Thin-film composite retrievable endovascular devices and method of use
View Patent ↗Various embodiments for a composite endovascular device (and variations thereof) that include an inner polymer structure and an outer thin-film shape memory structure. The inner polymer structure extends from a distal end to a proximal end along a longitudinal axis. The outer thin-film shape-memory structure has an inner thin-film surface coupled to the outer surface of the inner polymer structure from the distal end to the proximal end with a retrieval member at the proximal end to allow for the prosthesis to be retrieved after placement in a body vessel. The inner polymeric structure can be blended with a suitable bio-active agent or the agent can be loaded into the pores. The device can be permanent or temporary by virtue of being retrievable.
1. An endovascular prosthesis comprising:
an inner polymer structure that extends from a distal end to a proximal end along a longitudinal axis, the inner polymer structure having an inner surface facing the longitudinal axis with a first plurality of pores with each pore extending from the inner surface to an outer surface of the polymer structure; and
an outer thin-film shape-memory structure having an inner thin-film surface coupled to the outer surface of the inner polymer structure from the distal end to the proximal end with a retrieval member at the proximal end to allow for the prosthesis to be retrieved after placement in a body vessel, the outer thin-film shape-memory structure configured with a second plurality of pores with each pore extending from the inner thin-film surface to an outer thin-film surface so that fluid communication is provided from inside of the inner polymer structure to the body vessel.
2. The endovascular prosthesis of claim 1 , in which one of the first and second pluralities of pores includes a proportion of the pores filled with a bio-active material for elution directly into the body vessel.
3. The endovascular prosthesis of claim 2 , in which the proportion of pores with bio-active materials includes 80% of the plurality of pores.
4. The endovascular prosthesis of claim 1 , in which the inner polymer structure is connected to a guidewire lumen that extends through the proximal end to the distal end to allow for insertion of a guide wire.
5. The endovascular prosthesis of claim 4 , in which the guidewire lumen is disposed between the inner polymer structure and an inflation lumen.
6. The endovascular prosthesis of claim 5 , in which the inner polymer structure includes a polyethylene material.
7. The endovascular prosthesis of claim 5 , in which the inner polymer structure includes a polymer blended with bio-active agents configured to timed release of the agents.
8. The endovascular prosthesis of claim 5 , in which the inner polymer structure includes a biodegradable polymer.
9. The endovascular prosthesis of claim 5 , in which the outer thin-film shape-memory structure includes a biocompatible metal.
10. The endovascular prosthesis of claim 9 , in which biocompatible metal includes a thin-film of nitinol.
11. The endovascular prosthesis of claim 9 , in which biocompatible metal includes a thin-film of cobalt chromium.
12. The endovascular prosthesis of claim 1 , in which the outer thin-film structure includes a first frustoconic joining a cylinder and terminating in a second frustoconic to define the overall outer shape of the prosthesis.
13. The endovascular prosthesis of claim 12 , in which at least one of the first and second pluralities of pores is disposed in a radial direction with respect to the longitudinal axis.
14. The endovascular prosthesis of claim 13 , in which at least one of the first and second pluralities of pores disposed on the first and second frustoconic allows for a portion of blood in the body vessel to flow through the pores on the first and second frustoconic.
15. The endovascular prosthesis of claim 14 , in which the retrieval member includes a hook configured to engage with a retrieval snare of a retrieval catheter.
16. The endovascular prosthesis of claim 14 , in which the retrieval member includes a radial member configured to engage with retrieval claws of a retrieval catheter.
17. The endovascular prosthesis of claim 1 , in which the first plurality of pores of the inner polymer structure are aligned with respective second plurality of pores of the thin-film outer thin-film structure.
18. A method of introducing an endovascular prosthetic into a blood vessel of a patient, the method comprising the steps of:
providing the prosthetic having:
an inner polymer structure that extends from a distal end to a proximal end along a longitudinal axis, the inner polymer structure having an inner surface facing the longitudinal axis with a first plurality of pores with each pore extending from the inner surface to an outer surface of the polymer structure; and
an outer thin-film shape-memory structure having an inner thin-film surface coupled to the outer surface of the inner polymer structure from the distal end to the proximal end with a retrieval member at the proximal end to allow for the prosthetic to be retrieved after placement in a body vessel, the outer thin-film shape-memory structure configured with a second plurality of pores with each pore extending from the inner thin-film surface to an outer thin-film surface so that fluid communication is provided from inside of the inner polymer structure to the body vessel;
inserting the prosthetic mounted on a delivery catheter into a blood vessel proximate a location with arterial deposits on an inner wall of the blood vessel;
deploying the prosthetic in the blood vessel proximate the location with arterial deposits;
removing the delivery catheter from the blood vessel; and
retrieving the prosthetic after a time period subsequent to the deploying step.