Intrasaccular flow diverter for treating cerebral aneurysms

Patent metadata

Field	Value
Publication number	US-11272939-B2
Application number	US-201816224223-A
Country	US
Kind code	B2
Filing date	Dec 18, 2018
Priority date	Dec 18, 2018
Publication date	Mar 15, 2022
Grant date	Mar 15, 2022

Abstract

Implants can be used as flow diverters for treating aneurysms. Implants can include a stabilizing frame for anchoring the implant and an occluding element for diverting blood flow from the aneurysm neck. The stabilizing frame can have two parts, the first part sized to anchor within the sac of the aneurysm and the exterior part sized to anchor against a region of the blood vessel wall adjacent the aneurysm neck. The occluding element can be attached to the interior frame and positioned to occlude the aneurysm neck. The implant can have a central node that can be positioned near the center of the aneurysm neck at which the interior frame is attached to the exterior frame and from which the interior frame and the exterior frame extend.

First claim

The invention claimed is:

1. A device for treating an aneurysm comprising:
a central node positioned approximate a center of an aneurysm neck;
an interior stabilizing frame extending radially from the central node comprising three or more elongated members and configured to extend distally into an aneurysm sac and engage an aneurysm wall, each of the three or more elongated members comprising:
a first end positioned approximate the central node;
a first segment configured to extend radially from the first end across at least a portion of the aneurysm neck;
a second segment configured to extend distally and conform to the aneurysm wall; and
a stabilizing segment positioned on a distal end of the second segment, the stabilizing segment comprising an inwardly curved closed loop configured to engage a distal surface of the aneurysm wall;
the first segment adjoining the second segment at an angle measuring approximately 90 degrees;

an exterior stabilizing frame affixed to the interior stabilizing frame at the central node, extending radially from the central node and configured to engage a first blood vessel wall in a first blood vessel branch and engage a second blood vessel wall in a second blood vessel branch; and
an occluding element affixed to the interior stabilizing frame configured to be at least partially disposed in the aneurysm sac and extend across at least a portion of the aneurysm neck and obstruct a majority of the aneurysm neck.

2. The device of claim 1 wherein the combination of the interior stabilizing frame and the exterior stabilizing frame is sufficient to maintain the position of the device at an aneurysm treatment site.

3. The device of claim 1 wherein the sole combination of the interior stabilizing frame and the exterior stabilizing frame affixes the device to an aneurysm treatment site.

4. The device of claim 1 wherein the occluding element self-expands to conform to the aneurysm wall.

5. The device of claim 1 wherein the occluding element completely obstructs the aneurysm neck.

6. The device of claim 1 wherein the occluding element is configured to at least partially fill the aneurysm sac.

7. The device of claim 1 wherein the exterior stabilizing frame comprises:
a first stabilizing arm extending in a first direction from the central node configured to engage the first blood vessel wall approximate the aneurysm neck; and
a second stabilizing arm extending in a second direction opposite the first direction from the central node configured to engage the second blood vessel wall approximate the aneurysm neck.

8. The device of claim 1 wherein the occluding element comprises a plurality of oblong leaf structures each configured to extend from the aneurysm neck radially and distally, at least partially conform to the aneurysm wall, and converge at a distal end positioned at a distal surface of the aneurysm wall.

9. A blood flow diverter for treating an aneurysm comprising:
a central node positioned approximate a center of an aneurysm neck;
a distally extending frame portion configured to be positioned within an aneurysm sac and provide a force against an aneurysm wall from within the aneurysm sac, the distally extending frame portion comprising a stabilizing segment positioned on a distal end of the distally extending frame portion, the stabilizing segment comprising an inwardly curved closed loop configured to engage a distal surface of the aneurysm wall;
an expandable shell joined to the distally extending frame portion, the expandable shell configured to extend across at least a portion of the aneurysm neck and conform to the aneurysm wall such that at least a portion of the distally extending frame is configured to be positioned between the expandable shell and the aneurysm wall; and
a radially extending frame portion attached to the distally extending frame portion at the central node configured to be positioned at the aneurysm neck, extend outside of the aneurysm sac, and provide a force to a blood vessel wall approximate the aneurysm neck, and wherein the blood flow diverter is configured to inhibit a blood flow into the aneurysm.

10. The blood flow diverter of claim 9 implantable in an aneurysm adjacent bifurcated blood vessel branches wherein the radially extending frame portion is confined to the bifurcated blood vessel branches.

11. The blood flow diverter of claim 9 implantable in an aneurysm adjacent bifurcated blood vessel branches wherein the expandable shell inhibits a blood flow from a stem blood vessel into the aneurysm sac and diverts the blood flow into bifurcated blood vessel branches.

12. The blood flow diverter of claim 9 wherein the combination of the distally extending frame portion and the radially extending frame portion are sufficient to secure the blood flow diverter at a treatment site.

13. The blood flow diverter of claim 9 further comprising a junction configured to be positioned centrally within the aneurysm neck and join the distally extending frame portion to the radially extending frame portion.

14. A method for treating an aneurysm comprising the steps of:
providing a flow diverter comprising an interior stabilizing frame, an exterior stabilizing frame, and an occluding element, wherein the interior stabilizing frame comprises three or more elongated members each comprising:
a first end positioned approximate a central node;
a first segment configured to extend radially from the first end across at least a portion of an aneurysm neck;
a second segment configured to extend distally and conform to an aneurysm wall; and
a stabilizing segment positioned on a distal end of the second segment, the stabilizing segment comprising an inwardly curved closed loop configured to engage a distal surface of the aneurysm wall;
the first segment adjoining the second segment at an angle measuring approximately 90 degrees;

joining the interior stabilizing frame to the exterior stabilizing frame at the central node positioned approximate a center of the aneurysm neck;
attaching the occluding element to the interior stabilizing frame;
delivering the flow diverter to an aneurysm treatment site;
inserting the interior stabilizing frame and the occluding element into an aneurysm sac;
expanding the interior stabilizing frame to engage the aneurysm wall from within the aneurysm sac;
expanding the occluding element to obstruct at least a portion of the aneurysm neck;
expanding the exterior stabilizing frame to engage a blood vessel wall; and
blocking the aneurysm neck with the flow diverter to divert a blood flow from the aneurysm to a blood vessel adjacent the aneurysm.

15. The method of claim 14 wherein the step of expanding the exterior stabilizing frame further comprises the steps of:
extending the exterior stabilizing frame through a blood vessel from a first blood vessel branch, across the aneurysm neck, to a second blood vessel branch;
engaging the exterior stabilizing frame to a first blood vessel wall approximate the aneurysm neck in the first blood vessel branch; and
engaging the exterior stabilizing frame to a second blood vessel wall approximate the aneurysm neck in the second blood vessel branch positioned opposite the first blood vessel branch.

16. The method of claim 14 further comprising the step inducing venous stasis in the aneurysm.

17. The method of claim 14 further comprising the steps of:
implanting the flow diverter in an aneurysm, the aneurysm positioned between bifurcated blood vessels opposite a stem blood vessel; and
diverting a blood flow from the stem blood vessel to

Assignees

• Depuy Synthes Products Inc

Inventors

• Walsh Michael
• Roue Chad
• Jensen Marc

Classifications

• A61B17/12159

  Solid plugs; being solid before insertion · CPC title

• A61B17/1214

  Coils or wires · CPC title

• A61B17/12168

  having a mesh structure (A61B17/1214 takes precedence) · CPC title

• A61B2017/1205

  Introduction devices · CPC title

• A61B17/12177

  comprising additional materials, e.g. thrombogenic, having filaments, having fibers or being coated · CPC title