Implantable stroke risk reduction device

• US 6,740,112 B2
• Filed: 12/09/2002
• Issued: 05/25/2004
• Est. Priority Date: 03/11/1999
• Status: Expired due to Fees

• Current Assignee: Stryker European Operations Holdings, LLC (Stryker Corporation)
• Original Assignee: MindGuard Ltd.
• Inventors: Yodfat, Ofer, Levin, Daniel, Yassour, Yuval, Grad, Ygael, Rosenfeld, Moshe
• Primary Examiner(s): Lewis, Aaron J.
• Application Number:
  US10/314,199
• Publication Number:
  US 20030125801A1
• Time in Patent Office: 533 Days
• Field of Search: 623/1.39, 623/1.4, 623/1.36, 623/1.1
• US Class Current: 623/1.1
• CPC Class Codes: A61F 2/01 Filters implantable into blood vessels
• CPC Class Codes: A61F 2/04 Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts A61F2/18, A61F2/20 take precedence; devices, other than stent-grafts, providing patency to, or preventing collapsing of, tubular structures of the body other than stent-grafts, e.g. stents A61F2/82; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95
• 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 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/018 made from tubes or sheets of material, e.g. by etching or laser-cutting
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/068 Modifying the blood flow model, e.g. by diffuser or deflector
• CPC Class Codes: A61F 2230/0006 circular
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2250/0017 differing in yarn density
• CPC Class Codes: A61F 2250/0024 made from both porous and non-porous parts, e.g. adjacent parts

Abstract

An implantable device for positioning about a blood vessel bifurcation zone to control flow of embolic material around said bifurcation. The device comprises an anchoring element extending within said zone of bifurcation to anchor said device therein, and a deflecting element, associated with said anchoring element, said deflecting element comprising a mesh having a mesh size sufficient to allow passage of blood without hindrance while occluding passage of embolic material exceeding a predetermined size.

Claims

1. An implantable device adapted for positioning about the bifurcation zone of the common carotid artery (CCA), the internal carotid artery (ICA) and the external carotid artery (ECA) so as to control the flow of embolic material arriving at the bifurcation zone from said CCA, the device comprising:

a tubular anchoring member configured and dimensioned for implanting in said bifurcation zone and extending within said bifurcation zone to anchor said device therein, said anchoring member bearing against, and being anchored to, a wall of said CCA and said ECA; and

a deflecting element, secured by said anchoring member across the inlet of the ICA, said deflecting element comprising a mesh having a mesh size sufficient to allow passage of blood substantially without hindrance to said ICA whilst deflecting the flow of embolic material exceeding a predetermined size to said ECA.

2. An implantable device according to claim 1, wherein the anchoring member is a stent adapted for insertion via the vasulature of an individual.

3. An implantable device according to claim 1, wherein said deflecting element is an annular section of said tubular anchoring member extending for the complete circumference of said tubular anchoring member.

4. An implantable device according to claim 1, wherein said deflecting element is integrally formed with the anchoring member.

5. An implantable device according to claim 1, wherein said mesh of said deflecting element comprises an array of parallel wires extending at or adjacent to the inlet into said ICA.

6. An implantable device according to claim 1, wherein said mesh of said deflecting element comprises wires having a thickness between 10-200 μ

.

7. An implantable device according to claim 5, wherein the Reynolds number for said wires under physiological conditions is between 0 and 4.

8. An implantable device according to claim 1 wherein said predetermined size is in the range of 200 μ

m-400 μ

m.

9. An implantable device according to claim 1 wherein said deflecting element is sized to span said inlet of said ICA.

10. A method for preventing the flow of embolic material flowing about a blood vessel bifurcation zone having a source blood vessel, a first branch vessel, and a second branch vessel from entering the second branch vessel comprising:

bearing a tubular anchoring member against the walls of the source blood vessel and a first branch vessel thereby anchoring said tubular anchoring member thereto, and anchoring a deflecting element across the inlet of a second branch vessel, said deflecting element being configured and dimensioned to deflect embolic material exceeding a predetermined size; and

deflecting the flow of embolic material exceeding said predetermined size to said first branch vessel whilst allow passage of blood to said second branch vessel substantially without hindrance.

11. A method according to claim 10 wherein said anchoring is accomplished with a stent.

12. A method according to claim 10, wherein said deflecting element is an annular section of said tubular anchoring member extending for the complete circumference of said tubular body.

13. A method according to claim 10, wherein said deflecting element comprises an array of parallel wires extending at or adjacent to the inlet into said second branch vessel.

14. A method according to claim 13, wherein said wires have a thickness between 10-200 μ

.

15. A method according to claim 13, wherein the Reynolds number for said wires under physiological conditions is between 0 and 4.

16. A method according to claim 10 wherein said predetermined size is in the range of 200 μ

m-400 μ

m.

17. A method according to claim 10 wherein said deflecting element is sized to span said inlet of said second branch vessel.

18. A method according to claim 10 wherein said source vessel is the common carotid artery (CCA), said first branch vessel is the external carotid artery (ECA) and said second branch vessel is the internal carotid artery (ICA).

19. An implantable device adapted for positioning about a blood vessel bifurcation zone having a source blood vessel, a first branch vessel and a second branch vessel so as to control the flow of embolic material arriving at the bifurcation zone from said source blood vessel, the device comprising:

a deflecting element comprising a mesh having a mesh size configured and dimensioned to allow passage of blood to the second branch vessel substantially without hindrance whilst deflecting the flow of embolic material exceeding a predetermined size to the first branch vessel, and

an anchoring member associated with said deflecting element, said anchoring member bearing against the walls of said second branch vessel to anchor the device therein and secure said deflecting element across the inlet of said second branch vessel.

20. An implantable device according to claim 19 in which said source blood vessel is the common carotid artery (CCA), said second branch vessel is the internal carotid artery (ICA) and said first branch vessel is said external carotid artery (ECA).

21. An implantable device according to claim 19 wherein said predetermined size is in the range of 200-400 μ

m.