Apparatus and method for the use of detachable coils in vascular aneurysms and body cavities

• US 5,916,235 A
• Filed: 08/13/1997
• Issued: 06/29/1999
• Est. Priority Date: 08/13/1997
• Status: Expired due to Term

• Current Assignee: Regents of the University of California (University of California)
• Original Assignee: Regents of the University of California (University of California)
• Inventors: Guglielmi, Guido
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Woo, Julian W.
• Application Number:
  US08/910,645
• Time in Patent Office: 685 Days
• Field of Search: 606/127, 606/128, 606/200, 606/198, 606/113, 606/191, 606/47, 606/33, 606/41, 606/194, 623/1
• 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 17/12109 in a blood vessel
• CPC Class Codes: A61B 17/12113 within an aneurysm
• CPC Class Codes: A61B 17/12145 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61B 17/12172 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61B 17/221 Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions surgical snare instruments A61B17/32056
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/00867 shape memory effect
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop
• CPC Class Codes: A61M 2025/09141 made of shape memory alloys which take a particular shape at a certain temperature

Abstract

The retention of free coils or GDC coils within body cavities or aneurysms in the human vascular system is achieved through the use of a GDC cage. The GDC cage is comprised of an expandable cage coupled to the wire, which cage and wire are disposed within a catheter. The cage has a memory so that it normally assumes an expanded configuration when unconfined, but is capable of assuming a collapsed configuration when disposed and confined within the catheter. In the illustrated embodiments a detachable joint is provided between the cage and wire so that the cage may be selectively detached from the wire and left in place within the body lumen in its selected position in the expanded configuration. The cage may thus be placed and detached in aneurysms to retain the coils disposed therein or placed in front of aneurysm openings to prevent the escape of free coils from the aneurysm. The cage may be used as a fishing tool to capture escaped free coils in the vessel, which may have escaped from the aneurysm. In addition, RF energy may be applied to the cage so that when the cage is placed in a large body lumen, it serves as a collapsible RF antenna. As the body lumen shrinks on the cage, the cage compliantly yields while continuing to deliver RF energy to the body lumen until the desired amount of shrinkage is obtained.

Claims

1. An apparatus for use within a body lumen comprising:

a wire;

a selectively detachable joint;

an expandable cage, said joint coupling said cage to said wire;

said expandable cage capable of assuming a collapsed and expanded configuration, said expanded configuration being self-assumed by said cage when said cage is freed of confinement,

whereby, said cage expands for deployment within said body lumen.

2. The apparatus of claim 1 further comprising a catheter, said wire and expandable cage being selectively disposable within said catheter when said cage assumes said collapsed configuration and selectively disposable outside of said catheter wherein said cage assumes said expanded configuration.

3. The apparatus of claim 2 wherein at least one coil is disposable in said body lumen and wherein said cage is adapted to return said coil within said body lumen when said cage is in said expanded configuration.

4. The apparatus of claim 3 wherein said body lumen is an aneurysm and said catheter being used to position said cage into said aneurysm, said cage assuming said expanded configuration as such cage is being disposed from said catheter into said aneurysm, said coil being disposable in said aneurysm and retained therein by said cage.

5. The apparatus of claim 3 wherein said cage is disposable from said catheter across said opening of said aneurysm in a parent vessel communicated to said aneurysm, said aneurysm having an opening, said cage acting as a retaining grate across said opening to prevent escape of said free coil from said aneurysm.

6. The apparatus of claim 2 wherein said body lumen is a vessel and said free coil is disposable in said vessel, said cage being adapted to capture said free coil in said vessel when said cage is in said expanded configuration to allow said captured free coil to be removed with said cage from said vessel.

7. The apparatus of claim 1 further comprising a source of radio frequency energy coupled to said wire so that said radio frequency energy is coupled to and emitted from said cage into said body lumen to diathermally heat and thereby shrink said body lumen while said cage tends to assume said collapsed configuration according to shrinkage of said body lumen.

8. The apparatus of claim 1 wherein said cage is comprised of a plurality of wires having a memory so that when said cage is free of confinement, it assumes a prebiased shape memorized by said plurality of wires.

9. The apparatus of claim 8 wherein said cage is comprised of a plurality of wires in the form of a cylindrical barrel.

10. The apparatus of claim 9 wherein said cylindrical barrel cage has bottom and top apexes where said plurality of wires are commonly joined together.

11. The apparatus of claim 1 wherein said detachable joint is electrolytically disintegrated to detach said wire from said cage.

12. The apparatus of claim 1 wherein said detachable joint is an electrolytically disintegratable region.

13. The apparatus of claim 11 wherein said detachable joint is an electrolytically disintegratable bead.

14. The apparatus of claim 12 wherein said electrolytically disintegratable region comprises a flexible electrolytically disintegratable coil coupled between said wire and said cage.

15. The apparatus of claim 14 wherein said electrolytically disintegratable region further comprises a tapered tip of said wire extending through said coil and coupled to said cage.

16. The apparatus of claim 1 wherein said cage comprises a plurality of wires, each wire having two ends, one end of each said wires being coupled together in a common apex and opposing ends of which are free, each said opposing free end forming a curved hook shape.

17. The apparatus of claim 1 wherein said cage comprises a helical coil which when in said expanded configuration is contained within an envelope of predetermined three-dimensional shape.

18. The apparatus of claim 1 wherein said cage comprises at least one randomly-shaped wire, which when in said expanded configuration is contained within an envelope of predetermined three-dimensional shape.

19. An RF probe for shrinking a body lumen comprising:

a wire;

an collapsible cage coupled to said wire, said cage capable of assuming an expanded configuration and a collapsed configuration, including a continuous deformation of configurations therebetween, said cage adapted to radiate radio frequency energy to tissue surrounding said body lumen to diathermally heat and shrink said tissue and lumen, said cage having a substantial resiliency so that when free of confinement said cage normally assumes said expanded configuration, and when confined by shrinking of said tissue and lumen, said cage assumes said collapsed configuration and is conformable to said tissue during shrinkage of said lumen.