Device and method for treatment of a vascular defect
View Patent ↗A device for the occlusion of a vascular defect includes a first sheet and a second sheet which may be formed from a material which is the same as or different from the first sheet. At least one sheet functions as a securement member, and at least one sheet functions as an occluding member. The first sheet may be replaced by an alternative securement structure. At least one sheet may be coated with a biocompatible material for promoting integration with the vasculature and/or healing of the vascular defect.
1. A device for the occlusion of a defect in the vasculature, the defect having a neck portion, said device comprising:
a first sheet formed from a first shape memory material and having an unexpanded and an expanded configuration, said unexpanded configuration being in the form of a rolled, elongate cylindrical shape having a longitudinal axis; and
a second sheet formed from a second shape memory material which is the same as or different from said first material and having an unexpanded configuration in which said second sheet is conformed onto the surface of said rolled cylindrical shape of said unexpanded first sheet, and an expanded configuration formed when the shape memory material exceeds its transition temperature such that said second sheet expands transversely outward from the longitudinal axis of said first sheet to form one of an umbrella-like shape or a semi-spherical shape, said first sheet and said second sheet are connected by a separable connector, said second sheet is inside the defect and said first sheet is outside the defect, each of said first sheet and said second sheet shaped to function as an occlusion member which blocks the flow of fluid to said defect, the second sheet in the expanded configuration has a first surface which is adjacent to and conformable to the neck of the defect in a fluid flow obstructing manner relative to said defect and has a second surface that is the reverse of said first surface, said second surface is exposed to the inner surface of said defect and said first sheet additionally functions as a securement member to anchor said second sheet of said device proximal said neck of said defect;
wherein said second sheet is deployed in an expanded configuration inside said vascular defect, and said first sheet is deployed outside of said vascular defect in the form of a semicircular cylinder which is convex to said neck portion of said vascular defect.
2. The device of claim 1 wherein said first sheet, said second sheet, or both further comprise a third material which promotes integration with the vasculature of a patient.
3. The device of claim 2 wherein said third material is coated on, embedded in, or mixed in said material of said first sheet, said second sheet, or both.
4. The device of claim 2 wherein said third material is a biocompatible adhesive.
5. The device of claim 2 wherein said third material comprises at least one member selected from the group consisting of materials which promote healing, materials which promote fibrosis, materials which promote endothelialization, materials which promote tissue growth and mixtures thereof.
6. The device of claim 5 wherein said third material comprises at least one member selected from the group consisting of proteins, drugs, genetic material, cells or cell fragments, processed human or animal tissue, engineered vascular tissue, matrix material from bodily organs, biocompatible polymers, and mixtures thereof.
7. The device of claim 6 wherein said biocompatible polymer is selected from the group consisting of collagen, polysaccharide, fibrin, fibronectin, polylactide, polyglycolide, polycarbonate, polycaprolactone, polyhydroxyalkanoate, poly-p-dioxanone, polyanhydride, any copolymer thereof, and mixtures thereof.
8. The device of claim 2 wherein said third material comprises at least one member selected from the group consisting of antibodies, cytokines, growth factors, enzymes, anticoagulants, hormones, antineoplastic agents, or mixtures thereof.
9. The device of claim 1 further comprising at least one radiopaque material.
10. The device of claim 1 wherein at least one of said first sheet and said second sheet has a surface which promotes integration with said vasculature, said surface comprising at least one material selected from the group consisting of materials which promote healing, materials which promote fibrosis, materials which promote endothelialization, materials which promote tissue growth and mixtures thereof.
11. The device of claim 10 wherein said material is selected from the group consisting of proteins or protein fragments, drugs, genetic material, cells or cell fragments, processed human or animal tissue, engineered vascular tissue, matrix material from bodily organs, and mixtures thereof.
12. A device for the occlusion of a defect in the vasculature, the defect having a neck portion, said device comprising:
a first sheet formed from a first material and having an unexpanded and an expanded configuration, said unexpanded configuration being in the form of a rolled, elongate cylindrical shape having a longitudinal axis and said expanded configuration is a semicircular cylinder; and
a second sheet formed from a second material which is the same as or different from said first material and having an unexpanded configuration in which said second sheet is conformed onto the surface of said rolled, elongate cylindrical shape of said unexpanded first sheet, and an expanded configuration in which said second sheet expands transversely outward from the longitudinal axis of said first sheet to form one of an umbrella-like shape or a semi-spherical shape, said first sheet and said second sheet are connected by a separable connector, each of said first sheet and said second sheet shaped to function as an occlusion member, the second sheet formed from a swellable polymer material and conformable to the neck of the defect in a fluid flow obstructing manner relative to said defect and said first sheet additionally functions as a securement member to anchor said second sheet of said device proximal said neck of said defect.
13. The device of claim 1 wherein said first surface of said second sheet member which is adjacent said neck of said aneurysm bends convexly to said neck of said defect.
14. The device of claim 12 wherein said swellable polymer material is a hydrogel or swellable foam.
15. The device of claim 12 wherein said first sheet comprises a swellable polymer material.
16. The device of claim 1 , wherein said first sheet is formed of a rectangular sheet.
17. The device of claim 12 , wherein said first sheet is formed of a rectangular sheet.