Detachable aneurysm neck bridge
View Patent ↗In one embodiment, a neck bridge for bridging the neck of an aneurysm includes a junction region, a number of radially extending array elements attached to the junction region, and a cover attached to one or both of the junction region and an array element. The array elements are configured to be positioned within the aneurysm after the neck bridge is deployed from a delivery device. In a second embodiment, the neck bridge includes a junction region and a braided or mesh-like structure secured to the junction region. The braided or mesh-like structure is made from an elastic material.
1. A device for bridging a neck of an aneurysm, comprising:
an elongated tubular member defining a lumen;
a neck bridge mounted on a distal end of the elongated tubular member, the neck bridge configured for placement over or across the neck of the aneurysm, and comprising
a junction region detachably coupled to the elongated tubular member,
a plurality of radially extending array elements secured to the junction region, each array element having an unfolded shape and a delivery shape, and
a cover attached to the junction region, an array element, or both, wherein the cover extends over the delivery shape of the array elements; and
a cage member detachably coupled to the distal end of the elongated tubular member.
2. The device of claim 1 , wherein the cage member is constructed of platinum or nickel-titanium.
3. The device of claim 2 , wherein the cage member comprises one or more coils and/or wires.
4. The device of claim 1 , wherein the cage member is configured to conform to the size and/or shape of the aneurysm.
5. The device of claim 1 , wherein the cage member is configured to anchor the neck bridge over or across the neck of the aneurysm.
6. The device of claim 1 , further comprising a connector securing the cage member to the neck bridge.
7. The device of claim 6 , wherein the connector is secured to the junction region and/or to the plurality of radially extending array elements.
8. The device of claim 6 , wherein the connector is configured to be positioned within the neck of the aneurysm when the neck bridge is placed over or across the neck of the aneurysm.
9. The device of claim 1 , wherein the plurality of radially extending array elements comprise a radio-opaque material.
10. The device of claim 1 , wherein the cover is constructed of a material selected from the group consisting of polyethylene, polypropylene, polytetraflouroethylene; polyesters, polyethyleneterephthalate (PET), dacron; polyamides including nylons; polyolefins, polyethylene, polypropylene, polybuylene, mixtures, alloys, block and random copolymers; polyglycolic acid; polylactic acid; fluoropolymers (polytetrafluoroethylene), polyluorocarbons, wool, cotton, silk, collagen; and combinations thereof.
11. The device of claim 1 , wherein the plurality of radially extending array elements are constructed of stainless steel or super-elastic alloys.
12. The device of claim 1 , wherein the cover comprises a plurality of loops.
13. The device of claim 12 , each loop comprising a fiber having first and second ends attached to the junction region.
14. The device of claim 1 , wherein the cover has a top side and a bottom side, and wherein the array elements are positioned between the top side and the bottom side of the cover, the cover further comprising a disk positioned between the top side and the bottom side of the cover.
15. The device of claim 1 , wherein junction region comprises an electrolytically severable joint.
16. An aneurysm retainer assembly for bridging a neck of an aneurysm, comprising:
an elongated tubular delivery member defining a lumen;
a neck bridge subassembly mounted on a distal end of the elongated delivery member, the neck bridge configured for placement over or across the neck of the aneurysm, and comprising
a junction region detachably coupled to the elongated delivery member,
a plurality of radially extending array elements secured to the junction region, each array element having an unfolded shape and a delivery shape, and
a cover attached to the junction region, an array element, or both, wherein the cover extends over the delivery shape of the array elements;
a severable joint proximally located to the neck bridge subassembly for releasably joining the neck bridge subassembly to the elongated delivery member;
a cage distally located to the neck bridge subassembly; and
a connector connecting the cage to the neck bridge subassembly, wherein the connector is configured to be positioned within the neck of the aneurysm subassembly after implantation.
17. The aneurysm retainer assembly of claim 16 , wherein the cage is constructed of platinum or nickel-titanium.
18. The aneurysm retainer assembly of claim 17 , wherein the cage comprises one or more coils or wires.
19. The aneurysm retainer assembly of claim 16 , wherein the cage is configured for placement within a sac of the aneurysm.
20. The aneurysm retainer assembly of claim 19 , wherein the cage is further configured to anchor the neck bridge subassembly over or across the neck of the aneurysm when the cage is placed in the aneurysm sac.