US20040167614A1

US20040167614A1 - Expandable device

Info

Publication number: US20040167614A1
Application number: US10/786,222
Authority: US
Inventors: Antony Anson
Original assignee: Individual
Current assignee: Individual
Priority date: 1997-06-28
Filing date: 2004-02-25
Publication date: 2004-08-26
Also published as: WO1999000073A1; DE69839184D1; US6706064B1; JP4105244B2; AU743657B2; ES2301202T3; EP0991374A1; DE69839184T2; AU8223798A; GB9713624D0; EP0991374B1; JP2002506374A

Abstract

An expandable device, e.g. a stent for insertion into a passage, e.g. a blood vessel or artery, is disclosed. The device has a body (20) formed of a flexible material. The body is convertible from a collapsed condition in which it is of a size to be inserted into the passage into an expanded condition in which the body (20) is fixed relative to the passage. A passage (28) is provided within the body so as to extend over at least a region of the latter. An inlet (32) is provided in the body (20) in communication with the passage therein. The inlet (32) enables a rigidifying material to be introduced into the passage (28) in the body (20) so that at least the region of the body (20) in which the passage is provided can be rigidified whereby to maintain the body in its expanded condition.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. patent application Ser. No. 09/446,833 filed 22 May 2000, which is a United States filing (pursuant to 35 USC §371) of PCT (International) Patent Application PCT/GB98/01850 having an international filing date of 24 Jun. 1998, which in turn claims priority to United Kingdom patent application GB9713624.6 filed 28 Jun. 1997. All of these prior applications are incorporated by reference herein.[0001]

BACKGROUND OF THE INVENTION

1. Field of Invention

This invention relates to an expandable device for insertion into a passage for the purpose of dilating the passage and/or maintaining it open, or occluding the passage and is more particularly concerned with an expandable device for use in medical applications where it can be used to dilate or maintain the luminal patency of arteries and other vessels which may have become partially or completely blocked, or to occlude undesired passages or openings such as between certain arteries or between heart chambers.

2. Description of the Prior Art

The use of expandable devices for insertion into a passage is particularly widespread in the medical field, where such devices are generally referred to as stents. Such stents are generally constructed of metal wire which may be braided (EP-A-0183372), wound (WO/9315661) or knitted (W094/12136), or alternatively from tubing having perforated walls (W095/03010).

Current stents are either balloon expanding or self expanding. Balloon expanding stents are the most common and rely on a balloon temporarily placed within the previously compacted stent to distend the stent radially and so lodge the stent firmly against the wall of the vessel within which it is located. However, problems can arise if there is any elastic recoil (i.e. radial contraction) of the stent once the balloon is removed.

Self expanding stents are made from a more elastic material which is constrained to a small diameter for insertion but which will expand to a larger diameter when deconstrained, without the need for any expanding means. Self-expanding stents made of shape-memory material are also known (see for example EP-A-066065). A medical practitioner must be careful in selecting an appropriate stent for each procedure, since situations may arise in which the outward pressure of the stent on the vessel is too great, causing physiological damage, or too small, resulting in dislodgement of the stent.

BRIEF SUMMARY OF THE INVENTION

It is an object of the present invention to provide an expandable device which can be fixed in its expanded condition in a passage, so as to minimize movement of the expanded device in the passage.

According to a first aspect of the present invention, there is provided an expandable device for insertion into a passage, said expandable device comprising a body formed of at least one flexible material, said body being convertible from a collapsed condition in which it is of a size to be inserted into the passage into an expanded condition in which the body is fixed relative to the passage, passage means in said body and extending over at least a region of the body, and inlet means communicating with said passage means to enable a rigidifying material to be introduced into said passage means so that, in use, at least said region of said body can be rigidified whereby to maintain the body in its expanded condition.

Preferably, the body is formed of at least one flexible sheet material. Said at least one flexible sheet material may be elastomeric or non-elastomeric. In cases where the body is formed of two or more flexible sheet materials, each may be elastomeric or non-elastomeric. Said at least one flexible sheet material may be tubular or include a tubular region.

Advantageously, the body in the collapsed condition occupies substantially the same volume as the at least one sheet material.

Preferably, the inlet means is closable. Closure may be achieved by, for example, providing the inlet means with a heat-sealable closure, or alternatively the inlet means may be a self-sealing valve.

The device may also include filler means, such as an elongate tube, said filler means communicating with said passage means in the body via the inlet means. The filler means maybe used to expand the body of the device and/or introduce the rigidifying material into the body through the inlet means. Preferably, the filler means is separable from the remainder of the device.

According to a second aspect of the present invention, there is provided an expandable device according to said first aspect of the present invention in combination with a rigidifying material for introduction into said passage means through said inlet means.

According to a third aspect of the present invention, there is provided a method of positioning an expandable device according to said first aspect in a passage, comprising the steps of:

(a) introducing into the passage an expandable device according to said first aspect of the present invention with the body being in a collapsed condition;

(b) converting the body into an expanded condition so that it is fixed relative to a sidewall of the passage; and

(c) causing the flowability of rigidifying material introduced into the passage means to be decreased so as to maintain the body in its expanded condition.

Such positioning may be effected to (i) dilate or (ii) occlude the passage, or (iii) maintain the passage at an existing dilation. Additionally, such positioning may be effected to prevent ingress of material into the passage (eg. growths such as tumors in medical applications) and/or egress of material out of the passage, for example, if the passage is damaged (eg. aneurysm).

The body of the device may be inserted so as to be wholly within the passage, in which case fixing of the body relative to the passage is achieved by engagement of a sidewall of the body with the sidewall of the passage.

Alternatively, the body of the device may be inserted so as to be partially located within the passage, in which case said fixing may be achieved by expansion of at least one end of the body located externally of the passage, as an alternative to or in addition to the method of fixing described in the immediately preceding paragraph. Preferably, said fixing is achieved by expansion of opposite ends of the body externally of respective opposite ends of the passage, particularly where said passage is an opening such as between certain arteries or between heart chambers.

The rigidifying material may be a chemically reactive liquid or other fluid which can be caused to solidify, gel or otherwise set or experience an increase in its viscosity when in the passage means in the body. For example, the flowable rigidifying material may be selected from a flowable polymerizable monomer or monomer mixture or a flowable pre-polymer, such as an epoxy resin, a silicone elastomer, a cyanoacrylate or methacrylate.

The rigidifying material itself may be used to effect step (b) above by introducing it under pressure into the passage means in the body. However, a hydraulic or pneumatic pressurizing medium may be used for this purpose in addition to or instead of the rigidifying material. Additionally or alternatively, a balloon catheter may be used to move the body into its expanded condition.

In one embodiment, the sidewall of the body which engages with the sidewall of the passage in use, is formed of at least one flexible sheet material. The passage means may be disposed inwardly or outwardly of said at least one flexible sheet material or between the flexible sheet materials when more than one is provided. The passage means may be defined at least partly by said at least one sheet material. The passage means may be defined by one or a series of channels extending over at least one surface of said at least one sheet material. When a series of channels is provided, said channels need not be in communication, in which case more than one inlet and filler means may be provided.

Examples of suitable flexible materials for the body include polyesters and polyurethanes. The flexible material may be chemically coated. In particular, the sidewall which engages against the sidewall of the passage may be coated. For example, in medical applications, the sidewall may be coated with cytotoxic agents to treat tumors and/or to discourage tumor growth into the passage. Alternatively, or in addition, a coating of a relatively inert nature may be used to prevent or limit adverse biological reactions between the passage and the body. Examples of such coatings may comprise diamond-like carbon, a ceramic or metals (e.g. gold, silver, platinum).

The channel or channels may be defined by two superimposed sheet materials which are sealed together at selected regions so that unsealed regions of the sheet materials define wall of the channel or channels. Alternatively, the channel or channels may be defined on a surface of the sheet material by sealing longitudinal side edges of a suitably shaped strip or strips of flexible material to said surface.

Two or more bodies may be connected in series. Each of the bodies may be provided with its own inlet and filler means so that, in use, each body may be expanded and/or rigidified to a different degree.

BRIEF DESCRIPTION OF THE DRAWINGS

Embodiments of the present invention will now be described, by way of example, with reference to the accompanying drawings, in which: [0028]
FIG. 1 is a view of a first embodiment of a device according to the first aspect of the present invention. [0029]
FIGS. [0030] 2 to 4 show a second embodiment of a device according to the first aspect of the present invention in an expanded condition.
FIGS. [0031] 5 to 7 show schematically how bodies of devices according to the present invention may be collapsed.
FIGS. 8 and 9 show the device of FIGS. [0032] 2 to 4 in a collapsed condition.
FIG. 10 is a view of a third embodiment of a device according to the first aspect of the present invention in an expanded condition. [0033]
FIG. 11 shows the device of FIG. 10 in use. [0034]
FIG. 12 is a view of a fourth embodiment of a device according to the first aspect of the present invention in an expanded condition. [0035]
FIGS. 13 and 14 show schematically the use of the device of FIG. 12 as a patent ductus arteriosus occluder.[0036]

DETAILED DESCRIPTION OF THE INVENTION

Referring to FIG. 1, a [0037] body 2 of an expandable device comprises two superimposed flexible sheet materials which are sealed together at selected regions 4 so that unsealed regions 6 of the sheet materials define walls of channels therebetween, The sheet materials are polymeric (eg. a polyester or polyurethane) and are sealed by, for example, radio-frequency welding, ultrasonic welding or electrical resistance heating or by molding or casting processes.
A main channel [0038] 8 extends from an inlet 10 at a proximal edge of the superimposed sheet materials towards a distal edge thereof, with subsidiary channels 12 extending at intervals transversely of the main channel 8 and in communication therewith. A filler tube 14 is attached to the body 2 at the inlet 10 and is in communication with the channels 8, 12. The body 2 is shown in an expanded condition.
In use, the device is inserted into a passage (e.g. blood vessel) with the [0039] body 2 in a collapsed condition (described more fully hereinafter) and a liquid gelling agent is passed through the filler tube 14 into the channels 8, 12 of the body 2 so expanding the body 2. In the passage, the body 2 will not be flat as shown in FIG. 1, but will bend so as to adopt the shape of a sidewall of the passage. When the gelling agent sets, the body 2 will be maintained in that shape. The body 2 is then sealed at the inlet 10 and the filler tube 14 separated from the body 2 and removed from the passage.
In an alternative embodiment (not shown), the [0040] subsidiary channels 12 are slanted so as to form a series of parallel V-shapes intersecting at the main channel 8 (i.e. herringbone pattern). In other embodiments (not shown), the subsidiary channels are arranged to produce a specific expansion geometry in, for example, particular parts of the anatomy. Specifically, in a bifurcated tubular graft (e.g. for the interconnection of vascular components such as the femoral arteries to the iliac arteries or in the case of abdominal aortic aneurysms where the aorta must be internally bypassed using the graft to make connections to the iliac arteries and exclude an aneurysmal sac existing at the lower end of the aorta), insertion is achieved with one branch retracted in another. The channels are arranged to ensure that on expansion, the retracted branch is retrieved from the other branch.
Referring to FIGS. 2, 3, and [0041] 4, the body 20 of the device is tubular and in the expanded condition shown has a passage 22 therethrough. An inner sheet material 24 is sealed to an outer sheet material 26 at the proximal and distal ends 20 a, 20 b, respectively, of the tubular body 20, so as to form a single channel 28 therebetween extending over the whole of the area of the body. The outer sheet material 26 has a number of regions which form part-circumferential ridges 30 when the body 20 is in an expanded condition. An inlet 32 to the channel 28 is provided at the proximal end 20 a of the body 20, said inlet 32 being connected to a filler tube 34, which divides into two tubes 34 a, 34 b at a branch point 34 c.
In use, the device in its collapsed condition is inserted into a passage (not shown) and positioned as desired. A different component of a two-component reactive liquid is then fed into each of the two tubes [0042] 34 a, 34 b so that the two components combine to form a gelling mixture in the filler tube 34 which is then forced into the channel 28. The body 20 of the device becomes expanded, with the ridges 30 being formed at the same time, and subsequently rigidified. The passage is maintained open by virtue of the passage 22 through the body 20. The ridges 30 on the outer sheet material 26 help maintain the body 20 in position in the passage. Alternatively, the body may be expanded by pneumatic means such as balloon catheter (not shown). In this case, the deflated balloon catheter is placed in the passage 22 through the body 20 before the device is placed in the passage. The body 20 is then expanded by inflation of the balloon catheter before the rigidifying material is introduced into the channel 28. When the body 20 is sufficiently rigid, the balloon catheter is deflated and can be withdrawn.
Referring to FIGS. [0043] 5 to 7, the body 2, 20 of the device is capable of occupying a very small volume in its collapsed state relative to its volume in its expanded state. A non-tubular body 2 (e.g. that exemplified in FIG. 1) may be corrugated so as to form compacted pleats (FIG. 5) or rolled so as to form a spiral (FIG. 6). Tubular bodies 20 (e.g. that exemplified in FIG. 2) can be longitudinally creased and radially compacted (FIG. 7). The body 2, 20 may also be formed into a helix (not shown) by constraining the proximal end and rotating the distal end.
The embodiments described above are particularly suitable for medical applications such as aneurysm repair, improving the luminal patency of an occluded vessel and preventing intimal hyperplasia (or occlusive tumorous growth in non-vascular vessels). A comparison of FIGS. 7 and 8 with FIGS. 2 and 3 illustrates the large difference in volume between the expanded and collapsed states. The small volume of the collapsed body [0044] 20 (FIGS. 7 and 8) allows it to be introduced into, for example, the vascular system in a catheter, with minimal invasive surgery.
Referring to FIG. 10, similar parts to those in the second embodiment (FIGS. [0045] 2 to 4) are accorded the same reference numerals. The body 20 of the device has a tubular region 40 integrally formed with an outwardly extending annular flange 42 at the proximal 20 a and distal 20 b ends of the tubular region 40. The inner flexible sheet material 24 is sealed to the outer flexible sheet material 26 in strips 44 at intervals around the body 20, said sealed strips 44 extending longitudinally over the length of the tubular region 40 of body 20 and radially over an inner part of the flanges 42. As a result, a series of longitudinal channels 46 between the inner 24 and outer 26 sheet materials are interconnected on the flanges 42. The channels 46 are in communication with the inlet 32 and filler tube 34.
FIG. 11 shows the device of FIG. 10 in use to interconnect two [0046] vessels 48 through tissue 49 so as to allow flow between the vessels. Depending on the degree of defect, there may be an occluded passage between the vessels 48 or no passage at all. It may be necessary to make an opening in one or both vessels to enable correct positioning of the device. In the expanded condition shown, each of the annular flanges 42 engages with a sidewall 48 a of a different one of the vessels 48 so as to fix the device in position relative to the vessels 48.
Referring to FIG. 12, the inner [0047] flexible sheet material 24 is sealed so as to form an enclosed volume 50. A vent 51 allows the body of the device to be collapsed. The outer flexible sheet material 26 is connected to the inner sheet material 24 by a series of ribs 52, so that a single channel 54 is formed between the sheet materials 24, 26, said channel 54 being in communication with the inlet 56 and filler tube 58. Both flexible sheet materials are non-elastomeric. On filling with rigidifying material, the body 59 adopts a diabolo shape (as shown in FIG. 12).
In FIG. 13, a patent ductus arteriosus [0048] 60 is shown between an aorta 62 and a pulmonary artery 64, in a condition known as patent ductus. In order to occlude the patent ductus arteriosus 60, the device of FIG. 12 is passed through the patent ductus arteriosus 60 from the arterial side or the venous side of the vascular system, both techniques being commonly used. In order to facilitate passage through the ductus, the body 59 is collapsed during insertion. When the body 59 is expanded, it is engaged with a sidewall of both the aorta 62 and pulmonary artery 64 (see FIG. 14). Introduction of the rigidifying material maintains the body 59 in position.

Claims

What is claimed is:

1. A kit for supporting a bodily passage in an open state, the kit comprising:

a. an expandable device including:

(1) one or more main channels, and

(2) subsidiary channels which each branch outwardly from at least one of the main channels,

wherein the channels are expandable from:

i. a collapsed state wherein the device may be fit into the bodily passage, and

ii. an expanded state wherein the expanded channels define a framework which at least partially surrounds a portion of the interior of the bodily passage;

b. rigidifying material introducable into the channels in a fluid state, the rigidifying material then maintaining the channels in the expanded state.

2. The kit of claim 1 further comprising at least one inlet tube extending from the expandable device, each inlet tube opening onto at least one of the channels, whereby the rigidifying material may be introduced to the channels through the tube.

3. The kit of claim 1 wherein at least some of the channels of the expandable device are joined by webs of flexible material.

4. The kit of claim 1 wherein the channels define ridges on the exterior of the framework when the channels are in the expanded state.

5. The kit of claim 1 wherein the framework has at an least substantially tubular shape.

6. The kit of claim 1 wherein the framework has an at least substantially tubular shape with an interior device passage extending between opposing ends of the device, the interior device passage being:

a. coincident with a portion of the interior of the bodily passage when the channels are in the expanded state, and

b. collapsed when the channels are in the collapsed state.

7. The kit of claim 1 wherein the device is sheetlike with opposing sides when in its collapsed state, with the device curving to situate the framework at least partially about the interior of the bodily passage when in its expanded state.

8. The kit of claim 1 wherein the channels of the expandable device have diameters which are less than the spacing between:

a. any adjacent main channels, and

b. any adjacent subsidiary channels.

9. The kit of claim 1 wherein the rigidifying material changes from the fluid state to an at least partially nonfluid state.

10. The kit of claim 1 wherein the rigidifying material comprises at least two components wherein the components change from a fluid state to an at least partially nonfluid state after being combined.

11. The kit of claim 1 wherein the rigidifying material comprises at least one component selected from the following group:

a. a polymerizable monomer; and

b. a pre-polymer.

12. The kit of claim 1 wherein the rigidifying material includes at least one of:

a. epoxy resin;

b. a silicon elastomer;

c. a cyanoacrylate; and

d. a methacrylate.

13. A kit for supporting a bodily passage in an open state, the kit comprising:

a. an expandable device including a plurality of channels, with at least some of the channels branching from others of the channels, the channels converting between:

i. a collapsed state wherein the channels are flexible to allow the device to fit into the bodily passage, and

ii. an expanded state wherein the channels define a rigid framework, with at least some of the channels within the framework being arrayed in spaced relation to at least partially surround a portion of the interior of the bodily passage;

b. fluid material introducable into the channels, wherein the fluid material converts the channels between the flexible collapsed state and the rigid expanded state.

14. The kit of claim 13 wherein at least some of the channels of the expandable device are joined by webs of flexible material.

15. The kit of claim 14 wherein the channels define ridges raised above the webs on the exterior of the framework when the channels are in the expanded state.

16. The kit of claim 13 wherein the framework has at an least substantially tubular shape when the channels are in the expanded state.

17. The kit of claim 13 wherein the device is sheetlike with opposing sides when in its collapsed state, with the device deforming to situate the framework at least partially about the interior passage when in its expanded state.

18. The kit of claim 13 wherein the channels of the expandable device have diameters which are less than the distances between the spaced channels.

19. The kit of claim 13 further comprising an inlet tube extending from at least one of the channels of the expandable device, whereby the fluid material may be introduced to the channels through the inlet tube.

20. The kit of claim 13 wherein the fluid material changes from the fluid state to an at least partially rigid state.

21. The kit of claim 13 wherein the fluid material comprises at least two components wherein the components change from a fluid state to an at least partially rigid state after being combined.

22. The kit of claim 13 wherein the fluid material comprises at least one component selected from the following group:

a. a polymerizable monomer; and

b. a pre-polymer.

23. The kit of claim 13 wherein the fluid material includes at least one of:

a. epoxy resin;

b. a silicon elastomer;

C. a cyanoacrylate; and

d. a methacrylate.

24. An expandable device for supporting a bodily passage in an open state, the device comprising a plurality of channels, with at least some of the channels branching from others of the channels, the channels converting between:

a. a collapsed state wherein the channels:

(1) are radially collapsed, and

(2) are flexible along their lengths,

thereby allowing the device to fit into the bodily passage; and

b. an expanded state wherein the channels:

(1) are radially expanded with inflexible outer diameters, and

(2) are rigid along their lengths,

with the channels thereby defining a rigid framework wherein at least some of the channels are arrayed in spaced relation to at least partially surround a portion of the interior of the bodily passage.

25. The expandable device of claim 24 wherein the channels are converted from the collapsed state to the expanded state by rigidifying material fluidly situated in the channels, the rigidifying material hardening to fix the channels in the expanded state.

26. The expandable device of claim 25 wherein the rigidifying material comprises at least two components wherein the components change from a fluid state to an at least partially nonfluid state after being combined.

27. The expandable device of claim 25 wherein the rigidifying material comprises at least one component selected from the following group:

a. a polymerizable monomer; and

b. a pre-polymer.

28. The expandable device of claim 25 wherein the rigidifying material includes at least one of:

a. epoxy resin;

b. a silicon elastomer;

c. a cyanoacrylate; and

d. a methacrylate.

29. The expandable device of claim 24 further comprising at least one inlet tube, each inlet tube extending from at least one of the channels, whereby rigidifying material may be introduced through the tube and into the channels to convert the channels from the collapsed state to the expanded state.

30. The expandable device of claim 24 wherein at least some of the channels are joined by webs of flexible material.

31. The expandable device of claim 24 wherein at least some of the channels define ridges on the exterior of the framework when the channels are in the expanded state.

32. The expandable device of claim 24 wherein the device is sheetlike with opposing sides when in its collapsed state, with the device curving to at least partially surround a portion of the interior of the bodily passage when in its expanded state.

33. The expandable device of claim 24 wherein the channels have diameters which are less than the spacing between:

a. any adjacent main channels, and

b. any adjacent subsidiary channels.

34. An expandable device for supporting a bodily passage in an open state, the device comprising:

a. one or more main channels, and

b. subsidiary channels which each branch outwardly from at least one of the main channels,

wherein the channels are convertible from:

(1) a collapsed state wherein the channels have flexible diameters and lengths, and the device may be fit into the bodily passage, and

(2) an expanded state wherein the channels have rigid diameters and lengths, and are spaced into a framework which at least partially surrounds a portion of the interior of the bodily passage.

35. The expandable device of claim 34 further comprising rigidifying material introducable into the channels in a fluid state, the rigidifying material then maintaining the channels in the expanded state.

36. The expandable device of claim 35 wherein the rigidifying material comprises at least two components wherein the components change from a fluid state to an at least partially nonfluid state after being combined.

37. The expandable device of claim 35 wherein the rigidifying material comprises at least one component selected from the following group:

a. a polymerizable monomer; and

b. a pre-polymer.

38. The expandable device of claim 35 wherein the rigidifying material includes at least one of:

a. epoxy resin;

b. a silicon elastomer;

c. a cyanoacrylate; and

d. a methacrylate.

39. The expandable device of claim 34 further comprising at least one inlet tube, each inlet tube extending from at least one of the channels, whereby rigidifying material may be introduced through the tube and into the channels to convert the channels from the collapsed state to the expanded state.

40. The expandable device of claim 34 wherein at least some of the channels are joined by webs of flexible material.

41. The expandable device of claim 34 wherein at least some of the channels define ridges on the exterior of the framework when the channels are in the expanded state.

42. The expandable device of claim 34 wherein the framework has an at least substantially tubular shape with an interior device passage extending between opposing ends of the device, the interior device passage being:

a coincident with a portion of the interior of the bodily passage when the channels are in the expanded state, and

b. collapsed when the channels are in the collapsed state.

43. The expandable device of claim 34 wherein the device is sheetlike with opposing sides when in its collapsed state, with the device curving to have the framework at least partially surround a portion of the interior of the bodily passage when in its expanded state.

44. The expandable device of claim 34 wherein the channels have diameters which are less than the spacing between:

a. any adjacent main channels, and

b. any adjacent subsidiary channels.

45. A method of supporting a bodily passage in an open state, the method comprising the steps of:

a. inserting an expandable device into the bodily passage, the device including:

(1) one or more main channels,

(2) subsidiary channels which each branch outwardly from at least one of the main channels, and

(3) an inlet tube extending from the device and opening onto at least one of the channels,

wherein the channels are in a collapsed state allowing the device to be fit into the bodily passage;

b. introducing a rigidifying material into the inlet tube in a fluid state at least until the channels reach an expanded state wherein the expanded channels define a framework which at least partially surrounds a portion of the interior of the bodily passage; and

c. thereafter removing at least a portion of the inlet tube from the device and the bodily passage.

46. The method of claim 45 further comprising the step of introducing rigidifying material into the inlet tube at least until the channels expand to define ridges on the exterior of the framework.

47. The method of claim 45 wherein the device is sheetlike with opposing sides when in its collapsed state, and further comprising the step of introducing rigidifying material into the inlet tube at least until the device curves to situate the framework at least partially about the interior of the bodily passage.

48. The method of claim 45 further comprising the step of introducing rigidifying material into the inlet tube at least until adjacent ones of the channels are spaced apart with distances greater than the diameters of the channels.

49. The method of claim 45 further comprising the step of closing at least a portion of the inlet tube prior to removing the inlet tube from the device.

50. The method of claim 45 further comprising the step of allowing the rigidifying material to at least partially rigidify into a nonfluid state prior to removing the inlet tube from the device.

51. The method of claim 45 further comprising the step of introducing a rigidifying agent into the rigidifying material to cause the rigidifying material to at least partially rigidify into a nonfluid state.

52. The method of claim 45 wherein at least some of the channels of the expandable device are joined by webs of flexible material.

53. The method of claim 45 wherein the framework has at an least substantially tubular shape.

54. A method of supporting a bodily passage in an open state, the method comprising the steps of:

a. providing an expandable device which includes a plurality of channels, with at least some of the channels branching from others of the channels;

b. fitting the device into the bodily passage when the expandable device is in a collapsed state wherein the channels are flexible;

c. introducing fluid material into the channels, wherein the fluid material converts the channels between the collapsed state into an expanded state, and wherein the channels in the expanded state define a rigid framework having at least some of the channels arrayed in spaced relation to at least partially surround a portion of the interior of the bodily passage.

55. The method of claim 54 wherein the fluid material is introduced into the channels by an inlet tube extending from the expandable device and opening onto at least one of the channels.

56. The method of claim 55 further comprising the step of removing at least a portion of the inlet tube from the device after the channels are converted to the expanded state.

57. The method of claim 55 further comprising the step of allowing the fluid material to at least partially rigidify into a nonfluid state prior to removing the inlet tube from the device.

58. The method of claim 54 wherein fluid material is introduced into the channels at least until the channels expand to define ridges on the exterior of the framework.

59. The method of claim 54 wherein the device is sheetlike with opposing sides when in its collapsed state, and wherein fluid material is introduced to the channels at least until the device curves to have the framework at least partially surround the interior of the bodily passage.

60. The method of claim 54 wherein fluid material is introduced into the channels at least until adjacent ones of the channels are spaced apart with distances greater than the diameters of the channels.

61. The method of claim 54 wherein the fluid material changes from the fluid state to an at least partially rigid state as the channels attain the expanded state.

62. The method of claim 54 further comprising the step of introducing a rigidifying agent into the fluid material to cause the fluid material to at least partially rigidify into a nonfluid state.