Device and method for tacking plaque to blood vessel wall

• US 9,545,322 B2
• Filed: 03/01/2011
• Issued: 01/17/2017
• Est. Priority Date: 12/12/2007
• Status: Active Grant

• Current Assignee: Intact Vascular, Inc. (Koninklijke Philips N.V.)
• Original Assignee: Intact Vascular, Inc. (Koninklijke Philips N.V.)
• Inventors: Schneider, Peter, Giasolli, Robert
• Primary Examiner(s): YABUT, DIANE D
• Application Number:
  US13/038,175
• Publication Number:
  US 20110152992A1
• Time in Patent Office: 2,149 Days
• Field of Search: 606/151, 606/213, 606/219, 623/1.11
• US Class Current: 1/1
• 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 2/848 having means for fixation to the vessel wall, e.g. barbs
• 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 2/91 made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
• CPC Class Codes: A61F 2/92 Stents in the form of a rolled-up sheet expanding after insertion into the vessel , e.g. with a spiral shape in cross-section
• 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 2002/825 having longitudinal struts
• CPC Class Codes: A61F 2002/8483 Barbs
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2230/0091 helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section

Abstract

An intravascular device for treating atherosclerotic occlusive disease can include an annular band defining a longitudinal axis between proximal and distal ends. The annular band can have a plurality of barbs on its outer periphery. One or more intravascular devices may be applied in positions along a plaque accumulation site as needed to stabilize the site and/or hold pieces of plaque out of the way of blood flow. The barbs may be pressed into the plaque and/or blood vessel walls.

Claims

1. An intravascular device comprising:

an annular band defining a longitudinal axis between proximal and distal ends of the device and having;

a first plurality of wings along a first side of the annular band, each wing of the first plurality of wings having first and second struts forming a proximal apex and extending longitudinally such that the proximal apexes of the first plurality of wings form the proximal most end of the device;

a second plurality of wings along a second side of the annular band, the first side of the annular band spaced from the second side along the longitudinal axis, each wing of the second plurality of wings having third and fourth struts forming a distal apex and extending longitudinally such that the distal apexes of the second plurality of wings form the distal most end of the device; and

a plurality of barbs positioned along a circumference of the annular band between the first plurality of wings and the second plurality of wings, wherein each of the barbs of the plurality of barbs extend from the annular band pointed along a single circumferential direction;

wherein the plurality of barbs comprises a first plurality of barbs and the device further comprises a second plurality of barbs positioned along the circumference of the annular band between the first plurality of wings and the second plurality of wings, wherein each of the barbs of the second plurality of barbs extend from the annular band pointed along the single circumferential direction; and

wherein two adjacent barbs, one from the first plurality of barbs and the other from the second plurality of barbs are aligned along the longitudinal axis.

2. The device of claim 1, wherein the barbs are configured to extend outward from the annular band when the device is bent out of an initial at rest condition.

3. The device of claim 1, wherein the length of each of the plurality of barbs is greater than the distance between a tip of the barb and the annular band.

4. The device of claim 1, wherein the annular band is made of shape memory material.

5. The device of claim 1, wherein a dimension of the annular band along the longitudinal axis between proximal most and distal most ends is less than a diameter of the annular band.

6. The device of claim 1, wherein one apex of the proximal apexes of the first plurality of wings and one apex of the distal apexes of the second plurality of wings form a pair of adjacent most opposing apexes, and wherein these opposing apexes are offset along the longitudinal axis.

7. The device of claim 1, wherein a first apex of the proximal apexes of the first plurality of wings and a second apex of the distal apexes of the second plurality of wings form a pair of adjacent most opposing apexes, and wherein at least one barb of the plurality of barbs is positioned between the first apex and the second apex.

8. The device of claim 1, wherein a wing of the first plurality of wings and a wing of the second plurality of wings both are configured to extend parallel with the longitudinal axis when the device is in a fully deployed condition in situ.

9. The device of claim 1, wherein the first and second plurality of wings are configured to extend along the longitudinal axis to provide stability to the device implanted within a blood vessel.

10. The device of claim 1, wherein said barbs are formed with conduits for enabling plaque treatment material to be conducted to the surface of the barbs through capillary channels.

11. The device of claim 1, wherein the first strut of at least one of the wings of the first plurality of wings is directly connected to one of the plurality of barbs.

12. The device of claim 1, wherein at least one of the first strut and the second strut of each wing of the first plurality of wings or at least one of the third strut and the fourth strut of each wing of the second plurality of wings is directly connected to one of the plurality of barbs.

13. An intravascular device comprising:

an annular band defining a longitudinal axis between proximal and distal ends of the device and having;

a first plurality of wings along a first side of the annular band, each wing of the first plurality of wings having first and second struts forming a proximal apex and extending longitudinally such that the proximal apexes of the first plurality of wings form the proximal most end of the device;

a second plurality of wings along a second side of the annular band, the first side of the annular band spaced from the second side along the longitudinal axis, each wing of the second plurality of wings having third and fourth struts forming a distal apex and extending longitudinally such that the distal apexes of the second plurality of wings form the distal most end of the device;

wherein one apex of the proximal apexes of the first plurality of wings and one apex of the distal apexes of the second plurality of wings form a pair of adjacent most opposing apexes, and wherein these opposing apexes are offset along the longitudinal axis; and

a plurality of barbs positioned along a circumference of the annular band between the first plurality of wings and the second plurality of wings, wherein each of the barbs of the plurality of barbs extend from the annular band pointed along a single circumferential direction;

wherein the first and second plurality of wings are configured to extend along the longitudinal axis to provide stability to the device when implanted within a blood vessel.

14. The device of claim 13, wherein the device is made of shape memory material.

15. The device of claim 13, wherein a dimension of the device defined from the proximal most end to the distal most end along the longitudinal axis is less than a diameter of the annular band.

16. The device of claim 13, wherein the plurality of barbs comprises a first plurality of barbs and the device further comprises a second plurality of barbs positioned along the circumference of the annular band between the first plurality of wings and the second plurality of wings, wherein each of the barbs of the second plurality of barbs extend from the annular band.

17. The device of claim 16, wherein two adjacent barbs, one from the first plurality of barbs and the other from the second plurality of barbs are aligned along the longitudinal axis.

18. The device of claim 13, wherein said barbs are formed with conduits for enabling plaque treatment material to be conducted to the surface of the barbs through capillary channels.

19. The device of claim 13, wherein at least one of the first strut and the second strut of each wing of the first plurality of wings or at least one of the third strut and the fourth strut of each wing of the second plurality of wings is directly connected to one of the plurality of barbs.

20. An intravascular device comprising:

an annular band defining a longitudinal axis between proximal and distal ends of the device and having;

a first plurality of wings along a first side of the annular band, each wing of the first plurality of wings having first and second struts forming a proximal apex and extending longitudinally such that the proximal apexes of the first plurality of wings form the proximal most end of the device;

a second plurality of wings along a second side of the annular band, the first side of the annular band spaced from the second side along the longitudinal axis, each wing of the second plurality of wings having third and fourth struts forming a distal apex and extending longitudinally such that the distal apexes of the second plurality of wings form the distal most end of the device; and

a plurality of barbs positioned along a circumference of the annular band between the first plurality of wings and the second plurality of wings, wherein each of the barbs of the plurality of barbs extend from the annular band pointed along a single circumferential direction;

wherein the plurality of barbs comprises a first plurality of barbs and the device further comprises a second plurality of barbs positioned along the circumference of the annular band between the first plurality of wings and the second plurality of wings, wherein each of the barbs of the second plurality of barbs extend from the annular band, wherein two adjacent barbs, one from the first plurality of barbs and the other from the second plurality of barbs are aligned along the longitudinal axis;

wherein the first and second plurality of wings are configured to extend along the longitudinal axis to provide stability to the device when implanted within a blood vessel.

21. The device of claim 20, wherein the device is made of shape memory material.

22. The device of claim 20, wherein a dimension of the device defined from the proximal most end to the distal most end along the longitudinal axis is less than a diameter of the annular band.

23. The device of claim 20, wherein one apex of the proximal apexes of the first plurality of wings and one apex of the distal apexes of the second plurality of wings form a pair of adjacent most opposing apexes, and wherein these opposing apexes are offset along the longitudinal axis.

24. The device of claim 20, wherein said barbs are formed with conduits for enabling plaque treatment material to be conducted to the surface of the barbs through capillary channels.

25. The device of claim 20, wherein at least one of the first strut and the second strut of each wing of the first plurality of wings or at least one of the third strut and the fourth strut of each wing of the second plurality of wings is directly connected to one of the plurality of barbs.

26. An intravascular device comprising:

an annular band defining a longitudinal axis between proximal and distal ends of the device and having;

a first plurality of wings along a first side of the annular band, each wing of the first plurality of wings having first and second struts forming a proximal apex and extending longitudinally such that the proximal apexes of the first plurality of wings form the proximal most end of the device;

a second plurality of wings along a second side of the annular band, the first side of the annular band spaced from the second side along the longitudinal axis, each wing of the second plurality of wings having third and fourth struts forming a distal apex and extending longitudinally such that the distal apexes of the second plurality of wings form the distal most end of the device; and

a plurality of barbs positioned along a circumference of the annular band between the first plurality of wings and the second plurality of wings, wherein each of the barbs of the plurality of barbs extend from the annular band pointed along a single circumferential direction, and wherein said barbs are formed with conduits for enabling plaque treatment material to be conducted to the surface of the barbs through capillary channels;

wherein the first and second plurality of wings are configured to extend along the longitudinal axis to provide stability to the device when implanted within a blood vessel.

27. The device of claim 26, wherein the device is made of shape memory material.

28. The device of claim 26, wherein a dimension of the device defined from the proximal most end to the distal most end along the longitudinal axis is less than a diameter of the annular band.

29. The device of claim 26, wherein one apex of the proximal apexes of the first plurality of wings and one apex of the distal apexes of the second plurality of wings form a pair of adjacent most opposing apexes, and wherein these opposing apexes are offset along the longitudinal axis.

30. The device of claim 26, wherein the plurality of barbs comprises a first plurality of barbs and the device further comprises a second plurality of barbs positioned along the circumference of the annular band between the first plurality of wings and the second plurality of wings, wherein each of the barbs of the second plurality of barbs extend from the annular band.

31. The device of claim 30, wherein two adjacent barbs, one from the first plurality of barbs and the other from the second plurality of barbs are aligned along the longitudinal axis.

32. The device of claim 26, wherein at least one of the first strut and the second strut of each wing of the first plurality of wings or at least one of the third strut and the fourth strut of each wing of the second plurality of wings is directly connected to one of the plurality of barbs.

33. An intravascular device comprising:

an annular band defining a longitudinal axis between proximal and distal ends of the device and having;

a first plurality of wings along a first side of the annular band, each wing of the first plurality of wings having first and second struts forming a proximal apex and extending longitudinally such that the proximal apexes of the first plurality of wings form the proximal most end of the device;

a second plurality of wings along a second side of the annular band, the first side of the annular band spaced from the second side along the longitudinal axis, each wing of the second plurality of wings having third and fourth struts forming a distal apex and extending longitudinally such that the distal apexes of the second plurality of wings form the distal most end of the device; and

a plurality of barbs positioned along a circumference of the annular band between the first plurality of wings and the second plurality of wings, wherein each of the barbs of the plurality of barbs extend from the annular band pointed along a single circumferential direction;

wherein at least one of the first strut and the second strut of each wing of the first plurality of wings or at least one of the third strut and the fourth strut of each wing of the second plurality of wings is directly connected to one of the plurality of barbs; and

wherein the first and second plurality of wings are configured to extend along the longitudinal axis to provide stability to the device when implanted within a blood vessel.

34. The device of claim 33, wherein the device is made of shape memory material.

35. The device of claim 33, wherein a dimension of the device defined from the proximal most end to the distal most end along the longitudinal axis is less than a diameter of the annular band.

36. The device of claim 33, wherein one apex of the proximal apexes of the first plurality of wings and one apex of the distal apexes of the second plurality of wings form a pair of adjacent most opposing apexes, and wherein these opposing apexes are offset along the longitudinal axis.

37. The device of claim 33, wherein the plurality of barbs comprises a first plurality of barbs and the device further comprises a second plurality of barbs positioned along the circumference of the annular band between the first plurality of wings and the second plurality of wings, wherein each of the barbs of the second plurality of barbs extend from the annular band.

38. The device of claim 37, wherein two adjacent barbs, one from the first plurality of barbs and the other from the second plurality of barbs are aligned along the longitudinal axis.

39. The device of claim 33, wherein said barbs are formed with conduits for enabling plaque treatment material to be conducted to the surface of the barbs through capillary channels.