Stiffener Wire Occluding PFO Device
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Solution Overview
Problem
Current medical devices for occluding PFOs face challenges in deploying through a lower profile catheter, achieving accurate placement with minimal distortion of the PFO flap, providing improved clamping force for a secure seal, and minimizing tissue abrasion while allowing selective clamping force adjustment.
Innovation Solution
A medical device featuring a tubular structure with braided material and a stiffener wire, configured to expand from a reduced delivery configuration to a preset configuration at the target site, with non-coaxial end sections and a shape memory material to ensure secure fixation and minimal distortion, along with a softer tubular structure to reduce tissue abrasion.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If an elastic elongated central member is used to connect and urge disk members toward each other, then the device allows for variation in tunnel length and eccentricity of openings, but the clamping force is applied in line with the tunnel causing distortion of the PFO flap
Solution Approach 1:
The device divides the clamping function into two independent components: the elastic central member provides adaptability to tunnel variations, while the stiffener wire provides perpendicular clamping force to prevent flap distortion. This segmentation allows each component to optimize its specific function without compromising the other.
Solution Approach 2:
The stiffener wire acts as an intermediary element that transfers clamping force perpendicular to the disk members, rather than applying force along the tunnel axis. This intermediary mechanism redirects the clamping force to achieve the desired sealing effect without distorting the PFO flap.
2Force
If a stiffer material is used to provide adequate clamping force, then the sealing effectiveness is improved, but the tissue abrasion increases
Solution Approach 1:
The device applies different material properties to different components: the stiffener wire uses stiffer material to provide adequate clamping force, while the disk members use softer material to minimize tissue abrasion. This local differentiation of material quality allows each component to optimize its specific function.
Solution Approach 2:
The device combines materials with different mechanical properties in a single system - stiffer material in the stiffener wire for structural support and clamping force, and softer material in the disk members for tissue contact. This composite material approach resolves the contradiction between clamping force and tissue protection.
3Ease of operation
If the device is designed with a lower profile for catheter delivery, then the ease of delivery is improved, but the ability to provide adequate clamping force is reduced
Solution Approach 1:
The stiffener wire is nested within or integrated with the elastic central member, allowing both components to be delivered through the catheter in a compact configuration. Upon deployment, the stiffener wire extends or activates to provide the necessary clamping force, thus achieving both easy delivery and adequate sealing capability.
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
Enables rapid and effective occlusion of PFOs with improved clamping force, reduced distortion, and minimized tissue abrasion, facilitating easier deployment and placement through smaller catheters, while maintaining adequate sealing and fixation.
Implementation Method 1
The tubular structure and stiffener wire include respective preset, expanded configurations and are configured to be constrained to respective reduced configurations for delivery to the target site and to at least partially return to their respective preset, expanded configurations at the target site when unconstrained
Implementation Method 2
at least one layer of braided material configured to facilitate thrombosis
Data Source
AI summary
One exemplary device includes a tubular structure having proximal and distal ends and at least one layer of braided material configured to facilitate thrombosis. The tubular structure includes an end section at the proximal or distal end having a cross-sectional dimension that is larger than that of an opening of the target site. The device also includes a stiffener wire coupled to the tubular structure, and the wire is configured to extend at least partially through the opening and facilitate securing the end section over the opening. The tubular structure and stiffener wire include respective preset, expanded configurations and are configured to be constrained to respective reduced configurations for delivery to the target site and to at least partially return to their respective preset, expanded configurations at the target site when unconstrained.


