Occlusive coil manufacture and delivery

• US 6,790,218 B2
• Filed: 12/20/2000
• Issued: 09/14/2004
• Est. Priority Date: 12/23/1999
• Status: Expired due to Fees

• Current Assignee: Swaminathan Jayaraman
• Original Assignee: Swaminathan Jayaraman
• Inventors: Jayaraman, Swaminathan
• Primary Examiner(s): Milano, Michael J.
• Assistant Examiner(s): Baxter, Jessica R
• Application Number:
  US09/739,830
• Publication Number:
  US 20020010481A1
• Time in Patent Office: 1,364 Days
• Field of Search: 600/200, 600/213, 600/151, 600/157, 600/158, 600/194, 600/191
• US Class Current: 606/191
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• 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 17/12113 within an aneurysm
• CPC Class Codes: A61B 17/1214 Coils or wires
• CPC Class Codes: A61B 17/12145 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61B 17/1215 comprising additional materials, e.g. thrombogenic, having filaments, having fibers, being coated
• 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 2017/00592 Elastic or resilient implements
• CPC Class Codes: A61B 2017/00606 Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening
• CPC Class Codes: A61B 2017/00623 Introducing or retrieving devices therefor
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/12095 Threaded connection

Abstract

The present invention includes a coiled wire formed of a shape memory material for implantation into an anatomical defect. After implantation of one or more of the coiled wires according to the present invention, the defect is occluded and thereby corrected or treated. Prior to implantation, the coiled wire is generally elongated and thereafter it reverts to a predetermined shape that is suitable for occluding the defect. At least one clip having at least two prongs may be provided on the wire for attachment to body tissue. Preferably the wire is made of nickel-titanium. In an alternative embodiment, the coil includes a plurality of layers. At least one of these layers is formed of a shape memory material.

Claims

1. A device for occluding an anatomical defect, comprising a wire member formed of a shape memory alloy, the member having a free bottom end and a free top end, a first predetermined unexpanded shape, and a second predetermined expanded shape, wherein the unexpanded shape is substantially linear and the expanded shape is substantially conical, the expanded shape having a plurality of loops coaxially disposed about a longitudinal axis, the loops progressively decreasing in diameter from one end of the device to the other, wherein at least one of the ends of the member includes a clip having a non-overlapping planer fan-like configuration with at least two prongs for contacting areas adjacent the anatomical defect.

2. The device of claim 1, wherein the loops form a substantially conical coil having a constant pitch.

3. The device of claim 1, wherein the loops form a substantially conical coil having a variable pitch.

4. The device of claim 1, wherein the shape memory alloy is a nickel-titanium alloy.

5. The device of claim 1, wherein the member is substantially arcuate in cross-section.

6. The device of claim 1, wherein at least one of the prongs has a sharp portion for attaching to an area adjacent the defect.

7. The device of claim 6, wherein the diameter of the plurality of loops is smaller than about 1.5 cm.

8. The device of claim 7, wherein the shape memory alloy displays a one-way shape memory effect.

9. The device of claim 8, wherein the shape memory alloy displays a two-way shape memory effect.

10. The device of claim 8, wherein the shape memory alloy has an austenite finish temperature below body temperature, thereby permitting the device to have superelastic properties at body temperature.

11. The device of claim 8, wherein the shape memory alloy displays a superelastic effect at body temperature.

12. A device of claim 1, wherein the shape memory alloy member includes a plurality of layers.

13. The device of claim 12, wherein the plurality of layers includes at least one layer formed of a passive memory material.

14. The device of claim 12, wherein the plurality of layers includes at least two layers formed of active memory materials.

15. The device of claim 14, wherein at least one of the layers is a wire formed of a shape memory material, and at least one of the layers is a braid Conned of a shape memory material.

16. The device of claim 12, wherein the plurality of layers includes at least two layers braided together or one layer surrounded by a braid.

17. The device of claim 1 further comprising at least one crooked section, a substantially conical section, and a substantially cylindrical section disposed between the crooked section and the conical section.

18. A wireform for occluding an anatomical defect comprising a free bottom end, a free top end, a first predetermined unexpanded configuration, and a second predetermined expanded configuration, wherein the unexpanded configuration is substantially linear, the expanded configuration is substantially conical and includes a plurality of loops progressively decreasing in diameter between the ends of the wireform, the wireform comprises a shape memory material, and at least one of the ends includes a non-overlapping planer fan-like configuration having at least two prongs for contacting areas adjacent the anatomical defect.

19. The wireform of claim 18, wherein the shape memory material comprises a shape memory alloy.

20. A wireform for occluding an anatomical defect comprising:

a free bottom end, a free top end, a first predetermined unexpanded configuration, and a second predetermined expanded configuration;

wherein the wireform comprises a shape memory material;

the unexpanded configuration is substantially linear;

the expanded configuration includes at least one crooked section, a substantially conical section, and a substantially cylindrical section disposed between the crooked section and the conical section; and

at least one of the ends includes a non-overlapping planer fan-like configuration having at least two prongs integrally formed therewith for contacting areas adjacent the anatomical defect.

21. The wireform according to claim 20, wherein the wireform is substantially arcuate in cross-section.