Methods and systems for transcaval treatment of aneurysms

Inventors

Kuhn, MatthewTatavoosian, Ahramahzd

Assignees

Taurus Vascular Inc

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Publication Number

US-12310837-B1

Patent

Publication Date

2025-05-27

Expiration Date


Abstract

Embodiments described herein relate to a shunt including a self-adjusting mechanism for treating conditions such as an aortic aneurysm. In some embodiments, the shunt may include a central portion, a distal end, and a proximal end. In some embodiments, the distal end of the shunt may be configured to roll proximally (e.g., into a toroidal structure) when the shunt transitions from a delivery configuration to a deployed configuration. In some embodiments, the distal end of the shunt may be configured to roll and/or unroll after deployment such that a length of the shunt can be adjustable to accommodate changing anatomy. In some embodiments, the proximal end may be configured to expand into a disc-like shape when the shunt transitions from the delivery configuration to the deployed configuration.

Core Innovation

The invention relates to a transcaval treatment of aortic/abdominal aortic aneurysms using a shunt that transitions between a delivery configuration and a deployed configuration. In the deployed configuration, the second end rolls to form a ring-like structure and the shunt decreases a total length. When the shunt is at least partially disposed in an anatomical structure, the shunt dynamically adjusts the total length by further rolling or unrolling of the ring-like structure.

The disclosed dynamic adjustment responds to changes in the anatomical structure or pressure conditions in an environment around the shunt, including changes that alter anchoring and fluid-tight sealing between an artery and a vein. The disclosure describes sealing/fluid-management features that maintain sealing and anchoring at both ends while the shunt dynamically changes total length.

The document also describes related structural and deployment configurations for the self-adjusting, ring-like shunt, including a central portion and sealing structures that transition from cylindrical delivery to deployed ring-like and disc-like shapes. It describes possible use with delivery systems such as a deployment catheter and sliding sheath, and sealing structure features such as self-expandable seals.

Claims Coverage

The provided independent claims are clm-00001, clm-00023, and clm-00032. Across these independent claims, the inventive features focus on cylindrical-to-deployed geometric transitions forming ring-like structures and decreasing total length, dynamic total-length adjustment via rolling/unrolling in response to anatomical structure or pressure conditions, and an anchoring first-end shape that prevents movement with a rolling/unrolling second end.

Cylindrical-to-ring-like deployed transition with decreased total length

A shunt configured to transition between a delivery configuration in which the shunt is cylindrical and a deployed configuration in which the second end has rolled to form a ring-like structure and to decrease a total length of the shunt.

Dynamic total-length adjustment by rolling or unrolling based on anatomical or pressure changes

When the shunt is at least partially disposed in an anatomical structure, the shunt is configured to dynamically adjust the total length by further rolling or unrolling the ring-like structure based on changes in the anatomical structure or pressure conditions in an environment around the shunt.

Disc-shaped first end expansion and inverted ring-like second end to decrease total length

A shunt configured to transition between a delivery configuration in which the shunt is cylindrical and a deployed configuration in which the first end expands radially to form a disc shape and at least a portion of the second end inverts into a ring-like structure such that a total length of the shunt decreases.

Dynamically adjusting length by rolling and unrolling relative end shapes anchored to an anatomical structure

The second end, when the shunt is at least partially disposed in the anatomical structure, is configured to roll and unroll relative to the first end to dynamically adjust a total length of the shunt based on changes in conditions around the shunt.

Anchoring first end shape configured to prevent movement relative to an anatomical structure

In a deployed configuration, the first end forms a first shape configured to fix the shunt relative to an anatomical structure to prevent movement of the shunt.

The independent claims collectively cover a transcaval shunt apparatus that transitions from a cylindrical delivery configuration to deployed geometries that form ring-like structures and decrease total length, while further rolling or unrolling dynamically adjusts total length in response to anatomical structure and pressure or condition changes. In the clm-00032 framework, a first-end deployed shape fixes the shunt relative to an anatomical structure to prevent movement, with a second end rolling and unrolling relative to the first end to achieve dynamic length adjustment.

Stated Advantages

Maintains anchoring and fluid-tight sealing between an artery and a vein through dynamic adjustment of shunt total length.

Documented Applications

Transcaval treatment of aortic/abdominal aortic aneurysms.

Treatment configured for an aortic aneurysm.

Endograft implantation and bypass graft concepts combined with transcaval shunt treatment.

Broader applications of self-rolling shunts in other medical contexts, including interatrial, hemodialysis access, and PVD.

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