Implantable intraluminal device and method of using same in treating aneurysms

• US 8,419,787 B2
• Filed: 02/21/2010
• Issued: 04/16/2013
• Est. Priority Date: 11/23/2001
• Status: Expired due to Term

• Current Assignee: Stryker Corporation
• Original Assignee: Surpass Medical Ltd. (Stryker Corporation)
• Inventors: Yodfat, Ofer, Lieber, Baruch B., Grad, Ygael, Nishri, Boaz
• Primary Examiner(s): GHERBI, SUZETTE JAIME J
• Application Number:
  US12/709,483
• Publication Number:
  US 20100198334A1
• Time in Patent Office: 1,150 Days
• Field of Search: 623 115- 154
• US Class Current: 623/1.39
• 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 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/068 Modifying the blood flow model, e.g. by diffuser or deflector
• CPC Class Codes: A61F 2002/821 Ostial stents
• CPC Class Codes: A61F 2002/823 Stents, different from stent-grafts, adapted to cover an aneurysm
• CPC Class Codes: A61F 2250/0023 differing in porosity
• CPC Class Codes: Y10S 623/909 Method or apparatus for assembling prosthetic

Abstract

A method and apparatus for reducing blood flow to an aneurysm proximate to a bifurcation having a source blood vessel a first branch vessel and a second branch vessel, the method comprising: providing a first mesh-like tube of bio-compatible material, the first mesh-like tube exhibiting a porosity index pre-selected to skew blood flow about the bifurcation away from the aneurysm; inserting the first mesh-like tube into the source blood vessel and the first branch vessel; and securing the first mesh-like tube to at least one of the source blood vessel and the first branch vessel, whereby blood flowing from the source blood vessel flows without undue impedance to the first branch vessel and the second branch vessel while being skewed away from the aneurysm.

Claims

1. An intraluminal device implantable in the vicinity of a blood vessel bifurcation, the bifurcation having a source blood vessel, a first branch vessel,and a second branch vessel, an aneurysm being located proximate to the bifurcation, the device comprising:

a mesh tubular body having an expanded condition in which the tube diameter is larger than the diameter of the blood vessel in which it is to be implanted, a contracted condition wherein it is sufficiently flexible so as to be easily manipulatable through a blood vessel to be placed proximate to the bifurcation, and a length sufficient to be anchored to both the source blood vessel and the first branch vessel thereby straddling the opening of the second branch vessel,

said mesh tubular body also having a length such that, when placed and anchored to straddle the opening of the second branch vessel, it also straddles said aneurysm, and

said mesh tubular body having a porosity index of 60-75% when deployed within an appropriately sized blood vessel, so as to skew the flow of blood away from the aneurysm sufficiently to decrease the possibility of rupture of said aneurysm but not to unduly reduce the blood flow to said second branch vessel to a degree likely to cause significant damage to tissues supplied with blood by such second branch vessel.

2. The intraluminal device of claim 1, wherein said mesh tubular body includes a plurality of windows having an inscribed diameter of 30-480 μ

m.

3. The intraluminal device of claim 2, wherein said plurality of windows have an inscribed diameter of 50-320 μ

m.

4. The intraluminal device of claim 1, wherein said mesh tubular body includes a plurality of windows, each of said plurality of windows including a side having a length of 50-400 μ

m.

5. The intraluminal device of claim 4, wherein the length of said side is 80-300 μ

m.

6. The intraluminal device of claim 1, wherein said mesh tubular body has a length of 5-60 mm.

7. The intraluminal device of claim 1, wherein said mesh tubular body includes a plurality of filaments extending helically in an interlaced manner in opposite directions so as to form a braided tube.

8. The intraluminal device of claim 1, wherein said mesh tubular body is formed by braiding a plurality of filaments.

9. The intraluminal device of claim 8, wherein at least a first portion of said plurality of filaments comprises a first biocompatible material and a second portion of said plurality of filaments comprises a second biocompatible material different than said first biocompatible material.

10. The intraluminal device of claim 8, wherein at least a portion of said plurality of filaments is radio-opaque.

11. The intraluminal device of claim 8, wherein said plurality of filaments comprises a bio-compatible material selected from the group consisting of:

stainless steel, tantalum, cobalt, Nitinol, and polymers.

12. The intraluminal device of claim 8, wherein each of said plurality of filaments is of circular cross-section and has a diameter of less than 60 μ

m.

13. The intraluminal device of claim 12, wherein each of said plurality of filaments has a diameter of 10-60 μ

m.

14. The intraluminal device of claim 13, wherein each of said plurality of filaments has a diameter of 10-50 μ

m.

15. The intraluminal device of claim 14, wherein each of said plurality of filaments has a diameter of 20-40 μ

m.

16. The intraluminal device of claim 8, wherein each of said plurality of filaments is of circular cross-section and said plurality of filaments have different diameters.

17. The intraluminal device of claim 1, wherein a plurality of filaments are woven to form said mesh tubular body.

18. The intraluminal device of claim 1, wherein a plurality of filaments are knitted to form said mesh tubular body.

19. The intraluminal device of claim 1, wherein said mesh tubular body is formed by braiding 24-144 filaments.

20. The intraluminal device of claim 19, wherein said mesh tubular body is formed by braiding 62-120 filaments.

21. An intraluminal device implantable in the vicinity of a blood vessel bifurcation, the bifurcation having a source blood vessel, a first branch vessel, and a second branch vessel, an aneurysm being located proximate to the bifurcation, the device comprising:

a tubular body formed by braiding a plurality of filaments, and having an expanded condition in which the tube diameter is larger than the diameter of the blood vessel in which it is to be implanted, a contracted condition wherein it is sufficiently flexible so as to be easily manipulatable through a blood vessel to be placed proximate to the bifurcation, and a length sufficient to be anchored to both the source blood vessel and the first branch vessel thereby straddling the opening of the second branch vessel,

said tubular body also having a length such that, when placed and anchored to straddle the opening of the second branch vessel, it also straddles said aneurysm, and

said tubular body having a porosity index of 60-75% when deployed within an appropriately sized blood vessel, so as to skew the flow of blood away from the aneurysm sufficiently to decrease the possibility of rupture of said aneurysm but not to unduly reduce the blood flow to said second branch vessel to a degree likely to cause significant damage to tissues supplied with blood by such second branch vessel.

22. The intraluminal device of claim 21, wherein said plurality of filaments define a plurality of openings, each of said plurality of openings including a side having a length of 300-1,500 μ

m when deployed within an appropriately sized blood vessel.

23. The intraluminal device of claim 22, wherein said length of said side is 400-1,000 μ

m.

24. The intraluminal device of claim 21, wherein said tubular body has a length of 10-40 mm.

25. The intraluminal device of claim 21, wherein said tubular body is formed by braiding 32-96 filaments.

26. The intraluminal device of claim 25, wherein said tubular body is formed by braiding 64-80 filaments.

27. The intraluminal device of claim 21, wherein each of said plurality of filaments is of circular cross-section and has a diameter of 15-50 μ

m.

28. The intraluminal device of claim 27, wherein each of said plurality of filaments has a diameter of 20-40 μ

m.