Compliant implantable medical devices and methods of making same

• US 7,641,682 B2
• Filed: 06/20/2005
• Issued: 01/05/2010
• Est. Priority Date: 11/19/1999
• Status: Active Grant

• Current Assignee: Vactronix Scientific, LLC
• Original Assignee: Advanced Bio Prosthetic Surfaces, Ltd.
• Inventors: Palmaz, Julio C., Boyle, Christopher T.
• Primary Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US11/157,139
• Publication Number:
  US 20060015175A1
• Time in Patent Office: 1,660 Days
• Field of Search: 623/1.111, 623/1.13, 623/1.2, 623/1.23, 623/1.25, 623/1.39, 623/1.11, 606191-198
• US Class Current: 623/1.13
• CPC Class Codes: A61F 2/0077 Special surfaces of prostheses, e.g. for improving ingrowth A61F2/30767 takes precedence
• CPC Class Codes: A61F 2/06 Blood vessels
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/82 Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents stent-grafts for tubular structures of the body other than blood vessels A61F2/04; stent-grafts for blood vessels A61F2/07; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95; for closing wounds, or holding wounds closed A61B17/04 - A61B17/115; dilators A61M29/00
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/91 made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
• CPC Class Codes: A61F 2/915 with bands having a meander structure, adjacent bands being connected to each other
• CPC Class Codes: A61F 2002/91533 characterised by the phase between adjacent bands
• CPC Class Codes: A61F 2002/9155 Adjacent bands being connected to each other
• CPC Class Codes: A61F 2002/91558 connected peak to peak
• CPC Class Codes: A61F 2210/0076 multilayered, e.g. laminated structures

Abstract

Implantable medical grafts fabricated of metallic or pseudometallic films of biocompatible materials having a plurality of microperforations passing through the film in a pattern that imparts fabric-like qualities to the graft or permits the geometric deformation of the graft. The implantable graft is preferably fabricated by vacuum deposition of metallic and/or pseudometallic materials into either single or multi-layered structures with the plurality of microperforations either being formed during deposition or after deposition by selective removal of sections of the deposited film. The implantable medical grafts are suitable for use as endoluminal or surgical grafts and may be used as vascular grafts, stent-grafts, skin grafts, shunts, bone grafts, surgical patches, non-vascular conduits, valvular leaflets, filters, occlusion membranes, artificial sphincters, tendons and ligaments.

Claims

1. An implantable medical device, comprising:

a. a body member comprising a film selected from the group consisting of vacuum-deposited metallic and vacuum-deposited pseudometallic materials and having a first surface, a second surface, and a thickness intermediate the first surface and the second surface; and

,

b. a plurality of microperforations passing through the thickness of the body member and communicating between the first surface and the second surface, wherein said plurality of microperforations further comprise a first row of microperforations and a second row of microperforations, wherein the first row of microperforations is offset from the second row of microperforations with an end of an microperforation in the first row being laterally adjacent to an intermediate section of a microperforation in the second row.

2. The implantable medical device according to claim 1, wherein the body member further comprises a generally toroidal annular ring-shaped member.

3. The implantable medical device according to claim 1, wherein the thickness of the graft body member between 0.1 μ

m and 50 μ

m.

4. The implantable medical device according to claim 1, wherein the plurality of microperforations is arrayed in at least one pattern sufficient to impart at least one of compliance and pliability to the body member.

5. The implantable medical device according to claim 4, wherein said plurality of microperforations further comprise a plurality of slots arrayed substantially parallel to at least one of a longitudinal axis and a circumferential direction of the graft.

6. The implantable medical device according to claim 5, wherein each of the plurality of slots has a generally elongate linear configuration.

7. The implantable medical device according to claim 6, wherein each of the plurality of slots further comprise terminal fillets positioned at opposing ends of each of the plurality of slots.

8. The implantable medical device according to claim 7, wherein the elongated slot configuration further comprises a first plurality of slots oriented parallel to the longitudinal axis of the graft and a second plurality of slots oriented parallel to the circumferential axis of the graft, the first plurality of slots and the second plurality of slots being positioned generally orthogonal relative to one another.

9. The implantable medical device according to claim 1, wherein said plurality of microperforations further comprise a plurality of generally diamond-shaped openings.

10. The implantable medical device according to claim 1, wherein each of the plurality of microperforations have an open surface area less than about 2 mm² when the graft is in an undeformed state.

11. The implantable medical device according to claim 1, wherein the plurality of microperforations create a total open surface area of the body member in an undeformed state between about 0.001 to 99%.

12. The implantable medical device according to claim 1, wherein the body member thickness is within the range of about 0.1 μ

m to 75μ

m.

13. The implantable medical device according to claim 12, wherein the body member thickness is within the range of about 1 μ

m to 50 μ

m.

14. The implantable medical device according to claim 1, wherein the plurality of microperforations are patterned to create a plurality of folding regions to permit folding of the implantable medical device along the folding regions.

15. The implantable medical device according to claim 1, wherein the body member comprises a plurality of film layers formed one upon another.

16. The implantable medical device according to claim 1, wherein the implantable medical device is a first graft member and a second graft member is diametrically concentric with the first graft member, and the first and second graft members include a pattern of microperforations passing through the first and second graft members, wherein the pattern of microperforations of the first graft member is positioned out of phase relative to the pattern of microperforations of the second graft member.

17. An implantable medical device, comprising:

a. a body member comprising a film selected from the group consisting of metallic and pseudometallic materials and having a first surface, a second surface, and a thickness intermediate the first surface and the second surface, wherein the film has controlled heterogeneities; and

,

b. a plurality of microperforations passing through the thickness of the body member and communicating between the first surface and the second surface, wherein said plurality of microperforations further comprise a first row of microperforations and a second row of microperforations, wherein the first row of microperforations is offset from the second row of microperforations with an end of an microperforation in the first row being laterally adjacent to an intermediate section of a microperforation in the second row.

18. An medical graft member, comprising:

a. a tubular body member comprising a self-supporting film selected from the group consisting of metallic and pseudometallic materials and having a first surface, a second surface, and a thickness intermediate the first surface and the second surface; and

,

b. a plurality of microperforations passing through the thickness of the body member and communicating between the first surface and the second surface, whereby said plurality of microperforations impart compliance to the body member and the plurality of microperforations are patterned to create a plurality of folding regions to permit folding of the medical graft member along the folding regions.