Devices, systems, and methods for occluding an anatomical passage
An occlusion device having a lumen defined therethrough and a saddle narrower than saddles of prior occlusion devices or stents to allow provision of an occlusion element with respect to a portion of the saddle to occlude flow of materials through the saddle. The inner diameter of the narrowed saddle may be 6 mm or less. The occlusion element may be formed from a material which plugs a portion of the occlusion device lumen extending through the saddle and/or which restrains a portion of the saddle from expanding thereby occluding flow of materials therethrough. The remainder of the saddle and/or inwardly facing surfaces of at least one retention member extending outwardly along an end of the saddle may be configured to promote tissue ingrowth, such as by remaining uncoated.
1 . An occlusion device having a first end, a second end, and an intermediate region therebetween, and defining a lumen therethrough, said occlusion device comprising:
a radially outwardly extending first retention member along the first end of said occlusion device;
a radially outwardly extending second retention member along the second end of said occlusion device;
a saddle along the intermediate region of said occlusion device and defining a lumen therethrough; and
an occlusion element positioned within the lumen of said saddle to partially occlude flow of materials through the lumen of said saddle;
wherein said occlusion element is formed of a coating material filling the lumen of said saddle to partially occlude flow of material through the lumen of the saddle.
2 . The occlusion device of claim 1 , wherein at least one of the viscosity, solids percent, thickness, durometer, or flexibility of said coating material is selected to allow said coating material to form a plug occluding at least a portion of the lumen through said occlusion device.
3 . The occlusion device of claim 2 , wherein said coating material fills the portion of the lumen to define an inner diameter of less than 2 mm through said portion of the lumen.
4 . The occlusion device of claim 2 , wherein said coating material extends only about 2-3 mm along said saddle.
5 . The occlusion device of claim 2 , wherein said coating material is limited to a central region of said saddle with surrounding regions of said saddle uncoated to promote tissue ingrowth.
6 . The occlusion device of claim 1 , wherein at least one of the viscosity, solids percent, thickness, durometer, or flexibility of said coating material is selected to allow said coating material to restrain at least a portion of said saddle from expanding, thereby occluding flow of material through the lumen defined through said occlusion device.
7 . The occlusion device of claim 1 , wherein the outer diameter of at least one of said first retention member or said second retention member is at least about-ten times greater than an outer diameter of said saddle.
8 . The occlusion device of claim 1 , wherein said first retention member and said second retention member have surfaces facing said saddle which are configured to promote tissue ingrowth therein.
9 . A method of occluding flow of materials through an occlusion device, said method comprising:
narrowing an intermediate region of a tubular element to define a saddle with a lumen therethrough;
forming a first retention member with an outer diameter larger than the outer diameter of the saddle along a first end of the tubular element;
forming a second retention member with an outer diameter larger than the outer diameter of the saddle along a second end of the tubular element; and
applying a coating material within a portion of the lumen through the saddle to partially occlude the portion of the lumen through the saddle to partially occlude flow of material through the lumen through the saddle.
10 . The method of claim 9 , further comprising constraining a portion of the saddle so that the diameter of the lumen within the constrained portion of the saddle is 6 mm or less.
11 . The method of claim 9 , wherein applying a coating further comprises applying a coating material with at least one of a viscosity, solids percent, thickness, durometer, or flexibility allowing the coating material to form a plug occluding at least a portion of the lumen through the occlusion device and/or to restrain the coated portion of the saddle from expanding to thereby partially occlude flow of material through the lumen defined through said occlusion device.
12 . The method of claim 9 , further comprising leaving a portion of the saddle, and the surfaces of the first retention member and the second retention member facing the saddle configured to promote tissue ingrowth therein.
13 . An occlusion device having a first end, a second end, and an intermediate region therebetween, and defining a lumen therethrough, said occlusion device comprising:
a radially outwardly extending first retention member along the first end of said occlusion device;
a radially outwardly extending second retention member along the second end of said occlusion device;
a saddle along the intermediate region of said occlusion device and defining a lumen therethrough; and
an occlusion element positioned within the lumen of said saddle to partially occlude flow of materials through the lumen of said saddle;
wherein at least a portion of the lumen remains in a partially occluded configuration during use of said occlusion device.
14 . The occlusion device of claim 13 , wherein said occlusion element is formed from a coating material applied to said saddle.
15 . The occlusion device of claim 13 , wherein said occlusion element is positioned about a portion of the exterior of said saddle to restrict expansion of said saddle.
16 . The occlusion device of claim 14 , wherein said occlusion element extends within a portion of the lumen extending through said saddle to form a plug within a portion of the lumen extending through said saddle.
17 . The occlusion device of claim 14 , wherein said coating material is limited to a central region of said saddle with surrounding regions of said saddle uncoated to promote tissue ingrowth.
18 . The occlusion device of claim 17 , wherein surfaces of the first retention member and the second retention member facing the saddle uncoated to promote tissue ingrowth therein.
19 . The occlusion device of claim 13 , wherein the outer diameter of at least one of said first retention member or said second retention member is at least ten times greater than an outer diameter of said saddle.
20 . The occlusion device of claim 13 , wherein the diameter of at least a portion of the lumen extending through said saddle is less than about 6 mm.