SYSTEM AND METHOD FOR TREATING BIOLOGICAL VESSELS

• US 20140066960A1
• Filed: 08/21/2013
• Published: 03/06/2014
• Est. Priority Date: 02/08/2012
• Status: Active Grant

• Current Assignee: Trireme Medical Incorporated
• Original Assignee: Quattro Vascular Pte Limited
• Inventors: Feld, Tanhum, Konstantino, Eitan
• Granted Patent: US 9,216,033 B2
• Time in Patent Office: Days
• US Class Current: 606/159
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/0647 having one single leg, e.g. tacks
• CPC Class Codes: A61F 2/844 folded prior to deployment
• CPC Class Codes: A61F 2/89 the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
• CPC Class Codes: A61M 2025/1084 having features for increasing the shape stability, the reproducibility or for limiting expansion, e.g. containments, wrapped around fibres, yarns or strands
• CPC Class Codes: A61M 25/104 used for angioplasty

Abstract

A system for performing angioplasty and a method of utilizing same are provided. The system includes a balloon mounted on a catheter shaft and an expandable constraining structure mounted over the balloon. The expandable constraining structure includes a plurality of axial struts crossing a plurality of radially-expandable rings being for constraining said balloon such that isolated balloon regions protrude through openings in said constraining structure when the balloon is inflated.

Claims

1. A system for performing angioplasty comprising:

(a) a balloon mounted on a catheter shaft and having a longitudinal axis; and

(b) an expandable constraining structure including a plurality of axial struts crossing a plurality of radially-expandable rings configured for constraining said balloon such that isolated balloon regions protrude through openings in said constraining structure when said balloon is inflated,

said expandable constraining structure being configured such that radial expansion of said radially-expandable rings does not substantially alter a distance between adjacent radially-expandable rings along said longitudinal axis.

2. The system of claim 1, wherein said expandable constraining structure is configured such that radial expansion of said radially-expandable rings axially moves adjacent axial struts attached to said adjacent radially-expandable rings in opposite directions.

3. The system of claim 1, wherein said radially-expandable rings are configured with peaks and valleys forming an undulating omega loop path.

4. The system of claim 3, wherein said plurality of axial struts interconnect said plurality of radially-expandable rings at said peaks and said valleys.

5. The system of claim 1, comprising at least 4 axial struts crossing at least 4 radially-expandable rings, forming at least 16 of said openings.

6. The system of claim 1, wherein said expandable constraining structure further includes first and second end rings for fixedly attaching said expandable constraining structure to said catheter.

7. The system of claim 6, wherein said first and second rings are connected to terminal radially-expandable rings via N end struts, N being half of a number of said plurality of axial struts.

8. The system of claim 7, wherein said N end struts of said first end ring are connected to peaks of a first terminal radially-expandable ring, and said N end struts of said second end ring are connected to valleys of a second terminal radially-expandable ring.

9. The system of claim 7, wherein said N end struts of said first end ring are connected to peaks of a first terminal radially-expandable ring, and said N end struts of said second end ring are connected to peaks of a second terminal radially-expandable ring.

10. The system of claim 7, wherein N equals 2.

11. The system of claim 1, wherein said plurality of axial struts are fabricated from a super-elastic alloy having a thickness within the range of from about 0.04 to about 0.12 mm.

12. The system of claim 1, wherein said plurality of radially-expandable rings are fabricated from a super-elastic alloy having a thickness within the range of from about 0.05 to about 0.12 mm.

13. The system of claim 1, wherein said plurality of radially-expandable rings are capable of radially expanding from a compressed state of 1 mm in diameter to an expanded state of 6 mm in diameter.

14. The system of claim 1, wherein said plurality of radially-expandable rings form an undulating radial path when compressed and a substantially linear radial path when expanded.

15. The system of claim 6, wherein a length of said expandable constraining structure from said first end ring to said second end ring is within the range of from about 5 mm to about 300 mm.

16. The system of claim 5, wherein each omega loop of said undulating omega loop path is composed of two contiguous sine curves.

17. The system of claim 16, wherein said sine curve has a radius of from about 0.3 mm to about 0.5 mm.

18. The system of claim 1, wherein said isolated balloon regions protrude about 0.1-0.5 mm from an outer surface of said expandable constraining structure.

19. The system of claim 1, wherein said balloon is coated with a drug.

20. The system of claim 19, wherein said drug coating contains a drug or a drug and one or more excipients.

21. The system of claim 20, wherein said drug is an antiproliferative drug.

22. The system of claim 19, wherein said drug coating is coated on said isolated balloon regions that protrude through said openings.

23. The system of claim 22, wherein said isolated balloon regions protruding through said openings are about 1-5 mm in length and about 1-3.5 mm in width.

24. A method of treating a body vessel comprising:

(a) positioning, in the vessel, a balloon disposed within an expandable constraining structure including a plurality of axial struts crossing a plurality of radially-expandable rings configured for constraining said balloon such that isolated balloon regions protrude through openings in said expandable constraining structure when said balloon is inflated;

said expandable constraining structure being configured such that radial expansion of said radially-expandable rings;

(i) does not substantially alter an axial distance between adjacent radially-expandable rings; and

(ii) axially moves adjacent axial struts attached to said adjacent radially-expandable rings in opposite directions; and

(b) inflating said balloon so as to enable said isolated balloon regions to protrude through said openings and contact a wall of the vessel while said plurality of axial struts and said plurality of radially-expandable rings are displaced from the vessel, thereby treating the body vessel.

25. The method of claim 24, wherein (b) is effected by inflating said balloon to at least 3 atm.

26. The method of claim 24, wherein the vessel is an artery and the treatment is angioplasty.

27. A medical prosthesis comprising a substantially tubular expandable structure including a plurality of axial struts crossing a plurality of radially-expandable rings, said expandable constraining structure being configured such that radial expansion of said radially-expandable rings:

(a) does not substantially alter a distance between adjacent radially-expandable rings; and

(b) axially moves adjacent axial struts attached to said adjacent radially-expandable rings in opposite directions.