HK1164104A - Expandable medical device with a fixation anchor - Google Patents

Description

BACKGROUND OF THE INVENTION Field of the Invention

The invention relates to a medical device fixation anchor and in particular with an anchor that is suitable for use with a balloon expandable stent.

Discussion of the Related Art

Various medical devices require some form of fixation or anchoring to a targeted site. Common anchoring means include barbs, hooks, sutures, or other features used to attach a device to the surrounding anatomy. Some examples of devices requiring a means to anchor include vena-cava filters, stents, stent grafts, bile/urinary duct stents, intestinal/gastro stents and liners, occluders, electrophysiological leads, various monitors or diagnostic devices, central venous catheters, and other devices as commonly know in the art. Many of these devices incorporate a balloon expandable component that is expanded to bear against the surrounding anatomy, thus providing an anchoring means. The degree of positional anchoring of the medical device is normally dependent upon the degree of "over-expansion" of the balloon expandable component. When over-expanded, the expandable portion is aggressively forced against the surrounding anatomy, affecting a frictional or "interference-fit" means of anchoring. If the degree of over-expansion is excessive, the surrounding anatomy can be damaged. Conversely, if the degree of over-expansion is minimal, the device may dislodge due to poor anchoring.

An improved means of anchoring a balloon expandable component incorporates expandable anchors or barbs. These expandable anchors eliminate the need for aggressive over-expansion and provide a degree of anchoring if the over-expansion is minimal. An improved, balloon expandable anchor can also improve the retention of the expandable component to the balloon. The improved balloon expandable anchors can be contained within the profile of the expandable device, so they do not interfere with the delivery of the device.

WO01/76509 (Endovascular technologies) discloses a hook for attaching to a corporeal lumen. EP0732088 (Advanced Cardiovascular Systems Inc.) discloses an expandable stent forming projecting barbs.

SUMMARY OF THE INVENTION

The invention relates to a device according to claim 1.

A described example includes a medical fixation device, comprising:

• a medical fixation device having
• a balloon expandable anchor with a device attachment portion, an expansion bearing portion and a barb portion;
• the anchor expansion bearing portion being positioned between the anchor device attachment portion and the anchor barb portion;
• the device attachment portion being coupled to an expandable medical device having a first compacted profile and a second expanded profile;
• the anchor barb portion positioned within the first compacted profile; and the anchor being deformed to extend the anchor barb portion outside the second expanded profile.

Additional features and advantages of the invention will be set forth in the description or may be learned by practice of the invention. These features and other advantages of the invention will be realized and attained by the structure particularly pointed out in the written description and claims hereof as well as the appended drawings.

It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory and are intended to provide further explanation of the invention as claimed.

BRIEF DESCRIPTION OF THE DRAWINGS

The accompanying drawings are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, to illustrate embodiments of the invention, and together with the description serve to explain the principles of the invention.

• Figure 1A is a partial side view of a medical device prior to implantation. The medical device shown is a balloon expandable stent surrounding a balloon and a delivery catheter.
• Figure 1B is a partial side view of a medical device that has been balloon expanded.
• Figures 2A and 2B are partial side views of an improved balloon expandable anchor showing the anchor barb contained within a first compacted device profile and shown outside of an expanded device profile.
• Figure 3 is a partial side view of a balloon expanded medical device having two anchor barbs extending outside of a device expanded profile.

DETAILED DESCRIPTION OF THE ILLUSTRATED EMBODIMENTS

The invention is directed to a medical device anchoring or fixation means that enhances the ease of initial compaction and subsequent device deployment.

Figures 1A and 1B show a general example of a medical device delivery sequence. Shown in partial side view, Figure 1A is a compacted medical device 100. The specific medical device shown is a balloon expandable stent 102. The medical device is shown positioned within a lumen 104. The balloon expandable stent 102 is shown compacted onto a balloon (not shown) and delivery catheter 106.

Shown in partial side view, Figure 1B is the medical device 100 in an expanded state. Shown are a balloon expandable stent 102 (shown in an expanded shape), an expanded balloon 108 and the delivery catheter 106. In a typical procedure, the internal balloon pressure expands a malleable stent (or other device), forcing the malleable stent into contact with the surrounding anatomy or lumen wall 104. The magnitude of balloon pressure normally dictates the outer profile of the stent and the degree of over-expansion or embedding into a vessel wall.

Figures 2A and 2B are partial side views of an improved balloon expandable anchor. The expandable medical device 200 is shown within a lumen 104 and surrounding an inflatable balloon 202. The medical device has an expandable anchor 204 having a device attachment portion 206 (used to couple the anchor to a medical device), an expansion bearing portion 208 and a barb portion 210. As shown in Figure 2A, the medical device 200 is shown having a first compacted profile 212. As shown, the anchor barb portion 210 is contained within 214 the first compacted profile 212. An expansion bearing portion 208 can be configured in a variety of ways and may include curved, protruding, flat, or any other profile that will result in the barb portion 210 being contained within the first compacted profile 212.

As shown in Figure 2B, the internal balloon pressure 216 forces the medical device 200 to expand to a second expanded profile 218. Upon expansion, the balloon 202 contacts the expansion bearing portion 208 forcing the expandable anchor 204 to expand so that the barb portion 210 extends outside 220 of the second expanded profile 218.

Shown in Figure 3 is a partial side view of a balloon expandable medical device 300, surrounding an expanded balloon 108 and a delivery catheter 106. The expanded medical device 300 is shown having a second expanded profile 302 and two anchor barb portions 210. The two anchor barb portions 210 are shown extending outside 304 of the second expanded profile 302.

Although shown with expanding balloons, the expandable anchors of the present invention may also be used with other means to expand, such as mechanical bow-arms, expandable "Chinese lanterns", expandable baskets, or other expanding devices or materials.

Balloon expandable anchors can comprise commonly known materials (or combinations of materials) used in the manufacture of balloon expandable stents. Typical materials include 316L stainless steel, cobalt-chromium-nickel-molybdenum-iron alloy ("cobalt-chromium"), other cobalt alloys such as L605, tantalum, malleable Nitinol, or other bio-compatible malleable metals. Other suitable materials include specialized malleable polymers, malleable bioabsorbable materials, and the like.

Typical methods used in the assembly of anchors to medical devices include commonly known techniques used to attach two or more components. Examples of permanent attachments include the use of glues, adhesives, welds, insert molding, heavy press-fits, one-way snap or lock features, pressed pins, heat staking, and rivets. Examples of semi-permanent attachments or those that require a tool to separate the components include screws, threaded fasteners, snap-rings, and snap-fits. Examples of releasable attachments or those that can be separated by hand without the use of an additional tool include snap-fits, twist lock features, push to release features, squeeze to release features, slide levers, latches, and light press-fits.

Anchors can have various cross-sectional profiles such as circular, oval, rectangular, or other polygon shapes. Anchors can also incorporate external lubricious layers, lubricious coatings, or lubricious wrappings to minimize friction. Anchors can also incorporate therapeutic agents tailored for specific biological results. Anchors can also include radiopaque markers or radiopaque intensifiers.

While particular embodiments of the present invention have been illustrated and described herein, the present invention should not be limited to such illustrations and descriptions. It should be apparent that changes and modifications may be incorporated and embodied as part of the present invention within the scope of the following claims.

Claims (8)

1. A device, comprising:

   a balloon expandable anchor (204) having a device attachment portion (206), an expansion bearing portion (208) and a barb portion (210); the expansion bearing portion (208) being positioned between the device attachment portion (206) and the barb portion (210); and

   an expandable medical device (200) having a first compacted profile (212) and a second expanded profile (218) and being configured to be expandable from the first compact profile (212) to second expanded profile using an inflatable balloon (202), wherein the device attachment portion (206) of the balloon expandable anchor (204) is coupled to the expandable medical device (200); and wherein

   the barb portion (210) is positioned within the first compacted profile (212); and

   the anchor (204) is further configured such that, upon expansion of the inflatable balloon (202) that is configured to contact the expansion bearing portion (208) and to force the anchor (204) to expand, the anchor (204) expands such that the barb portion (210) extends outside of the second expanded profile (218).
2. The device of claim 1 wherein the device comprises at least two expandable anchors (204), the anchors (204) being axially offset from one another on the expandable medical device (200).
3. The device according to claim 1 or 2 wherein the barb portion (210) extends substantially radially with respect to the expandable medical device (200) when in the second expanded profile.
4. The device according to any of the claims 1 to 3, wherein expandable medical device (200) is a balloon expandable stent.
5. The device of claim 1 wherein the barb portion is metal.
6. The device of claim 1 wherein the expansion bearing portion is linear.
7. The device of claim 1 wherein the expansion bearing portion is non-linear.
8. The device according to any of the claims 1 to 7 wherein the device is compacted onto a delivery catheter (106).