Intrasacular Aneurysm Occlusion Device with an Embolic-Filled Flexible Mesh Formed from a Radially-Constrained Tubular Mesh
This invention is an intrasacular aneurysm occlusion device with an embolic-filled flexible mesh which is formed from a tubular mesh by encircling, pinching, inverting, and/or everting the tubular mesh at one or more longitudinal locations using one or more rings, bands, or cylinders. Embolic material is inserted into the flexible mesh through the rings, bands, or cylinders.
1 . An intrasacular aneurysm occlusion device comprising: at least one annular member, wherein an annular member is selected from the group consisting of one or more rings, bands, cylinders, tubes, and catheters; a flexible net or mesh, wherein the flexible net or mesh has a spherical, ellipsoidal, generally-globular, hemispherical, and/or bowl-shaped first configuration when it is formed by encircling, pinching, inverting, and/or everting a tubular mesh at one or more longitudinal locations using the at least one annular member; wherein the flexible net or mesh has a radially-compressed second configuration for delivery through a catheter into an aneurysm sac; and wherein the flexible net or mesh is inserted and expanded within the aneurysm sac; and embolic members and/or embolic material which is inserted into the interior and/or the distal-facing concavity of the flexible net or mesh through one or more of the annular members.
2 . The device in claim 1 wherein an annular member comprises nested rings, bands, or cylinders, wherein a section of the tubular mesh is inserted and held between an outer ring, band, or cylinder and an inner ring, band, or cylinder, and wherein embolic members and/or material are inserted into the flexible net or mesh through the inner ring, band, or cylinder.
3 . The device in claim 1 wherein an annular member comprises one or more threaded or corrugated rings, bands, or cylinders.
4 . The device in claim 1 wherein the device further comprises a closure mechanism which an operator uses to close an opening in an annular member after embolic members and/or material has been inserted through the opening into the flexible net or mesh.
5 . The device in claim 1 wherein the device further comprises a one-way valve in an opening in an annular member which allows embolic members and/or material to enter the flexible net or mesh, but not exit the flexible net or mesh.
6 . The device in claim 1 wherein the flexible net or mesh has a spherical, ellipsoidal, and/or generally-globular first configuration.
7 . The device in claim 6 wherein the flexible net or mesh has a single-layer spherical, ellipsoidal, and/or generally-globular first configuration.
8 . The device in claim 6 wherein the flexible net or mesh has a double-layer spherical, ellipsoidal, and/or generally-globular first configuration.
9 . The device in claim 6 wherein the flexible net or mesh has a spherical, ellipsoidal, and/or generally-globular first configuration and wherein proximal and distal annular members which radially-constrain the proximal and distal ends of the tubular mesh, respectively, are inside the spherical, ellipsoidal, and/or generally-globular flexible net or mesh.
10 . The device in claim 1 wherein the flexible net or mesh has a hemispherical and/or bowl-shaped first configuration.
11 . The device in claim 10 wherein the flexible net or mesh has a single-layer hemispherical and/or bowl-shaped first configuration formed by radially-constraining the proximal end of the tubular mesh with a ring, band, and/or cylinder.
12 . The device in claim 10 wherein the flexible net or mesh has a double-layer hemispherical and/or bowl-shaped first configuration formed by radially-constraining a mid-section of the tubular mesh and everting the proximal portion of the tubular mesh over the distal portion of the tubular mesh.
13 . The device in claim 10 wherein the flexible net or mesh has a double-layer hemispherical and/or bowl-shaped first configuration formed by radially-constraining the proximal end of the tubular mesh by a proximal annular member, radially-constraining the distal end of the tubular mesh by a distal annual member, and inverting the distal portion of the tubular mesh into the concavity of the proximal portion of the tubular mesh.
14 . The device in claim 10 wherein the flexible net or mesh has a double-layer hemispherical and/or bowl-shaped first configuration formed by radially-constraining the proximal end and distal ends of the tubular mesh by a proximal member, thereby inverting the distal portion of the tubular mesh into the concavity of the proximal portion of the tubular mesh.
15 . The device in claim 1 wherein the embolic members and/or material comprises one or more longitudinal metal coils.
16 . The device in claim 1 wherein the embolic members and/or material comprises one or more longitudinal mesh ribbons.
17 . The device in claim 1 wherein the embolic members and/or material comprises one or more longitudinal polymer strands.
18 . The device in claim 1 wherein the embolic members and/or material comprises one or more string-of-pearls embolic strands, wherein a string-of-pearls embolic strand is a plurality of embolic beads or other embolic masses connected by a longitudinal wire, filament, string, cord, yarn, or thread.
19 . The device in claim 1 wherein the embolic members and/or material comprises a plurality of hydrogel pieces or microsponges.
20 . The device in claim 1 wherein the embolic members and/or material comprises liquid or gel which congeals after delivery into the flexible net or mesh.