Assembly for positioning an embolization coil in the vascular system and a method of introducing a detachable embolization coil

• US 6,458,137 B1
• Filed: 05/24/2000
• Issued: 10/01/2002
• Est. Priority Date: 05/26/1999
• Status: Expired due to Term

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Incorporated (Cook Group Incorporated)
• Inventors: Klint, Henrik S.
• Primary Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US09/577,777
• Time in Patent Office: 860 Days
• Field of Search: 606/108, 606/198, 606/191, 606/194, 606/200, 606/1, 606/157, 606/151, 600/585, 600/434
• US Class Current: 606/108
• 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 2017/12095 Threaded connection

Abstract

An assembly for positioning an embolization coil (29) in the vascular system. The assembly comprises a delivery wire (1) having a central core (4) with a blade-shaped portion (10) which extends inside a threading coil (8) and has a blade thickness of preferably less than 40% of the blade width. The threading coil (8) is fixed to the central core at least at the edges of the blade-shaped portion.

Claims

1. An assembly for positioning an embolization coil in the vascular system, comprising a delivery wire which in a distal section has a central core and a threading coil fixed to the central core, wherein said threading coil has at least three distal turns arranged with a pitch allowing the embolization coil to be threaded in and out of the threading coil, wherein the central core has a blade-shaped portion that extends inside the threading coil and has a blade thickness, a blade width and edges, said blade thickness being less than the blade width, and wherein the threading coil is fixed to the central core at least at the edges of the blade-shaped portion.

2. An assembly according to claim 1, wherein said blade thickness is between 10% and 60% of the blade width.

3. An assembly according to claim 1, wherein said blade thickness is between 15%and 40% of the blade width.

4. An assembly according to claim 1, wherein said blade thickness is about 20% of the blade width.

5. An assembly according to claim 1, wherein said threading coil has an inner diameter, and the blade width is less than the inner diameter of the threading coil.

6. An assembly according to claim 1, wherein the edges of the blade-shaped portion are provided with recesses in which the threading coil is locked.

7. An assembly according to claim 6, wherein the blade-shaped portion has flat sides, said solder is positioned on at least one of the flat sides in a wave-shaped pattern having wave crests and wave troughs, said threading coil is located on the wave crests, a bottom of said wave troughs is located less than a distance d from said flat side, where the distance d is at the most ¼

of an inner diameter D of the threading coil.

8. An assembly according to claim 7, wherein the threading coil wire has a diameter, and the threading coil has a distal end terminating at a position less than twice the diameter of the threading coil wire from one of the flat sides of the blade-shaped portion.

9. An assembly according to claims 1, wherein the threading coil is fixed to the blade-shaped portion by solder or welding material.

10. An assembly according to claim 1, wherein a radiopaque marker is positioned at a predefined first distance, such as about 3 to 3.5 cm, proximal to the distal termination of the threading coil.

11. An assembly according to claim 10, wherein the assembly further includes a catheter having a distal delivery opening and at a predetermined second distance proximal to the delivery opening a radiopaque marker, and the first distance on the delivery wire and the second distance on the catheter are so that the distal termination of the threading coil is positioned at the delivery opening when the marker on the delivery wire is positioned at the marker on the catheter.

12. An assembly according to claim 10, wherein a pin vise has fixing means for detachable fixing on the delivery wire and carries a cannula of a length of at least 8 cm through which the delivery wire is insertable.

24. A method of introducing a detachable embolization coil into a deployment site in a vascular system of a patient, comprising:

positioning in the vascular system a catheter system with a catheter having a radiopaque marker, with a distal delivery opening of the catheter positioned at the deployment site and with a proximal end of the catheter system outside the patient;

advancing a delivery wire through the catheter until a radiopaque marker on the delivery wire is positioned at a radiopaque marker on the catheter, wherein said delivery wire includes the assembly of claim 1;

locking a pin vise on the delivery wire in abutment against the proximal end of the catheter system; and

rotating the pin vise in a detach direction until the detachable embolization coil is detached the delivery wire.

25. The method of claim 24, wherein, during subsequent introduction of further embolization coils to the deployment site without removal of the catheter, the pin vise remains locked in position on the delivery wire.

13. An assembly for positioning an embolization coil in a vascular system, wherein a delivery wire has a distal section with a central core and a threading coil, said central core including a blade-shaped portion having a blade thickness measured between sides and a blade width measured between edges, said threading coil having turns arranged with a pitch and fixed to the central core at least at the edges of the blade-shaped portion, and said blade thickness being less than the blade width.

14. An assembly according to claim 13, wherein said blade thickness is between 10% and 60% of the blade width.

15. An assembly according to claim 13, wherein said blade thickness is between 15% and 40% of the blade width.

16. An assembly according to claim 13, wherein said blade thickness is about 20% of the blade width.

17. An assembly according to claim 13, wherein solder or welding material fixes the threading coil to the blade-shaped portion.

18. An assembly according to claim 17, wherein the sides of the blade-shaped portion are flat, and the solder is positioned on at least one of the flat sides in a wave-shaped pattern having wave crests and wave troughs, said threading coil is located on the wave crests.

19. An assembly according to claim 18, wherein the threading coil has an inner diameter D, and bottoms of said wave troughs are located less than a distance d from said flat side, the distance d being at the most ¼

of said inner diameter D.

20. An assembly according to claim 19, wherein the threading coil wire has a diameter, and the threading coil has a distal end terminating at a position less than twice the diameter of the threading coil wire from one of the flat sides of the blade-shaped portion.

21. An assembly according to claim 19, wherein a radiopaque 20 marker is positioned at a predefined first distance, such as about 3 to 3.5 cm, proximal to the distal termination of the threading coil.

22. An assembly according to claim 21, wherein the assembly further includes a catheter having a distal delivery opening and at a predetermined second distance proximal to the delivery opening a radiopaque marker, and the first distance on the delivery wire and the second distance on the catheter are so that the distal termination of the threading coil is positioned at the delivery opening when the marker on the delivery wire is positioned at the marker on the catheter.

23. An assembly according to claim 22, wherein a pin vise has fixing means for detachable fixing on the delivery wire and carries a length of cannula through which the delivery wire is insertable.