Wing bifurcation reconstruction device

• US 9,186,267 B2
• Filed: 10/31/2012
• Issued: 11/17/2015
• Est. Priority Date: 10/31/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Losordo, Michael Louis, Ma, Jianlu
• Primary Examiner(s): Miles, Jonathan W
• Assistant Examiner(s): Scherbel, Todd J
• Application Number:
  US13/664,648
• Publication Number:
  US 20140121752A1
• Time in Patent Office: 1,112 Days
• Field of Search: 623/1.11, 623/1.12, 623/1.15, 623/1.16, 623 118- 122, 623/1.3, 623/1.31, 623/1.35, 606/191, 606/200
• US Class Current: 1/1
• 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 17/1214 Coils or wires
• CPC Class Codes: A61B 17/12172 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61B 2017/1205 Introduction devices
• CPC Class Codes: A61B 2017/12081 detachable by inflation
• 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 2/844 folded prior to deployment
• CPC Class Codes: A61F 2/852 Two or more distinct overlapping stents
• CPC Class Codes: A61F 2/856 Single tubular stent with a side portal passage
• 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 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2002/823 Stents, different from stent-grafts, adapted to cover an aneurysm
• CPC Class Codes: A61F 2002/91541 Adjacent bands are arranged out of phase
• CPC Class Codes: A61F 2220/005 using adhesives
• CPC Class Codes: A61F 2220/0058 soldered or brazed or welded
• CPC Class Codes: A61F 2230/0052 T-shaped
• CPC Class Codes: A61F 2230/0095 Saddle-shaped

Abstract

An intraluminal device may be used at a bifurcation to anchor in an afferent vessel, allow perfusion to efferent vessels, and act as scaffolding to inhibit herniation of objects out of a neck of a bifurcation aneurysm. An intraluminal device may include a first side; a second side opposite the first side across a longitudinal axis of the intraluminal device; a proximal section configured to anchor in an afferent vessel; a distal section comprising a first wing and a second wing wherein, in an expanded state, the first wing extends from the first side to the second side and the second wing extends from the second side, through an opening of the first wing, and to the first side.

Claims

1. An intraluminal device comprising:

a proximal section configured to be positioned and anchored in a blood vessel, the proximal section having a central longitudinal axis;

a distal section having (i) a first wing including first base struts, the first base struts extending from a first side of the distal section and (ii) a second wing including second base struts, the second base struts extending from a second side of the distal section, substantially diametrically opposing the first side, the first base struts being connected to each other by a first end strut of the first wing, the second base struts being connected to each other by a second end strut of the second wing, the first and second wings being configured to expand from a collapsed state to an expanded state;

at least two junctures between the proximal section and the distal section, the first wing and the second wing being fixedly connected to each other only at the at least two junctures, wherein each of the first base struts extends from a different one of the at least two junctures and each of the second base struts extends from a different one of the at least two junctures, each of the first base struts being between the first end strut and a corresponding one of the at least two junctures, each of the second base struts being between the second end strut and a corresponding one of the at least two junctures;

wherein, when the second wing expands to the expanded state, the second wing is configured to extend transverse to the axis from the second side to the first side through an opening in the first wing, such that the first end strut is on the second side and the second end strut is on the first side.

2. The device of claim 1, wherein the proximal section is configured to be positioned and anchored in an afferent vessel.

3. The device of claim 1, wherein, when the second wing expands to the expanded state, the second wing pivots on the first side away from the axis.

4. The device of claim 1, wherein the distal section is configured to act as a scaffolding to inhibit herniation of objects out of a neck of a bifurcation aneurysm and allow perfusion to efferent vessels.

5. The device of claim 1, wherein the proximal section and the distal section each have an outer surface, wherein the outer surface is configured to abut vessel walls and an ostium of an aneurysm without crossing a flow path from an afferent vessel to efferent vessels when the device is placed at a vessel bifurcation.

6. The device of claim 1, wherein the first wing extends from the first side to the second side when expanded.

7. The device of claim 6, wherein, when the first wing expands to the expanded state, the first wing pivots on the second side away from the axis.

8. The device of claim 1, wherein the proximal and distal sections are integrally formed from a tube or sheet.

9. The device of claim 1, wherein the distal section is configured to be placed within the aneurysm when expanded.

10. The device of claim 1, wherein the proximal section is detachably connected to the distal section.

11. The device of claim 1, wherein the device is configured to transition from a compressed state to the expanded state when unrestrained.

12. The device of claim 1, wherein each of the first and second wings comprises a hoop with a plurality of lateral struts connecting opposing sides of the hoop.

13. The device of claim 12, wherein each of the first and second wings comprises a longitudinal strut extending between a pair of lateral struts.

14. The device of claim 1, wherein the distal section comprises a covering.

15. The device of claim 1, wherein the proximal section comprises a substantially cylindrical shape.

16. The device of claim 1, wherein the proximal section comprises a tapered portion.

17. A method of preparing an intraluminal device, comprising:

providing the intraluminal device comprising a proximal section and a distal section, the distal section having (i) a first wing having first base struts, the first base struts extending from a first side of the distal section, the first base struts being connected to each other by a first end strut of the first wing and (ii) a second wing having second base struts, the second base struts extending from a second side of the distal section, substantially diametrically opposing the first side, the second base struts being connected to each other by a second end strut of the second wing;

bending the first wing to extend from the first base struts on the first side to the first end strut on the second side; and

bending the second wing to extend from the second base struts on the second side to the second end strut on the first side through an opening in the first wing while the first wing and the second wing are fixedly connected to each other only at at least one-two junctures between the proximal section and the distal section, wherein each of the first base struts extends from a different one of the at least two junctures and each of the second base struts extends from a different one of the at least two junctures, each of the first base struts being between the first end strut and a corresponding one of the at least two junctures, each of the second base struts being between the second end strut and a corresponding one of the at least two junctures.

18. The intraluminal device of claim 17, further comprising providing the intraluminal device with a preset expanded shape corresponding to a vessel bifurcation.

19. The intraluminal device of claim 18, wherein, while in the preset expanded shape, the proximal section is configured to anchor in an afferent vessel and the distal section is configured to allow perfusion to efferent vessels and act as scaffolding to inhibit dislodging of objects out of a neck of a bifurcation aneurysm.

20. The intraluminal device of claim 17, wherein the first wing comprises a first plurality of struts connecting the first wing to the proximal section, and the second wing comprises a second plurality of struts connecting the second wing to the proximal section.

21. The intraluminal device of claim 20, wherein the second plurality of struts are radially inside the first plurality of struts relative to a central longitudinal axis of the proximal section.

22. The intraluminal device of claim 17, wherein providing the intraluminal device comprises forming the intraluminal device integrally from a tubular member or sheet.