Anti-aspiration prosthesis

• US 9,314,325 B2
• Filed: 03/08/2013
• Issued: 04/19/2016
• Est. Priority Date: 04/27/2012
• Status: Active Grant

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Original Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Inventors: Liddy, Alison, Ryan, Michael, Treacy, Gerard, Houlihan, Ger, Lavelle, Shay Joseph, Neilan, John
• Primary Examiner(s): Isabella, David
• Assistant Examiner(s): Diop, Rokhaya
• Application Number:
  US13/790,640
• Publication Number:
  US 20130289740A1
• Time in Patent Office: 1,138 Days
• Field of Search: 623/23.68, 623/23.64, 623/23.65, 623/23.66, 623/23.67, 623/23.69, 623/23.7, 623/1.24, 623/2.14, 623/2.15, 623/2.16, 623/2.17, 623/2.18, 623/2.36, 623/2.37, 623/2.38
• US Class Current: 1/1
• CPC Class Codes: A61F 2/04 Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts A61F2/18, A61F2/20 take precedence; devices, other than stent-grafts, providing patency to, or preventing collapsing of, tubular structures of the body other than stent-grafts, e.g. stents A61F2/82; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95
• CPC Class Codes: A61F 2/2412 with soft flexible valve members, e.g. tissue valves shaped like natural valves check valves with flexible valve members in general F16K15/14
• CPC Class Codes: A61F 2/2415 Manufacturing methods
• CPC Class Codes: A61F 2002/044 Oesophagi or esophagi or gullets
• CPC Class Codes: A61F 2002/045 Stomach, intestines
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2240/001 Designing or manufacturing processes
• CPC Class Codes: B05D 1/18 performed by dipping
• CPC Class Codes: Y10T 29/49426 including metal shaping and diverse operation

Abstract

A prosthesis and a method of manufacturing the prosthesis for controlling flow through a bodily lumen are provided. The prosthesis includes a body having a proximal portion, a distal portion and a lumen extending therethrough. The prosthesis also includes a valve operably connected to the body. The valve has a proximal portion, a distal portion and a lumen extending through the valve, where the valve lumen is connected to the body lumen. The valve is configured to be closed in the absence of an antegrade pressure and a retrograde pressure, the retrograde pressure being greater than the antegrade pressure. The valve includes a material portion operably connected to the valve, the material portion providing increased stiffness to the valve relative to the valve alone, wherein the material portion is configured to facilitate self-reversion of the valve to the closed configuration.

Claims

1. A prosthesis for controlling flow through a bodily lumen, the prosthesis comprising:

a body having a proximal portion, a distal portion, a distal end and a lumen extending therethrough; and

a valve operably connected to the body, the valve having a proximal portion, a distal end portion and a lumen extending through the valve, the valve lumen connected to the body lumen;

the valve having a closed configuration in the absence of an antegrade pressure and a retrograde pressure, and an open configuration wherein the distal end portion of the valve extends proximally in response to the retrograde pressure, the retrograde pressure being greater than the antegrade pressure, the distal end portion of the valve is positioned distal to the distal end of the body in the closed configuration;

the valve comprising a material portion operably connected to the valve on a surface of the valve or embedded in the valve, the material portion comprising;

a distal end, a body portion and a coil, the body portion of the material portion extends proximally from the distal end of the material portion and the coil is formed in the body portion of the material portion and positioned proximal to the distal end of the material portion in the closed configuration of the valve, the material portion providing increased stiffness to the valve relative to the valve alone, the material portion having a first position in the closed configuration and a second position in the open configuration, a distal portion of the material portion bends inward towards the valve lumen to the second position to facilitate proximal extension of the distal end portion of the valve to move the valve to the open configuration in response to the retrograde pressure, wherein the material portion facilitates self-reversion of the valve to the closed configuration wherein the distal end portion of the valve extends distally, the valve allowing flow through the valve in response to retrograde pressure and antegrade pressure when the prosthesis is implanted.

2. The prosthesis of claim 1, wherein the material portion comprises at least one material that is different from a valve material.

3. The prosthesis of claim 1, wherein the material portion comprises nitinol.

4. The prosthesis of claim 3, wherein the nitinol is heat set.

5. The prosthesis of claim 1, wherein the material portion is connected to the distal portion of the body.

6. The prosthesis of claim 1, wherein the material portion at least partially overlaps the body.

7. The prosthesis of claim 2, wherein the material portion comprises one arm.

8. The prosthesis of claim 2, wherein the material portion comprises one u-shaped arm.

9. The prosthesis of claim 1, wherein the material portion comprises a proximal portion and the distal portion of the material portion is more flexible than the proximal portion of the material portion.

10. The prosthesis of claim 9, wherein the distal portion of the material portion is electropolished, ground or chemically etched to provide flexibility.

11. The prosthesis of claim 1, wherein the distal end of the material portion is movable proximally in response to the retrograde pressure to facilitate opening the valve in response to the retrograde pressure.

12. The prosthesis of claim 1, wherein the distal end of the material portion is movable to facilitate a return of the valve to the closed configuration after the retrograde pressure is removed.