Detachable aneurysm neck closure patch

• US 7,128,736 B1
• Filed: 04/13/2000
• Issued: 10/31/2006
• Est. Priority Date: 09/04/1998
• Status: Expired due to Fees

• Current Assignee: Stryker European Operations Holdings, LLC (Stryker Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Abrams, Robert M., Pedersen, John B., Engelson, Erik T., Carrison, Harold F.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US09/548,644
• Time in Patent Office: 2,392 Days
• Field of Search: 606/1, 606/108, 606/191, 606/213
• US Class Current: 606/1
• 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 17/12113 within an aneurysm
• CPC Class Codes: A61B 17/1214 Coils or wires
• CPC Class Codes: A61B 17/12172 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61B 2017/12063 electrolytically detachable
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

This is a device for bridging the neck of either an aneurysm in the vasculature and stabilizing the presence of vaso-occlusive devices (such as helically wound coils) in that aneurysm. The closure patch may be delivered either from the exterior of the distal end of a catheter or delivered from the catheter lumen. It is preferably implanted by the severance of an included electrolytically severable joint. The retainer assembly itself typically has a number of radially projecting elements which are, in turn, attached to a scrim-like fabric, preferably collagen-coated Dacron, extending among the various radially projecting elements. The closure patch is intended to be resident within the aneurysm after it is deployed. After deployment, the aneurysm may be at least partially filled with vaso-occlusive devices such as helically wound coils.

Claims

1. An aneurysm retainer assembly deliverable through a vascular catheter, comprising:

a vaso-occlusion device retainer subassembly comprising a junction region, a plurality of radially extending members, each member having a proximal end and a distal end, the respective proximal ends fixedly attached to said junction region, the respective distal ends configured for non-traumatic tissue contact in order to retain said retainer subassembly at a site in a body, and a fabric fixedly attached between ones of said plurality of members, said retainer subassembly having a first delivery shape during delivery and a second deployed shape, different than the first delivery shape, after said retainer subassembly is delivered to the site,

an elongated delivery member, and

an electrolytically severable joint which is integrally continuous between said retainer subassembly and said elongated delivery member, severable upon application of a suitable current to said joint.

2. The retainer assembly of claim 1 wherein said plurality of radially extending members are constructed of a material selected from the group consisting of stainless steels and super-elastic alloys.

3. The retainer assembly of claim 1 wherein said fabric is angiogenic.

4. The retainer assembly of claim 1 wherein the said plurality of radially extending members are radio-opaque.

5. The retainer assembly of claim 1, wherein said elongated delivery member is a core wire comprising at least one radio-opaque marker.

6. A retainer assembly deliverable through a vascular catheter comprising:

a.) an elongated tubular delivery member having a proximal end and a distal end,

b.) an electrolytically severable joint, a proximal end of which electrolytically severable joint being fixedly and integrally attached continuously to the distal end of said elongated tubular delivery member, and

c.) a vaso-occlusive device retainer subassembly comprising a plurality of radially extending members detachably attached to a distal end of said electrolytically severable joint, said retainer subassembly having a first delivery shape when within said vascular catheter and a second deployed shape, different from the first delivery shape, a fabric fixedly attached to and between each of said plurality of radially extending elements, said electrolytically severable joint being severable upon application of a suitable current to said joint.

7. The retainer assembly of claim 6 wherein said plurality of radially extending members are constructed of a material selected from the group consisting of stainless steels and super-elastic alloys.

8. The retainer assembly of claim 6 wherein fabric comprises polyethylene terephthalate.

9. The retainer assembly of claim 6 wherein fabric further comprises collagen.

10. The retainer assembly of claim 6 wherein the said plurality of radially extending members are radio-opaque.

11. The retainer assembly of claim 6, wherein said elongated tubular delivery member additionally comprises at least one radio-opaque marker.