Device with biological tissue scaffold for percutaneous closure of an intracardiac defect and methods thereof

• US 9,216,014 B2
• Filed: 05/13/2013
• Issued: 12/22/2015
• Est. Priority Date: 06/03/2002
• Status: Active Grant

• Current Assignee: WL Gore and Associates Incorporated (W.L. Gore and Associates)
• Original Assignee: WL Gore and Associates Incorporated (W.L. Gore and Associates)
• Inventors: Devellian, Carol A., Carr, Robert M.
• Primary Examiner(s): HOFFMAN, MARY C
• Application Number:
  US13/893,270
• Publication Number:
  US 20130253538A1
• Time in Patent Office: 953 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 17/12122 within the heart for closing a cardiac septal defect A61B17/0057
• CPC Class Codes: A61B 17/12172 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61B 2017/00575 for closure at remote site, e.g. closing atrial septum defects
• CPC Class Codes: A61B 2017/00592 Elastic or resilient implements
• CPC Class Codes: A61B 2017/00606 Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening
• CPC Class Codes: A61B 2017/1205 Introduction devices
• CPC Class Codes: A61F 2310/00365 Proteins; Polypeptides; Degradation products thereof

Abstract

The invention provides an intracardiac occluder, which has biological tissue scaffolds as occlusion shells, for the percutaneous transluminal treatment of an intracardiac defect. The intracardiac occluder includes a proximal support structure supporting the proximal occlusion shell and a distal support structure supporting the distal occlusion shell. In one embodiment, biological tissue derived from the tunica submucosa layer of the porcine small intestine forms the occlusion shells.

Claims

1. An intracardiac occluder clip for permanent implantation in the percutaneous transluminal space to treat an intracardiac defect so as to substantially close the intracardiac defect through host tissue endothelialization, said occluder comprising:

a resilient wire forming opposing proximal and distal support structures for occlusion shells, wherein each support structure is formed of two external stems and two internal stems forming a M-shaped arcuate length of the wire, wherein both external stems of each M-shaped support structure are joined to the external stems of the opposing M-shaped support structure;

a proximal occlusion shell providing a scaffold for endothelialization, wherein the shell is formed of a non-porous bioresorbable sheet and is fitted securely between the external and internal stems of the M-shaped proximal support structure; and

,

a distal occlusion shell providing a scaffold for endothelialization, wherein the shell is formed of a non-porous bioresorbable sheet and is fitted securely between the external and internal stems of the M-shaped distal support structure.

2. The occluder of claim 1, wherein the bioresorbable sheet is purified bioengineered type 1 collagen.

3. The occluder of claim 2, wherein the purified bioengineered type 1 collagen is derived from a tunica submucosa layer of the intestine.

4. The occluder of claim 1, wherein the wire is fabricated from a corrosion resistant metal.

5. The occluder of claim 1, wherein at the wire is fabricated a bioresorbable polymer.

6. The occluder of claim 1, wherein the wire is fabricated from a biodegradable polymer.

7. The occluder of claim 1, wherein the collagen sheet is treated to be non-thrombogenic.

8. A method for treating a septal defect in a heart, the method comprising:

(a) compressing the occluder of claim 1 into the distal end of a catheter sheath;

(b) introducing the sheath into the heart and through the septal defect to position its distal end on the distal surface of the septal defect;

(c) extending the distal occlusion shell out of the sheath to automatically and resiliently seat the shell against the distal side of the septal defect;

(d) withdrawing the sheath to position its distal end of the sheath at the proximal surface of the septal defect;

(e) extending the proximal occlusion shell out of the sheath to automatically and resiliently seat the shell against the proximal side of the septal defect; and

,

(f) releasing the occluder to leave it in the septal defect and withdrawing the sheath from the heart.

9. The method of claim 8, wherein the intracardiac defect is a patent foramen ovale.

10. The method of claim 8, wherein the intracardiac defect is an atrial septal defect.

11. The method of claim 8, wherein the intracardiac defect is a ventricular septal defect.

12. The method of claim 8, wherein the intracardiac defect is a left atrial appendage.

13. The method of claim 8, further comprising step (g), confirming after at least 90 days that endotheliazaiton of the occlusion shells has occurred.