Multiple layer filamentary devices for treatment of vascular defects
Devices and methods for treatment of a patient's vasculature with some embodiments configured for delivery with a microcatheter for treatment of the cerebral vasculature of a patient. Some embodiments may include a permeable shell and inner structure configured to occlude blood flow therethrough.
1. A device for implantation within a vascular defect or aneurysm, comprising:
a self-expanding resilient first layer including:
a proximal end,
a distal end,
a longitudinal axis,
a plurality of elongate filaments disposed in a woven structure between the proximal end and distal end,
the first layer being movable to a collapsed state configured for delivery within a microcatheter with the elongate filaments extending longitudinally from the proximal end to the distal end, the first layer being movable to an expanded state with a longitudinally shortened configuration relative to the collapsed state, first layer being formed as a continuous closed volume in the expanded state, the continuous closed volume formed by the elongate filaments defining a surface having a number of undulations, wherein in the expanded state the first layer has a three-dimensional shape, an internal gap being established between a distal-most surface of the first layer and a distal-most surface of an inner layer in the expanded state, the internal gap being between 5% and 40% of a total longitudinal height of the device measured along a longitudinal axis of the device.
2. The device of claim 1 , wherein the undulations of the elongate filaments form at least a first radial groove or depression adjacent a circumference of the first layer.
3. The device of claim 1 , wherein the undulations provide multiple porous layers through which blood must pass.
4. The device of claim 1 , wherein the undulations establish baffling in a region of an aneurysm when the device is disposed in the aneurysm to promote embolization.
5. The device of claim 1 , wherein the first layer forms an undulating shape that alternates between surfaces defining the continuous closed volume in the expanded state.
6. An assembly comprising:
a porous body including:
a proximal end,
a distal end,
a plurality of elongate filaments disposed between the proximal end and distal end,
the body being movable to a collapsed state configured for delivery within a microcatheter with the elongate filaments extending longitudinally from the proximal end to the distal end, the body being movable to an expanded state with a longitudinally shortened configuration relative to the collapsed state, the body being formed as a closed volume in the expanded state, wherein in the expanded state the body has a three-dimensional shape with a continuous outer surface defining at least first and second layers, the first portion being defined by plural filament segments and the second portion being defined by plural filament segments, an internal gap being established between a distal-most surface of the first layer and a distal-most surface of an inner layer in the expanded state, the internal gap being between 5% and 40% of a total longitudinal height of the body measured along a longitudinal axis of the body.
7. The assembly of claim 6 , wherein the continuous outer surface is formed with undulations.
8. The assembly of claim 7 , wherein the undulations form at least a first radial groove or depression adjacent a circumference of the body.
9. The assembly of claim 6 , wherein the undulations provide multiple porous layers through which blood must pass.
10. The assembly of claim 6 , wherein the undulations establish baffling in a region of an aneurysm when the body is disposed in the aneurysm to promote embolization.
11. The assembly of claim 6 , wherein the body forms an undulating shape that alternates between surfaces defining the closed volume in the expanded state.
12. An apparatus comprising:
a body including:
a proximal end,
a distal end,
a plurality of elongate filaments disposed between the proximal end and distal end,
the body being movable to a collapsed state configured for delivery within a delivery device with the elongate filaments extending from the proximal end to the distal end, the body being movable to an expanded state with a longitudinally shortened configuration relative to the collapsed state, the body being formed as a closed volume in the expanded state, wherein in the expanded state the body has a three-dimensional shape with an outer surface, the outer surface having plural undulations in the expanded state, a gap being established between a distal-most surface of a first layer of the body and a distal-most surface of an inner layer of the body in the expanded state, the internal gap being between 5% and 40% of a total longitudinal height of the apparatus measured along a longitudinal axis of the apparatus.
13. The apparatus of claim 12 , wherein the undulations form at least a first radial groove or depression adjacent a circumference of the body.
14. The apparatus of claim 12 , wherein the undulations provide multiple porous layers through which blood must pass.
15. The apparatus of claim 12 , wherein the undulations establish baffling in a region of an aneurysm when the body is disposed in the aneurysm to promote embolization.
16. The apparatus of claim 12 , wherein the body forms an undulating shape that alternates between surfaces defining the continuous closed volume in the expanded state.