Apparatus and method for tissue adhesion
An array of a plurality of shape memory material microposts have a proximal end configured to be secured to a substrate with a tissue penetrating distal end. The microposts further have a deployment state with the microposts in a substantially straightened configuration with a substantially smooth and continuous outer surface which is substantially parallel to adjacent microposts and an engaged state wherein at least a section of the microposts assume a configuration that is not substantially parallel to adjacent microposts or is not substantially straight with a substantially smooth and continuous outer surface so as to mechanically capture tissue adjacent thereto.
1. A tissue adhesion device, comprising:
a substrate having a contact surface; and
an array of microposts extending from the contact surface of the substrate, said microposts fabricated from a shape memory material and having a proximal end secured to the substrate and having a sharpened tissue penetrating distal end, each micropost having a deployment state with the microposts in a substantially straightened configuration extending substantially perpendicular from the substrate and substantially parallel to adjacent microposts during penetration of tissue and an engaged state activated through shape memory transition after penetration wherein a distal section of the micropost engages to mechanically capture tissue adjacent thereto and said microposts are no longer substantially parallel to adjacent microposts and no longer in a straightened configuration.
2. The tissue adhesion device as defined in claim 1 wherein in the engaged state the distal end of each micropost has undergone a shape memory transition to be curved back such that a longitudinal axis of the distal end is at an angle of about 45 degrees to about 180 degrees from a nominal longitudinal axis of the micropost in the engaged state.
3. The tissue adhesion device as defined in claim 1 wherein a radius of curvature is established in a distal section through shape memory transition to the engaged state of about 100 percent to about 50 percent of the axial length of the respective microposts in the deployment state.
4. The tissue adhesion device as defined in claim 1 wherein a distal section of each micropost assumes a corkscrew configuration through shape memory transition to the engaged state to mechanically capture tissue adjacent thereto in the deployed state.
5. The tissue adhesion device as defined in claim 1 wherein the shape memory material is selected from the set of shape memory polymers and shape memory alloys.
6. The tissue adhesion device as defined in claim 5 wherein the shape memory material is a polymer selected from the set of polyurethane, polystyrene, polynorbornene or hydrogels.
7. The tissue adhesion device as defined in claim 5 wherein the shape memory material is NickelTitanium.
8. A tissue adhesion system comprising:
an elastically expandable substrate;
an array of microposts extending from the external surface of the substrate, said microposts fabricated from a shape memory material and having a proximal end secured to the substrate and having a sharpened tissue penetrating distal end with a deployment state with the microposts in a substantially straightened configuration substantially perpendicular to the substrate and substantially parallel to adjacent microposts during penetration of tissue and an engaged state activated through shape memory transition after penetration wherein a distal section of the micropost engages to mechanically capture tissue adjacent thereto and said microposts are no longer substantially parallel to adjacent microposts and no longer in a straightened configuration.
9. The tissue adhesion system as defined in claim 8 wherein the elastically expandable substrate is a balloon.
10. The tissue adhesion system as defined in claim 9 further comprising a catheter shaft removably attached to the substrate for inflation and deflation of the balloon substrate.
11. The tissue adhesion system as defined in claim 9 wherein the balloon substrate includes an internal surface which is self adhering upon deflation.
12. The tissue adhesion system as defined in claim 11 wherein the implantable device is a stent.
13. The tissue adhesion system as defined in claim 8 wherein the elastically expandable substrate is a tube.
14. The tissue adhesion system as defined in claim 8 wherein the elastically expandable substrate is attached as a coating on an implantable device.
15. A method for tissue adhesion comprising
providing a substrate having a contact surface; and
forming an array of microposts extending from the contact surface of the substrate, said microposts fabricated from a shape memory material and having a proximal end secured to substrate, a sharpened tissue penetrating distal end;
deploying the microposts by penetrating into tissue for a desired procedure in a substantially straightened configuration substantially perpendicular to the substrate and substantially parallel to adjacent microposts; and,
engaging the microposts by activation of the shape memory material after penetration wherein a distal section of the micropost mechanically captures tissue adjacent thereto and said microposts are no longer substantially parallel to adjacent microposts and no longer in a straightened configuration.
16. The method for tissue adhesion as defined in claim 15 wherein the desired procedure is an anastomosis and the substrate provided is a flexible tube, the step of deploying comprises
inserting the flexible tube into both sides of an anastomosis connection; and
advancing the tissue penetrating distal ends of an array of microposts extending from and secured to a contact surface of the outer surface of the flexible tube into target tissue in both sides of the anastomosis connection.
17. The method for tissue adhesion as defined in claim 15 wherein the desired procedure is an insertion of an implantable device, the step of providing a substrate comprises attaching the substrate as a coating on the implantable device and the step of deploying includes
inserting the implantable device in a target area adjacent tissue to be engaged and
advancing the tissue penetrating distal ends of the array of microposts extending from and secured to the coating on the outer surface of the implantable device into target tissue.
18. The method for tissue adhesion as defined in claim 17 wherein the implantable device is a stent.
19. The method for tissue adhesion as defined in claim 15 wherein the desired procedure is closure of a wound and the substrate is provided as a flexible balloon, the step of deploying comprising
inserting the balloon into a wound;
expanding the balloon such that the microposts are expanded radially outward towards the extent of the wound in the target tissue and the tissue penetrating tips of the microposts penetrate the target tissue;
and after the step of engaging, further comprising
collapsing the balloon to draw the wound closed.