Medical devices formed from shape memory alloys displaying a stress-retained martensitic state and method for use thereof

• US 20050043757A1
• Filed: 07/30/2004
• Published: 02/24/2005
• Est. Priority Date: 06/12/2000
• Status: Abandoned Application

• Current Assignee: Niti Surgical Solutions Ltd.
• Original Assignee: Niti Surgical Solutions Ltd.
• Inventors: BenDov-Laks, Noa, Perle, Amir, Monassevitch, Leonid, Arad, Michael
• Application Number:
  US10/903,823
• Publication Number:
  US 20050043757A1
• Time in Patent Office: Days
• US Class Current: 606/200
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• CPC Class Codes: A61B 17/0643 with separate closing member, e.g. for interlocking with staple
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/083 Clips, e.g. resilient
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 17/122 Clamps or clips , e.g. for the umbilical cord for the vas deferens A61F6/206
• CPC Class Codes: A61B 17/1227 Spring clips
• CPC Class Codes: A61B 17/2812 with a single pivotal connection A61B17/29 takes precedence
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/0412 having anchoring barbs or pins extending outwardly from suture anchor body
• CPC Class Codes: A61B 2017/0437 the barbs being resilient or spring-like
• CPC Class Codes: A61B 2017/0647 having one single leg, e.g. tacks
• CPC Class Codes: A61B 2017/0649 Coils or spirals
• CPC Class Codes: A61B 2017/1107 for blood vessels
• CPC Class Codes: A61B 2017/1139 Side-to-side connections, e.g. shunt or X-connections
• CPC Class Codes: A61C 2201/007 using shape memory effect
• CPC Class Codes: A61C 8/0033 : Expandable implants; Implants with extendable elements
• CPC Class Codes: A61F 2/0105 : Open ended, i.e. legs gathered only at one side
• CPC Class Codes: A61F 2/0108 : Both ends closed, i.e. legs gathered at both ends
• CPC Class Codes: A61F 2/012 : Multiple filtering units
• CPC Class Codes: A61F 2/2409 : Support rings therefor, e.g. for connecting valves to tissue annuloplasty rings A61F2/2442
• CPC Class Codes: A61F 2002/016 : made from wire-like elements
• CPC Class Codes: A61F 2002/018 : made from tubes or sheets of material, e.g. by etching or laser-cutting
• CPC Class Codes: A61F 2002/30092 : using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2210/0023 : operated at different temperatures whilst inside or touching the human body, heated or cooled by external energy source or cold supply
• CPC Class Codes: A61F 2230/0065 : toroidal, e.g. ring-shaped, doughnut-shaped
• CPC Class Codes: A61F 2230/008 : paraboloidal
• CPC Class Codes: A61F 2230/0093 : Umbrella-shaped, e.g. mushroom-shaped
• CPC Class Codes: C22F 1/10 : of nickel or cobalt or alloys based thereon

Abstract

A method is disclosed for utilizing a deformable article of manufacture formed at least partly of a shape memory alloy. The method includes the steps of deforming the article from a first predetermined configuration to a second predetermined configuration while the shape memory alloy is, at least partially, in its stable martensitic state and at a first temperature. A resisting force is applied to the deformed article of manufacture using a restraining means and the article is heated from the first temperature to a second temperature in the presence of the resisting force. The stable martensitic state is transformed to a metastable stress-retained martensitic state. The resisting force is then removed allowing the alloy to transform to its austenitic state and the shape of the article to be restored substantially to its first configuration. Devices primarily medical devices operative by employing this method are also disclosed.

Claims

1. A method for utilizing a deformable article of manufacture adapted to have selectable first and second predetermined configurations, the article being formed at least partly of a shape memory alloy, said method including the steps of

a) deforming the article under a deforming force from the first predetermined configuration to the second predetermined configuration while the shape memory alloy is, at least partially, in its stable martensitic state and at a first temperature;

b) applying a resisting force to the deformed article of manufacture using a restraining means,

c) heating the article from the first temperature to a second temperature in the presence of the resisting force, thereby transforming the alloy from its stable martensitic state to its metastable stress-retained martensitic state, while the article remains in its second configuration; and

d) removing the resisting force thereby to allow the alloy to transform to its austenitic state and the shape of the article to be restored substantially to the first configuration.

2. A method according to claim 1, wherein the article of manufacture is a medical device.

3. A method according to claim 1, further including the step of positioning the deformed article within the human body while the deformed article is restrained by the restraining means.

4. A method according to claim 3, wherein said step of heating is a step of automatically warming to body temperature when the article is positioned in or near the human body, body temperature being above the alloy'"'"'s A_f temperature.

5. A method according to claim 1, further including the step of positioning the deformed article within the human body and wherein the restraining means is body tissue.

6. A method according to claim 5, wherein said step of heating is a step of automatically warming to body temperature when the article is positioned in or near the human body, body temperature being above the alloy'"'"'s A_f temperature.

7. A method according to claim 1 further including the step of cooling prior to said step of deforming, said step of cooling including cooling the article to the first temperature such that the shape memory alloy, at least partially, transforms into its stable martensitic state.

8. A method according to claim 7, wherein said step of cooling includes cooling the article from the alloy'"'"'s austenitic state to a state wherein the alloy is at least partially in its stable martensitic state.

9. A method according to claim 1 further including the step of heating the article of manufacture until A_f such that the shape memory alloy preserves its stable martensitic state.

10. A method according to claim 1 wherein said step of heating is a step of automatically warming to body temperature when the article is positioned in or near the human body, body temperature being above the alloy'"'"'s A_f temperature.

11. A method according to claim 1 wherein said step of heating includes the step of heating to above the alloy'"'"'s A_f temperature.

12. A method according to claim 1 wherein said step of removing is effected isothermally.

13. A method according to claim 1 wherein the first temperature is below M_s.

14. A method according to claim 1 wherein the first temperature is below M_s and the second temperature is above A_f.

15. A method according to claim 1 wherein the first temperature is below A_f and the second temperature is above A_f.

16. A method according to claim 1 wherein the restraining means in said step of applying is body tissue.

17. A method according to claim 1 wherein in said step of deforming a deformation is effected by a means for deforming which is the same means as the restraining means in said step of applying and the resisting force in said step of applying is substantially a continuation of the deforming force provided in said step of deforming employed to deform the article.

18. A method according to claim 1 wherein in said step of deforming a deformation is effected by a means for deforming which is a means different from the restraining means in said step of applying.

19. A method according to claim 18 wherein said restraining means is body tissue.

20. A selectably deformable article of manufacture adapted to have selectable first and second predetermined configurations, said article being formed at least partly of a shape memory alloy, wherein

a) said shape memory alloy is at least partially in a stable martensitic state and at a first temperature, thereby to facilitate deformation of said article from the first predetermined configuration to the second predetermined configuration;

and

b) said shape memory alloy is further transformable from said stable martensitic state to a metastable stress-retained martensitic state, when heated to at least a second temperature in the presence of a predetermined resisting force, the resisting force impeding transformation of said shape memory alloy from said metastable stress-retained martensitic state to an austenitic state and thereby also impeding reversion of said article of manufacture from said second predetermined configuration to said first predetermined configuration.

21. A selectably deformable article of manufacture according to claim 20, wherein said first temperature is below M_s.

22. A selectably deformable article of manufacture according to claim 20, wherein said first temperature is below A_f

23. A selectably deformable article of manufacture according to claim 20, wherein said second temperature is above A_f.

24. A selectably deformable article of manufacture according to claim 20, wherein said stable martensitic state is attained by cooling the alloy to a first temperature below its M_s temperature from above its A_f temperature.

25. A selectably deformable article of manufacture according to claim 20, wherein said metastable stress-related martensite transforms to said austenitic state upon removal of the resisting force and the article reverts to its first configuration from its second configuration.

26. A selectably deformable article of manufacture according to claim 20, wherein said article of manufacture is a medical device.

27. A selectably deformed article according to claim 20, wherein said second temperature is substantially body temperature and A_f is below body temperature.

28. A selectably deformable article of manufacture according to claim 26, wherein said medical device is a surgical clip including a first and second length of a wire defining a pair of closed geometrical shapes, said shape substantially similar in configuration and size and having central openings, wherein said first and second lengths of wire fully overlap in a predetermined side-by-side registration, and at least an intermediate portion of said wire is formed of said shape memory alloy and is disposed between said first and second lengths of wire,

wherein said shape memory alloy is reversibly transformable from an austenitic state to a stable martensitic state, when cooled to a first temperature, thereby to facilitate deformation of said clip from said predetermined side-by-side registration to a predetermined open configuration;

and

wherein said shape memory alloy is further transformable from said stable martensitic state to a metastable stress-retained martensitic state, when heated to at least a second temperature and in the presence of a predetermined resisting force, which impedes reversion of said shape memory alloy from said metastable stress-retained martensitic state to said austenitic state and which impedes reversion of said clip from said predetermined open configuration to said side-by-side registration.

29. A selectably deformable article of manufacture according to claim 26, wherein said medical device is an anastomosis ring for crimping adjacent intussuscepted organ wall portions against a generally tubular crimping support element having transversely formed end wall portions, so as to cause anastomosis between the organ wall portions, wherein said anastomosis ring includes a length of wire having a predetermined cross-sectional shape, formed of said shape memory alloy, said length of wire defining a closed substantially circular shape having a central opening and having overlapping end portions,

wherein said shape memory alloy is reversibly transformable from an austenitic state to a stable martensitic state, when cooled to a first temperature, thereby to facilitate deformation of said anastomosis ring to a predetermined open configuration;

and

wherein said shape memory alloy is further transformable from said stable martensitic state to a metastable stress-retained martensitic state, when heated to at least a second temperature and in the presence of a predetermined resisting force, which impedes reversion of said shape memory alloy from said metastable stress-retained martensitic state to said austenitic state and which impedes reversion of said anastomosis ring from said predetermined open configuration to a predetermined crimping configuration.

30. A selectably deformable article of manufacture according to claim 26, wherein said medical device is a staple for bone fixation, formed of said shape-memory alloy, which includes:

a web having a first span length and a thickness;

two bending points, forming the end points of said web; and

two semicircular end sections, beginning from said bending points, having a preselected radius of curvature, a preselected angle of curvature, and a thickness which is substantially the same as said web thickness,

wherein said shape memory alloy is reversibly transformable from an austenitic state to a stable martensitic state, when cooled to a first temperature, to facilitate deformation of said staple to a predetermined open configuration, such that said angle of curvature is decreased to about 90°

relative to said web so as to substantially straighten said semicircular end sections and to increase said span length to a preselected value, thereby to facilitate insertion of said staple into the bone; and

wherein said shape memory alloy is further transformable from said stable martensitic state to a metastable stress-retained martensitic state, when heated to at least a second temperature and in the presence of a predetermined resisting force, which impedes reversion of said shape memory alloy from said metastable stress-retained martensitic state to said austenitic state and which impedes reversion of said staple from said predetermined open configuration to a predetermined fastening configuration.

31. A selectably deformable article of manufacture according to claim 26, wherein said medical device is an expandable bone fastener for securing in a hole drilled in a bone, which includes:

a generally cylindrical elongate body having a substantially conical proximal end portion and a distal transverse end;

at least one deformable anchor arm formed of said shape-memory alloy fixably attached to said cylindrical body portion; and

fastening means disposed at apex of said conical proximal end portion;

wherein said shape memory alloy is reversibly transformable from an austenitic state to a stable martensitic state, when cooled to a first temperature, to facilitate deformation of said at least one anchor arm to a predetermined closed configuration; and

wherein said shape memory alloy is further transformable from said stable martensitic state to a metastable stress-retained martensitic state, when heated to at least a second temperature and in the presence of a predetermined resisting force, which impedes reversion of said shape memory alloy from said metastable stress-retained martensitic state to said austenitic state and which impedes reversion of said at least one anchor arm from said predetermined closed configuration to a predetermined expanded fastening configuration.

32. A selectably deformable article of manufacture according to claim 26, wherein said medical device is an expandable bone anchor for securing in a hole drilled in a bone, which includes:

a generally cylindrical elongate body having a substantially conical proximal end portion and a distal end;

at least one pair of deformable anchor projections formed of said shape-memory alloy fixably attached to said distal end of said cylindrical body portion; and

anchoring means disposed at apex of said conical proximal end portion;

wherein said shape memory alloy is reversibly transformable from an austenitic state to a stable martensitic state, when cooled to a first temperature, to facilitate deformation of said at least one pair of anchor projections to a predetermined closed configuration; and

wherein said shape memory alloy is further transformable from said stable martensitic state to a metastable stress-retained martensitic state, when heated to at least a second temperature and in the presence of a predetermined resisting force, which impedes reversion of said shape memory alloy from said metastable stress-retained martensitic state to said austenitic state and which impedes reversion of said at least one pair of anchor projections from said predetermined closed configuration to a predetermined expanded fastening configuration.

33. A selectably deformable article of manufacture according to claim 26, wherein said medical device is a stent for disposing in a human vessel so as to provide improved liquid circulation therethrough, said stent is formed of a shape memory alloy having a predetermined first configuration;

wherein said shape memory alloy is reversibly transformable from an austenitic state to a stable martensitic state, when cooled to a first temperature, to facilitate deformation of said stent to a predetermined second configuration which is smaller in size than said first configuration; and

wherein said shape memory alloy is further transformable from said stable martensitic state to a metastable stress-retained martensitic state, when heated to at least a second temperature and in the presence of a predetermined resisting force, which impedes reversion of said shape memory alloy from said metastable stress-retained martensitic state to said austenitic state and which impedes reversion of said stent from said predetermined second configuration to said predetermined first configuration.

34. A selectably deformable article of manufacture according to claim 33, wherein said predetermined resisting force is provided by a catheter.

35. A selectably deformable article of manufacture according to claim 33, wherein said stent is chosen from a group of stents consisting of a mesh stent and a coil stent.

36. A selectably deformable article of manufacture according to claim 26, wherein said medical device is an intrauterine device for disposing within a uterus, said device having a predetermined shape formed of said shape-memory alloy including anchoring means for attachment within the uterus,

wherein said shape memory alloy is reversibly transformable from an austenitic state to a stable martensitic state, when cooled to a first temperature, to facilitate deformation of said device and said anchoring means to a predetermined closed configuration;

and

wherein said shape memory alloy is further transformable from said stable martensitic state to a metastable stress-retained martensitic state, when heated to at least a second temperature and in the presence of a predetermined resisting force, which impedes reversion of said shape memory alloy from said metastable stress-retained martensitic state to said austenitic state and which impedes reversion of said device and said anchoring means from said predetermined closed configuration to a predetermined expanded attaching configuration.

37. A selectably deformable article of manufacture according to claim 26, wherein said medical device is a heart valve retaining ring, wherein said heart valve retaining ring includes parts formed of said shape memory alloy, said parts defining a closed substantially circular shape having a central opening and having overlapping end portions,

wherein said shape memory alloy is reversibly transformable from an austenitic state to a stable martensitic state, when cooled to a first temperature, to facilitate deformation of said heart valve retaining ring to a predetermined opened configuration;

and

wherein said shape memory alloy is further transformable from said stable martensitic state to a metastable stress-retained martensitic state, when heated to at least a second temperature and in the presence of a predetermined resisting force, which impedes reversion of said shape memory alloy from said metastable stress-retained martensitic state to said austenitic state and which impedes reversion of said heart valve retaining ring from said predetermined opened configuration to a predetermined contracted fastening configuration.

38. A selectably deformable article of manufacture according to claim 26, wherein said medical device is a clamp device for securing tissue, said clamp device includes:

a pair of clamping jaws fixably attached to a connecting portion formed of said shape-memory alloy;

wherein said shape memory alloy is reversibly transformable from an austenitic state to a stable martensitic state, when cooled to a first temperature, to facilitate deformation of said clamp device to a predetermined opened configuration; and

wherein said shape memory alloy is further transformable from said stable martensitic state to a metastable stress-retained martensitic state, when heated to at least a second temperature and in the presence of a predetermined resisting force, which impedes reversion of said shape memory alloy from said metastable stress-retained martensitic state to said austenitic state and which impedes reversion of said connecting portion from said predetermined opened configuration to a predetermined closed fastening configuration.

39. A selectably deformable article of manufacture according to claim 26, wherein said medical device is a blood vessel filter for fixably disposing within a major blood vessel thereby to fragment any blood clots flowing therethrough, said filter includes:

a) an elongate central axial support member having a first and second end;

b) a plurality of generally radial primary elements formed from a shape memory alloy wire exhibiting stress retained martensitic characteristics, said primary elements being fixably attached to said first end of said axial support member so as to form a primary supporting web; and

c) a plurality of generally radial secondary elements formed from a shape memory alloy wire exhibiting stress retained martensitic characteristics, said secondary elements being fixably attached to said second end of said axial support member so as to form a secondary supporting web;

wherein said shape memory alloy is reversibly transformable from an austenitic state to a stable martensitic state, when cooled to a first temperature, to facilitate deformation of said blood vessel filter to a predetermined closed configuration for insertion into a catheter; and

wherein said shape memory alloy is further transformable from said stable martensitic state to a metastable stress-retained martensitic state, when heated to at least a second temperature and in the presence of a predetermined resisting force, which impedes reversion of said shape memory alloy from said metastable stress-retained martensitic state to said austenitic state and which impedes reversion of said blood vessel filter from said predetermined closed configuration to a predetermined expanded fastening configuration.

40. A selectably deformable article of manufacture according to claim 26, wherein said second temperature is lower than body temperature and above the alloy'"'"'s Af temperature.

41. A selectably deformable article of manufacture according to claim 26, wherein said second temperature is body temperature, body temperature being above the alloy'"'"'s A_f temperature.