Self-expanding prosthesis

• US 9,023,094 B2
• Filed: 06/25/2008
• Issued: 05/05/2015
• Est. Priority Date: 06/25/2007
• Status: Active Grant

• Current Assignee: Microvention Incorporated (Terumo Corporation)
• Original Assignee: Microvention Incorporated (Terumo Corporation)
• Inventors: Tieu, Tai D., Gulachenski, Joseph
• Primary Examiner(s): SHI, KATHERINE MENGLIN
• Application Number:
  US12/146,252
• Publication Number:
  US 20080319525A1
• Time in Patent Office: 2,505 Days
• Field of Search: 623/1.11, 623/1.19, 606 27- 41, 606/108, 606/191, 606/194, 606/195, 606/200
• US Class Current: 623/1.11
• 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 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2002/823 Stents, different from stent-grafts, adapted to cover an aneurysm
• CPC Class Codes: A61F 2210/0014 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2210/0033 electrically, e.g. heated by resistor

Abstract

In one preferred embodiment, a prosthesis is provided that can be selectively expanded by increasing the temperature of the prosthesis within the patient. The prosthesis is composed of a shape memory material that expands when heated to a temperature greater than an average body temperature, allowing the user to selectively heat and therefore expand the prosthesis at a desired location.

Claims

1. A method of expanding a prosthesis within a body comprising:

delivering a prosthesis formed of a shape memory material to a desired location within a body, the prosthesis having a first tubular portion and a second tubular portion connected to one another by an intermediate portion having a plurality of axially arranged members, the intermediate portion formed unitary with the first and second tubular portions;

passing a current directly through the shape memory material of the first tubular portion and the intermediate portion such that the first tubular portion acts as a heating element and a temperature of the first tubular portion independently increases to a temperature above a human body temperature to change a phase of the shape memory material, thereby radially expanding said first tubular portion from a reduced diameter delivery state to an expanded state;

passing a current directly through the shape memory material of the second tubular portion and the intermediate portion such that the second tubular portion acts as a heating element and a temperature of the second tubular portion independently increases to a temperature above a human body temperature to change the phase of the shape memory material, thereby radially expanding said second tubular portion from a reduced diameter delivery state to an expanded state; and

decreasing said temperatures of the first and second tubular portions to the human body temperature while maintaining said expanded states.

2. The method of claim 1, wherein said step of passing a current directly through the shape memory material of the first tubular portion and the intermediate portion comprises changing the phase of the shape memory material of the first tubular portion from a martensitic state to an austenitic state.

3. The method of claim 1, wherein said step of passing a current directly through the shape memory material of the first tubular portion and the intermediate portion is performed before said step of passing a current directly through the shape memory material of the second tubular portion and the intermediate portion.

4. The method of claim 1 wherein the steps of passing a current comprise independently providing the current to each of said first and second tubular portions.

5. The method of claim 1, wherein said step of delivering a prosthesis formed of a shape memory material to a desired location within a body further comprises:

locating an aneurysm; and

positioning said prosthesis over an opening of said aneurysm.

6. The method of claim 5 further comprises delivering a prosthetic coil within said aneurysm.

7. A prosthesis delivery system comprising:

a delivery tool shaped to enter a body;

a prosthesis removably disposed on said delivery tool, the prosthesis comprising a pair of independently radially expandable tubular regions;

a first tubular region and a second tubular region of said pair of independently radially expandable tubular regions connected to one another by an intermediate region having a plurality of axially arranged members, the intermediate region formed unitary with said first and second tubular region of said pair of independently radially expandable tubular regions;

the first tubular region of said pair of independently radially expandable tubular regions and the intermediate region forming a portion of a first independent electrical circuit through which a current passes so as to heat said first tubular region independently of the second tubular region;

the second tubular region of said pair of independently radially expandable tubular regions and the intermediate region forming a portion of a second independent electrical circuit through which a current passes so as to heat said second tubular region independently of the first tubular region;

each of the first and second tubular regions of the pair of independently radially expandable tubular regions configured to remain in a Martensite phase having a delivery diameter after exposure to a target area and to transition to an Austenite phase having an expanded diameter larger than the delivery diameter after heating to a temperature above 37 degrees Celsius.

8. The prosthesis delivery system of claim 7, wherein said first independent electrical circuit further comprises a first wire directly connected to said first tubular region and a second wire directly connected to said intermediate region.

9. The prosthesis delivery system of claim 7 wherein the first tubular region of said pair of independently radially expandable regions transitions from said Martensite phase to said Austenite phase before a second of said pair of independently radially expandable regions transitions from said Martensite phase to said Austenite phase.