Implantable flow adjuster

Patent metadata

Field	Value
Publication number	US-9844452-B2
Application number	US-201414456160-A
Country	US
Kind code	B2
Filing date	Aug 11, 2014
Priority date	Aug 13, 2013
Publication date	Dec 19, 2017
Grant date	Dec 19, 2017

Abstract

An implantable flow adjuster ( 20 ) includes proximal and distal support rings ( 22, 24 ) which support a flow adjuster panel ( 26 ). The flow adjuster panel ( 26 ) divides the lumen through the device ( 20 ) into two sections, one of reducing cross sectional area and the other of increasing of increasing cross sectional area. The two sections ( 40, 42 ) cause, respectively, an increase in blood pressure and blood flow and a decrease in blood pressure and blood flow. These result is a pressure differential beyond the distal end of the device ( 20 ). This pressure differential can be used to divert blood flow away from the neck ( 14 ) into an aneurysm ( 12 ), thus to reduce pressure and wall sheer stress within the aneurysm in order to assist in the repair of the vessel.

First claim

The invention claimed is:

1. A method of altering the characteristics of blood flow within the vessel of a patient including the steps of:
deploying in a vessel an endoluminal flow adjuster having a diameter, a length delimited by proximal and distal ends, and providing a passage for the flow of fluid therethrough; the flow adjuster including at least one support structure providing proximal and distal supports spaced in a longitudinal direction of the flow adjuster between the proximal and distal ends; and an adjuster element including a panel having a length extending in the longitudinal direction, said panel being disposed between and supported by the proximal and distal supports, the panel dividing the passage through the flow adjuster into first and second parts varying in size over at least a part of the length of the flow adjuster;
wherein the adjuster element causes blood flow in the vessel to be split into first and second parts having different flow velocities, the flow adjuster being deployed in an orientation in the vessel to create a pressure differential across the vessel at a treatment point of the vessel.

2. A method according to claim 1 , including the step of orienting the flow adjuster to create a pressure differential across the width of the vessel at the entrance to the sac.

3. An endoluminal flow adjuster having a diameter, a length delimited by proximal and distal ends, and providing a passage longitudinally through the flow adjuster from the proximal end to the distal end where the proximal and distal ends are open for the flow of fluid through the passage; the flow adjuster including at least one support structure providing proximal and distal supports spaced in a longitudinal direction of the flow adjuster between the proximal and distal ends; and an adjuster element including a panel having a length extending in the longitudinal direction, said panel being disposed between and supported by the proximal and distal supports, the panel dividing the passage through the flow adjuster into first and second parts varying in size over at least a part of the length of the flow adjuster, wherein the passage defines an overall cross-sectional size perpendicular to the longitudinal direction, and the cross-sectional size of the first and second parts of the passage combine to define the overall cross-sectional size of the passage, and a ratio between the cross-sectional size of the first part and the cross-sectional size of the second part varies over at least a part of the length of the flow adjuster, wherein the first part of the passage is open at both the proximal and distal ends and the second part of the passage is open at both the proximal and distal ends such that fluid flow is maintained through both the first part and the second part.

4. An endoluminal flow adjuster according to claim 3 , wherein the first and second parts provide unequal flow cross-sectional areas through the flow adjuster, thereby to create a fluid pressure differential between the first and second parts.

5. An endoluminal flow adjuster according to claim 3 , wherein the first and second parts create two flows of fluid through the flow adjuster, one having a higher fluid pressure relative to the other.

6. An endoluminal flow adjuster according to claim 3 , wherein the first and second parts are of unequal size along at least a portion of the flow adjuster.

7. An endoluminal flow adjuster according to claim 3 , wherein the panel is formed of a sheet of material.

8. An endoluminal flow adjuster according to claim 3 , wherein the panel is impermeable.

9. An endoluminal flow adjuster according to claim 3 , wherein the panel has perforations or slots therein, the panel providing a barrier to blood therethrough.

10. An endoluminal flow adjuster according to claim 3 , wherein the panel is of substantially uniform thickness.

11. An endoluminal flow adjuster according to claim 3 , wherein the panel provides a flow constriction through the flow diverter in one of said first and second parts.

12. An endoluminal flow adjuster according to claim 11 , wherein the flow constriction varies in transverse cross-sectional area along the length of the panel.

13. An endoluminal flow adjuster according to claim 3 , wherein the panel is transversally curved to provide said first and second flow parts of unequal size.

14. An endoluminal flow adjuster according to claim 13 , wherein the transverse curvature of the panel varies along the length of the panel.

15. An endoluminal flow adjuster according to claim 3 , wherein the panel extends from a position close to one side of the flow adjuster at the proximal support to a position close to an opposing side of the flow adjuster at the distal support.

16. An endoluminal flow adjuster according to claim 3 , wherein the panel has a concave or convex shape between the ends thereof.

17. An endoluminal flow adjuster according to claim 16 , wherein the ends of the panel are substantially straight.

18. An endoluminal flow adjuster according to claim 3 , wherein the proximal and distal supports are stents.

19. An endoluminal flow adjuster according to claim 3 , wherein the proximal and distal supports are separate from one another.

20. An endoluminal flow adjuster having a diameter, a length delimited by proximal and distal ends, and providing a passage for the flow of fluid therethrough; the flow adjuster including at least one support structure providing proximal and distal supports spaced in a longitudinal direction of the flow adjuster between the proximal and distal ends; and an adjuster element including a panel having a length extending in the longitudinal direction, said panel being disposed between and supported by the proximal and distal supports, the panel dividing the passage through the flow adjuster into first and second parts varying in size over at least a part of the length of the flow adjuster,
wherein the panel is attached to opposite sides of the proximal support and attached to opposite sides of the distal support, and the panel defines the first and second parts at both the proximal support and the distal support.

Assignees

• Cook Medical Technologies Llc

Inventors

• Furey Aidan

Classifications

• A61F2002/823

  Stents, different from stent-grafts, adapted to cover an aneurysm · CPC title

• A61F2/91

  made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes · CPC title

• A61F2/82 Primary

  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) · CPC title

• A61F2002/068

  Modifying the blood flow model, e.g. by diffuser or deflector · CPC title