Multi-layer braided structures for occluding vascular defects
A collapsible medical device and associated methods of occluding an abnormal opening in, for example, a body organ, wherein the medical device is shaped from plural layers of a heat-treatable metal fabric. Each of the fabric layers is formed from a plurality of metal strands and the assembly is heat-treated within a mold in order to substantially set a desired shape of the device. By incorporating plural layers in the thus-formed medical device, the ability of the device to rapidly occlude an abnormal opening in a body organ is significantly improved.
1. A collapsible medical device comprising an outer metal fabric layer surrounding an inner metal fabric layer, the outer and inner metal fabric layers each having a plurality of braided metal strands, the medical device including an expanded preset configuration with:
a central portion having a first and a second end and comprising an outer surface having tapered walls that taper outwardly from the first end to the second end,
a first disk member at a first end of the medical device, the first disk member coaxial with the central portion and adjacent the first end of said central portion, wherein the first disk member is connected to the central portion at a reduced diameter portion that has a diameter less than a diameter of the central portion, and
a second disk member at a second, opposing end of the medical device, the second disk member coaxial with the central portion and adjacent the second end of the central portion, each of said disk members being larger in diameter than the central portion, wherein the second disk member has an inner face continuous with the outer surface of the second end of the central portion,
to create an occlusion of an abnormal opening in a location of a patient's vascular system, the expanded preset configuration being deformable to a lesser cross-sectional dimension for delivery through a channel in a patient's body, the outer and inner metal fabric layers having a memory property such that the medical device tends to return to said expanded preset configuration when unconstrained.
2. The medical device as in claim 1 , wherein the number of braided metal strands comprising the outer metal fabric layer is 144.
3. The medical device as in claim 1 , wherein the number of braided metal strands comprising the inner metal fabric layer is 144.
4. The medical device as in claim 1 , wherein the diameter of the braided metal strands comprising the outer metal fabric layer is in a range from 0.001 to 0.003 inches.
5. The medical device as in claim 1 , wherein the diameter of the braided metal strands comprising the inner metal fabric layer is in a range of from 0.001 to 0.003 inches.
6. The medical device as in claim 1 , wherein the braided metal strands comprising the outer metal fabric layer are comprised of shape memory Nitinol wire.
7. The medical device as in claim 1 , wherein the braided metal strands comprising the inner metal fabric layer are comprised of shape memory Nitinol wire.
8. The medical device as in claim 1 , wherein the medical device is sized for delivery through a 4-7 French catheter when deformed to the lesser cross-sectional dimension.
9. The medical device as in claim 1 , wherein one of the first and said second disk members comprises an inner diameter portion perpendicular to a longitudinal axis of the central portion and a disk outer diameter portion circumferentially surrounding the inner diameter portion, wherein the disk outer diameter portion is angled toward the central portion.
10. The medical device as in claim 9 , wherein the other of the first and the second disk members is planar and perpendicular to the longitudinal axis of the central portion.
11. The medical device as in claim 1 , further comprising a clamp coupling together proximal ends of the inner and outer metal fabric layers, the clamp defining a bore for receiving a distal end of a delivery device.
12. The medical device as in claim 1 , wherein the central portion has a proximal diameter at the first end and a distal diameter at the second end, wherein the proximal diameter is less than the distal diameter.
13. The medical device as in claim 12 , wherein the diameter of the first and second disk members is greater than the distal diameter of the central portion.
14. The medical device as in claim 1 , wherein the first disk member has an inner face that is concave towards the central portion.