Spider PFO closure device
View Patent ↗A device for occluding septal defects or other bodily passageways including PFOs, includes an occluding body formed from a plurality of flexible outwardly radiating occluding wires connected to one or more biocompatible sheet materials. The occluding wires are joined together at proximal wire ends. Linking members connectively link the occluding body to a flexible, substantially linear anchor formed from at least one tube, coil, or bar. The anchor is configured for placement on one side of bodily passageway, whereby the longitudinal axis of at least one anchor extends across a transverse cross-section of the bodily passageway, anchoring the occluding body in place against the other side of a bodily passageway to close, occlude, or fill at least a lumenal portion of a bodily passageway. The anchor may include one or more grasping member(s) integrally formed or connected to the tube, coil, or bar for releasable attachment to an anchor engaging member, such as a biopsy forceps. In a further aspect, a closure device assembly includes a delivery catheter housing a collapsibly disposed closure device linked to a biopsy forceps. The biopsy forceps may be positioned in a locking catheter, which is configured to prevent inadvertent release of the closure device when held in a compressed state inside the delivery catheter. By positioning the catheter near a bodily passageway, such as a PFO, and disengaging the anchor engaging member from the grasping member, the closure device may be released so as to facilitate stable closure of the bodily passageway.
1. A closure device for occluding a bodily passageway having a proximal end and a distal end, comprising:
an occluding body comprising a plurality of flexible outwardly radiating occluding wires having a collapsed configuration for delivery or retrieval and an expanded configuration for occluding the bodily passageway, the occluding wires connected to one or more biocompatible sheet materials, wherein the occluding wires are joined together at proximal wire ends and include proximal wire portions provided adjacent to the proximal wire ends, the proximal wire portions configured to be placed within the bodily passageway and to be biased against tissue portions within the bodily passageway, wherein in the expanded configuration, each occluding wire has an inward first bend portion in the proximal portion and an outward second bend portion extending from the first bend portion to a distal free end;
a clamp located along a central axis of the closure device, the clamp securing the proximal wire ends; and
an elongated anchor forming a single flexible, substantially linear structure comprising at least one tube, coil, or bar, and having two anchor ends;
wherein the occluding body is connected to a center region of the substantially linear structure by at least one linking member; and
wherein the anchor extends in a direction transverse to and across the central axis of the occluding device and is configured to extend radially beyond the first bend portion and beyond a transverse cross-section of the bodily passageway with both anchor ends, the anchor anchoring the occluding body into the bodily passageway.
2. The device of claim 1 , wherein the anchor comprises a grasping member integrally formed therein.
3. The device of claim 1 , wherein the anchor comprises a grasping member connected thereto.
4. The device of claim 1 , wherein the anchor comprises a grasping member comprising a terminally disposed structure selected from the group consisting of a loop, ball, hook, or knob.
5. The device of claim 1 , wherein the anchor comprises a hollow structure having an anchor wire longitudinally extending therethrough.
6. The device of claim 1 , wherein the anchor comprises a coil defined by a first end and a second end, wherein an anchor wire extends longitudinally through the coil, the wire comprising at least one terminally disposed grasping member.
7. The device of claim 1 , wherein the at least one linking member comprises a suture or wire.
8. The device of claim 1 , wherein the occluding wires comprise Nitinol.
9. The device of claim 1 , wherein the anchor comprises platinum.
10. The device of claim 1 , wherein the biocompatible material comprises bioremodelable sheet material.
11. The device of claim 1 , wherein the biocompatible material is selected from the group consisting of DACRON, PTFE, ePTFE, polyurethane, cotton, silk, wool, polyester, and combinations thereof.
12. The device of claim 1 , wherein the occluding wires include distal wire portions opposing the proximal wire portions, the proximal wire portions configured for placement inside the bodily passageway and the distal wire portions configured for placement outside the bodily passageway.
13. The device of claim 1 , wherein the proximal wire portions comprise an arcuate conformation adjacent to the proximal end of the bodily passageway.
14. The device of claim 1 , wherein the occluding wires further include distal wire portions, wherein the distal wire portions comprise an arcuate conformation configured for placement outside the distal end of the bodily passageway and to be inwardly biased against tissue portions surrounding the distal end of the bodily passageway.
15. A closure device assembly comprising:
a delivery catheter, an anchor engaging member, and a closure device for occluding a bodily passageway having a proximal end and a distal end, the closure device comprising:
an occluding body comprising a plurality of flexible outwardly radiating occluding wires having a collapsed configuration for delivery or retrieval and an expanded configuration for occluding the bodily passageway, the occluding wires connected to one or more biocompatible sheet materials, wherein the wires are joined together at proximal wire ends and include proximal wire portions provided adjacent to the proximal wire ends, the proximal wire portions configured to be placed inside the bodily passageway and to be biased against tissue portions within the bodily passageway, wherein in the expanded configuration, each occluding wire has an inward first bend portion in the proximal portion and an outward second bend portion extending from the first bend portion to a distal free end;
a clamp located along a central axis of the closure device, the clamp securing the proximal wire ends; and
an elongated anchor forming a single flexible and linear structure having two anchor ends and disposed adjacent to the proximal wire ends, wherein the occluding body is connected to a center region of the substantially linear structure by at least one linking member, the anchor extends in a direction transverse to and across the central axis of the occluding device and configured to extend radially beyond the first bend portion and beyond a transverse cross-section of the bodily passageway with both anchor ends, the anchor anchoring the occluding body into the bodily passageway,
wherein the anchor in the closure device is connected to the anchor engaging member.
16. The closure device assembly of claim 15 , wherein the anchor engaging member comprises biopsy forceps.
17. The closure device assembly of claim 15 , wherein the delivery catheter further houses a locking catheter housing the anchor engaging member.
18. The closure device assembly of claim 17 , wherein the locking catheter is secured to the anchor engaging member so that the closure device is prevented from being released inside of the delivery catheter.
19. The device of claim 1 , wherein the bodily passageway is a patent foramen ovale.
20. A closure device for occluding a bodily passageway having a proximal end and a distal end, comprising:
an occluding body comprising a plurality of flexible outwardly radiating occluding wires having a collapsed configuration for delivery or retrieval and an expanded configuration for occluding the bodily passageway, the wires having proximal wire ends secured together at a clamp located along a central axis of the closure device, wherein in the expanded configuration, each occluding wire has an inward first bend portion in the proximal portion and an outward second bend portion extending from the first bend portion to a distal free end;
at least one biocompatible sheet connected to the occluding body; and
an elongated anchor forming a single flexible, substantially linear structure comprising at least one tube, coil, or bar, and having two anchor ends;
wherein the occluding body is connected to a center region of the substantially linear structure by at least one linking member; and
wherein the anchor extends in a direction transverse to and across the central axis of the occluding device and is configured to extend radially beyond the first bend portion and beyond a transverse cross-section of the bodily passageway with both anchor ends, the anchor anchoring the occluding body into the bodily passageway.