Detachable, varying flexibility, aneurysm neck bridge

• US 6,063,104 A
• Filed: 05/18/1999
• Issued: 05/16/2000
• Est. Priority Date: 06/24/1998
• Status: Expired due to Term

• Current Assignee: Stryker European Operations Holdings, LLC (Stryker Corporation)
• Original Assignee: Target Therapeutics, Inc. (Boston Scientific Corporation)
• Inventors: Doan, Nga T., Abrams, Robert M., Teoh, Clifford, Aganon, Nestor, Villar, Francisco S.
• Primary Examiner(s): Hirsch, Paul J.
• Application Number:
  US09/313,958
• Time in Patent Office: 364 Days
• Field of Search: 606/198, 606/213, 606/215, 623/11
• US Class Current: 606/213
• 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 17/1214 Coils or wires
• CPC Class Codes: A61B 17/12172 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61B 2017/12063 electrolytically detachable

Abstract

This is a device for bridging the neck of either a wide-necked or narrow-necked aneurysm as may be found in the vasculature. It may be used to stabilize the placement of vaso-occlusive devices such as helically wound coils in the aneurysm or may be used to, at least partially, close the aneurysm neck. The vaso-occlusive devices, commonly helically wound coils, are delivered by a core wire which is linked to the coils by an electrolytically severable joint. The core wire will often be insulated. The retainer assembly itself is also attached to another delivery device, such as a core wire, and desirably is severed from the core or delivery wire by the use of another electrolytically severable joint. The inventive neck bridge typically has a number of array elements which are intended to be resident within the aneurysm after the device is deployed from the distal end of a catheter. Central to this invention is the use of array elements having differing flexibility or constituent members of the array elements, e.g., wires making up the array elements, which are of differing flexibilities. After deployment of this retainer, the aneurysm may be at least partially filled with vaso-occlusive devices such as helically wound coils.

Claims

1. An implantable retainer bridge, deliverable via an elongate tubular delivery device, of a size and overall flexibility to safely lodge at the mouth of a vascular aneurysm, and suitable for retaining at least a vaso-occlusive device in a vascular aneurysm, comprising:

a) a detachable joint located centrally to a plurality of array elements, and detachable from a core wire delivery element, and

b) said plurality of array elements extending outwardly from and fixedly attached to said detachable joint, each of said array element comprising a wire extending away from said detachable joint and forming a loop extending from and returning back to said detachable joint.

2. The implantable retainer bridge of claim 1, wherein said detachable joint comprises an electrolytically severable joint suitable for separating said core wire delivery element from said implantable retainer upon application of a suitable current to said joint, said joint being comparatively more susceptible to electrolytic severability than said core wire delivery element and said plurality of array elements.

3. The implantable retainer bridge of claim 1, wherein said detachable joint comprises a mechanically detachable joint suitable for separating said core wire delivery element from said implantable retainer.

4. The implantable retainer bridge of claim 1, wherein said implantable retainer has a first delivery shape when retained within said elongate tubular delivery device and having a distal delivery end and a proximal delivery end, and a second deployed shape, different than first delivery shape, when said implantable retainer is not retained within said tubular delivery device and having a distal deployed and an proximal deployed end, said plurality of array elements extends outwardly from said joint in said second deployed shape.

5. The implantable retainer bridge of claim 2 further comprising a core wire delivery element, wherein said core wire delivery element is covered with an electrical insulation layer from near its proximal end to near its distal end.

6. The implantable retainer bridge of claim 1, wherein said plurality of array elements comprise platinum.

7. The implantable retainer bridge of claim 1 wherein said plurality of array elements comprise tantalum.

8. The implantable retainer bridge of claim 1 wherein said plurality of array elements comprise stainless steel.

9. The implantable retainer bridge of claim 1 wherein said plurality of array elements comprise a super-elastic alloy.

10. The implantable retainer bridge of claim 1 wherein at least a portion of said plurality of array elements is covered by radio-opaque material.

11. The implantable retainer bridge of claim 7 wherein said radio-opaque material is platinum.

12. The implantable retainer bridge of claim 1, where said plurality of array elements comprises at least one multiple array pair.

13. The implantable retainer bridge of claim 1, where said plurality of array elements comprises at least one array pair.

14. The implantable retainer bridge of claim 1, where said plurality of array elements comprises at least two elements of differing flexibility.

15. The implantable retainer bridge of claim 1, where said plurality of array elements comprises at least two elements each having said loops of differing sizes.

16. The implantable retainer bridge of claim 1, where said detachable joint is indented from said plurality of array elements.