The present invention relates to a fabric medical device having a tapered transition and method of making the device. Embodiments of such a fabric medical device of the present invention may be advantageous for use as a bone filler material delivery device.
Tubular woven fabrics may be utilized in a variety of applications, including, for example, in devices useful in surgical procedures. One example of such a device is a tubular, woven, bone filler material delivery device. It may be desirable to provide such bone filler material delivery devices, or other tubular woven devices, in various shapes and sizes and such that the integrity of the fabric can be maintained during use of the device.
Conventional weaving techniques are commonly employed to fabricate tubular articles having various shapes. Tubular articles made utilizing conventional weaving techniques are generally made as single lengths or bifurcated structures. However, in conventional weaving processes, the transition from one diameter to another diameter can occur at a single point in the weave, creating a sudden change in the weaving pattern of the fabric in transition areas. Such sudden changes can create voids and gaps in the tubular article, which may be undesirable when the tubular article is to be used for containing and/or delivering a fluid or semi-fluid material. As a result, such weaving techniques have specific limitations as to the final shape of the article. That is, complex shapes, such as tubular “S-shaped” or frustoconical-shaped woven sections have not been attempted using conventional weaving techniques due to the impractibility of using those techniques for such articles, intensive labor, and resulting high cost to the consumer.
An alternative approach to forming tubular articles having a desired size and shape is to manually cut, splice, suture, or otherwise tailor standard woven tubular articles into customized forms. For example, conventional tubular articles having more than one diameter may be made by weaving separate tubes having different diameters and suturing the individual tubes together to make a continuous tube. The change in diameter between tubular segments can require customized cutting to gradually transition from one diameter to another. As a consequence, custom-made woven tubular articles can suffer the disadvantages of gaps created at transition points between portions of the article due to separation or splitting of warp yarns in those areas.
Some surgical procedures are increasingly becoming minimally invasive procedures in which the surgical site is accessed via a narrow incision or a percutaneous puncture to the site. In surgical procedures generally, and in minimally invasive procedures in particular, it may be desirable to utilize a device for delivering fluid or semi-fluid material to the surgical site that is proportioned so as to fit through a small opening. In such situations, the delivery device may have a decreasing diameter from the proximal portion of the device outside the patient's body to the distal portion of the device at the surgical site. In addition, devices such as a bone filler material delivery device may be angled to some degree so as to reach a target structure not directly in line with the surgical access pathway. In other procedures, it may be desirable to utilize a tubular woven device having an angle along the length of the device so as to keep the user's hands and/or the device out of the field of an imaging device, such as a fluoroscope, that may be used to monitor the procedure.
Because of the high viscosity of materials, such as bone cement, high pressures may be required to inject such materials from the delivery device into hard bony tissue at a target site. Such high pressures can cause the user to apply substantial force to the delivery device, creating a risk for rupturing the fabric of the tubular woven device.
One conventional bone filler material delivery device employs a gun-type injector in order to use the mechanical advantage of a lever to provide pressures high enough to deliver the material from a chamber of the device into a patient. In a vertebroplasty procedure, for example, bone filler material can be injected at high pressure, such as about 700 psi, into the interior of a vertebral body, without the prior formation of a cavity. Because high pressure is used, there is little opportunity to quickly and accurately adjust the flow of the bone filler material in reaction to bone volume and density conditions encountered. Momentum generated by high pressure-induced flow of bone filler material can continue to propel the material into the targeted bone site even after termination of the high pressure. That is, once the pressure-generating mechanism is triggered, conventional bone cement injection devices do not permit the injection volume or injection rate to be adjusted or controlled in real time. In addition, a lever-type injector can have the disadvantage of requiring heavy, complex mechanical components to achieve sufficiently high pressures for delivery of a viscous material.
Other conventional bone filler material delivery devices utilize a pneumatic means for injecting bone filler material into a patient. Pneumatic injector devices often provide inadequate control of the delivery of the bone filler material, and may pose safety concerns in applications such as vertebroplasty in which control of the injected material is critical. As a result of the relatively high pressure that conventional procedures rely upon, coupled with the effective lack of a short response time, the targeted bone interior can suddenly overfill. Excess filling material can be forced outside the bone interior, and into adjoining tissue regions, where the presence of filler material is not desired.
Thus, it may be desirable for a tubular woven article, such as a bone filler material delivery device, to comprise transitions between portions having varying diameters and/or branching segments that avoid gaps and voids in the tubular wall of the device, and thus have an improved barrier against leakage in those transition areas and/or branching segments. It may be further desirable for such a tubular woven bone filler material delivery device to allow greater control of the rate of injecting a bone filler material.
Some embodiments of a fabric medical device having a tapered transition and/or method of making the device of the present invention can include a plurality of warp yarns and fill yarns woven together to form a first tubular extent having a first diameter and a formed shape, a second tubular extent having a second, different diameter and a formed shape, and a transition tubular extent having a graduated diameter between the first and second tubular extents. A tapered edge can be formed along the transition tubular extent by a weaving pattern in which a graduated number of warp yarns are disengaged along the transition tubular extent. A seam can be woven along the tapered edge that is configured to provide a substantially fluid-tight transition between the first tubular extent and the second tubular extent. Such an embodiment of a device can further include the warp yarns in at least the transition tubular extent having a tenacity higher than the tenacity of the fill yarns.
In some embodiments, the warp yarns can include top layer warp yarns and bottom layer warp yarns, and the seam can comprise the top layer warp yarns and the bottom layer warp yarns woven together along the tapered edge. In some embodiments, the warp yarns can be disengaged at a sufficiently high ratio relative to the fill yarns such that the diameter of the transition tubular extent graduates at an angle of at least 45 degrees between the first and second tubular extents. In some embodiments of a fabric medical device according to the present invention, the device can be a bone filler delivery device adapted to deliver bone filler to a bony area in an internal body region.
Some embodiments of the present invention can provide a fabric medical device having a tapered transition and/or method of making the device. Illustrative embodiments of a fabric medical device having a tapered transition and/or method of making the device of the present invention are shown in
As used in this specification and the appended claims, the singular forms “a,” “an,” and “the” include plural referents unless the context clearly dictates otherwise. Thus, for example, the term “a device” is intended to mean a single device or a plurality of devices, and “a seam” is intended to mean a single seam or a plurality of devices.
Some embodiments of the present invention can comprise a tubular article having a tapered area, or transition area, that tapers from a larger diameter to a smaller diameter. In certain embodiments, the tubular article can comprise a woven fabric. The tubular article can be, for example, a bone filler delivery device useful for delivering bone filler material, such as a bone cement, to a bony area in an internal region of a human or animal. An embodiment of a bone filler delivery device having a tapered transition may be particularly useful for delivering bone filler material to a treatment site in minimally invasive surgical procedures.
The tapered transitions can include a seam, or closure, along a tapered edge. In some embodiments, the seam can provide a substantially fluid-tight transition between a first tubular portion, or extent, and a second tubular portion, or extent. The seam may be located at an edge where fabric of the tubular article tapers from one diameter to a different diameter and/or at a point where the tubular article splits, such as with a bifurcation. For purposes herein, an edge is defined as an outer limit of the width of the tubular article along its longitudinal axis as the article is flat-woven on a loom. In certain embodiments, the seam can be woven directly on a loom by weaving together the top and bottom fabric portions of the tubular article. In other embodiments, the open edges of the transition portion can be joined together by various means after weaving is completed in order to form a seam, or closure. Embodiments of a tubular article of the present invention having such a seam, or closure, can provide the advantage of minimizing voids and gaps found along the tapered edges and at bifurcation point(s) of conventional tubular articles.
In some embodiments, the tubular article can be a tubular bone filler delivery device. The bone filler delivery device can include a first extent having a first constant diameter, a tapered transition extent continuously woven from the first extent, and a second extent having a second constant diameter smaller than the first constant diameter and that is woven continuously from the transition extent. In one illustrative embodiment, the device can have a length of approximately four to six inches. In such an embodiment, the length of each extent can vary. That is, in various embodiments, each extent can be longer, shorter, or the same length as the other extents. For example, the first constant diameter extent may be two inches in length, the tapered transition extent two inches in length, and the second constant diameter extent two inches in length. Alternatively, the first constant diameter extent may be one inch in length, the tapered transition extent four inches in length, and the second constant diameter extent one inch in length. Each extent in embodiments of a tubular article can be any length desired for the end use of the article.
Some embodiments of a tubular article of the present invention can include various degrees, or angles, of taper in transition areas. In an illustrative embodiment, a tubular bone filler delivery device comprising woven fabric can taper gradually from one end of the device to the opposite end of the device. At one, larger end of the tube, the device can have a diameter of, for example, about 25-30 mm. The device can include a taper in which the fabric is woven so as to gradually reduce the diameter of the tube along its length. The opposite, smaller end of the device can have a diameter of, for example, about 4-8 mm. A bone filler delivery device having such dimensions may be useful for positioning the device through a surgical access path in a minimally invasive procedure.
In some embodiments, the tubular bone filler delivery device can include a tapered transition area in which the degree, or angle, of transition changes abruptly. For example, the tapered transition area can include an angle of transition of about 45-135 degrees. In one such embodiment, the tubular bone filler delivery device can include a first extent having a first constant diameter, a tapered transition extent continuously woven at about a 90 degree angle from the first extent, and a second extent having a second constant diameter smaller than the first constant diameter and that is woven continuously from the transition extent. Embodiments of the present invention can advantageously provide tubular woven, single-lumen or bifurcated articles that can be produced with varying diameters and tapered transitions. As a result, the present invention can advantageously provide embodiments of tubular articles in complex shapes.
In weaving processes useful in making embodiments of tubular articles or the present invention, yarns can be interwoven in different directions to create the tubular fabric. For example, a set of warp yarns can run lengthwise parallel to the selvages, or edge portions, and represent the width of the product being woven. Fill yarns run from selvage to selvage at right angles to the warp and are interlaced between the warp yarns. The fill yarn can be woven along the length of the warp yarns, with each successive pass of the fill yarn across the warp yarns for each side of the tube representing one machine pick. Weaving one fill yarn along the entire circumference of the tube, for example, one filling pick, requires two picks of the weaving machine. Thus, two machine picks represent one filling pick in a tubular woven structure. As such, the fill yarn can be woven along the length of the warp yarns for a multiple number of machine picks. The resulting woven product is defined in length by the number of filling picks of the fill yarn and defined in width by the number of warp yarns in which the fill yarn is woven between.
In embodiments of the present invention, warp ends, or yarns, and pick ends, or fill yarns, can be uniform throughout the entire tubular article, including in the tapered transitions areas. That is, the density of yarns can be uniform throughout each tubular extent in the tubular article, including, for example, a first constant diameter tubular extent, a second constant diameter tubular extent, and a tapered transition tubular extent between the first and second tubular extents. Such embodiments of a tubular article having tapered seam transitions can have more uniform characteristics such as porosity, strength, flexibility, and thickness along the length of the tubular article as compared to conventional tubular articles. As a result, the tapered transition areas, such as a seamed transition, can be essentially fluid-tight, or non-permeable. Thus, embodiments of a tubular article having such seams at transition areas, such as tapers and furcations, can provide increased strength to the tubular article and an improved barrier against leakage in those transition areas.
In various embodiments, a tubular article of the present invention can include one or more tapered transition areas adapted to provide a reduction in diameter between the ends of the device to facilitate inserting the device through a percutaneous pathway to an internal body region and to deliver a fluid or semi-fluid material to the internal body region. One such embodiment can comprise a bone filler delivery device. An embodiment of a bone filler delivery device of the present invention can be utilized, for example, in vertebroplasty and/or kyphoplasty procedures.
Vertebroplasty is a minimally invasive surgical procedure for reducing a vertebral fracture. In a vertebroplasty procedure, or other vertebral body repair procedure, a device can be percutaneously inserted into cancellous bone inside a vertebral body. The device can be used to create a void, or cavity, in the cancellous bone. Once the void is created, bone filler material can be delivered into the cavity to provide structural support to the cortical bone of the vertebral body. Kyphoplasty is a minimally invasive surgical procedure for reducing a vertebral fracture similar to a vertebroplasty. In addition to reducing a vertebral fracture, kyphoplasty procedures can include restoring height to an injured or diseased vertebra.
Some embodiments of a tubular article having a tapered transition area can be utilized in applications other than as a bone filler delivery device. Some embodiments of a tubular article having a tapered seam transition may be adapted for use in a variety of clinical applications, for example, in cardiovascular, gastrointestinal, genitourinary, gynecologic, hepatobiliary, endocrine, otolaryngologic, pulmonary, and other intra- and inter-organ regions. Such tubular articles may be curved, tapered, or otherwise adapted for use in different anatomic regions. For example, certain embodiments may be utilized to instill other fluids and/or semi-fluid material into various internal body regions. One embodiment may be used to irrigate and/or to instill an antibiotic into an internal body region. Another embodiment may be used to inject a gel material into an implanted breast implant. Yet another embodiment may be used to transfuse blood products into a person's cardiovascular system. Some embodiments of a tubular article having a tapered transition area can be utilized for topical application of a material. Other embodiments can be utilized in other clinical applications and/or as well as in settings apart from clinical environments and uses.
Embodiments of a tubular article having a tapered transition area can comprise various materials. For example, a tubular article such as a bone filler delivery device may comprise an acrylic material and/or other synthetic and/or natural fibers. In certain embodiments, the tubular article can be disposable.
In one illustrative embodiment, a woven tubular article can comprise a plurality of warp yarns and fill yarns, a first tubular extent having a first diameter, a second tubular extent having a second diameter different from the first diameter, and a transition tubular extent between the first and second tubular extents. The transition tubular extent can have a tapered edge along the transition extent formed by a weaving pattern in which a graduated number of warp yarns are disengaged as weaving proceeds. This weaving pattern can thus provide a graduated change in the number of warp yarns to form a graduated diameter along the transition tubular extent between the first and second tubular extents. A seam can be woven along the tapered edge, such that the seam provides a substantially fluid-tight transition between the first tubular extent and the second tubular extent. Such an embodiment can be, for example, a bone filler delivery device. In certain embodiments, the tubular article can be flat-woven.
In some embodiments, the first, second, and transition tubular extents can be woven together, and the seam can be woven during weaving of the transition tubular extent. In certain embodiments, the plurality of warp yarns can further comprise top layer warp yarns and bottom layer warp yarns. The seam can comprise the top layer warp yarns and the bottom layer warp yarns woven together along the tapered edge.
The diameter of the first tubular extent and the diameter of the second tubular extent can each be defined by a different number of warp yarns. The first tubular extent can comprise a constant first diameter, and the second tubular extent can comprise a constant second diameter different than the first diameter. In some embodiments, the ratio of disengaged warp yarns to fill yarns can allow the tapered edge to have an angle greater than 45 degrees relative to the first and/or second tubular extents. For example, the ratio of disengaged warp yarns to fill yarns can allow the tapered edge to have an approximately 90 degree angle relative to the first and/or second tubular extents.
Embodiments of the tubular article can comprise various shapes. For example, embodiments of the tubular article can have a frustoconical shape, in which the first tubular extent diameter is graduated, the second tubular extent diameter is graduated, the transition tubular extent diameter is graduated, and the diameters of the first, second, and transition tubular extents are each graduated in the same direction. In another embodiment, the tubular article can have an “S” shape, in which the tapered edge comprises two opposing edges. The transition tubular extent can have a curve in one direction in which the warp yarns at a first opposing edge are successively disengaged, and corresponding warp yarns at a second opposing edge are successively engaged. The “S”-shaped transition tubular extent can have a curve in the opposite direction in which the warp yarns at the first opposing edge are successively engaged, and corresponding warp yarns at the second opposing edge are successively disengaged. In another embodiment, the tubular article can include an inward taper, in which the first tubular extent diameter is constant and the second tubular extent comprises the transition tubular extent. In still another embodiment, the tubular article can include an outward flare, in which the first tubular extent comprises the transition tubular extent and the second tubular extent diameter is constant.
In some embodiments, the woven tubular article can include two secondary tubular extents, each having a diameter different than the first tubular extent first diameter. The transition tubular extent can extend between the first tubular extent and the two secondary tubular extents, and have a tapered edge and a graduated diameter. The two secondary tubular extents can bifurcate from the transition tubular extent such that the tapered edge forms a crotch in the transition tubular extent between the two secondary tubular extents. A substantially fluid-tight seam can be woven along the crotch in the transition tubular extent. The seam can comprise the top layer warp yarns and the bottom layer warp yarns woven together along the crotch. Each of the two secondary tubular extents can have the same diameter or different diameters.
In another embodiment, the woven tubular article can comprise a plurality of warp yarns and fill yarns, a first tubular extent having a first diameter, and a second tubular extent having a second diameter different from the first diameter, such that the first and second tubular extents are spaced apart to define an open transition extent therebetween. The open transition extent can have an unwoven tapered edge along the transition extent formed by a weaving pattern having a graduated change in the number of warp yarns. The graduated change in the number of warp yarns can comprise a graduated disengagement of predetermined warp yarns from the weaving pattern.
In an embodiment having an open transition extent, the fill yarns can comprise top layer fill yarns and bottom layer fill yarns, and the first, second, and transition tubular extents can be woven together such that the fill yarns at the tapered edge are woven onto the same layer, leaving the transition tubular extent open.
The unwoven, open tapered edge can then be closed with a seam along the tapered edge. The seam can comprise a seam forming means to close the open transition extent into a tube after weaving is completed. In various embodiments, the seam forming means can comprise stitching, or sewing, gluing, stapling, welding, and/or the like along the tapered edge of the open transition extent. The seam can thus provide a substantially fluid-tight transition between the first tubular extent and the second tubular extent.
The tubular article having an unwoven tapered edge along the open transition extent that is closed with a fluid-tight seam after weaving is completed can have various shapes. For example, such a tubular article can have a frustoconical shape or an “S” shape. In some embodiments, the transition tubular extent comprises an inward taper. In other embodiments, the transition tubular extent can comprise an outward flare.
In another embodiment, the woven tubular article can comprise a plurality of warp yarns and fill yarns, a first tubular extent having a first diameter, a plurality of secondary tubular extents, each woven at a transition with the first tubular extent, and an open crotch formed at the transition between the first tubular extent and the plurality of secondary tubular extents. The open crotch can be formed by a weaving pattern that disengages a graduated number of predetermined warp yarns along the transition between the first tubular extent and plurality of secondary tubular extents. A seam can be formed along the crotch such that the seam provides the transition between the first tubular extent and the plurality of secondary tubular extents with a substantially fluid-tight closure.
In such an embodiment, the seam can comprise a seam forming means to close the open crotch after weaving is completed. In some embodiments, the seam forming means can comprise stitching sewn along the open crotch. In other embodiments, the seam forming means can comprise gluing, stapling, welding, and/or the like.
In certain embodiments, the plurality of secondary tubular extents can comprise a pair of secondary tubular extents defining a bifurcated structure. Each of the pair of secondary tubular extents can have the same diameter or a different diameter.
Referring to the Figures,
As described, in some embodiments of the present invention, transition from one diameter to another diameter can be accomplished by engaging and/or disengaging predetermined warp yarns from the weave pattern. Such disengaging or engaging of warp yarns can be gradual. However, such a transition can potentially be accomplished using any combination of numbers of warp yarns and fill yarns. Embodiments of tubular articles of the present invention allow varied rates of transition such that acute angles resulting from abrupt changes in the weaving pattern can be accommodated.
As shown in
In embodiments utilizing a stitched crotch weave pattern 60 as shown in
Referring to
Further, during weaving of the bifurcated tubular article 130, two separate filling yarn shuttles (not shown) can be used to weave the two distinct secondary woven extents 137a and 137b. To form the gradual transition in the crotch 138, the shuttle designated for weaving of the secondary woven extent 137a selectively and gradually engages warp yarns designated for weaving of the secondary woven extent 137b. Likewise, the shuttle designated for weaving the secondary woven extent 137b selectively and gradually engages warp yarns designated for weaving of the secondary woven extent 137a. In this manner, the crotch 138 can be woven using a simultaneous tapering effect at the interface between the primary woven extent 135 and the secondary woven extents 137a and 137b. As such, a smooth contiguous surface transition can be obtained.
In vertebroplasty and/or kyphoplasty procedures, the surgeon may seek to treat a compression fracture of a vertebra by injecting bone cement such as polymethylmethacrylate (PMMA) into the fracture. In certain procedures, two PMMA precursor components (one powder and one liquid) can be mixed to produce a viscous bone cement prior to injection into a vertebral body. In such procedures, an embodiment of the bone filler material delivery device can include at least two secondary tubular extents 137a, 137b, as shown in
For example, such an embodiment of a bone filler device can include first and second secondary woven tubular extents 137a and 137b, to which is continuously woven a single primary woven tubular extent 131 having a first constant diameter. A transition tubular extent (not shown) can be continuously woven onto the first end 132 of the primary tubular extent 131, as shown in
The transition tubular extent 175 can have a tapered edge along the transition extent 175 formed by a weaving pattern in which a graduated number of warp yarns can be disengaged as weaving proceeds. Certain warp yarns in the larger diameter first tubular extent 174 can be continuously woven through the transition tubular extent 175 into the smaller diameter second tubular extent 176. As some of the warp yarns in the first transition tubular extent 174 are “dropped” and not woven in the transition tubular extent 175, the tapered angle of the transition tubular extent 175 can be formed. As a result, such a weaving pattern can provide a graduated change in the number of warp yarns to form a graduated diameter along the transition extent 175.
In this manner, as the diameter of the transition tubular extent 175 gradually changes, the same density of warp yarns can be woven throughout the transition tubular extent 175 as in the first and second tubular extents 174, 176, respectively. Accordingly, the density of warp yarns can be uniform throughout the first, transition, and second tubular extents, 174, 175, 176, respectively. Thus, such embodiments of the tubular bone filler material delivery device 170 having tapered seam transitions can have more uniform characteristics such as porosity, strength, flexibility, and thickness along the entire length of the tubular body 171 as compared to conventional tubular articles.
A seam 177 can be woven along the tapered edge of the transition tubular extent 175, such that the seam 177 can provide a substantially fluid-tight transition between the first tubular extent 174 and the second tubular extent 176. As a result, the tapered transition areas, such as a seamed transition, can be essentially fluid-tight, or non-permeable, providing increased strength to the tubular body 171 and an improved barrier against leakage in tapered transition areas.
The diameter of the first tubular extent 174 and the diameter of the second tubular extent 176 can each be defined by a different number of warp yarns. That is, the first tubular extent 174 can comprise a first substantially constant diameter comprising a first number of warp yarns, and the second tubular extent 176 can comprise a second substantially constant diameter comprising a second number of warp yarns and having a diameter different than the first diameter. In some embodiments, the ratio of disengaged warp yarns to fill yarns can be high enough to allow the tapered edge and the transition tubular extent 176 to have a large angle of transition relative to the first and/or second tubular extents, 174, 176. For example, the ratio of disengaged warp yarns to fill yarns can allow the tapered edge to have an approximately 90 degree angle relative to the first and/or second tubular extents 174, 176. Thus, some embodiments of the present invention can provide a warp yarn to fill yarn reduction, or disengagement, ratio sufficiently high to allow highly angled transition areas.
In the embodiment shown in
The first, second, and transition tubular extents, 174, 175, 176, respectively, can have various dimensions. For example, in the embodiment shown in
In the embodiment shown in
The tubular bone filler delivery device 170 may be useful for delivering bone filler material, such as a bone cement, to a bony area in an internal region of a human or animal. Such an embodiment of the bone filler material delivery device 170 having a tapered transition 175 may be particularly useful for positioning the device through a surgical access path and delivering bone filler material to a treatment site in minimally invasive surgical procedures. For example, embodiments of the bone filler material delivery device 170 may be utilized, for example, in vertebroplasty and/or kyphoplasty procedures.
While a variety of shapes and configurations are shown in the drawings and described herein, any tubular, flat-woven article incorporating a gradually transitioning, continuously woven portion is contemplated by the present invention. The gradual tapering of the transitional woven portion or extent 175 can be accomplished in each of the embodiments by gradually disengaging and/or engaging a predetermined number of warp yarns 11 from the weaving pattern during weaving of the article as discussed above.
Any type of textile product can be used as the warp yarns 11 and fill yarns 12 of the present invention. Of particular usefulness in forming embodiments of tubular fabric medical devices of the present invention are synthetic materials such as thermoplastic polymers. Thermoplastic yarns suitable for use in the present invention include polyesters, polypropylenes, polyethylenes, polyurethanes, polytetrafluoroethylenes, as well as others. The yarns may be of the monofilament, multifilament, or spun type.
In some embodiments, the first and second tubular extents 174, 176, respectively, can be heat-set into formed, three-dimensional shapes. In some embodiments in which the yarns comprise thermoplastic yarns, yarn ends along the seam 177 can be heated and fused so as to provide a smooth seal about the seam 177.
Yarns utilized in fabric medical devices (such as the bone filler delivery device 170) of the present invention can comprise yarns known and generally utilized in the art for such devices. In general, the selection of yarn will depend on the intended end use application of the device. Yarns used in forming embodiments of fabric medical devices of the present invention may be flat, twisted or textured, and may have high, low or moderate shrinkage properties. Additionally, the yarn type and yarn denier can be selected to meet specific properties desired for the tubular article such as porosity, flexibility, and compliance. The yarn denier utilized in embodiments of fabric medical devices of the present invention can include a range of deniers from small to heavy.
In certain embodiments of the woven fabric medical device 170, the warp yarns 11 woven in the transition tubular extent 175 can be a high tenacity warp yarn 11. Tenacity can be defined as the tensile stress of a material based on the linear density of the unstrained material (ASTM). The breaking tenacity of a yarn or fabric is the tensile force at rupture per unit cross-sectional area or per unit linear density, for example, denier or tex. For example, a first yarn used in a woven medical device may have a tenacity, or tensile strength, of 3.8 gms/denier. A second yarn having an equivalent size as the first yarn may have a tenacity, or tensile strength, of 7.0 gms/denier. Thus, the second yarn can have a higher tenacity, or tensile strength, than the first yarn. As a result, the warp yarns 11 woven in the transition tubular extent 175 of the fabric medical device 170 can have a higher tenacity than the fill yarns 12 in the device 170. In this way, the increased tensile strength of the transition tubular extent 175 can enhance the stability of the transition tubular extent 175 as the device 170 is being inserted into, manipulated within, and/or withdrawn from a target treatment site in a person's body.
In certain embodiments, the tenacity of the higher tenacity warp yarns 11 in the transition tubular extent 175 can be at least 30% greater than the tenacity of the fill yarns 12 in the fabric medical device 170. In particular embodiments, the warp yarns 11 in the fabric medical device 170 can be polyester warp yarns 11. The polyester warp yarns 11 woven in the transition tubular extent 175 can have a higher tenacity than the fill yarns 12 in the device 170. In other embodiments, the warp and/or fill yarns can comprise yarns other than polyester yarns.
In certain embodiments of the woven fabric medical device 170, the fill yarns 12 (or weft yarns) woven in the transition tubular extent 175 can be a high tenacity fill yarn 12. That is, in certain embodiments, both the warp yarns 11 and the fill yarns 12 can be high tenacity yarns.
Some embodiments of the present invention can provide a method of making a woven fabric medical device (such as the bone filler delivery device 170). In an illustrative embodiment of such a method, a first tubular extent (174) having a first diameter can be woven using a first predetermined number of warp yarns 11. A transition tubular extent (175) can be continuously woven from the first tubular extent (174). The transition tubular extent (175) can be woven with a weaving pattern having a graduated change in a first predetermined number of warp yarns 11 to produce a tapered edge along the transition tubular extent (175). Weaving the graduated change in the number of warp yarns 11 can comprise disengaging predetermined warp yarns 11 from the weaving pattern. A second tubular extent (176) can then be continuously woven from the transition tubular extent (175) using a second predetermined number of warp yarns 11. A seam (177) can be created along the tapered edge such that the seam (177) provides a substantially fluid-tight transition between the first tubular extent (174) and the second tubular extent (176). In such an embodiment of a method, the warp yarns 11 can comprise top layer warp yarns 11a and bottom layer warp yarns 11b, and the seam (177) can further comprise the top layer warp yarns 11a woven together with the bottom layer warp yarns 11b along the tapered edge.
In another embodiment of a method of making a woven fabric medical device (170), a first tubular extent (174) having a first diameter can be woven using a first predetermined number of warp yarns 11. An open transition extent can be woven continuously from the first tubular extent (174). The woven fabric medical device (170) can include both warp yarns 11 and fill yarns 12. The fill yarns 12 can comprise top layer fill yarns 12a and bottom layer fill yarns 12b, and the fill yarns 12 at the tapered edge can be woven together onto the same layer, leaving the transition tubular extent open. A tapered, open transition extent can be woven by a weaving pattern having a graduated change in the first predetermined number of warp yarns 11. Such a graduated change in the number of warp yarns 11 can provide an unwoven tapered edge along the open transition extent. In some embodiments of such a method, the graduated change in the number of warp yarns 11 can be accomplished by disengaging a graduated number of warp yarns 11 from the weaving pattern. A second tubular extent (176) can be continuously woven from the open transition extent using a second predetermined number of warp yarns 11. Once weaving is completed, a seam (177) can be created along the tapered edge. The seam (177) can provide a substantially fluid-tight transition between the first tubular extent (174) and the second tubular extent (176).
The open transition extent may be closed with a seam (177) utilizing a seam forming means after weaving is completed. For example, the seam forming means can comprise a seam (177) sewn along the tapered edge. In other embodiments, the seam forming means can comprise gluing, stapling, welding, and/or the like.
In another embodiment of a method of making a woven fabric medical device (170), a first tubular extent (174) having a first diameter can be woven using a first predetermined number of warp yarns 11. An open transition extent can be woven continuously from the first tubular extent (174). Such a tapered, open transition extent can be woven by a weaving pattern having a graduated change in the first predetermined number of warp yarns 11 to produce an open crotch. A plurality of secondary transition tubular extents (137a, 137b, for example) can be continuously woven at a transition with the first tubular extent (174). Once the woven fabric medical device (170) having an open crotch (138) in the transition tubular extent (175) is woven, a seam (177) can be created along the crotch (138). The seam (177) can provide the transition between the first tubular extent (174) and the plurality of secondary tubular extents (137a, 137b) with a substantially fluid-tight closure.
In some embodiments, the seam (177) can be created using a seam forming means to close the open crotch (138) after weaving is completed. For example, the seam (177) can be formed by sewing a seam (177) to close the open crotch (138).
Embodiments of methods for producing a woven fabric medical device (170) having seams (177) at tapered edges in transition areas can provide the advantage of allowing for an increased rate of transition. That is, certain embodiments of a woven fabric medical device (170) of the present invention may comprise more abruptly tapered portions than conventional tubular devices, rendering some embodiments of a woven fabric medical device (170) of the present invention more suitable for use in certain clinical applications.
Features of a fabric medical device having a tapered transition and/or method of making the device of the present invention may be accomplished singularly, or in combination, in one or more of the embodiments of the present invention. Although particular embodiments have been described, it should be recognized that these embodiments are merely illustrative of the principles of the present invention. Those of ordinary skill in the art will appreciate that a fabric medical device having a tapered transition and method of making the device of the present invention may be constructed and implemented in other ways and embodiments. Accordingly, the description herein should not be read as limiting the present invention, as other embodiments also fall within the scope of the present invention.
This application claims benefit of U.S. Provisional Patent App. No. 60/904,631, filed Mar. 2, 2007, which is incorporated by reference herein in its entirety.
Number | Date | Country | |
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60904631 | Mar 2007 | US |