Occlusion system for endovascular treatment of an aneurysm

• US 5,951,599 A
• Filed: 07/09/1997
• Issued: 09/14/1999
• Est. Priority Date: 07/09/1997
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: McCrory, Jennifer J.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): LEWIS, WILLIAM W
• Application Number:
  US08/890,488
• Time in Patent Office: 797 Days
• Field of Search: 606/1, 606/108, 606/198, 606/200, 623/1, 623/12
• US Class Current: 606/108
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• 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 17/12118 for positioning in conjunction with a stent
• CPC Class Codes: A61B 17/12186 liquid materials adapted to be injected
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/856 Single tubular stent with a side portal passage
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/077 having means to fill the space between stent-graft and aneurysm wall, e.g. a sleeve
• CPC Class Codes: A61F 2002/823 Stents, different from stent-grafts, adapted to cover an aneurysm
• CPC Class Codes: A61F 2002/828 Means for connecting a plurality of stents allowing flexibility of the whole structure
• CPC Class Codes: A61F 2250/0015 differing in density or specific weight
• CPC Class Codes: A61F 2250/0023 differing in porosity

Abstract

An occlusion system treats an aneurysm in a parent vessel. The parent vessel defines a lumen that has a lumen wall. The aneurysm has a neck in communication with the lumen. The occlusion system includes a stent configured for deployment in the parent vessel. The stent has at least a first portion and a second portion. The first portion is permeable to blood flow and is arranged such that, when the stent is deployed, the first portion is spaced from the neck of the aneurysm. The second portion is less permeable to blood flow than the first portion and is arranged such that, when the stent is deployed, the second portion overlies the neck of the aneurysm.

Claims

1. A device for treating an aneurysm in a parent vessel, the parent vessel defining a lumen and having a lumen wall, the aneurysm having a neck communicating with the lumen, the device comprising:

an occlusion device configured for deployment in the parent vessel, the occlusion device having at least a first portion and a second portion;

wherein the first portion is permeable to blood flow and arranged such that, when the occlusion device is deployed, the first portion is angularly spaced from the second portion about an outer periphery of the occlusion device;

wherein the second portion is less permeable to blood flow than the first portion; and

wherein the occlusion device includes a plurality of apertures therein and wherein the apertures are substantially covered in the second portion by a covering material being less permeable to blood flow than the apertures in the first portion of the occlusion device.

2. The device of claim 1 wherein the second portion is suitable for covering the neck of the aneurysm.

3. The device of claim 1 wherein the covering material is substantially blood impermeable.

4. The device of claim 1 wherein the covering material is attached to the second portion prior to deployment of the occlusion device.

5. The device of claim 4 wherein the covering comprises a polymer material.

6. The device of claim 1 wherein the covering material comprises a covering substance wherein the occlusion device is configured to receive the covering substance on the second portion after deployment of the occlusion device.

7. The device of claim 6 wherein the occlusion device is configured to receive the covering substance on an outer surface of the second portion after deployment of the occlusion device.

8. The device of claim 6 wherein the occlusion device is configured to receive the covering substance on an inner surface of the second portion after deployment of the occlusion device.

9. A device for treating an aneurysm in a parent vessel, the parent vessel defining a lumen and having a lumen wall, the aneurysm having a neck communicating with the lumen, the device comprising:

an occlusion device configured for deployment in the parent vessel, the occlusion device having at least a first portion and a second portion wherein the first portion is permeable to blood flow and wherein the second portion is less permeable to blood flow than the first portion; and

wherein the first portion comprises a braid having a first pitch and wherein the second portion comprises a braid having a second pitch, different from the first pitch of the braid in the first portion, and wherein the occlusion device is configured such that, when deployed, the second portion overlies the neck of the aneurysm.

10. A device for treating an aneurysm in a parent vessel, the parent vessel defining a lumen and having a lumen wall, the aneurysm having a neck communicating with the lumen, the device comprising:

an occlusion device configured for deployment in the parent vessel, the occlusion device having at least a first portion and a second portion;

wherein the first portion is permeable to blood flow and arranged such that, when the occlusion device is deployed, the first portion is angularly spaced from the second portion about an outer periphery of he occlusion device;

wherein the second portion is less permeable to blood flow than the first portion; and

wherein the first portion comprises a braid having a first pitch and wherein the second portion comprises a braid having a second pitch, different from the first pitch.

11. A device for treating an aneurysm in a parent vessel, the parent vessel defining a lumen and having a lumen wall, the aneurysm having a neck communicating with the lumen, the device comprising:

an occlusion device configured for deployment in the parent vessel, the occlusion device having at least a first portion and a second portion;

wherein the first portion is permeable to blood flow and arranged such that, when the occlusion device is deployed, the first portion is angularly spaced from the second portion about an outer periphery of the occlusion device;

wherein the second portion is less permeable to blood flow than the first portion; and

wherein the occlusion device is made of a shape memory material comprising braided Nitinol filaments, each filament having a diameter of no more than approximately 0.003 inches.

12. A device for treating an aneurysm in a parent vessel, the parent vessel defining a lumen and having a lumen wall, the aneurysm having a neck communicating with the lumen, the device comprising:

an occlusion device configured for deployment in the parent vessel, the occlusion device having at least a first portion and a second portion;

wherein the first portion is permeable to blood flow and arranged such that, when the occlusion device is deployed, the first portion is angularly spaced from the second portion about an outer periphery of the occlusion device;

wherein the second portion is less permeable to blood flow than the first portion;

wherein the occlusion device is made of a shape memory material; and

wherein the occlusion device is collapsible and expands when deployed.

13. The device of claim 12 wherein the occlusion device has a geometric configuration that is collapsible and expandable.

14. The device of claim 13 wherein the occlusion device has a lumen wall that is collapsible and expandable.

15. A device for treating an aneurysm in a parent vessel, the parent vessel defining a lumen and having a lumen wall, the aneurysm having a neck communicating with the lumen, the device comprising:

an occlusion device configured for deployment in the parent vessel, the occlusion device having at least a first portion and a second portion wherein the first portion is permeable to blood flow and wherein the second portion is less permeable to blood flow than the first portion; and

wherein the first portion is formed of a material defining apertures therein of a first size and wherein the second portion is formed of a material defining apertures therein of a second size smaller than the first size, and wherein the occlusion device is configured such that, when deployed, the second portion overlies the neck of the aneurysm.

16. The device of claim 15 wherein the first portion is angularly offset from the second portion about an outer periphery of the occlusion device.

17. A device for treating an aneurysm in a bifurcated parent vessel having first and second legs, the aneurysm being located at the junction of the first and second legs, the aneurysm having a neck communicating with the interior of the bifurcated parent vessel, the device comprising:

a bifurcated occlusion device configured for deployment in the bifurcated parent vessel, the occlusion device having a trunk portion, a first leg portion, and a second leg portion; and

wherein the occlusion device has a non-covering portion being permeable to blood flow and a covering portion being less permeable to blood flow than the non-covering portion, the covering portion being situated at the junction of the first and second leg portions of the device such that, when the device is deployed, the second portion overlies the neck of the aneurysm.

18. A method of treating an aneurysm in a parent vessel, the aneurysm having an opening in communication with the parent vessel, the method comprising:

endovascularly moving a treatment device to a site in the parent vessel proximate the aneurysm;

deploying the treatment device in the parent vessel; and

covering the opening in the aneurysm with a covering portion of the treatment device to inhibit blood flow through the opening, the covering portion being angularly offset about an outer periphery of the treatment device from a non-covering portion which allows blood flow therethrough.

19. The method of claim 18 wherein the covering portion of the treatment device includes a material portion, coupled to the treatment device prior to deployment, and being less permeable to blood flow than a remainder of the treatment device, and wherein covering comprises:

arranging the treatment device, during deployment, such that the covering portion substantially covers the opening in the aneurysm.

20. The method of claim 18 wherein covering comprises:

placing a covering material on the covering portion of the treatment device after the treatment device is deployed in the parent vessel.

21. The method of claim 20 wherein placing a covering material comprises:

inserting within an interior of the treatment device an expandable member having the covering material attached to an outer surface thereof;

expanding the expandable member to bring the covering material into contact with the interior of the treatment device; and

connecting the covering material to the treatment device at least at the covering portion of the treatment device.

22. The method of claim 20 wherein placing a covering material comprises:

accessing an outer portion of the treatment device from within the aneurysm; and

connecting the covering portion to the outer portion of the treatment device at least at the covering portion.

23. A method of treating an aneurysm in a parent vessel, the aneurysm having an opening in communication with the parent vessel, the method comprising:

endovascularly moving a treatment device to a site in the parent vessel proximate the aneurysm;

deploying the treatment device at the site in the parent vessel proximate the aneurysm; and

covering the opening in the aneurysm with a covering portion of the treatment device to inhibit blood flow through the opening, wherein covering the opening includes placing a covering material on the covering portion of the treatment device after the treatment device is deployed in the parent vessel.