IP Library Granted Patent US 12678167
Granted Patent B2
US 12678167 · App. 18/489,473 · Granted Jul 14, 2026

Left atrial appendage closure implant

Inventors: Brian Joseph Tischler (New Brighton, MN); Christopher J. Clark (St. Michael, MN); Dennis A. Peiffer (Brooklyn Park, MN); Thyna M. Chau (Oakdale, MN)
Assignee: Boston Scientific Scimed, Inc.
A61B17/12122A61B17/0057A61B17/12172A61B2017/00526A61B2017/00601A61B2017/00632Y10T29/49826
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Quick Facts
Patent No.
US 12678167
App. No.
18/489,473
Granted
Jul 14, 2026
Kind
B2
Abstract

A left atrial appendage closure implant may include a support frame including a first bend extending from a proximal collar to a second bend, a first segment extending from the second bend to a third bend, a second segment extending from the third bend to a fourth bend, and a third segment extending from the fourth bend to a distal collar, wherein the support frame is actuatable from a first constrained position to a second flowering position to a third mid-deployment position to a fourth unconstrained position. An implant may include a self-expanding support frame having a circumference and a central longitudinal axis, a membrane disposed over at least a portion of the support frame, and a plurality of anchors arranged into a first row and a second row such that the first row and the second row form a staggered pattern about the circumference of the support frame.

Claims (37)

1 . A medical device for left atrial appendage closure, comprising:

a monolithic support frame formed from a plurality of struts extending continuously between a proximal collar and a distal collar, wherein the monolithic support frame includes a longitudinal axis extending between the proximal collar and the distal collar;

wherein the plurality of struts includes a first grouping of cells adjacent to the proximal collar and defining a first row, a second grouping of cells defining a second row adjacent to the first row, a third grouping of cells defining a third row adjacent to the second row, a fourth grouping of cells defining a fourth row adjacent to the third row and a fifth grouping of cells adjacent to the distal collar and defining a fifth row adjacent to the fourth row;

wherein the monolithic support frame extends distally and curves away from the proximal collar along a first bend, and wherein the monolithic support frame extends radially away from the first bend to a second bend, and wherein the monolithic support frame extends distally and curves radially inward along the second bend;

wherein the monolithic support frame extends from the second bend to a third bend along a first segment, and wherein a first angle is defined between the first segment and a reference axis parallel to the central axis, and wherein the first angle is between 5 and 25 degrees;

wherein the monolithic support frame extends from the third bend along a second segment, and wherein a second angle is defined between the first segment and the second segment, and wherein the second angle is between 20 and 65 degrees.

2 . The medical device of claim 1 , wherein the first row includes at least one diamond-shaped cell.

3 . The medical device of claim 1 , wherein the width of at least one cell of the second grouping of cells is different than the width of the cells defining the first grouping of cells.

4 . The medical device of claim 3 , wherein the width of at least one cell of the second grouping of cells is wider than the width of the cells defining the first grouping of cells.

5 . The medical device of claim 4 , wherein the width of at least one cell of the third grouping of cells is different than the width of the cells defining the second grouping of cells.

6 . The medical device of claim 5 , wherein the width of at least one cell of the third grouping of cells is wider than the width of the cells defining the second grouping of cells.

7 . The medical device of claim 1 , wherein the proximal collar and the distal collar together define a longitudinal axis and wherein the struts defining the first grouping of cells are fixedly attached to the proximal collar and initially extend distally from the proximal collar.

8 . The medical device of claim 7 , wherein the struts defining the fifth grouping of cells are fixedly attached to the distal collar and initially extend distally from the distal collar.

9 . The medical device of claim 1 , wherein the plurality of struts extending between the proximal collar and the distal collar and define an interior volume of the support frame, and wherein the proximal collar is located outside the interior volume of the support frame and the distal collar is located within the interior volume of the support frame.

10 . The medical device of claim 1 , wherein the support frame is configured to shift between a first unexpanded configuration and an expanded configuration, and wherein when in the expanded configuration, the distal collar is positioned proximal of a distalmost extent of the support frame.

11 . The medical device of claim 1 , further comprising a plurality of anchors formed integrally with the support frame.

12 . The medical device of claim 1 , further comprising a membrane disposed over at least a portion of the support frame.

13 . A left atrial appendage closure system, comprising:

a delivery catheter;

a delivery shaft slidably disposed within the lumen of the delivery catheter, the delivery shaft having a distal end releasably attached to a proximal collar of a monolithic support frame, wherein the monolithic support frame is formed from a plurality of struts extending continuously between the proximal collar and a distal collar, wherein the monolithic support frame includes a longitudinal axis extending between the proximal collar and the distal collar, and wherein the plurality of struts includes a first grouping of cells adjacent to the proximal collar and defining a first row, a second grouping of cells defining a second row adjacent to the first row, a third grouping of cells defining a third row adjacent to the second row, a fourth grouping of cells defining a fourth row adjacent to the third row and a fifth grouping of cells adjacent to the distal collar and defining a fifth row adjacent to the fourth row,

wherein the monolithic support frame extends distally and curves away from the proximal collar along a first bend, and wherein the monolithic support frame extends radially away from the first bend to a second bend, and wherein the monolithic support frame extends distally and curves radially inward along the second bend;

wherein the monolithic support frame extends from the second bend to a third bend along a first segment, and wherein a first angle is defined between the first segment and a reference axis parallel to the central axis, and wherein the first angle is between 5 and 25 degrees;

wherein the monolithic support frame extends from the third bend along a second segment, and wherein a second angle is defined between the first segment and the second segment, and wherein the second angle is between 20 and 65 degrees.

14 . The medical device of claim 13 , further comprising a plurality of anchors formed integrally with the support frame.

15 . The medical device of claim 14 , further comprising a membrane disposed over at least a portion of the support frame.

16 . The medical device of claim 13 , wherein the first row includes at least one diamond-shaped cell.

17 . The medical device of claim 16 , wherein the width of at least one cell of the second grouping of cells is different than the width of the cells defining the first grouping of cells.

18 . The medical device of claim 17 , wherein the width of at least one cell of the second grouping of cells is wider than the width of the cells defining the first grouping of cells.

19 . The medical device of claim 18 , wherein the width of at least one cell of the third grouping of cells is different than the width of the cells defining the second grouping of cells.

20 . A method of occluding a left atrial appendage, the method including:

positioning a left atrial appendage occlusion device adjacent a left atrial appendage, the left atrial appendage device including:

a monolithic support frame formed from a plurality of struts extending continuously between a proximal collar and a distal collar, wherein the monolithic support frame includes a longitudinal axis extending between the proximal collar and the distal collar;

wherein the plurality of struts includes a first grouping of cells adjacent to the proximal collar and defining a first row, a second grouping of cells defining a second row adjacent to the first row, a third grouping of cells defining a third row adjacent to the second row, a fourth grouping of cells defining a fourth row adjacent to the third row and a fifth grouping of cells adjacent to the distal collar and defining a fifth row adjacent to the fourth row;

wherein the monolithic support frame extends distally and curves away from the proximal collar along a first bend, and wherein the monolithic support frame extends radially away from the first bend to a second bend, and wherein the monolithic support frame extends distally and curves radially inward along the second bend;

wherein the monolithic support frame extends from the second bend to a third bend along a first segment, and wherein a first angle is defined between the first segment and a reference axis parallel to the central axis, and wherein the first angle is between 5 and 25 degrees;

wherein the monolithic support frame extends from the third bend along a second segment, and wherein a second angle is defined between the first segment and the second segment, and wherein the second angle is between 20 and 65 degrees; and

expanding the left atrial appendage occlusion device within the left atrial appendage.