Stent aneurysm embolization method and device

• US 6,811,560 B2
• Filed: 09/20/2001
• Issued: 11/02/2004
• Est. Priority Date: 09/20/2001
• Status: Expired due to Term

• Current Assignee: Codman & Shurtleff Incorporated (Johnson & Johnson)
• Original Assignee: Cordis Neurovascular, Inc. (Johnson & Johnson)
• Inventors: Mitelberg, Vladimir, Jones, Donald K.
• Primary Examiner(s): Reip, David O.
• Assistant Examiner(s): Baxter, Jessica R.
• Application Number:
  US09/957,183
• Publication Number:
  US 20030055451A1
• Time in Patent Office: 1,139 Days
• Field of Search: 623/1.11, 623/1.22, 623/1.15, 606/151, 606/157, 606/158, 606/191, 606/192, 606/194, 606/195, 606/198, 606/200, 606/213, 606/215
• US Class Current: 606/200
• 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 17/12172 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61B 2017/12081 detachable by inflation

Abstract

A method and device used for treating an aneurysm of a patient. An embolization element that is adapted to reduce or block the blood flow into the aneurysm, together with a stent connected to the embolization element, is provided. The embolization element includes an expandible member. The embolization element and the stent are introduced into the vessel leading to and communicating with the aneurysm. The embolization element is directed into the aneurysm, with the stent being located in the vessel communicating with the aneurysm. In this manner, the stent becomes compressed against the inner wall of the vessel for anchoring the embolization element. In one form of the invention, the stent comprises a helical coil and the embolization element comprises a collapsible framework.

Claims

1. A method for treating an aneurysm of a patient, the aneurysm being separated from a vessel of the patient by a mouth that is contiguous with and communicates with the vessel and the aneurysm, comprising the steps of:

providing an embolization element that is adapted to be positioned within the aneurysm to reduce or block the blood flow into the aneurysm, with a stent connected to the embolization element, the embolization element including an expandable member;

introducing the embolization element and the stent into the vessel leading to and communicating with the aneurysm;

directing the embolization element through said mouth into the aneurysm with the stent being located in the vessel communicating with the aneurysm whereby the stent becomes expanded against the inner wall of the vessel for anchoring the embolization element.

2. A method as defined in claim 1, in which the stent comprises a helical coil.

3. A method as defined in claim 1, in which the embolization element comprises a collapsible framework.

4. A method as defined in claim 3, in which the collapsible framework supports a mesh or membrane.

5. A method as defined in claim 4, in which the mesh or membrane comprises a biocompatible material from the group consisting of PVA, PVP and collagen.

6. A method as defined in claim 1, in which the embolization element is generally cup-shaped.

7. A method as defined in claim 4, in which the mesh or membrane has a cross-sectional area that, when introduced into the aneurysm, reduces or restricts blood flow into the aneurysm.

8. A method as defined in claim 2, in which the helical member comprises a coil having an enlarged proximal end and an enlarged distal end.

9. A method as defined in claim 8, in which the coil further comprises a radiopaque coil overlying a core wire with said enlarged ends restricting the movement of the core wire relative to the radiopaque coil.

10. A method as defined in claim 2, in which the helical coil has atraumatic ends.

11. A method as defined in claim 1, wherein the introducing step includes the steps of providing a deployment device for carrying and delivering the embolization element and introducing the deployment device and the embolization element into the vessel of the patient via a catheter.

12. A method as defined in claim 11, wherein the directing step includes the steps of positioning the embolization element in a desired location in the aneurysm;

releasing the embolization element from the deployment device;

withdrawing the catheter from the patient'"'"'s vessel; and

withdrawing the deployment device from the patient'"'"'s vessel.

13. A method as defined in claim 1, in which the distal end of the stent is fastened to a proximal end of the embolization element.

14. A method for treating an aneurysm of a patient, the aneurysm being separated from a vessel of the patient by a mouth that is contiguous with and communicates with the vessel and the aneurysm, comprising the steps of:

providing an embolization element that is adapted to be positioned within the aneurysm to reduce or block the blood flow into the aneurysm, with a stent connected to the embolization element, the embolization element including an expandable member;

introducing the embolization element and the stent into the vessel leading to and communicating with the aneurysm;

providing a deployment device for carrying and delivering the embolization element and the stent simultaneously;

introducing the deployment device with the embolization element and stent into the vessel of the patient via a catheter;

directing the embolization element through said mouth into the aneurysm with the stent being located in the vessel communicating with the aneurysm;

releasing the embolization element and the helical member from the deployment device; and

withdrawing the catheter from the patient'"'"'s vessel whereby the stent becomes expanded against the inner wall of the vessel.

15. A method as defined in claim 14, in which the stent comprises a helical coil.

16. A method as defined in claim 14, in which the embolization element comprises a collapsible framework.

17. A method as defined in claim 16, in which the collapsible framework supports a mesh or membrane.

18. A method as defined in claim 14, in which the embolization element is generally cup shaped.

19. A method as defined in claim 14, in which the mesh or membrane has a cross sectional area that, when introduced into the aneurysm, reduces or restricts blood flow to the aneurysm.

20. The method of claim 14 in which, after said release, the stent expands to be compressed against the inner wall of the vessel to a degree sufficient to prevent movement and migration of the stent and aneurysm embolization element, to avoid any excessive pressure on the aneurysm wall by the embolization element.

21. A medical device for treating an aneurysm of a patient, the aneurysm being separated from a vessel of the patient by a mouth that is contiguous with and communicates with the vessel and the aneurysm, which comprises:

an embolization element comprising a collapsible framework supporting a mesh or membrane which, when expanded, forms a generally cup-shape;

said embolization element being adapted to be positioned within the aneurysm to reduce or block the blood flow into the aneurysm;

a helical member having a proximal end and a distal end, said distal end being connected to a proximal end of said generally cup-shaped embolization element;

said helical member being adapted for positioning within a catheter in a nonexpanded configuration and, when released from said catheter, being adapted to expand radially to expand against the inner wall of a vessel leading to the patient'"'"'s aneurysm for anchoring the embolization element when the embolization element is directed through said mouth and positioned within the aneurysm.

22. A medical device as defined in claim 21, in which the helical member comprises a coil having an enlarged proximal end and an enlarged distal end.

23. A medical device as defined in claim 22, in which said coil further comprises a radiopaque coil overlying a core wire with said enlarged ends restricting the movement of the core wire relative to the radiopaque coil.

24. A medical device as defined in claim 21, in which the helical member has atraumatic ends.

25. A medical device as defined in claim 21, in which the mesh or membrane comprises a biocompatible material from the group consisting of PVA, PVP and collagen.

26. A medical device as defined in claim 21, in which the embolization element carries a chemotherapeutic agent.

27. A medical device as defined in claim 21, in which the embolization element carries genetically engineered substances.

28. A medical device as defined in claim 21, in which the embolization element is radiopaque.

29. The medical device of claim 21, in which said helical member expands radially to a sufficient degree that compression against the inner wall prevents movement and migration of the aneurysm embolization element while avoiding excessive pressure on the wall of the aneurysm.

30. A method for treating an aneurysm of a patient, the aneurysm being separated from a vessel of the patient by a mouth that is contiguous with and communicates with the vessel of the aneurysm comprising the steps of:

providing an embolization element that is adapted to reduce or block the blood flow into the aneurysm, with a stent connected to the embolization element, the embolization element including an expandable member;

said embolization element being adapted to be positioned within the aneurysm to reduce or block the blood flow into the aneurysm;

introducing the embolization element and the stent into the vessel leading to and communicating with the aneurysm;

directing the embolization element through said mouth into the aneurysm with the stent being located in the vessel communicating with the aneurysm whereby the stent becomes expanded against the inner wall of the vessel for anchoring the embolization element to a degree sufficient to prevent movement and migration of the aneurysm embolization element, to avoid any excessive pressure on the aneurysm wall by the embolization element.