Source: http://www.google.de/patents/US8906084
Timestamp: 2018-01-19 03:47:51
Document Index: 214252422

Matched Legal Cases: ['Application No. 2011', 'Application No. 03754880', 'Application No. 2008', 'Application No. 2008', 'Application No. 06850439', 'Application No. 06850439', 'Application No. 05773726']

Patent US8906084 - System and methods for endovascular aneurysm treatment - Google Patentsuche
Embodiments provide methods and systems for treating aneurysms using filling structures filled with a curable medium. An embodiment of a method comprises positioning at least one double-walled filling structure across the aneurysm and filling the structure(s) with a filling medium so that an outer wall...http://www.google.de/patents/US8906084?utm_source=gb-gplus-sharePatent US8906084 - System and methods for endovascular aneurysm treatment
Veröffentlichungsnummer US8906084 B2
Anmeldenummer US 12/684,074
Auch veröffentlicht unter CA2614203A1, EP1903985A2, EP1903985A4, US7666220, US9737425, US20070162106, US20100106087, US20150142093, WO2007008600A2, WO2007008600A3
Veröffentlichungsnummer 12684074, 684074, US 8906084 B2, US 8906084B2, US-B2-8906084, US8906084 B2, US8906084B2
Erfinder Michael A. Evans, Gwendolyn A. Watanabe, Amy Lee, Steven L. Herbowy
Patentzitate (407), Nichtpatentzitate (47), Referenziert von (1), Klassifizierungen (32), Juristische Ereignisse (4)
US 8906084 B2
1. A system for treating an aneurysm, the system comprising:
a hardenable fluid filling medium;
at least one double-walled filling structure having an outer wall and an inner wall, wherein the at least one double-walled filling structure is adapted to be filled with the 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 providing a path for blood flow therethrough, wherein in use blood flowing through said generally tubular lumen is in direct contact with a surface of the inner wall, and wherein the at least one double-walled filling structure substantially fills the aneurysm when filled with the hardenable fluid filling medium;
a drain device configured to drain blood or other fluid from a space between the aneurysm and the outer wall of the at least one double-walled filling structure so as to relieve pressure in that space wherein the drain device comprises at least one elongate tubular member having a distal portion sufficiently porous so as to receive blood or other fluid from the space therethrough, the porous distal portion having sufficient length so as to allow drainage from multiple locations in the space across the aneurysm; and
a delivery catheter having an expandable support structure which can be positioned within the generally tubular lumen to carry the at least one double-walled filling structure.
2. The system of 1, wherein the drain device is configured to passively drain by a hydraulic pressure force within the space without the application of an external pressure or vacuum.
3. The system of 1, wherein the drain device is configured to drain by the application of a vacuum.
4. The system of 1, wherein the porous distal portion comprises a plurality of apertures.
5. The system of claim 4, wherein the plurality of apertures are axially distributed along a length of the porous distal portion.
6. The system of claim 4, wherein the porous distal portion is helically disposed around at least a portion of a circumference of the outer wall of the at least one double-walled filling structure.
7. The system of claim 4, wherein the porous distal portion comprises a plurality of connecting porous arm portions distributed around a circumference of the outer wall of the at least one double-walled filling structure.
8. The system of claim 4, wherein the porous distal portion is fixed to the outer wall of the at least one double-walled filling structure.
9. The system of claim 1, wherein the drain device is configured to remain implanted with the at least one double-walled filling structure to provide for post operative draining of fluid from the space.
10. The system of claim 1, wherein a portion of the drain device proximal of the distal portion is configured to be fluidly coupled to one of an artery or a vein so as to drain blood or other fluid from the space into the artery or vein.
11. The system of claim 10, wherein the portion of the drain device proximal of the distal portion is configured to be fluidly coupled and disposed within an arterial lumen proximal, distal or adjacent the aneurysm so as to drain blood or other fluid from the space into the arterial lumen.
The present application is a divisional of U.S. patent application Ser. No. 11/482,503, filed on Jul. 7, 2006, now U.S. Pat. No. 7,666,220 which claims the benefit of priority of U.S. Provisional Application Ser. No. 60/696,818, filed on Jul. 7, 2005; and U.S. Provisional Application Ser. No. 60/696,817, filed on Jul. 7, 2005 the full disclosures of which are incorporated herein by reference.
Grafts and endografts having fillable components are described in U.S. Pat. Nos. 4,641,653; 5,530,528; 5,665,117; and U.S. Pat. No. 5,769,882; U.S. Patent Publications 2004/0016997; and PCT Publications WO 00/51522 and WO 01/66038.
In other approaches for draining blood from the vessel space US, the balloon support member or other mechanical support member can be shaped so as to not form a seal with the wall of the aneurysm or adjoining artery when they are in an expanded state. This allows blood to flow around the balloon/expansion device desirably both at the proximal and distal end of the device. Such embodiment also allows any blood located in vessel space US to flow out or be squeegeed out from the aneurysm site as the filling structure is expanded. Referring now to FIGS. 11A-11B, in specific embodiments, the balloon 16 can comprise a lobe shaped balloon 16 l have a multi-lobed cross sectional profile 16 lp which allows blood to flow in the valleys 17V between the lobes 17 while peaks 17P of the lobes 17 provide support to maintain the tubular shape of the inner lumen 12 l of filling member 12. Valley 17 p can also be configured to allow for the passage of a pressure sensing member 63 from a proximal to a distal end of the balloon. Balloon 16 l can have a selectable number of lobes 17, for example, between three and five lobes depending the upon size of lumen 12 l and the desired amount of blood flow. In one embodiment the balloon can have a three lobe profile 16 lp.
Referring now to FIGS. 22A-22C, in some embodiments, the balloon support member 16 can have a dog bone 16 db or like shape (e.g., a cassini oval) such that the proximal and distal end portions 16 p and 16 d of the balloon have an outwardly flared shape 16 f or otherwise has a larger diameter than the balloon central portion 16 c. One or both of the end portions 16 p and 16 d of the inflated balloon can extend at least partially out of the filling structure 12 into the native vessel lumen LN. This configuration serves to shape the lumen 12 l of the hardened filling structure such that the proximal and distal ends of the formed lumen 12 lp and 12 ld have an outwardly flared shape 12 f (relative to the central portion 12 lc) which roughly corresponds to flared shape 16 f. This flared shape 12 f serves to provide a smooth transition 12 t in diameter from the native vessel lumen NL to the formed lumen 12 l of structure 12 and in particular, minimizes the surface of the area of the formed lumen that is normal to the direction of blood flow BD through the artery. This later configuration serves to minimize an amount of sheer stress on the formed and adjacent native lumens as well as reduce an amount of retrograde flow and turbulence in vessel regions within and adjacent the prosthesis. These fluid dynamic factors in turn serve to reduce the likelihood of the formation of stenosis in the region of the prosthetic.
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US-Klassifikation 623/1.25, 623/1.23, 623/1.11, 623/1.27, 623/1.36, 623/1.21
Internationale Klassifikation A61F2/07, A61F2/06, A61B17/12, A61F2/90, A61F2/95, A61M25/00, A61F2/958
Unternehmensklassifikation A61F2/06, A61F2/07, A61F2/82, A61F2/958, A61F2/95, A61F2002/065, A61F2002/077, A61B17/12195, A61F2230/0034, A61B17/12136, A61F2002/067, A61F2230/005, A61F2220/005, A61B17/12118, A61F2220/0058, A61M2025/0002, A61B2017/1205, A61F2250/0003, A61F2/90
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