Devices, systems, and methods for treating volume overload
US-2024423627-A1 · Dec 26, 2024 · US
US9517150B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-9517150-B2 |
| Application number | US-201313842432-A |
| Country | US |
| Kind code | B2 |
| Filing date | Mar 15, 2013 |
| Priority date | Oct 23, 2012 |
| Publication date | Dec 13, 2016 |
| Grant date | Dec 13, 2016 |
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A medical device includes a polymer scaffold crimped to a catheter having an expansion balloon. The scaffold has a structure that produces a low late lumen loss when implanted within a peripheral vessel and also exhibits a high axial fatigue life. In a preferred embodiment the scaffold forms ring structures interconnected by links, where a ring has 12 crowns and at most two links connecting adjacent rings.
Opening claim text (preview).
What is claimed is: 1. A medical device, comprising: a balloon; a scaffold that was cut from a tube comprising PLLA, wherein the tube has a ratio of diameter to wall thickness of between 20-40; wherein the scaffold forms a network of rings interconnected by links, including at least 8 crests and 8 troughs per ring, a first ring, a second ring adjacent the first ring, and at most 2 links connecting the first ring to the second ring; wherein the scaffold is crimped to the balloon by plastic deformation of the scaffold such that the scaffold has a crimped state; wherein the scaffold has a post-dilation diameter when plastically deformed from the crimped state by inflation of the balloon and the scaffold attains over 80% of the post-dilation diameter after being crushed by an amount equal to over 50% of the post-dilation diameter; and wherein the scaffold rings comprise struts and at least 90% of the struts are intact after a six-month simulated walking test. 2. The device of claim 1 , wherein the balloon has a nominal inflation diameter of between 5 to 8 mm and the tube is a biaxially-expanded tube having at least a 6 mm outer diameter. 3. The device of claim 1 , wherein the scaffold is made from a polymer composition comprising PLLA. 4. The device of claim 1 , wherein polymer chains of the crimped scaffold are aligned substantially in a radial direction resulting from a radial expansion of between about 400% and 450% and axial expansion of between 150% and 200%. 5. The device of claim 1 , wherein the scaffold attains about 80% of the post-dilation diameter after being crushed by an amount equal to over 60% of the post-dilation diameter. 6. The device of claim 1 , wherein the scaffold has 8, 9 or 12 crowns per ring. 7. A medical device, comprising: a scaffold formed from a radially expanded polymer tube and configured for being crimped to a balloon by plastic deformation of the scaffold wherein the plastically deformed scaffold has a crimped state; the scaffold having a pre-crimp diameter and a wall thickness, wherein a ratio of the pre-crimp diameter to the wall thickness is between 20-40, and wherein the scaffold forms a network of rings interconnected by links, including at least 8 crests and 8 troughs per ring, a first ring, a second ring adjacent the first ring, and at most 2 links connecting the first ring to the second ring; wherein the scaffold has a post-dilation diameter when plastically deformed from the crimped state by inflation of the balloon and the scaffold attains over 80% of the post-dilation diameter after being crushed by an amount equal to over 50% of the post-dilation diameter. 8. The medical device of claim 7 , wherein the scaffold has 8 crests and 8 troughs per ring, or 12 crests and 12 troughs per ring, each ring having a plurality of U crowns, Y crowns and W crowns, the rings further including a third ring adjacent the second ring, and a fourth ring adjacent the third ring, the first ring is connected to the second ring by two links, each of which being connected to the first ring at a W crown and the second ring at a Y crown and such that there are an equal number of U crowns on each side of the W crown of the first ring and each side of the Y crown of the second ring, the second ring is connected to the third ring by two links, each of which being connected to the second ring at a W crown and the third ring at a Y crown and such that there are an equal number of U crowns on each side of the W crown of the second ring and each side of the Y crown of the third ring, the third ring is connected to the fourth ring by two links, each of which being connected to the third ring at a W crown and the fourth ring at a Y crown and such that there are an equal number of U crowns on each side of the W crown of the third first ring and each side of the Y crown of the fourth ring. 9. The medical device of claim 8 , wherein each of the links has a longitudinal axis and extends parallel to a longitudinal axis of the scaffold, and wherein each of the links connecting the first ring to the second ring is co-linear with a respective one of the links connecting the third ring to the fourth ring.
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