TISSUE INGROWTH INTESTINAL BYPASS SLEEVE AND METHOD OF DEPLOYMENT

• US 20140257164A1
• Filed: 03/07/2014
• Published: 09/11/2014
• Est. Priority Date: 03/07/2013
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Gittard, Shaun D.
• Granted Patent: US 9,414,946 B2
• Time in Patent Office: Days
• US Class Current: 604/8
• CPC Class Codes: A61F 5/0076 preventing normal digestion, e.g. Bariatric or gastric sleeves
• CPC Class Codes: A61F 5/0089 Instruments for placement or removal
• CPC Class Codes: A61M 25/04 in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence

Abstract

A device and method for deploying an intestinal sleeve is disclosed. The intestinal sleeve has an impermeable layer and a tissue ingrowth layer. The intestinal sleeve is temporarily anchored to the wall of a patient'"'"'s duodenum and the wall tissue grows into the tissue ingrowth layer anchoring the intestinal sleeve within the patient'"'"'s duodenum.

Claims

1. A catheter assembly for deploying an endoluminal sleeve, the catheter assembly having an axis and comprising:

a first catheter having a distal portion, a proximal portion, and a first outside diameter;

a balloon disposed at the distal portion of the first catheter, the balloon having an inflated configuration in which a balloon diameter is greater than the first outside diameter and a deflated configuration;

a sleeve having an lumen, the balloon being internal to the lumen, the sleeve being wrapped about the catheter assembly axis and having a porous outer ingrowth layer and an impermeable inner layer, the outer ingrowth layer having an outer surface with at least one temporary attachment mechanism for attachment to a body lumen; and

a second catheter disposed about the first catheter and being slidable from a first position in which the second catheter covers the balloon and a second position in which the second catheter does not cover the balloon.

2. The catheter assembly of claim 1 further comprising a conical cap located at a distal end of the balloon catheter, the conical cap having a base diameter greater than the first outside diameter, wherein the balloon in the deflated configuration has an outside diameter less than the base diameter and wherein the second catheter engages the conical cap in the first position.

3. The catheter assembly of claim 1 wherein the at least one temporary attachment mechanism comprises a plurality of anchors.

4. The catheter assembly of claim 2 wherein the plurality of anchors is selected from the group consisting of spikes, barbs, tacks, and spurs.

5. The catheter assembly of claim 2 wherein the plurality of anchors are biodegradable.

6. The catheter assembly of claim 2 wherein the plurality of anchors are bio absorbable.

7. The catheter assembly of claim 1 wherein the at least one temporary attachment mechanism comprises an adhesive.

8. The catheter assembly of claim 1 wherein the outer ingrowth layer comprises a woven fabric.

9. The catheter assembly of claim 1 wherein the outer ingrowth layer comprises a mesh.

10. The catheter assembly of claim 1 wherein the outer ingrowth layer comprises a plurality of pores.

11. The catheter assembly of claim 1 wherein the outer ingrowth layer is comprised of small intestine submucosa.

13. The method of claim 11 further comprising allowing the temporary anchor mechanism to dissolve within the patient.

14. The method of claim 11 wherein the temporary anchor mechanism is selected from the group consisting of adhesive, spikes, barbs, tacks, and spurs.

15. The method of claim 11 wherein promoting tissue ingrowth comprises leaving the intestinal bypass sleeve within the duodenum for an extended length of time.

16. The method of claim 11 wherein the catheter assembly is guided to the duodenum through the patient'"'"'s esophagus.

17. The method of claim 11 wherein the introducer catheter is refracted while maintaining the position of the intestinal bypass sleeve.

12. A method for deploying an intestinal bypass sleeve comprising:

guiding a distal end of a catheter assembly to the duodenum of a patient, the distal end of the catheter assembly having a balloon, an intestinal bypass sleeve having an impermeable inner layer and an ingrowth outer layer disposed about the balloon, and an introducer sheath covering the intestinal bypass sleeve;

retracting the introducer sheath of the catheter assembly to uncover at least a portion of the intestinal bypass sleeve;

inflating the balloon to expand at least a portion the intestinal bypass sleeve within the duodenum of the patient;

anchoring the ingrowth outer layer to the wall of the duodenum of the patient through a temporary anchor mechanism, wherein the ingrowth outer layer is anchored only to the duodenum along the entire length of the intestinal bypass sleeve;

deflating the balloon leaving the intestinal bypass sleeve anchored to the wall of the duodenum;

removing the distal end of the catheter assembly from the duodenum of the patient; and

promoting tissue ingrowth into the ingrowth outer layer to durably anchor the intestinal bypass sleeve within the duodenum.