Occlusive device

• US 10,736,758 B2
• Filed: 03/14/2014
• Issued: 08/11/2020
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien PLC (Medtronic Plc)
• Inventors: Ruvalcaba, Teresa, Bardsley, Earl Frederick, Rhee, Richard
• Primary Examiner(s): Yabut, Diane D
• Application Number:
  US14/776,974
• Publication Number:
  US 20160022445A1
• Time in Patent Office: 2,342 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 17/1219 expandable in contact with liquids
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/00867 shape memory effect
• CPC Class Codes: A61B 2017/00898 expandable upon contact with fluid
• CPC Class Codes: A61F 2/06 Blood vessels
• CPC Class Codes: A61F 2/82 Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents stent-grafts for tubular structures of the body other than blood vessels A61F2/04; stent-grafts for blood vessels A61F2/07; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95; for closing wounds, or holding wounds closed A61B17/04 - A61B17/115; dilators A61M29/00
• CPC Class Codes: A61F 2002/823 Stents, different from stent-grafts, adapted to cover an aneurysm

Abstract

An aneurysm embolization device can include a body having a single, continuous piece of material that is shape set into a plurality of distinct structural components. For example, the device can have an expandable component and an atraumatic tip portion extending therefrom. Further, the tip portion can be configured to enable the device to be implanted within the aneurysm while tending to mitigate risk of puncturing the aneurysm dome or otherwise assist in framing the aneurysm in advance of placement of additional embolic material.

Claims

1. An aneurysm embolization device, comprising:

a body portion having a first end, a second end, and a side extending between the first and second ends, the body portion being self-expandable from a compressed state to a first expanded configuration, wherein, when the body portion is in an expanded, unconstrained state the second end comprises a generally flat surface and the side has a concave outer surface, and wherein the body portion is configured to be positioned at a neck of an intracranial aneurysm in the first expanded configuration such that the outer surface is in apposition with the vessel wall along the neck and presses outwardly against the vessel wall at the neck; and

an atraumatic tip portion extending from the first end of the body portion and being self-expandable to a second expanded configuration, different in shape or size from the first expanded configuration,

wherein the body portion and the tip portion comprise a single, continuous piece of material.

2. The device of claim 1, wherein in the device further comprises a lumen extending continuously through the body portion and the tip portion.

3. The device of claim 2, wherein the lumen comprises a non-zero diameter in the first expanded configuration of the body portion and a substantially zero cross-sectional dimension in the second expanded configuration of the tip portion.

4. The device of claim 3, wherein the lumen in the body portion expands when the body portion is released from the compressed state.

5. The device of claim 4, wherein the lumen diameter in the body portion varies along a longitudinal length of the body portion in the first expanded configuration.

6. The device of claim 5, wherein in the compressed state, the body portion and the tip portion comprise an outer diameter of between about 0.010″

and about 0.050″

.

7. The device of claim 1, wherein in the compressed state, the body portion and the tip portion comprise substantially equal outer diameters.

8. The device of claim 1, wherein the tip portion is shape-set as a helical member.

9. The device of claim 1, wherein the piece of material comprises a tubular material.

10. The device of claim 1, wherein the piece of material is folded at the second end of the body portion.

11. The device of claim 1, wherein the body portion has a barrel shape in the first expanded configuration.

12. The device of claim 1, wherein the tip portion comprises a series of loops formed by a flattened member when in the second expanded configuration.

13. The device of claim 1, wherein the piece of material is a resilient material.

14. The device of claim 1, wherein, when the device is positioned at the aneurysm, the tip portion is interposed between the body portion and a dome of the aneurysm.

15. The device of claim 1, wherein the body portion and the tip portion comprise a single, continuous braid.

16. The device of claim 1, wherein, when the device is positioned at the aneurysm, the tip portion is interposed between the first end of the body portion and the aneurysm dome.

17. The device of claim 1, wherein the generally flat surface is a second generally flat surface, and wherein the first end surface comprises a first generally flat surface when the body portion is in the expanded, unconstrained state.

18. The device of claim 17, wherein, when the device is positioned at the aneurysm, the tip portion is interposed between the first generally flat surface of the body portion and the aneurysm dome.

19. An intracranial aneurysm embolization device, comprising:

a tubular body having first and second portions being self-expandable from a first cross-sectional dimension, the first portion being expandable to an expanded cross-sectional dimension greater than an expanded cross-sectional dimension of the second portion, wherein, when the device is in an expanded, unconstrained state;

the first portion has a barrel shape comprising a first end surface, a second end surface, and a body portion extending therebetween, the first end surface being generally flat and the body portion being concave in a direction away from the body portion, and wherein the first portion is configured to be expanded into apposition with the vessel wall along a neck of an intracranial aneurysm and press outwardly against the vessel wall at the neck to anchor the device at the neck, and

the second portion is coupled to the first end surface and, when the tubular body is in an expanded configuration, the second portion extends away from the first portion in a substantially helical path.

20. The device of claim 19, wherein the second portion is shape-set to substantially the first cross-sectional dimension and a longitudinal axis of the second portion extends along the substantially helical path.

21. The device of claim 19, wherein the body comprises a tubular braid.

22. The device of claim 19, wherein the first and second portions are formed from a single, continuous tubular braid.

23. The device of claim 19, further comprising a hub coupled to the device at a midsection between the first and second portions.

24. The device of claim 19, wherein the second portion comprises a series of loops formed by a flattened member when in an expanded configuration.

25. The device of claim 19, wherein, when the device is positioned at the aneurysm, the second portion is interposed between the first end surface of the first portion and the aneurysm dome.