Implantable frame with variable compliance

• US 7,582,110 B2
• Filed: 04/11/2005
• Issued: 09/01/2009
• Est. Priority Date: 04/13/2004
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Incorporated (Cook Group Incorporated)
• Inventors: Case, Brian C., Flagle, Jacob A., Agnew, Charles W.
• Primary Examiner(s): Matthews; William H.
• Application Number:
  US11/103,137
• Publication Number:
  US 20050228486A1
• Time in Patent Office: 1,604 Days
• Field of Search: 623/1.24, 623/1.26, 623/1.38
• US Class Current: 623/1.24
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/2418 Scaffolds therefor, e.g. support stents
• CPC Class Codes: A61F 2/2475 Venous valves
• CPC Class Codes: A61F 2/848 having means for fixation to the vessel wall, e.g. barbs
• CPC Class Codes: A61F 2/86 Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/89 the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2210/0004 bioabsorbable
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2220/005 using adhesives
• CPC Class Codes: A61F 2220/0058 soldered or brazed or welded
• CPC Class Codes: A61F 2230/0054 V-shaped
• CPC Class Codes: A61F 2250/0018 differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2250/0031 made from both resorbable and non-resorbable prosthetic parts, e.g. adjacent parts
• CPC Class Codes: A61F 2250/0071 breakable or frangible

Abstract

Medical devices for implantation in a body vessel, and methods of using and making the same, are provided. Embodiments of the invention relate to medical devices comprising a frame having a compliance that can change upon implantation of the medical device within the lumen of a body vessel. Controlled fracture or bioabsorption of frame material can, in some embodiments, increase the compliance of a frame after implantation. Medical devices comprising a frame and one or more valve members adapted to regulate fluid flow in a body vessel, such as a vein, are also provided.

Claims

1. A medical device for implantation in a body vessel, the medical device comprising:

a tubular, implantable frame defining a lumen about a longitudinal axis and having a first frame member including a plurality of struts and bends interconnecting the struts, the first frame member comprising a non-bioabsorbable material, and a second frame member including a plurality of struts and bends interconnecting the struts, the second frame member configured to increase in compliance after implantation of said medical device, the second frame member attached to the first frame member at least at two attachment points and disposed radially outward such that the second frame is to contact said body vessel, the implantable frame being radially movable between an expanded configuration and a compressed configuration, the implantable frame having a first compliance in a first radial direction at implantation and a second compliance in the first radial direction after passage of a predetermined period of time after implantation; and

a valve leaflet comprising a remodelable material, the valve leaflet being attached to the frame between the two attachment points, wherein at the two attachment points a portion of the valve leaflet is interposed between the first and second frame members to protect the valve leaflet from contacting the body vessel, wherein the implantable frame having the first compliance maintains a mechanical load on the valve leaflet to promote remodeling for the predetermined period of time.

2. The medical device of claim 1, wherein the valve leaflet is positioned within the lumen of the frame.

3. The medical device of claim 1, wherein the valve leaflet comprises a first edge attached to the frame and a second edge attached to the frame, wherein the valve leaflet has a first tension between the first and second edge when the implantable frame has the first compliance.

4. The medical device of claim 1, wherein the valve leaflet is a first valve leaflet, the medical device further comprising a second valve leaflet comprising a remodelable material, the second valve leaflet comprising a first edge attached to the frame and a second edge attached to the frame, wherein the second valve leaflet has a first tension between the first and second edge of the second valve leaflet when the implantable frame has the first compliance, and wherein the first valve leaflet and the second valve leaflet are disposed opposite each other to form a coaptation region where the first and second valve leaflets can cooperate to regulate fluid flow through the lumen.

5. The medical device of claim 1, wherein the second frame member, comprises a bioabsorbable material.

6. The medical device of claim 5, wherein the bioabsorbable material is selected from the group consisting of:

poly(L-lactic acid), polylactic acid, poly(glycolic acid), poly(epsilon-caprolactone), poly(dimethyl glycolic acid), poly(hydroxy butyrate), poly(p-dioxanone), polydioxanone, PEO/PLA, poly(lactide-co-glycolide), poly(hydroxybutyrate-co-valerate), poly(glycolic acid-co-trimethylene carbonate), poly(epsilon-caprolactone-co-p-dioxanone), poly-L-glutamic acid or poly-L-lysine, polylactic acid, polylactide, polyglycolic acid, polyglycolide, polyhydroxyvalerate, cellulose, chitin, dextran, fibrin, casein, fibrinogen, starch, collagen, hyaluronic acid, hydroxyethyl starch, gelatin.

7. The medical device of claim 1, wherein the non-bioabsorbable material is selected from the group consisting of:

a shape memory material, a superelastic material, a stainless steel, a cobalt-chromium alloy, a NiTi alloy, MP35N, gold, tantalum, platinum, platinum iridium, and a carbon fiber.

8. The medical device of claim 1, wherein the attachment of the first and second frame members form an array of diamond-shaped cells.

9. The medical device of claim 1, wherein the valve leaflet has a first edge and a second edge attached along the struts of the first frame member.

10. The medical device of claim 9, wherein the valve leaflet has a first tension between the first and second edge when the implantable frame has the first compliance.

11. The medical device of claim 1, wherein the valve leaflet has three edges, wherein two of the three edges are attached along the struts of the first frame member and the other edge of the three edges is unattached to the frame and disposed across the lumen of the frame.

12. The medical device of claim 1, wherein the plurality of bends of the second frame member includes a bend portion comprising a bioabsorbable material, where upon bioabsorption of the bend portion the frame has the second compliance.

13. The medical device of claim 1, wherein the plurality of bends of the second frame member includes a bend portion configured to fracture in a controlled fashion along a fracture line, where upon fracturing the bend portion the frame has the second compliance.

14. The medical device of claim 1, where the remodelable material comprises an extracellular matrix material.

15. The medical device of claim 1, wherein the remodelable material comprises small intestine submucosa.

16. The medical device of claim 1, further comprising a means for orienting the frame within a body vessel.

17. The medical device of claim 1, wherein the tubular frame in the expanded configuration has an elliptical cross-section and in the compressed configuration has a circular cross-section.

18. The medical device of claim 1, wherein the tubular frame comprises one or more barbs to secure said frame within said body vessel.

19. A medical device for implantation in a body vessel, the medical device comprising:

a tubular, implantable frame defining a lumen about a longitudinal axis and having a first frame member including a plurality of struts and bends interconnecting the struts, the first frame member comprising a non-bioabsorbable material, and a second frame member including a plurality of struts and bends interconnecting the struts, the second frame member comprising a bioabsorbable material configured to degrade during passage of a predetermined period of time after implantation, the second frame member attached to the first frame member at least at two attachment points and disposed radially outward such that the second frame is to contact said body vessel, the implantable frame being radially movable between an expanded configuration and a compressed configuration, the implantable frame having a first compliance in a first radial direction at implantation and a second compliance less than the first compliance in the first radial direction after passage of the predetermined period of time; and

a valve leaflet comprising a remodelable material, the valve leaflet being attached along the struts of the first frame member between the two attachment points and disposed across the frame lumen, wherein at the two attachment points a portion of the valve leaflet is interposed between the first and second frame members to protect the valve leaflet from contacting the body vessel, wherein the implantable frame having the first compliance maintains a mechanical load on the valve leaflet to promote remodeling during the predetermined period of time.

20. A medical device for implantation in a body vessel, the medical device comprising:

a tubular, implantable frame defining a lumen about a longitudinal axis and having a first frame member including a plurality of struts and bends interconnecting the struts, the first frame member comprising a non-bioabsorbable material, and a second frame member including a plurality of struts and bends interconnecting the struts, the second frame member comprising a bioabsorbable material configured to degrade during passage of a predetermined time after implantation, the second frame member attached to the first frame member at least at two attachment points and disposed radially outward such that the second frame is to contact said body vessel, the implantable frame being radially movable between an expanded configuration and a compressed configuration, the implantable frame having a first compliance in a first radial direction at implantation and a second compliance less than the first compliance in the first radial direction after passage of the predetermined period; and

a first valve leaflet and a second valve leaflet each comprising a remodelable material, the first and second valve leaflets being attached along the struts of the first frame member between two attachment points and disposed across the frame lumen, the first and second valve leaflets being disposed opposite each other to form a coaptation region where the leaflets cooperate to regulate fluid flow through the frame lumen, wherein at the two attachment points a portion of the first and second valve leaflets is interposed between the first and second frame members to protect the valve leaflets from contacting the body vessel, wherein the implantable frame having the first compliance maintains a mechanical load on the valve leaflets to promote remodeling during the predetermined period of time.