In-situ Forming Foam Outer Layer for Aneurysm Sealing
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Solution Overview
Problem
Current treatments for aneurysms, particularly endovascular aneurysm repair (EVAR), face challenges with endoleaks due to insufficient sealing and fluid movement, which can lead to aneurysm expansion or rupture, and existing solutions require pre-formed foams that cannot conform to the aneurysm sac's configuration.
Innovation Solution
In-situ forming polymer foams that react within the aneurysm sac to generate a gas and form a foam structure with a skin, providing conformal contact and minimizing endoleaks, using a one-part, two-part, or multi-part polymer formulation that expands to fill the sac and stabilize pressure.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If pre-formed foams are used to fill the aneurysm sac, then the foam can be easily delivered and deployed, but the foam cannot conform to the aneurysm sac's configuration, leading to insufficient sealing and endoleaks
Solution Approach 1:
The foam undergoes parameter changes by transitioning from a liquid or semi-liquid injectable state to an expanded solid foam state in-situ within the aneurysm sac. This phase change allows the material to adapt its volume and shape to conform precisely to the irregular geometry of the aneurysm sac, achieving both ease of delivery (as liquid) and conformal contact (after expansion).
Solution Approach 2:
The foam is designed to be dynamic rather than static, allowing it to expand and adapt its shape after delivery. The foam transitions from a deliverable liquid state to an expanded foam state that dynamically conforms to the aneurysm sac's configuration, providing both ease of delivery and precise sealing.
2Manufacturing precision
If the foam expands to fill the aneurysm sac, then conformal contact is achieved, but the foam may move outside the targeted treatment zone causing complications
Solution Approach 1:
The foam develops different properties in different regions: the outer layer forms a solid skin or crust that acts as a barrier to prevent movement, while the inner portions remain as expandable foam cells that provide conformal contact. This local differentiation of properties allows the foam to both conform to the sac geometry and remain contained within the treatment zone.
Solution Approach 2:
The foam forms an outer skin or thin film layer that acts as a flexible containment shell. This outer layer prevents the foam from moving outside the targeted aneurysm sac while allowing the inner foam structure to expand and conform to the sac's irregular shape, achieving both conformal contact and containment.
3Manufacturing precision
If the foam reacts in-situ to generate gas and form structure, then conformal contact is achieved, but the reaction time and foaming process add complexity
Solution Approach 1:
The foam formulation is self-reacting, utilizing chemical reactions that occur automatically upon injection without requiring external triggers or complex control systems. The foam self-generates gas bubbles and self-structures into the final foam configuration, achieving conformal contact while minimizing the complexity of the delivery system.
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 in-situ forming foams effectively seal the aneurysm sac, reducing endoleak risk and stabilizing pressure without requiring knowledge of the aneurysm configuration, thereby improving patient outcomes by minimizing complications and mortality associated with EVAR procedures.
Implementation Method 1
forming an in-situ forming foam between the exterior surface of the medical device and the tissue surface of the aneurysm. The in-situ forming foam comprises a polymer that reacts in-situ to generate a gas and form a foam structure
Implementation Method 2
The polymer reacts in-situ to generate a gas and form a foam structure comprising a first portion comprising a skin and a second portion within the first portion
Implementation Method 3
providing conformal contact and minimizing endoleaks, using a one-part, two-part, or multi-part polymer formulation that expands to fill the sac and stabilize pressure
Data Source
AI summary
Systems, methods and kits relating to in-situ forming polymer foams for the treatment of aneurysms or fluid filled spaces are disclosed. The systems include an insertable medical device and an in-situ forming foam of lava like materials with a fast forming outer skin and a slower hardening interior that is formed from a one-, two- or multi-part formulation. When used to treat an aneurysm, the foam is placed into contact with at least a portion of an exterior surface of the medical device and/or the tissue surface of the aneurysm.


