Dynamic Microvalve for Embolization Reflux Protection
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Solution Overview
Problem
Current embolization therapies face challenges with non-targeted delivery of treatment agents due to reflux, leading to adverse events and reduced efficacy, particularly in hypervascular tumors or chemotherapy-resistant patients, where slow flow limits therapeutic agent delivery and reflux occurs rapidly or momentarily, causing damage to surrounding healthy organs.
Innovation Solution
A deployable apparatus with a valve mechanism is used in the catheter to ensure substantially unrestricted forward flow and prevent reflux of embolization agents by deploying a braid-like valve that expands to seal against the vessel wall when pressure conditions allow, using filaments with a spring bias and rapid response to pressure changes.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Length of moving object
If a microcatheter is used to infuse embolic agents, then the treatment can be delivered to distal vasculature, but reflux of the embolic agent occurs backward into non-target vessels causing non-target damage
Solution Approach 1:
A valve is introduced as an intermediary device between the catheter and the vasculature. The valve selectively permits forward flow of embolic agents toward the target while blocking backward reflux into non-target vessels, thus mediating the flow control to prevent harmful effects while maintaining treatment delivery capability
Solution Approach 2:
The valve is designed to be dynamically responsive to pressure changes in the vasculature. It automatically opens to allow forward flow when pressure conditions are favorable and closes to prevent reflux when pressure reversals occur, providing adaptive flow control without external intervention
2Productivity
If infusion pressure is increased to overcome slow flow in hypervascular tumors, then therapeutic agent delivery is improved, but reflux of embolic agent occurs more readily into non-target vessels
Solution Approach 1:
The valve serves as a protective intermediary that decouples the relationship between infusion pressure and reflux prevention. High infusion pressures can be applied to overcome slow flow and deliver adequate therapeutic doses, while the valve automatically blocks any resulting reflux, allowing high productivity without proportionally increasing harmful effects
3Object-affected harmful factors
If a valve is deployed to prevent reflux, then non-target damage is reduced, but the device complexity increases
Solution Approach 1:
The valve is designed to be self-regulating and self-managing. It automatically responds to pressure changes in the vasculature, opening and closing as needed without requiring external control mechanisms, actuators, or complex deployment systems, thus minimizing added device complexity while providing effective reflux protection
Solution Approach 2:
The valve replaces complex mechanical control systems with a passive pressure-responsive mechanism. Instead of using motors, sensors, or electronic controls to manage flow direction, the valve utilizes the natural pressure dynamics of the vasculature to control its state, substituting a simple mechanical response for a complex control 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 apparatus enhances distal penetration of therapeutic agents into target vessels while preventing reflux, allowing for higher doses and improved treatment efficacy by dynamically blocking reflux of embolization agents, even in rapidly changing pressure conditions.
Implementation Method 1
The pressure in a vessel at multiple locations in the vascular tree changes during an embolic infusion procedure. Initially, the pressure is high proximally, and decreases over the length of the vessel. Forward flow of therapy occurs when there is a pressure drop.
Implementation Method 2
A deployable apparatus with a valve mechanism is used in the catheter to ensure substantially unrestricted forward flow and prevent reflux of embolization agents by deploying a braid-like valve that expands to seal against the vessel wall when pressure conditions allow, using filaments with a spring bias and rapid response to pressure changes.
Data Source
AI summary
An endovascular system includes inner and outer catheters, a handle system operably coupled one end of the catheters, and a microvalve coupled to the other end of the catheters. The microvalve is constrained in a radially-collapsed closed configuration for advancement within a vessel to a treatment site. The handle system is operable to displace the inner and outer catheters portions relative to each other to move the microvalve between closed and open configurations. An indicator is provided to visually indicate the extent by which the microvalve is opened within the vessel.


