Detachable self-expanding aneurysm cover device

• US 20080039930A1
• Filed: 09/21/2007
• Published: 02/14/2008
• Est. Priority Date: 06/27/2003
• Status: Active Grant

• Current Assignee: DePuy Synthes Products LLC (Johnson & Johnson)
• Original Assignee: DePuy Synthes Products LLC (Johnson & Johnson)
• Inventors: Jones, Donald, Mitelberg, Vladimir
• Granted Patent: US 8,540,763 B2
• Time in Patent Office: Days
• US Class Current: 623/1.15
• CPC Class Codes: A61B 17/12022 Occluding by internal devices, e.g. balloons or releasable wires plugging an opening in the wall of an organ A61B17/0057; occluders for the cervical canal A61F6/146; vas deferens occluders A61F6/20
• CPC Class Codes: A61B 17/12118 for positioning in conjunction with a stent
• CPC Class Codes: A61B 2017/1205 Introduction devices
• 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 2/95 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 2230/0008 elliptical or oval

Abstract

A self-expanding aneurysm cover device which takes the form of an outwardly biased cylindrical skeletal frame in which the proximal end of the cylindrical skeletal frame forms a loop which extends at an oblique angle to the axis of the cylindrical skeletal frame. A positioning tab extends from the proximal end of the skeletal frame which when pulled causes the cylindrical skeletal frame to collapse to a reduced diameter for removal of the device from a vessel.

Claims

1. A self-expandable aneurysm cover device comprising:

a generally cylindrical skeletal frame having a longitudinal axis, said frame including a proximal loop portion at the proximal end of said skeletal frame which extends in a plane between opposite sides of said generally cylindrical skeletal frame, which is oblique to the longitudinal axis of the skeletal frame and which has a proximal edge, an elongated positioning tab attached to the proximal edge of the proximal loop portion and extending from said proximal edge of the proximal loop portion in a direction generally parallel to the longitudinal axis of the skeletal frame, and also including a distal spring-biased portion connected to said loop portion along at least two spaced-apart locations on said proximal loop portion, said skeletal frame being adapted to assume a normal first expanded condition in which said spring-biased portion is expanded to thereby cause said loop portion to be expanded to form a loop configuration which lies in the plane extending at an oblique angle to the longitudinal axis of said skeletal frame and to cause said distal spring-biased portion to take the form of a generally cylindrical configuration, and upon moving the elongated positioning tab in a proximal direction said proximal loop portion is caused to move to a position such that the plane of the loop portion is closer to parallel to the longitudinal axis of the skeletal frame thereby causing the spring-biased portion to collapse which in turn causes the skeletal frame to collapse for easy withdrawal of the aneurysm cover device from a vessel, and

wherein the cylindrical skeletal frame includes major struts and minor struts, the minor struts forming a connecting mesh extending between the major struts, said major struts being larger in cross section than said minor struts, and

wherein the spacing between the minor struts in a generally central region of said mesh is much less than the spacing of the minor struts in portions of the skeletal frame near the major struts.

2. The self-expandable aneurysm cover device as defined in claim 1, wherein the proximal loop portion of the generally cylindrical skeletal frame lies in the plane which extends about 10 to 70 degrees to the longitudinal axis of the cylindrical skeletal frame when the skeletal frame is in the normal first expanded condition.

3. The self-expandable aneurysm cover device as defined in claim 2, wherein the proximal loop portion of the generally cylindrical skeletal frame lies in the plane which extends about 20 degrees to the longitudinal axis of the cylindrical skeletal frame when the skeletal frame is in the normal first expanded condition.

4. A method of placing and then repositioning a self-expandable aneurysm cover device which includes a generally cylindrical skeletal frame in which the cylindrical skeletal frame defines a loop portion at its proximal end, the loop portion normally lies in a plane extending between opposite sides of the cylindrical skeletal frame and at an oblique angle to a longitudinal axis of the cylindrical skeletal frame, a positioning tab is attached to the loop portion and extends from the proximal end of the loop portion in a direction generally parallel to the longitudinal axis of the skeletal frame, and wherein the cylindrical skeletal frame includes major and minor struts, the minor struts forming a connecting mesh with the outer struts, said major struts being larger in cross section than said minor struts, wherein the spacing between the minor struts in a generally central region of said mesh is much less than the spacing between the minor struts in portions of the skeletal frame near the major struts, the method comprising the steps of:

inserting into a vessel the aneurysm cover device which is compressed and carried within a lumen of a delivery catheter;

positioning the aneurysm cover device at a preselected position within a vessel;

moving the positioning tab of the aneurysm cover device distally to cause the device to move completely out of the lumen of the catheter thereby causing the device to completely expand into contact with the walls of the vessel; and

,

moving the positioning tab of the aneurysm cover device proximally through the lumen of the delivery catheter to thereby cause the loop portion which is normally in a plane oblique to the longitudinal axis of the skeletal frame to move into the plane closer to parallel to the longitudinal axis of the skeletal frame to thereby cause the aneurysm cover device to collapse into the lumen of the catheter to permit repositioning of the device to another position within the vessel.

5. The method as defined in claim 4, wherein the spacing between the inner struts on said opposite side of the skeletal frame is much less than the spacing between the outer struts on said one of said sides of the skeletal frame, and when the cylindrical skeletal frame is positioned at its desired location relative to the aneurysm which it is to cover, the inner struts overlie the aneurysm.