Aneurysm device and delivery system
A braid for treating an aneurysm can include a first radially expandable segment operable to move from a collapsed state within a microcatheter to a deployed state distal of the microcatheter. The first radially expandable segment can be capable of radially expanding to form an outer occlusive sack in the aneurysm in the deployed state. The braid can also include a second radially expandable segment operable to move from the collapsed state within the microcatheter to the deployed state distal of the microcatheter, wherein the second radially expandable segment is capable of radially expanding inside the outer occlusive sack to form an inner occlusive sack in the outer occlusive sack in the deployed state. An expansion mechanism can be included and be disposed at a proximal end of the first and second radially expandable segments.
1. A braid for treating an aneurysm, the braid comprising:
a first radially expandable segment capable of radially expanding to form an outer occlusive sack in the aneurysm configured to seal a neck of the aneurysm as the braid is being moved distally toward the aneurysm;
a second radially expandable segment capable of radially independently expanding inside the outer occlusive sack as the outer occlusive sack is forming to form an inner occlusive sack in the outer occlusive sack as the braid is being moved further distally in the aneurysm;
wherein proximal ends of each segment are aligned with each other and distal ends of each segment are positioned opposite the proximal ends of each segment; and
a plurality of radially flexible elements positioned at the proximal end of the first radially expandable segment, wherein each flexible element is capable of expanding from a collapsed condition to an expanded condition to support a proximal portion of the outer occlusive sack, and wherein each flexible element comprises a radially movable leaf.
2. The braid of claim 1 , the plurality of radially flexible elements arranged surrounding an opening between the radially flexible elements, wherein a distal end of the braid is insertable through the opening.
3. The braid of claim 2 , wherein a proximal end of the braid is foldable over the opening.
4. The braid of claim 2 , wherein each radially flexible element is evenly radially spaced about a central axis aligned with the opening, the central axis being axially aligned with a central axis of the first and second radially expandable segments.
5. The braid of claim 1 , wherein at least four radially flexible elements are comprised in the plurality of radially flexible elements that extend from an expansion ring, each flexible element capable of moving between collapsed to deployed conditions.
6. The braid of claim 5 , wherein the expansion ring is formed from a memory alloy material.
7. The braid of claim 1 ,
wherein the plurality of radially flexible elements is attached to and configured to urge the proximal end of the first radially expandable segment from a collapsed to a deployed state by releasing potential energy of the radially flexible elements.
8. The braid of claim 1 , the inner occlusive sack comprising a porosity greater than a porosity of the outer occlusive sack.
9. The braid of claim 1 , wherein the inner occlusive sack of the braid is capable of radially expanding inside the outer occlusive sack while the outer occlusive sack is pushed against the aneurysm wall.
10. The braid of claim 1 , further comprising a marker band in communication with a proximal end of the braid.
11. The braid of claim 10 , wherein the inner occlusive sack of the braid radially expands inside the outer occlusive sack by folding the proximal end of the braid over the marker band.
12. The braid of claim 1 , the braid being detachable from a delivery system in the aneurysm, the delivery system comprising a delivery tube comprising a distal end and a proximal end, the distal end of the delivery tube being detachably connected to a proximal end of the braid.
13. A method of occluding an aneurysm, comprising:
distally moving a braid towards the aneurysm to form an outer occlusive sack of a first radially expandable mesh segment of the braid by expanding a plurality of radially flexible elements attached to a proximal end of the braid; and
distally moving the braid in the aneurysm as the outer occlusive sack is forming thereby expanding a second radially expandable mesh segment inside of the outer occlusive sack to form an inner occlusive sack;
wherein proximal ends of each segment are aligned with each other and distal ends of each segment are positioned opposite the proximal ends of each segment, and
wherein each radially flexible element comprises a radially movable leaf.
14. The method of claim 13 , further comprising:
supporting a proximal portion of the outer occlusive sack, by the plurality of radially flexible elements; and
radially spacing each radially flexible element about a central axis of the braid.
15. The method of claim 13 , further comprising:
inserting a distal end of the braid through an opening defined between the radially flexible elements; and
folding the proximal end of the braid over the opening.
16. The method of claim 13 , further comprising:
extending the radially flexible elements from an expansion ring.
17. The method of claim 13 , further comprising:
urging, by the plurality of radially spaced flexible elements attached to the proximal end of the first radially expandable mesh segment, the proximal end of the first radially expandable mesh segment to form the outer occlusive sack.
18. The method of claim 13 , further comprising:
forming the first radially expandable mesh segment with a porosity lower than a porosity of the second radially expandable segment.
19. The method of claim 13 , further comprising:
positioning the first radially expandable mesh segment adjacent or in communication with a neck of the aneurysm.