Devices and methods for treatment of vascular aneurysms

• US 9,561,096 B2
• Filed: 03/26/2014
• Issued: 02/07/2017
• Est. Priority Date: 11/26/2001
• Status: Active Grant

• Current Assignee: Endologix
• Original Assignee: Thomas J. Fogarty
• Inventors: Kim, Steven W., Shiu, Brian K.
• Primary Examiner(s): Severson, Ryan J
• Application Number:
  US14/225,730
• Publication Number:
  US 20140207226A1
• Time in Patent Office: 1,049 Days
• US Class Current: 1/1
• 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 17/12036 partial occlusion
• CPC Class Codes: A61B 17/12118 for positioning in conjunction with a stent
• CPC Class Codes: A61B 17/12136 Balloons
• CPC Class Codes: A61B 17/12186 liquid materials adapted to be injected
• CPC Class Codes: A61B 17/1219 expandable in contact with liquids
• CPC Class Codes: A61B 17/12195 comprising a curable material
• CPC Class Codes: A61B 2017/00898 expandable upon contact with fluid
• CPC Class Codes: A61B 2017/00986 Malecots, e.g. slotted tubes, of which the distal end is pulled to deflect side struts
• CPC Class Codes: A61B 2017/1205 Introduction devices
• CPC Class Codes: A61B 2017/3484 Anchoring means, e.g. spreading-out umbrella-like structure
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/077 having means to fill the space between stent-graft and aneurysm wall, e.g. a sleeve
• CPC Class Codes: A61F 2002/823 Stents, different from stent-grafts, adapted to cover an aneurysm
• CPC Class Codes: A61F 2250/0003 having an inflatable pocket filled with fluid, e.g. liquid or gas

Abstract

The present invention relates to devices and methods for the treatment of diseases in the vasculature, and more specifically, devices and methods for treatment of aneurysms found in blood vessels. In a first embodiment of the present invention, a two part prostheses, where one part is an expandable sponge structure and the other part is an expandable tubular mesh structure, is provided. In the first embodiment, the expandable sponge structure is intended to fill the aneurysm cavity to prevent further dilatation of the vessel wall by creating a buffer or barrier between the pressurized pulsating blood flow and the thinning vessel wall. In the first embodiment, the expandable tubular mesh structure is placed across the aneurysm, contacting the inner wall of healthy vessel proximal and distal to the aneurysm.

Claims

1. A method for treating an aneurysm comprising:

placing a stent across the aneurysm, the stent comprising a first end, a second end, and an outside surface between the first and second ends;

delivering an elongated piece of expandable foam between the outside surface of the stent and a tissue surface of the aneurysm, the elongated piece increasing in length during delivery from a first length to a second length and comprising bends; and

during the delivering step, exposing the elongated piece of expandable foam to a fluid to expand the elongated piece of expandable foam such that as the elongated piece of expandable foam is delivered and increases in length it becomes exposed to the fluid and expands,

wherein the elongated piece of expandable foam comprises a continuous foam structure when expanded,

wherein the continuous foam structure partially or completely fills the aneurysm,

wherein the continuous foam structure contacts a portion of the aneurysm wall and a portion of the outside surface of the stent; and

wherein the stent prevents the elongated piece of expandable foam from protruding out of the aneurysm into a vessel lumen.

2. The method of claim 1, wherein the stein comprises an expandable tubular mesh.

3. The method of claim 1, wherein the elongated piece of expandable foam comprises a sponge.

4. The method of claim 1, wherein the fluid comprises blood.

5. The method of claim 1, wherein the elongated piece of expandable foam comprises collagen, wherein the collagen has a compressed configuration when the collagen is in a dry condition, and an expanded configuration when the collagen is in a wet condition.

6. The method of claim 1, wherein the elongated piece of expandable foam comprises a polymer, wherein the polymer has a compressed configuration when the polymer is in a dry condition, and an expanded configuration when the polymer is in a wet condition.

7. The method of claim 1, wherein an expanded cross-section of the elongated piece of expandable foam comprises a circular, square, or triangular cross-section.

8. The method of claim 1, wherein the elongated piece of expandable foam when expanded comprises an outer foam surface having pores and an inner foam structure within the outer foam surface.

9. A method for treating an aneurysm comprising:

placing a stent across the aneurysm, the stent comprising a first end, a second end, and an outside surface between the first and second ends;

placing a catheter delivery system between the first end and the second end, wherein a tip of the catheter delivery system is in between the outside surface of the stent and the confines of the aneurysm;

delivering an expandable foam into the catheter delivery system;

deploying, from the catheter delivery system, a continuous length of the expandable foam into the confines of the aneurysm; and

exposing the expandable foam to a fluid to expand the expandable foam,

wherein the continuous length of the expandable foam comprises folds after deployment;

wherein the continuous length of the expandable foam when expanded comprises a single foam structure in contact with a graft wall or a portion of the outside surface of the stent, the aneurysm wall, the proximal end of the aneurysm, and the distal end of the aneurysm, and

wherein the stent prevents the continuous length of the expandable foam from protruding out of the aneurysm into a vessel lumen.

10. The method of claim 9, wherein the stent comprises an expandable tubular mesh.

11. The method of claim 9, wherein the stent comprises cells, and wherein an expanded cross-section of the continuous length of the expandable foam has a size larger than any cell of the stent.

12. The method of claim 9, wherein the expandable foam comprises collagen or a polymer.

13. The method of claim 9, wherein the stent comprises a cell, the method further comprising:

delivering the expandable foam via the catheter delivery system through the cell of the stent, and

passing the tip of the catheter delivery system through the cell of the stent.

14. The method of claim 13, wherein the tip of the catheter delivery system comprises an expandable structure positioned on the tip of the catheter delivery system configured to prevent the tip from backing out of the aneurysm.

15. The method of claim 13, further comprising passing the expandable foam through a communication port coupled to the catheter delivery system.

16. The method of claim 9, wherein the catheter delivery system contains the expandable foam before the expandable foam is deployed into the aneurysm.

17. The method of claim 9, wherein the expandable foam comprises a sponge.

18. The method of claim 9, wherein the continuous length of expandable foam when expanded comprises an outer foam surface having pores and an inner foam structure within the outer foam surface.

19. A method for treating an aneurysm comprising:

placing a stent across the aneurysm, the stent comprising a first end, a second end, and an outside surface between the first and second ends;

delivering a length of expandable foam having a bend between the outside surface of the stent and the confines of the aneurysm away from a blood flow path;

creating, during the delivering step, the bend in the length of expandable foam; and

exposing the length of expandable foam to a fluid to expand the expandable foam,

wherein the length of expandable foam comprises a polymer,

wherein the stent prevents the length of expandable foam from protruding out of the aneurysm into a vessel lumen.

20. The method of claim 19, wherein the length of expandable foam comprises a continuous foam structure when expanded, wherein the continuous foam structure partially or completely fills the aneurysm, and wherein only one length of expandable foam is delivered to partially or completely fill the aneurysm.