Expandable Sealing Means for Endoluminal Prostheses
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Solution Overview
Problem
Conventional endovascular graft assemblies face issues with long-term durability, endoleaks, and challenges in delivering and sealing endoluminal reactants, leading to potential device migration and dislodgement, especially in patients with aortic stenosis or mitral regurgitation, where invasive surgeries pose high risks.
Innovation Solution
Development of expandable sealing means for endoluminal devices that can be controlled for activation, using a wire or pressure to expand and secure the device to the vessel wall, with a swellable material like hydrogel that activates upon contact with fluid to ensure secure placement and adapt to vascular anatomy, reducing profile and preventing leaks.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Loss of time
If conventional endovascular graft assemblies are deployed to treat aneurysms, then the procedure avoids extensive surgery and reduces recovery time, but the long-term durability is compromised due to graft separation and endoleaks
Solution Approach 1:
The sealing means is pre-positioned on the endoluminal prosthesis in a compressed state during device assembly, but remains inactive until deployment. The swellable material is pre-loaded into the sealing means, ready to expand when activated by bodily fluids at the target site, ensuring proper sealing action occurs at the right time and place
Solution Approach 2:
The sealing means utilizes a material that undergoes a physical parameter change from a compressed low-profile state during delivery to an expanded high-profile state after deployment. The swellable material changes volume and density when exposed to bodily fluids, transforming the sealing means from a compact configuration to an expanded sealing configuration that prevents endoleaks
2Reliability
If the graft is expanded and anchored to the body lumen to exclude the aneurysm sac, then immediate sealing is achieved, but the device profile increases and delivery complexity increases
Solution Approach 1:
The sealing means is nested within or on the endoluminal prosthesis structure, with the swellable material contained within the sealing means. The delivery catheter encompasses both the prosthesis and sealing means assembly, creating a nested configuration that allows compact delivery while enabling sequential deployment of the prosthesis followed by activation of the sealing means
Solution Approach 2:
The sealing means transitions from a static compressed state during delivery to a dynamic expanded state after deployment. The system evolves from a compact deliverable configuration to an expanded functional configuration, with the sealing means adapting its shape and volume in response to activation by bodily fluids at the implantation site
3Adaptability or versatility
If a swellable material like hydrogel is used to expand the sealing means, then active conforming to leak sites is achieved, but the device profile increases upon activation
Solution Approach 1:
The swellable material is contained within a defined sealing means structure that is positioned at specific locations on the endoluminal prosthesis where sealing is most critical. The expansion occurs locally at these predetermined sites, allowing the sealing means to conform to irregularities and leak sites in the vascular anatomy while maintaining a controlled overall device profile
Solution Approach 2:
The sealing means utilizes a material that undergoes a physical parameter change from a compressed low-profile state during delivery to an expanded high-profile state after deployment. The swellable material changes volume and density when exposed to bodily fluids, transforming the sealing means from a compact configuration to an expanded sealing configuration that prevents endoleaks
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
The solution provides effective sealing with minimal profile increase, active conforming to leak sites, and the ability to remodel with vascular changes, ensuring long-term fixation and reducing the risk of endoleaks and device migration, particularly beneficial for high-risk patients.
Implementation Method 1
a swellable material like hydrogel that activates upon contact with fluid to ensure secure placement and adapt to vascular anatomy
Data Source
AI summary
Expandable sealing means for endoluminal devices have been developed for controlled activation. The devices have the benefits of a low profile mechanism (for both self-expanding and balloon-expanding prostheses), contained, not open, release of the material, active conformation to the “leak sites” such that leakage areas are filled without disrupting the physical and functional integrity of the prosthesis, and on-demand, controlled activation, that may not be pressure activated.


