: 06/09/2020
• Est. Priority Date: 09/10/2010
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Aboytes, Maria G., Rosqueta, Arturo S.
• Primary Examiner(s): Lynch, Robert A
• Application Number:
  US15/846,964
• Publication Number:
  US 20180132859A1
• Time in Patent Office: 903 Days
• CPC Class Codes: A61B 17/12113 within an aneurysm
• CPC Class Codes: A61B 17/1214 Coils or wires
• CPC Class Codes: A61B 17/12163 having a string of elements connected to each other
• CPC Class Codes: A61B 17/12168 having a mesh structure A61B17/1214 takes precedence
• CPC Class Codes: A61B 17/12172 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/12054 Details concerning the detachment of the occluding device from the introduction device
• CPC Class Codes: A61M 29/00 Dilators with or without means for introducing media, e.g. remedies instruments for performing visual medical inspections of cavities or tubes of the body A61B1/00
• CPC Class Codes: H05K 999/99 dummy group

Abstract

Devices and methods for treating vascular defects, such as, for example, balloon-type aneurysms, are described herein. In one embodiment, an apparatus includes an insertion portion and an expandable implant. The expandable implant is configured to be deployed in an aneurysm and is coupled to the insertion portion. The expandable implant has a first portion and a second portion coupled to the first portion. The expandable implant is movable between a first configuration in which the first portion and the second portion are substantially linearly aligned and a second configuration in which the second portion at least partially overlaps the first portion.

Claims

1. A method for treating an aneurysm, comprising:

intravascularly delivering an expandable implant to the aneurysm, the implant having a first braid and a second braid, wherein the first braid and the second braid are separate, discrete braids, and both the first braid and the second braids are flattened tubular braids;

expanding the first braid in the aneurysm to form a hollow spherical frame within the aneurysm; and

expanding the second braid within an interior portion defined by the spherical frame.

2. The method of claim 1, further comprising delivering a flexible, curved member to the aneurysm before positioning the first braid.

3. The method of claim 1 wherein expanding the first braid includes expanding the first braid to form a plurality of concave, petal-shaped portions.

4. The method of claim 3 wherein expanding the first braid includes expanding the first braid such that an edge of one of the petal-shaped portions overlaps with an edge of another of the petal-shaped portions.

5. The method of claim 1 wherein the second braid is a tubular braid, and wherein expanding the second braid includes expanding the second braid to form a three-dimensional structure.

6. The method of claim 1 wherein the hollow spherical frame is a first hollow spherical frame, the interior portion is a first interior portion, and the implant further comprises a third braid, and wherein:

expanding the second braid includes expanding the second braid to form a second hollow spherical frame within the first interior portion, wherein the second spherical frame defines a second interior portion; and

the method further comprises expanding the third braid within the second interior portion.

7. The method of claim 1 wherein the hollow spherical frame is a first hollow spherical frame, the interior portion is a first interior portion, the implant further comprises a third braid, and wherein:

expanding the first braid includes expanding the first braid into a plurality of concave, petal-shaped portions;

expanding the second braid includes expanding the second braid into a plurality of concave, petal-shaped portions that form a second hollow spherical frame defining a second interior portion within the first interior portion; and

the method further comprises expanding the third braid within the second interior portion, wherein the third braid is a tubular braid and expanding the third braid includes forming a three-dimensional structure.

8. The method of claim 1 wherein the hollow spherical frame is a first hollow spherical frame, the interior portion is a first interior portion, and the implant further comprises a third braid, and wherein:

expanding the first braid includes expanding the first braid into a plurality of concave, petal-shaped portions;

expanding the second braid includes expanding the second braid into a plurality of concave, petal-shaped portions that form a second hollow spherical frame defining a second interior portion within the first interior portion; and

the method further comprises expanding the third braid within the second interior portion, wherein expanding the third braid includes expanding the third braid into a plurality of concave, petal-shaped portions that form a third hollow spherical frame defining a third interior portion within the second interior portion.

9. The method of claim 1 wherein the hollow spherical frame is a first hollow spherical frame, the interior portion is a first interior portion, and the implant is a first implant, and wherein:

expanding the second braid includes expanding the second braid to form a second hollow spherical frame within the first interior portion, wherein the second spherical frame defines a second interior portion; and

the method further comprises—

intravascularly delivering a second implant to the aneurysm; and

positioning the second implant within the second interior portion.

10. The method of claim 1 wherein the first braid and the second braid are positioned relative to one another along the length of the implant such that, when the implant is positioned within a delivery catheter during intravascular delivery of the implant, the first braid is distal to the second braid.

11. The method of claim 1 wherein a proximal end of the first braid is coupled to a distal end of the second braid via an articulating joint.

12. A method for treating an aneurysm, comprising:

intravascularly delivering an expandable implant to the aneurysm, the implant having a first braid and a second braid, wherein the first braid and the second braid are separate, discrete braids, and at least one of the first braid and the second braid is a flattened tubular braid, and wherein a proximal end of the first braid is coupled to a distal end of the second braid via an articulating joint;

expanding the first braid in the aneurysm to form a hollow frame within the aneurysm; and

expanding the second braid within an interior portion defined by the frame.

13. The method of claim 12 further comprising delivering a flexible, curved member to the aneurysm before positioning the first braid.

14. The method of claim 12 wherein the first braid and the second braid are positioned relative to one another along the length of the implant such that, when the implant is positioned within a delivery catheter during intravascular delivery of the implant, the first braid is positioned distal to the second braid.

15. The method of claim 12 wherein a proximal end of the first braid includes a marker band and a distal end of the second braid includes a marker band, and wherein the marker band of the first braid is coupled to the marker band of the second braid via an articulating joint.

16. The method of claim 12 wherein expanding the second braid includes expanding the second braid such that a portion of the second braid overlaps a portion of the first braid.

17. The method of claim 12 further comprising positioning a portion of the first braid across a neck of the aneurysm.

18. The method of claim 12 further comprising positioning a portion of the second braid across a neck of the aneurysm.

19. The method of claim 12 wherein the hollow frame is a first hollow frame, the interior portion is a first interior portion, and the implant further comprises a third braid, and wherein:

expanding the second braid includes expanding the second braid to form a second hollow frame within the first interior portion, wherein the second hollow frame defines a second interior portion; and

the method further comprises expanding the third braid within the second interior portion.

20. A method for treating an aneurysm, comprising:

intravascularly delivering a first expandable implant to the aneurysm, the first implant having a first braid and a second braid, wherein the first braid and the second braid are separate, discrete braids, and at least one of the first braid and the second braid is a flattened tubular braid;

expanding the first braid in the aneurysm to form a first hollow spherical frame within the aneurysm; and

expanding the second braid within a first interior portion defined by the first spherical frame, wherein expanding the second braid includes expanding the second braid to form a second hollow spherical frame within the first interior portion, and wherein the second spherical frame defines a second interior portion;

intravascularly delivering a second implant to the aneurysm; and

positioning the second implant within the second interior portion.

21. The method of claim 20 wherein the second braid is a tubular braid, and wherein expanding the second braid includes expanding the second braid to form a three-dimensional structure.

22. The method of claim 20 wherein both the first braid and the second braid are flattened tubular braids.

23. The method of claim 20 wherein the first braid and the second braid are positioned relative to one another along the length of the first implant such that, when the first implant is positioned within a delivery catheter during intravascular delivery of the first implant, the first braid is distal to the second braid.

24. The method of claim 20 wherein a proximal end of the first braid is coupled to a distal end of the second braid via an articulating joint.

25. A method for treating an aneurysm, comprising:

intravascularly delivering an expandable implant to the aneurysm, the implant having a first braid and a second braid, wherein the first braid and the second braid are separate, discrete braids, and at least one of the first braid and the second braid is a flattened tubular braid, and wherein a proximal end of the first braid is coupled to a distal end of the second braid via an articulating joint;

expanding the first braid in the aneurysm to form a hollow spherical frame within the aneurysm; and

expanding the second braid within an interior portion defined by the spherical frame.

26. The method of claim 25 wherein the second braid is a tubular braid, and wherein expanding the second braid includes expanding the second braid to form a three-dimensional structure.

27. The method of claim 25 wherein both the first braid and the second braid are flattened tubular braids.

28. The method of claim 25 wherein the first braid and the second braid are positioned relative to one another along the length of the implant such that, when the implant is positioned within a delivery catheter during intravascular delivery of the implant, the first braid is distal to the second braid.

29. The method of claim 25 wherein the hollow spherical frame is a first hollow spherical frame, the interior portion is a first interior portion, and the implant is a first implant, and wherein:

expanding the second braid includes expanding the second braid to form a second hollow spherical frame within the first interior portion, wherein the second spherical frame defines a second interior portion; and

the method further comprises—

intravascularly delivering a second implant to the aneurysm; and

positioning the second implant within the second interior portion.