Stretch resistant embolic coil delivery system with mechanical release mechanism

• US 20070010850A1
• Filed: 06/21/2006
• Published: 01/11/2007
• Est. Priority Date: 06/02/2005
• Status: Active Grant

• Current Assignee: Codman & Shurtleff Incorporated (Johnson & Johnson)
• Original Assignee: Codman & Shurtleff Incorporated (Johnson & Johnson)
• Inventors: Mitelberg, Vladimir, Tenne, Dirk, Balgobin, Keith, Thinnes, John
• Granted Patent: US 7,799,052 B2
• Time in Patent Office: Days
• US Class Current: 606/200
• CPC Class Codes: A61B 17/12022 Occluding by internal devices, e.g. balloons or releasable wires plugging an opening in the wall of an organ A61B17/0057; occluders for the cervical canal A61F6/146; vas deferens occluders A61F6/20
• CPC Class Codes: A61B 17/12113 within an aneurysm
• CPC Class Codes: A61B 17/12154 having stretch limiting means
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/12054 Details concerning the detachment of the occluding device from the introduction device

Abstract

A medical device for placing an embolic device at a predetermined site within a vessel of the body including a delivery catheter and a flexible pusher member slidably disposed within the lumen of the catheter. An embolic device is retained within the delivery catheter by a mechanical interlocking mechanism which includes an engagement member attached to the distal end of the pusher member and extends through a retaining ring at the proximal end of the embolic device. A detachment member extends through an aperture at the distal end of the engagement member thereby locking the embolic device onto the pusher member. A kicker tongue which is formed as an extension of a portion of the wall of the pusher member extends distally from the distal end of the pusher member and is biased so as to lift the retaining ring off of the engagement member to ensure the release of the embolic device when the detachment member is withdrawn from the aperture of the engagement member.

Claims

1. A vasooclusive embolic device deployment system for use in placing an embolic device at a predetermined site within a vessel comprising:

an elongated flexible deployment catheter having a lumen extending therethrough and having proximal and distal ends;

an elongated tubular pusher member having a lumen extending therethrough and having proximal and distal ends and being slidably disposed within the lumen of the deployment catheter;

an embolic device having a retaining ring at the proximal end thereof;

an engagement member extending from the distal end of the pusher member and having an aperture extending through the distal end thereof, said engagement member extending through said retaining ring;

a kicker tongue formed integrally from the wall of the tubular pusher member as a distal projection and having an aperture through the distal end thereof and exhibits the characteristic of being normally biased parallel to the central axis of the lumen of the pusher member and is deflected in a direction toward the central axis for engagement with said retaining ring of said embolic device so that it contacts said retaining ring to thereby urge said retaining ring of said embolic device to be lifted off of said engagement member; and

,

an elongated detachment member extending from a position proximal of the proximal end of the pusher member, through the lumen of the pusher member and through the aperture of the engagement member and through the aperture of the kicker tongue such that when the detachment member is pulled proximally the distal end of the detachment member is withdrawn from the aperture of the engagement member and said kicker tongue, and said kicker tongue lifts said retaining ring on said embolic device off of said engagement member to thereby release the embolic device from said pusher member.

2. A vasooclusive embolic device deployment system as defined in claim 1, wherein said kicker tongue includes an aperture which extends through said kicker tongue, and said engagement member and said elongated detachment member extend through said aperture of said kicker tongue.

3. A vasooclusive embolic device deployment system as defined in claim 1, wherein said engagement member is of a generally L-shaped configuration so as to form first and second legs, said first leg being attached to said pusher member and said second leg extending through said retaining ring.

4. A vasooclusive embolic device deployment system as defined in claim 2, wherein said engagement member is of a generally L-shaped configuration so as to form first and second legs, said first leg being attached to said pusher member and said second leg extending through said retaining ring.

5. A vasooclusive embolic device deployment system as defined in claim 3, wherein said aperture of said engagement member extends through the distal end of said second leg of said engagement member such that when said detachment member extends through said retaining ring said embolic device is interlocked onto said engagement member until the detachment member is withdrawn from said aperture of said engagement member.

6. A vasooclusive embolic device deployment system as defined in claim 1, wherein said embolic device takes the form of an embolic coil comprised of multiple turns.

7. A vasooclusive embolic device deployment system as defined in claim 2, wherein said embolic device takes the form of an embolic coil comprised of multiple turns.

8. A vasooclusive embolic device deployment system as defined in claim 6, wherein said embolic device takes the form of a helically wound embolic coil.

9. A vasooclusive embolic device deployment system as defined in claim 7, wherein said embolic device takes the form of a helically wound embolic coil.

10. A vasooclusive embolic device deployment system as defined in claim 8, wherein a central axis of said retaining ring extends substantially at a right angle to a central axis of said helically wound embolic coil.

11. A vasooclusive embolic device deployment system as defined in claim 9, wherein a central axis of said retaining ring extends substantially at a right angle to a central axis of said helically wound embolic coil.

12. A vasooclusive embolic device deployment system as defined in claim 8, including a retaining clamp having a lumen extending therethrough and being mounted on the proximal end of the pusher member, and wherein said detachment member extends from a position proximal of said clamp and through the lumen of the clamp so that said detachment member may be clamped into a fixed position prior to the release of the clamp and withdrawal of the detachment member from the aperture of the engagement member.

13. A vasooclusive embolic device deployment system as defined in claim 9, including a retaining clamp having a lumen extending therethrough and being mounted on the proximal end of the pusher member, and wherein said detachment member extends from a position proximal of said clamp and through the lumen of the clamp so that said detachment member may be clamped into a fixed position prior to the release of the clamp and withdrawal of the detachment member from the aperture of the engagement member.

14. A vasooclusive embolic device deployment system as defined in claim 1, wherein said kicker tongue is formed integral with the wall of the pusher member and is normally biased toward the central axis of said lumen of said pusher member.

15. A vasooclusive embolic device deployment system for use in placing an embolic device at a predetermined site within a vessel comprising:

an elongated flexible deployment catheter having a lumen extending therethrough and having proximal and distal ends;

an elongated pusher member having proximal and distal ends and being slidably disposed within the lumen of the deployment catheter;

an embolic device having a retaining ring at the proximal end thereof;

an engagement member extending from the distal end of the pusher member and having an aperture extending through the distal end thereof;

said engagement member extending through said retaining ring;

a kicker tongue is formed as an extension of a portion of the wall of the pusher member and having an aperture through the distal end thereof and extends distally and exhibits the characteristic of being normally biased parallel to a central axis of said pusher member, said kicker tongue engaging said retaining ring of said embolic device to thereby urge said retaining ring of said embolic device to be lifted off of said engagement member; and

,

an elongated detachment member extending from a position proximal of the proximal end of the pusher member, through the lumen of the pusher member and through the aperture of the engagement member and through the aperture of said kicker tongue such that when the detachment member is pulled proximally the distal end of the detachment member is withdrawn from the aperture of the engagement member and said kicker tongue to thereby release the embolic device.

16. A vasooclusive embolic device deployment system as defined in claim 15, wherein said kicker tongue is deflected toward the central axis of the lumen of said pusher member and engages said retaining ring of said embolic device.

17. A vasooclusive embolic device deployment system as defined in claim 16, wherein said kicker tongue includes an aperture which extends through said kicker tongue, and said engagement member and said elongated detachment member extend through said aperture of said kicker tongue.

18. A vasooclusive embolic device deployment system as defined in claim 16, wherein said engagement member is of a generally L-shaped configuration so as to form first and second legs, said first leg being attached to said pusher member and said second leg extending through said retaining ring.

19. A vasooclusive embolic device deployment system as defined in claim 18, wherein said engagement member is of a generally L-shaped configuration so as to form first and second legs, said first leg being attached to said pusher member and said second leg extending through said retaining ring.

20. A vasooclusive embolic device deployment system as defined in claim 18, wherein said aperture of said engagement member extends through the distal end of said second leg of said engagement member such that when said detachment member extends through said aperture of said retaining ring of said embolic device is interlocked onto said engagement member until the detachment member is withdrawn from said aperture.

21. A vasooclusive embolic device deployment system as defined in claim 15, wherein said embolic device takes the form of an embolic coil comprised of multiple turns.

22. A vasooclusive embolic device deployment system as defined in claim 17, wherein said embolic device takes the form of an embolic coil comprised of multiple turns.