Multi-layer braided structures for occluding vascular defects

Patent metadata

Field	Value
Publication number	US-9445799-B2
Application number	US-201414282134-A
Country	US
Kind code	B2
Filing date	May 20, 2014
Priority date	Mar 19, 2004
Publication date	Sep 20, 2016
Grant date	Sep 20, 2016

Abstract

A collapsible medical device and associated methods of occluding an abnormal opening in, for example, a body organ, wherein the medical device is shaped from plural layers of a heat-treatable metal fabric. Each of the fabric layers is formed from a plurality of metal strands and the assembly is heat-treated within a mold in order to substantially set a desired shape of the device. By incorporating plural layers in the thus-formed medical device, the ability of the device to rapidly occlude an abnormal opening in a body organ is significantly improved.

First claim

What is claimed is:

1. A collapsible medical device comprising an outer fabric layer surrounding at least one inner fabric layer, each of the outer and inner fabric layers comprising proximal and distal ends and a central axis extending therebetween, each of the outer and inner fabric layers comprising a plurality of braided metal strands having proximal and distal ends, the outer and inner fabric layers having an expanded preset configuration comprising proximal and distal geometrically shaped end sections coaxial with a central geometrically shaped part therebetween, the proximal and distal geometrically shaped end sections and the geometrically shaped central part being disposed along the central axis and the proximal and distal ends of the outer and inner fabric layers corresponding to the proximal and distal ends of the plurality of braided metal strands, at least one of the proximal and distal geometrically shaped end sections being disk-shaped, at least one of the proximal and distal geometrically shaped end sections and the central geometrically shaped part coupled by at least one connector having a cross-sectional area smaller than the cross-sectional area of each of the proximal and distal geometrically shaped end sections and the central geometrically shaped part such that the at least one of the proximal and distal geometrically shaped end sections and the central geometrically shaped part are configured to articulate about the at least one connector.

2. The collapsible medical device according to claim 1 , wherein the proximal and distal geometrically shaped end sections are displaceable into intersecting planes.

3. The collapsible medical device according to claim 1 , wherein at least one of the proximal and distal geometrically shaped end sections comprises a non-planar surface.

4. The collapsible medical device according to claim 1 , wherein at least one of the proximal and distal geometrically shaped end sections is configured to articulate up to 40 degrees about the at least one connector.

5. The collapsible medical device according to claim 1 , wherein the expanded preset configuration is deformable to a lesser cross-sectional dimension for delivery through a channel in a patient's body, at least one of the outer and inner fabric layers has a memory property such that the medical device tends to return to the expanded preset configuration when unconstrained.

6. The collapsible medical device according to claim 1 , wherein the device is deliverable through a 4 French catheter.

7. The collapsible medical device according to claim 1 , wherein the outer and inner fabric layers are joined together.

8. The collapsible medical device according to claim 1 , wherein the proximal or distal ends of the plurality of braided metal strands are joined together with a clamp or weld so as to prevent the inner and outer fabric layers from unraveling.

9. The collapsible medical device according to claim 1 , wherein the outer and inner fabric layers comprise nitinol.

10. The collapsible medical device according to claim 1 , wherein the inner and outer fabric layers are disposed concentrically to one another.

11. The collapsible medical device according to claim 1 , wherein the inner and outer fabric layers are layered with respect to one another entirely between their proximal and distal ends.

12. The collapsible medical device according to claim 1 , wherein each of the inner and outer fabric layers comprises a tubular member, and wherein the tubular member of the outer fabric layer completely surrounds the tubular member of the inner fabric layer from the proximal end to the distal end of the inner fabric layer along the central axis.

13. The collapsible medical device according to claim 1 , wherein the proximal and distal geometrically shaped end sections, the central geometrically shaped part, and the at least one connector are integrally formed from the plurality of braided metal strands.

14. The collapsible medical device according to claim 1 , wherein the outer fabric layer and the at least one inner fabric layer are independent of one another.

15. The collapsible medical device according to claim 1 , wherein the proximal ends of the braided metal strands are coupled together and the distal ends of the plurality of braided metal strands are coupled together so as to prevent the inner and outer fabric layers from unraveling.

16. The collapsible medical device according to claim 1 , wherein each of the proximal and distal geometrically shaped end sections is disk-shaped.

17. The collapsible medical device according to claim 1 , wherein each of the proximal and distal geometrically shaped end sections has a cross-sectional area larger than the cross-sectional area of the central geometrically shaped part.

18. The collapsible medical device according to claim 1 , wherein the central geometrically shaped part is cylindrical-shaped.

19. A collapsible medical device comprising an outer tubular layer surrounding at least one inner tubular layer, each of the outer and inner tubular layers having proximal and distal ends and a central axis extending therebetween, the outer tubular layer surrounding the at least one inner tubular layer from the proximal end to the distal end of the inner tubular layer along the central axis, each of the outer and inner tubular layers comprising a braided metal fabric comprising a plurality of strands, each of the plurality of strands having proximal and distal ends, the outer and inner tubular layers having an expanded preset configuration comprising proximal and distal geometrically shaped end sections coaxial with a central geometrically shaped part therebetween, the proximal and distal geometrically shaped end sections and the central geometrically shaped part being disposed along the central axis, the proximal and distal ends of the outer and inner tubular layers corresponding to the proximal and distal ends of the plurality of strands, at least one of the proximal and distal geometrically shaped end sections being disk-shaped, at least one of the proximal and distal geometrically shaped end sections and the central geometrically shaped part coupled by at least one connector having a cross-sectional area smaller than the cross-sectional area of each of the proximal and distal geometrically shaped end sections and the central geometrically shaped part such that the at least one of the proximal and distal geometrically shaped end sections and the central geometrically shaped part are configured to articulate about the at least one connector.

20. The collapsible medical device according to claim 19 , wherein the outer tubular layer surrounds the at least one inner tubular layer about an entire circumference of the at least one inner tubular layer between the proximal and distal ends of the at least one inner tubular layer along the central axis.

Assignees

• Aga Medical Corp
• St Jude Medical Cardiology Div Inc

Inventors

• Amplatz Kurt
• Glimsdale Matt
• Santer Jana
• Wise Derek
• Oslund John C
• Anderson Kent
• Adams Daniel O

Classifications

• A61B17/12031

  complete occlusion · CPC title

• A61B2017/00867

  shape memory effect · CPC title

• A61B17/0057 Primary

  Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect (sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009) · CPC title

• A61B2017/00575

  for closure at remote site, e.g. closing atrial septum defects · CPC title

• A61B2017/00606

  Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening · CPC title