Coated devices comprising a fiber mesh imbedded in the device walls
Devices used in the management of bodily airways including bronchial and tracheal stents, bronchial Y-tubes, bronchial TY-tubes, nasal septal buttons, and nasal stents. The present invention also relates to devices used to manage the esophagus, such as salivary bypass tubes. These devices may comprise a fiber mesh imbedded in the walls of the device in order to provide integrity to the device wall and permit anchoring and suturing of the device.
1. A device for airway or esophageal management comprising a tubular arm comprising:
(i) a first open end;
(ii) a second open end;
(iii) a lumen extending therethrough having an inner surface and an inner circumference;
(iv) an outer surface;
(v) an outer circumference;
(vi) a tubular wall between the inner surface and outer surface; and
(vii) a longitudinal axis through the center of the lumen of the first tubular arm,
wherein the tubular wall comprises one or more portions; and
wherein the one or more portions in which a fiber mesh is imbedded, and one or more portions in the fiber mesh is not imbedded of the tubular wall in which the fiber mesh is imbedded is not different in thickness from portions of the tubular wall in which the fiber mesh are not imbedded.
2. The device of claim 1 , wherein the fibers are woven.
3. The device of claim 2 , wherein the woven fibers are polyester or nylon.
4. The device of claim 1 , further comprising a protective coating on one or more portions of the inner surface, one or more portions on the outer surface, or a combination thereof.
5. The device of claim 1 , wherein the protective coating is a polymeric coating.
6. The device of claim 5 , wherein the polymer is parylene.
7. The device of claim 1 , further comprising a means to prevent movement or displacement of the device.
8. The device of claim 7 , wherein the means to prevent movement or displacement of the device is one or more rings around the circumference of the device, one or more posts that extend outwardly from the outer surface of the device, or a combination thereof.
9. The device of claim 8 , wherein the one or more rings are located on the first open end of the device, the second open end of the device, between the first open end and the second open end of the device, or any combination thereof.
10. The device of claim 8 , wherein the posts are cylindrical, cubic, pyramidal, or prism-shaped.
11. The device of claim 10 , wherein the posts are distributed randomly or in a pattern along the outer surface of the device.
12. The device of claim 1 , wherein the outer circumference is constant throughout the device.
13. The device of claim 1 , wherein the outer circumference is not constant throughout the device.
14. The device of claim 13 , wherein the outer circumference is greater near the first open end and the second open end.
15. The device of claim 1 , wherein the inner circumference is constant throughout the device.
16. The device of claim 1 , wherein the inner circumference varies throughout the device.
17. The device of claim 1 , further comprising a funnel attached to the second open end.
18. The device of claim 1 , further comprising a second tubular arm, wherein the second tubular arm comprises:
(i) a first open end;
(ii) a second open end;
(iii) a lumen extending therethrough having an inner surface and an inner circumference;
(iv) an outer surface;
(v) an outer circumference;
(vi) a tubular wall between the inner surface and outer surface; and
(vii) a longitudinal axis through the center of the lumen of the second tubular arm,
wherein the second tubular arm is connected to the first tubular arm by the first open end of the second tubular arm to between the first open end and the second open end of the first tubular arm.
19. The device of claim 18 , wherein the lumen of the first tubular arm and the lumen of the second tubular arm is continuous.
20. The device of claim 18 , further comprising a fiber mesh imbedded in one or more portions of the tubular wall of the second tubular arm.
21. The device of claim 20 , wherein the fibers are woven.
22. The device of claim 21 , wherein the woven fibers are polyester or nylon.
23. The device of claim 18 , further comprising a protective coating on one or more portions of the inner surface, one or more portions on the outer surface, or a combination thereof, of the second tubular arm.
24. The device of claim 23 , wherein the protective coating is a polymeric coating.
25. The device of claim 24 , wherein the polymer is parylene.
26. The device of claim 18 , wherein the second tubular arm further comprises a plug that inserts into the second end of the second tubular arm.
27. The device of claim 26 , wherein the plug fits tightly adjacent to the inner surface of the second end of the second tubular arm.
28. The device of claim 18 , wherein the longitudinal axis of the first tubular arm forms an angle with the longitudinal axis of the second tubular arm.
29. The device of claim 28 , wherein the angle is between 0° and 180°.
30. The device of claim 28 , wherein the angle is 90°.
31. The device of claim 1 , wherein the second end of the first tubular arm is bifurcated into a first tubular diagonal arm and a second tubular diagonal arm, wherein each arm comprises:
(i) a first open end;
(ii) a second open end;
(iii) a lumen extending therethrough having an inner surface and an inner circumference;
(iv) an outer surface;
(v) an outer circumference;
(vi) a tubular wall between the inner surface and outer surface, and
(vii) a longitudinal axis through the center of the lumen of each diagonal arm.
32. The device of claim 31 , wherein the lumen in the diagonal arms is continuous with the lumen of the device.
33. The device of claim 31 , wherein the lengths of the first diagonal arm and the second diagonal arm are equal.
34. The device of claim 31 , wherein the lengths of the first diagonal arm and the second diagonal arm are unequal.
35. The device of claim 31 , further comprising a fiber mesh imbedded in one or more portions of the tubular wall of the second tubular arm.
36. The device of claim 35 , wherein the fibers are woven.
37. The device of claim 36 , wherein the woven fibers are polyester or nylon.
38. The device of claim 31 , further comprising a protective coating on one or more portions of the inner surface, one or more portions on the outer surface, or a combination thereof, of the second tubular arm.
39. The device of claim 38 , wherein the protective coating is a polymeric coating.
40. The device of claim 39 , wherein the polymer is parylene.
41. The device of claim 31 , wherein the longitudinal axis of the first tubular arm forms a first angle with the longitudinal axis of the first diagonal arm and wherein the longitudinal axis of the first tubular arm forms a second angle with the longitudinal axis of the second diagonal arm.
42. The device of claim 41 , wherein the first angle and the second angle are equal.
43. The device of claim 41 , wherein the first angle and the second angle are unequal.
44. The device of claim 31 , further comprising a second tubular arm, wherein the second tubular arm comprises:
(i) a first open end;
(ii) a second open end;
(iii) a lumen extending therethrough having an inner surface and an inner circumference;
(iv) an outer surface;
(v) an outer circumference;
(vi) a tubular wall between the inner surface and outer surface; and
(vii) a longitudinal axis through the center of the lumen of the second tubular arm,
wherein the second tubular arm is connected to the first tubular arm between the first open end and the second open end of the first tubular arm.
45. The device of claim 44 , wherein the lumen of the first tubular arm and the lumen of the second tubular arm is continuous.
46. The device of claim 44 , further comprising a fiber mesh imbedded in one or more portions of the tubular wall of the second tubular arm.
47. The device of claim 46 , wherein the fibers are woven.
48. The device of claim 47 , wherein the woven fibers are polyester or nylon.
49. The device of claim 44 , further comprising a protective coating on one or more portions of the inner surface, one or more portions on the outer surface, or a combination thereof, of the second tubular arm.
50. The device of claim 49 , wherein the protective coating is a polymeric coating.
51. The device of claim 50 , wherein the polymer is parylene.
52. The device of claim 44 , wherein the longitudinal axis of the first tubular arm forms an angle with the longitudinal axis of the second tubular arm.
53. The device of claim 52 , wherein the angle is between 0° and 180°.
54. The device of claim 52 , wherein the angle is 90°.
55. The device of claim 1 , wherein the fiber mesh is surrounded by the tubular wall.
56. The device of claim 1 , wherein the fiber mesh is flexible.
57. The device of claim 1 , wherein the fiber mesh does not hinder flexibility of the device or the tubular wall.