Filling structure for a graft system and methods of use
A system for treating an aneurysm includes a first double-walled filling structure having an outer wall and an inner wall. The filling structure is adapted to be filled with a hardenable fluid filling medium so that the outer wall conforms to an inside surface of the aneurysm and the inner wall forms a generally tubular lumen to permit blood flow therethrough. The inner wall comprises a blood contacting layer and a reinforcing layer. The reinforcing layer prevents circumferential creep or elastic expansion of the lumen.
1. A system for treating an aneurysm in a patient, said system comprising:
a double-walled filling structure having an outer wall and an inner wall, wherein the outer wall and the inner wall define a fillable space, wherein the fillable space is adapted to be filled with a hardenable fluid filling medium such that when said filling structure is positioned across the aneurysm and filled with said hardenable fluid filling medium, said outer wall expands to conform to an inside surface of the aneurysm and said inner wall forms a tubular lumen to permit blood flow therethrough; and
a reinforcing sheet having an interior surface and an exterior surface disposed over said inner wall such that the interior surface is in contact with the inner wall, wherein said reinforcing sheet is separate from said inner wall and is disposed within said fillable space, wherein the tubular lumen formed by said inner wall has an inner wall longitudinal length, and wherein said reinforcing sheet has a reinforcing sheet longitudinal length that is less than said inner wall longitudinal length and is adapted to prevent circumferential creep or elastic expansion of said tubular lumen after deployment.
2. The system of claim 1 , wherein said reinforcing sheet comprises a metal, textile, membrane, or polymer mesh that surrounds a blood contacting layer defined by said inner wall so as to avoid contact with blood flowing through the tubular lumen formed by said inner wall.
3. The system of claim 1 , wherein said reinforcing sheet comprises fibers or filaments disposed around said tubular lumen formed by said inner wall and oriented circumferentially so as to increase resistance to radial expansion.
4. The system of claim 3 , wherein the fibers or filaments comprise a metal, a polymer, a membrane, or a textile.
5. The system of claim 1 , wherein said reinforcing sheet comprises fibers or filaments disposed spirally around the tubular lumen formed by said inner wall and adapted to resist radial expansion of the inner wall of the lumen.
6. The system of claim 1 , wherein said filling structure is configured so that the tubular lumen formed by said inner wall has proximal and distal ends, and wherein the proximal and distal ends are flared.
7. The system of claim 1 , wherein said inner wall is conformable to a shape and diameter of an expanded endoframe as limited by the diameter of the reinforcing sheet during filling; and
wherein said reinforcing sheet is attached to the inner wall.
8. The system of claim 1 , wherein said separate reinforcing sheet is attached to the inner wall by one or more sutures.
9. The system of claim 1 , wherein said reinforcing sheet is positioned between said inner wall and said outer wall.
10. The system of claim 1 , wherein said reinforcing sheet occupies a space between said inner wall and said outer wall.
11. The system of claim 1 , wherein said reinforcing sheet is made of a material having anisotropic stress properties oriented such that its greatest tensile strength is circumferential.
12. The system of claim 1 , wherein a material of which the reinforcing sheet is formed surrounds the inner layer wall and is contiguous along a length of the reinforcing sheet.
13. The system of claim 1 , wherein a material of which the reinforcing sheet is formed surrounds the inner layer wall with an uninterrupted continuous circumferential horizontal cross-section of the filling structure.
14. A system for treating an aneurysm in a patient, said system comprising:
an expandable endoframe positionable across the aneurysm;
a first double-walled filling structure having a differential functional construct including a toroidal outer surface having a tubular inner lumen formed therethrough, wherein
said expandable endoframe and said first double-walled filling structure are separate components, wherein said filling structure defines a fillable space fillable with a hardenable fluid filling medium such that when said filling structure is positioned across the aneurysm around said expanded endoframe and filled with said hardenable fluid filling medium, an outward facing wall surface conforms to an inside surface of the aneurysm and an inward facing wall surface forms said tubular inner lumen therethrough, wherein when expanded said expandable endoframe supports said inward facing wall forming said tubular lumen to permit blood flow therethrough, and
a reinforcing sheet that is separate from said inward facing wall and is disposed within said fillable space and attached to the inward facing wall wherein the tubular inner lumen formed by said inward facing wall has an inward facing wall longitudinal length, and wherein said reinforcing sheet has a reinforcing sheet longitudinal length that is less than said inward facing wall longitudinal length such that said reinforcing sheet inhibits radial expansion of said inward facing wall forming said tubular lumen from expansion of said endoframe and due to creep or elastic expansion of said inward facing wall by outwardly directed mechanical forces from blood flow and long-term aneurysmal remodeling.