BARBED STENT VASCULAR OCCLUSION DEVICE

• US 20090062839A1
• Filed: 08/31/2007
• Published: 03/05/2009
• Est. Priority Date: 08/31/2007
• Status: Abandoned Application

• Current Assignee: Cook Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Incorporated (Cook Group Incorporated)
• Inventors: Kurrus, Michael R.
• Application Number:
  US11/848,782
• Publication Number:
  US 20090062839A1
• Time in Patent Office: Days
• US Class Current: 606/198
• CPC Class Codes: A61B 17/12022 Occluding by internal devices, e.g. balloons or releasable wires plugging an opening in the wall of an organ A61B17/0057; occluders for the cervical canal A61F6/146; vas deferens occluders A61F6/20
• CPC Class Codes: A61B 17/12109 in a blood vessel
• 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 2017/00575 for closure at remote site, e.g. closing atrial septum defects
• CPC Class Codes: A61B 2017/00579 Barbed implements
• CPC Class Codes: A61B 2017/00601 Implements entirely comprised between the two sides of the opening
• CPC Class Codes: A61B 2017/00623 Introducing or retrieving devices therefor
• CPC Class Codes: A61F 2/91 made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2002/8483 Barbs
• CPC Class Codes: A61M 2025/0681 Systems with catheter and outer tubing, e.g. sheath, sleeve or guide tube
• CPC Class Codes: A61M 25/00 Catheters; Hollow probes dilators A61M29/00; peritoneal catheters A61M1/285; tracheal tubes A61M16/04; for drainage A61M27/00; for uterus, vagina or rectum A61M31/00 ; for measuring or testing A61B; materials for catheters A61L29/00

Abstract

A vascular occlusion device for occluding a body cavity. The device includes a tubular scaffold extending from a proximal end to a distal end. The scaffold is formed from a plurality of interconnected and articulated members configured to self-expand into an open configuration. A plurality of barbs extend from the articulated members, each barb including an anchoring end. The anchoring end is disposed radially outward from the scaffold in the open configuration and adapted to embed into the cavity walls. A radially expandable substance is disposed within a device lumen. The substance is configured to promote body tissue growth within the body cavity to occlude the body cavity. In one example, the body cavity includes a patent foramen ovale.

Claims

1. A vascular occlusion device for occluding a body cavity defined by cavity walls, the device comprising:

a tubular scaffold extending from a proximal end to a distal end and defining a device lumen therethrough, the scaffold being formed from a plurality of interconnected and articulated members configured to self-expand into an open configuration, a plurality of barbs extend from the articulated members with each barb including an anchoring end, the anchoring end being disposed radially outward from the scaffold in the open configuration and adapted to embed into the cavity walls; and

a radially expandable substance being disposed within the device lumen and attached to at least one of the articulated members, the substance being configured to promote body tissue growth within the body cavity to occlude the body cavity.

2. The device of claim 1 wherein the tubular scaffold further comprises a closed configuration wherein the anchoring end of the barbs are disposed substantially flush along the scaffold.

3. The device of claim 1 wherein the tubular scaffold further comprises at least one self-expanding ring structure, the ring structure being formed from the plurality of articulated members.

4. The device of claim 3 wherein each articulated member has a proximal tip and a distal tip and each of the proximal and distal tips are attached at a joint to a respective proximal or distal tip of an adjacent member to form the ring structure.

5. The device of claim 3 wherein the tubular scaffold further comprises a plurality of the ring structures being coaxially aligned from the proximal to the distal end of the device, each of the ring structures being attached to at least one adjacent ring structure.

6. The device of claim 5 wherein the ring structures are attached together by a plurality of longitudinal members.

7. The device of claim 6 wherein the articulated members and joints of the ring structures form a sinusoidal pattern.

8. The device of claim 1 wherein the substance further comprises at least one of an extracellular matrix, polyester, rayon, nylon, polytetrafluoroethylene, biocompatible polyurethanes, and mixtures thereof.

9. The device of claim 8 wherein the extracellular matrix further comprises small intestine submucosa.

10. The device of claim 9 wherein the small intestine submucosa is compressed for passage through a lumen of a sheath and is expanded when the device is disposed outside of the lumen of the sheath.

11. The device of claim 1 wherein the radially expandable substance forms an interconnected matrix of fibers within the device lumen in the open configuration.

12. The device of claim 1 wherein the tubular scaffold and barbs are made of a shape memory material.

13. The device of claim 12 wherein the shape memory material includes alloys of nickel-titanium.

14. A vascular occlusion assembly for occluding a body cavity defined by cavity walls, the assembly comprising:

a delivery apparatus including an outer sheath having a proximal part extending to a distal part and defining a sheath lumen therein, an inner elongate element being disposed within the sheath lumen and having a proximal segment extending to a distal segment, the outer sheath being configured to translate axially relative to the inner element;

an occlusion device being disposed within the sheath lumen and engaging the distal segment of the inner element;

the occlusion device comprising a tubular scaffold extending from a proximal end to a distal end and defining a device lumen therethrough, the scaffold being formed from a plurality of interconnected and articulated members configured to self-expand from a closed configuration to an open configuration, a plurality of barbs extend from the articulated members with each barb, including an anchoring end, the anchoring end being disposed radially outward from the scaffold in the open configuration and adapted to embed into the cavity walls, a radially expandable inner matrix being disposed within the device lumen and attached to at least one of the articulated members the inner matrix being configured to promote body tissue growth within the body cavity; and

the occlusion device being coaxially arranged within the sheath lumen in the closed configuration such that the inner matrix is compressed within the device lumen, the occlusion device being deployable through the distal part of the outer sheath by relative axial movement of the outer sheath, and the scaffold, barbs, and extracellular matrix self-expand into the open configuration after deployment of the occlusion device.

15. The device of claim 14 wherein the anchoring end of the barbs are disposed substantially flush along the scaffold in the closed configuration within the outer sheath.

16. The device of claim 14 wherein the inner matrix further comprises at least one of an extracellular matrix, polyester, rayon, nylon, polytetrafluoroethylene, biocompatible polyurethanes, and mixtures thereof.

17. The assembly of claim 16 wherein the extracellular matrix further comprises small intestine submucosa.

18. The device of claim 14 wherein the scaffold and barbs are formed of a shape memory material including alloys of nickel-titanium.

19. A method of occluding a body cavity having body walls, the method comprising:

positioning an occlusion device within the body cavity to promote body tissue growth, the occlusion device comprising a tubular scaffold extending from a proximal end to a distal end and defining a device lumen therethrough, the scaffold being formed from a plurality of interconnected and articulated members configured to self-expand from a closed configuration to an open configuration, a plurality of barbs extend from the articulated members with each barb including an anchoring end, the anchoring end being disposed radially outward from the scaffold in the open configuration and adapted to embed into the cavity walls, a radially expandable inner matrix being disposed within the device lumen and attached to at least one of the articulated members is configured to promote body tissue growth within the body cavity;

expanding the occlusion device within the body cavity; and

attaching the anchoring ends of occlusion device to the body walls of the body cavity.

20. The method of claim 19 wherein the body cavity further comprises a patent foramen ovale.