Flow-deflecting medical device

• US 8,506,621 B2
• Filed: 01/23/2012
• Issued: 08/13/2013
• Est. Priority Date: 01/08/2008
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Agnew, Charles W., Paul, Ram H. Jr.
• Primary Examiner(s): Sweet, Thomas J
• Assistant Examiner(s): SHIPMON, TIFFANY P
• Application Number:
  US13/355,959
• Publication Number:
  US 20120123518A1
• Time in Patent Office: 568 Days
• Field of Search: 623/1.24, 623/1.26, 623/2.12, 623/2.14, 623 216- 218, 609/4
• US Class Current: 623/1.24
• CPC Class Codes: A61F 2/2418 Scaffolds therefor, e.g. support stents
• CPC Class Codes: A61F 2/2475 Venous valves
• CPC Class Codes: A61F 2002/068 Modifying the blood flow model, e.g. by diffuser or deflector
• CPC Class Codes: A61F 2220/0008 Fixation appliances for connecting prostheses to the body
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes

Abstract

The disclosure relates to a flow-deflecting medical device comprising a support structure and two flow-deflecting members attached to the support structure. The first flow-deflecting member is movable to a position in which it contacts and substantially seals against the second flow-deflecting member.

Claims

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

a support structure having compressed and expanded configurations, a lengthwise axis, first and second opposing sides relative to the lengthwise axis, a first support structure portion positioned on the first side, and a second support structure portion positioned on the second side and distal to the first support structure portion, the support structure defining a lumen; and

first and second flow-deflecting members attached to the support structure;

the first flow-deflecting member having a first edge attached to the first support structure portion and a second edge free of the support structure, the first flow-deflecting member movable between first and second positions;

the second flow-deflecting member having a third edge and a fourth edge, the third edge attached to the second support structure portion such that the third edge is positioned distal to the first support structure portion and the first edge of the first flow-deflecting member relative to the lengthwise axis of the support structure, the fourth edge being free of the support structure;

the second and fourth edges extending across the lumen and creating a central orifice;

wherein retrograde flow in said body vessel contacts the first flow-deflecting member and urges the first flow-deflecting member into the second position to contact and substantially seal against the second flow-deflecting member; and

wherein a portion of the second edge of the first flow-deflecting member is positioned opposite the first edge of the first flow-deflecting member and a portion of the fourth edge of the second flow-deflecting member relative to the lengthwise axis of the support frame when the first flow-deflecting member is in the second position.

2. The medical device of claim 1, wherein each of the first and second flow-deflecting members comprises a material selected from the group consisting of polymeric material, extracellular matrix material, xenogenic biomaterial, autologous tissue, and allogeneic tissue.

3. The medical device of claim 1, wherein at least one of the first and second flow-deflecting members comprises a natural material.

4. The medical device of claim 3, wherein the natural material comprises an extracellular matrix material.

5. The medical device of claim 4, wherein the extracellular matrix material comprises submucosa.

6. The medical device of claim 5, wherein the submucosa comprises small intestine submucosa.

7. The medical device of claim 3, wherein the natural material comprises allograph tissue.

8. The medical device of claim 7, wherein the allograph tissue comprises native valve tissue.

9. The medical device of claim 3, wherein the natural material comprises autologous tissue.

10. The medical device of claim 1, wherein at least one of the first and second flow-deflecting members comprises a synthetic material.

11. The medical device of claim 10, wherein the synthetic material comprises a polymeric material.

12. The medical device of claim 11, wherein the polymeric material is selected from the group consisting of polyurethane, polyethylene terephthlate, and polytetrafluoroethylene.

13. The medical device of claim 11, wherein the at least one of the first and second flow-deflecting members comprises a dipped or sprayed polymeric material.

14. The medical device of claim 1, wherein the support structure comprises at least two interconnected stents.

15. The medical device of claim 14, wherein each of the at least two interconnected stents comprises a stent having a serpentine configuration.

16. The medical device of claim 1, wherein the first flow-deflecting member is biased to the first position.

17. The medical device of claim 1, wherein the first flow-deflecting member is biased to the second position.

18. The medical device of claim 1, wherein the second flow-deflecting member is movable between third and fourth positions.

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

a support structure having compressed and expanded configurations, a lengthwise axis, first and second opposing sides relative to the lengthwise axis, a first support structure portion positioned on the first side, and a second support structure portion positioned on the second side and distal to the first support structure portion, the support structure defining a lumen; and

first and second flow-deflecting members attached to the support structure;

the first flow-deflecting member having a first edge attached to the first support structure portion and a second edge free of the support structure, the first flow-deflecting member movable between a first position in which the first flow-deflecting member contacts and substantially seals against the second flow-deflecting member and a second position;

the second flow-deflecting member having a third edge and a fourth edge, the third edge attached to the second support structure portion such that the third edge is positioned distal to the first support structure portion and the first edge of the first flow-deflecting member relative to the lengthwise axis of the support structure, the fourth edge being free of the support structure; and

the second and fourth edges extending across the lumen and creating a central orifice;

wherein a portion of the second edge of the first flow-deflecting member is positioned opposite the first edge of the first flow-deflecting member and a portion of the fourth edge of the second flow-deflecting member relative to the lengthwise axis of the support frame when the first flow-deflecting member is in the second position.

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

a support structure having compressed and expanded configurations, a lengthwise axis, first and second opposing sides relative to the lengthwise axis, a first support structure portion positioned on the first side, and a second support structure portion positioned on the second side and distal to the first support structure portion, the support structure defining a lumen; and

first and second flow-deflecting members attached to the support structure;

the first flow-deflecting member having a first edge attached to the first support structure portion and a second edge free of the support structure, the first flow-deflecting member biased to a first position in which the first flow-deflecting member contacts and substantially seals against the second flow-deflecting member;

the second flow-deflecting member having a third edge and a fourth edge, the third edge attached to the second support structure portion such that the third edge is positioned distal to the first support structure portion and the first edge of the first flow-deflecting member relative to the lengthwise axis of the support structure, the fourth edge being free of the support structure; and

the second and fourth edges extending across the lumen and creating a central orifice;

wherein a portion of the second edge of the first flow-deflecting member is positioned opposite the first edge of the first flow-deflecting member and a portion of the fourth edge of the second flow-deflecting member relative to the lengthwise axis of the support frame when the first flow-deflecting member is in the second position.