Adhesive cover occluding device for aneurysm treatment

Abstract

The device includes a net portion for occluding an aneurysm neck and an adhesive to secure the net portion. The device can further include a channel orifice opening in the net portion, and an agent channel for delivering a rapid-curing agent through the orifice into the aneurysm. Devices can be delivered through a catheter to the aneurysm, the net can expand to occlude the aneurysm neck, and the net can be adhered to the aneurysm neck. In devices including a channel orifice and agent channel, the rapid-curing agent can be injected into the aneurysm. During injection of the rapid-curing agent, the net portion can create a barrier to inhibit the rapid-curing agent from exiting the aneurysm. After injection of the coagulation agent, portions of the treatment device, excluding the net portion, can be extracted from the patient.

1 . A treatment device for treating an aneurysm comprising:
 a net portion expandable from a collapsed configuration to an occluding configuration, the occluding configuration sized to extend across and occlude at least a portion of a neck of the aneurysm to create a barrier between a blood vessel and the aneurysm; and   an adhesive circumscribing at least a portion of a perimeter of the net portion when the net portion is in the occluding configuration, the adhesive being positioned to contact with tissue approximate the aneurysm neck thereby securing the net portion in a position approximate the aneurysm neck; and   an adhesive barrier configured to be removed to expose the adhesive agent.   
     
     
         2 . The treatment device of  claim 1 , wherein the net portion in the collapsed configuration is sized to traverse through a lumen of a delivery catheter. 
     
     
         3 . The treatment device of  claim 1 , wherein the adhesive barrier is removed to expose the adhesive agent located on at least a portion of the perimeter of the net portion subsequent to the net portion reaching the occluding configuration. 
     
     
         4 . The treatment device of  claim 1 , wherein the adhesive barrier is removed to expose the adhesive agent located on at least a portion of the perimeter of the net portion prior to the net portion reaching the occluding configuration. 
     
     
         5 . The treatment device of  claim 1 , wherein the adhesive barrier is removed to expose the adhesive agent located on at least a portion of the perimeter of the net portion upon delivery of the net portion to the aneurysm. 
     
     
         6 . The treatment device of  claim 2 , wherein the adhesive barrier is removed to expose the adhesive agent located on at least a portion of the perimeter of the net portion upon exiting the delivery catheter. 
     
     
         7 . The treatment device of  claim 1  further comprising:
 a channel orifice defining an opening in the net portion, wherein in the occluding configuration the channel orifice is open to the aneurysm; and 
 an agent channel in communication with the channel orifice delivering a rapid-curing agent to an aneurysm sac through the channel orifice. 
 
     
     
         8 . The treatment device of  claim 7  further comprising:
 a trigger mechanism for introducing the rapid-curing agent into the agent channel;
 wherein the agent channel comprises a proximal end in communication with the trigger mechanism to receive the rapid-curing agent into the agent channel and a distal end in communication with the channel orifice; and 
 wherein the agent channel delivers the rapid-curing agent from the proximal end to the distal end and through the channel orifice into the sac of the aneurysm. 
 
 
     
     
         9 . A method for treating an aneurysm comprising:
 providing a treatment device comprising a net portion, an adhesive circumscribing at least a portion of a perimeter of the net portion, and a removable adhesive barrier covering at least a portion of the adhesive;   delivering the treatment device to an aneurysm treatment site;   expanding the net portion to an occluding configuration approximate a center of an aneurysm neck, wherein the expanded net portion occludes at least a portion of the aneurysm neck to create a barrier between a blood vessel and the aneurysm;   removing the adhesive barrier to expose a portion of the adhesive to tissue approximate the aneurysm neck prior to, during, or after the expansion step; and   adhering the net portion approximate to the aneurysm neck by the adhesive.   
     
     
         10 . The method of  claim 9 , wherein the net portion in the collapsed configuration is sized to traverse through a lumen of a delivery catheter. 
     
     
         11 . The method of  claim 9 , wherein the adhesive barrier is removed to expose the adhesive agent located on at least a portion of the perimeter of the net portion subsequent to the net portion reaching the occluding configuration. 
     
     
         12 . The method of  claim 9 , wherein the adhesive barrier is removed to expose the adhesive agent located on at least a portion of the perimeter of the net portion prior to the net portion reaching the occluding configuration. 
     
     
         13 . The method of  claim 9 , wherein the adhesive barrier is removed to expose the adhesive agent located on at least a portion of the perimeter of the net portion upon delivery of the net portion to the aneurysm. 
     
     
         14 . The method of  claim 10 , wherein the adhesive barrier is removed to expose the adhesive agent located on at least a portion of the perimeter of the net portion upon exiting the delivery catheter. 
     
     
         15 . The method of  claim 10  further comprising:
 introducing a rapid-curing agent through an agent channel to the aneurysm sac, the agent channel in communication with a channel orifice defining an opening in the net portion, 
 wherein in the occluding configuration the channel orifice is open to the aneurysm. 
 
     
     
         16 . The method of  claim 15 , wherein the treatment device further comprises:
 a trigger mechanism for introducing the rapid-curing agent into the agent channel;
 wherein the agent channel comprises a proximal end in communication with the trigger mechanism to receive the rapid-curing agent into the agent channel and a distal end in communication with the channel orifice; and 
 wherein the agent channel delivers the rapid-curing agent from the proximal end to the distal end and through the channel orifice into the sac of the aneurysm. 
   
     
     
         17 . A method for treating an aneurysm comprising:
 providing a treatment device comprising a net portion, an adhesive circumscribing at least a portion of a perimeter of the net portion when the net portion is in an occluding configuration, a removable adhesive barrier covering at least a portion of the adhesive, a channel orifice defining an opening in the net portion, and an agent channel;   joining the agent channel with the channel orifice;   delivering the treatment device to an aneurysm treatment site via a delivery catheter;   expanding the net portion to the occluding configuration approximate a center of an aneurysm neck, wherein the expanded net portion occludes at least a portion of the aneurysm neck to create a barrier between a blood vessel and the aneurysm to prevent a rapid-curing agent from entering the blood vessel;   adhering the net portion approximate to the aneurysm neck by removing the adhesive barrier such that the adhesive contacts tissue approximate the aneurysm neck prior to, during, or after the expansion step; and   delivering the rapid-curing agent through the agent channel and the channel orifice into the aneurysm sac to coagulate the blood present in the aneurysm.   
     
     
         18 . The method of  claim 17 , wherein the adhesive barrier is removed to expose the adhesive agent located on at least a portion of the perimeter of the net portion subsequent to the net portion reaching the occluding configuration. 
     
     
         19 . The method of  claim 17 , wherein the adhesive barrier is removed to expose the adhesive agent located on at least a portion of the perimeter of the net portion prior to the net portion reaching the occluding configuration. 
     
     
         20 . The method of  claim 17 , wherein the adhesive barrier is removed to expose the adhesive agent located on at least a portion of the perimeter of the net portion upon exiting the delivery catheter.