Devices and methods for treatment of vascular aneurysms

• US 8,231,665 B2
• Filed: 10/25/2006
• Issued: 07/31/2012
• Est. Priority Date: 11/26/2001
• Status: Active Grant

• Current Assignee: Endologix
• Original Assignee: Thomas J. Fogarty
• Inventors: Kim, Steven W., Shiu, Brian K.
• Primary Examiner(s): SEVERSON, RYAN J
• Application Number:
  US11/552,913
• Publication Number:
  US 20070050008A1
• Time in Patent Office: 2,106 Days
• Field of Search: 623/1.15, 623/1.25, 623/1.36, 606/200
• US Class Current: 623/1.11
• 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 17/12036 partial occlusion
• CPC Class Codes: A61B 17/12118 for positioning in conjunction with a stent
• CPC Class Codes: A61B 17/12136 Balloons
• CPC Class Codes: A61B 17/12186 liquid materials adapted to be injected
• CPC Class Codes: A61B 17/1219 expandable in contact with liquids
• CPC Class Codes: A61B 17/12195 comprising a curable material
• CPC Class Codes: A61B 2017/00898 expandable upon contact with fluid
• CPC Class Codes: A61B 2017/00986 Malecots, e.g. slotted tubes, of which the distal end is pulled to deflect side struts
• CPC Class Codes: A61B 2017/1205 Introduction devices
• CPC Class Codes: A61B 2017/3484 Anchoring means, e.g. spreading-out umbrella-like structure
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/077 having means to fill the space between stent-graft and aneurysm wall, e.g. a sleeve
• CPC Class Codes: A61F 2002/823 Stents, different from stent-grafts, adapted to cover an aneurysm
• CPC Class Codes: A61F 2250/0003 having an inflatable pocket filled with fluid, e.g. liquid or gas

Abstract

The present invention relates to devices and methods for the treatment of diseases in the vasculature, and more specifically, devices and methods for treatment of aneurysms found in blood vessels. In a first embodiment of the present invention, a two part prostheses, where one part is an expandable sponge structure and the other part is an expandable tubular mesh structure, is provided. In the first embodiment, the expandable sponge structure is intended to fill the aneurysm cavity to prevent further dilatation of the vessel wall by creating a buffer or barrier between the pressurized pulsating blood flow and the thinning vessel wall. In the first embodiment, the expandable tubular mesh structure is placed across the aneurysm, contacting the inner wall of healthy vessel proximal and distal to the aneurysm.

Claims

1. A method for treatment of an aneurysm having an aneurysm sac, the aneurysm in a blood vessel having a flow of blood, the method comprising:

positioning a device in the aneurysm, wherein the device has a first longitudinal end and a second longitudinal end, and wherein the device comprises a balloon having a chamber, and wherein the chamber has an inner wall and an outer wall, and wherein the inner wall is positioned in contact with the flow of blood and the outer wall is positioned in contact with the aneurysm sac and wherein the device is attached to a conduit, and wherein the first longitudinal end and the second longitudinal end are positioned outside of the aneurysm sac, and wherein the device comprises a first stent at the terminal end of the first longitudinal end and a second stent at the terminal end of the second longitudinal end, and wherein the first stent is the adjacent stent to the second stent; and

detaching the conduit from the device while the balloon is in the aneurysm sac.

2. The method of claim 1, wherein the device comprises a connector.

3. The method of claim 2, wherein the connector comprises a communication port.

4. The method of claim 2, further comprising attaching the connector to the conduit before positioning the device in the aneurysm.

5. The method of claim 1, further comprising locking the balloon in the aneurysm sac.

6. The method of claim 1, further comprising inflating the balloon with a fluid.

7. The method of claim 6, wherein the inflating the balloon occurs after the positioning the device.

8. The method of claim 6, wherein the fluid comprises a curable material.

9. The method of claim 8, wherein the curable material comprises an epoxy.

10. The method of claim 6, wherein the fluid comprises an epoxy.

11. The method of claim 6, wherein the fluid comprises a silicone.

12. The method of claim 6, wherein the fluid comprises a urethane.

13. The method of claim 6, wherein inflating comprises inflating through a communication port.

14. The method of claim 6, further comprising curing the fluid.

15. The method of claim 14, wherein curing comprises curing with UV.

16. The method of claim 14, further comprising sealing the balloon.

17. The method of claim 6, further comprising substantially solidifying the fluid.

18. The method of claim 6, further comprising sealing the balloon.

19. The method of claim 18, wherein sealing the balloon comprises sealing with heat.

20. The method of claim 18, wherein sealing the balloon comprises sealing with an adhesive.

21. The method of claim 1, further comprising sealing the balloon.

22. The method of claim 1, further comprising folding the balloon before positioning the balloon.

23. The method of claim 1, wherein the device has a longitudinal channel through the device and wherein the longitudinal channel is configured to allow the flow of blood to pass through the longitudinal channel.

24. A method for treatment of an aneurysm having an aneurysm sac, the aneurysm in a blood vessel having a flow of blood, the method comprising:

positioning a device in the aneurysm, wherein the device has a first longitudinal end and a second longitudinal end, and wherein the device comprises a balloon and a non-inflatable graft, and wherein the balloon is radially outside of the graft, and wherein the device is attached to a conduit, and wherein the first longitudinal end and the second longitudinal end are positioned outside of the aneurysm sac, and wherein the device comprises a first stent at the terminal end of the first longitudinal end and a second stent at the terminal end of the second longitudinal end, and wherein the first stent is the adjacent stent to the second stent;

detaching the conduit from the device while the balloon is in the aneurysm sac.

25. The method of claim 24, wherein the balloon has a chamber, and wherein the chamber has an inner wall and an outer wall, and wherein the inner wall is positioned in contact with the graft and the outer wall is positioned in contact with the aneurysm sac.

26. The method of claim 24, wherein the graft is positioned in contact with the flow of blood.

27. A method for treatment of an aneurysm having an aneurysm sac, the aneurysm in a blood vessel having a flow of blood, the method comprising:

positioning a device in the aneurysm, wherein the device has a first longitudinal end and a second longitudinal end, and wherein the device comprises a balloon having a chamber, and wherein the chamber has an inner wall and an outer wall, and wherein the inner wall is positioned in contact with the flow of blood and the outer wall is positioned in contact with the aneurysm sac, and wherein the device is attached to a conduit, and wherein the first longitudinal end and the second longitudinal end are positioned outside of the aneurysm sac; and

detaching the conduit from the proximal terminal end of the device while the balloon is in the aneurysm sac.

28. The method of claim 27, wherein the device comprises a connector.

29. The method of claim 28, wherein the connector comprises a communication port.

30. The method of claim 28, further comprising attaching the connector to the conduit before positioning the device in the aneurysm.

31. The method of claim 27, further comprising locking the balloon in the aneurysm sac.

32. The method of claim 27, further comprising inflating the balloon with a fluid.

33. The method of claim 32, wherein the inflating the balloon occurs after the positioning the device.

34. The method of claim 32, wherein the fluid comprises a curable material.

35. The method of claim 34, further comprising curing the fluid.

36. The method of claim 35, wherein curing comprises curing with UV.

37. The method of claim 32, further comprising sealing the balloon.

38. The method of claim 32, further comprising substantially solidifying the fluid.