Occluding vasculature of a patient using embolic coil with improved platelet adhesion

• US 6,953,468 B2
• Filed: 06/13/2001
• Issued: 10/11/2005
• Est. Priority Date: 06/13/2001
• Status: Expired due to Term

• Current Assignee: Codman & Shurtleff Incorporated (Johnson & Johnson)
• Original Assignee: Cordis Neurovascular, Inc. (Johnson & Johnson)
• Inventors: Mitelberg, Vladimir, Jones, Donald K.
• Primary Examiner(s): Bennett, Henry
• Assistant Examiner(s): Odland, Kathryn
• Application Number:
  US09/880,506
• Publication Number:
  US 20030004531A1
• Time in Patent Office: 1,581 Days
• Field of Search: 606/191, 606/194, 606/198, 606/200, 606/213, 606/214, 606/151, 140/92.1, 140/89, 623/1.1, 623/901, 623/902, 623/903, 128/898
• US Class Current: 606/191
• 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 17/12145 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61F 2/0077 Special surfaces of prostheses, e.g. for improving ingrowth A61F2/30767 takes precedence
• CPC Class Codes: A61L 2430/36 for embolization or occlusion, e.g. vaso-occlusive compositions or devices
• CPC Class Codes: A61L 31/022 Metals or alloys
• CPC Class Codes: A61L 31/14 Materials characterised by their function or physical properties , e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials

Abstract

A method as provided for occluding the vasculature of a patient. The method comprises the steps of providing a plurality of embolic coils having a textured surface. The embolic coils are introduced into the patient'"'"'s vasculature. In this manner, the textured surface provides improved platelet adhesion compared to a non-textured surface, to promote clotting. In the illustrative embodiment, the embolic coil comprises a platinum-tungsten alloy wire and the texturing is performed by abrasion or sandblasting to provide substantially uniform roughness comprising pockets having diameters of about 0.125 microns to about fifty microns and depths of about 0.25 microns to about twenty microns.

Claims

1. A embolic coil formed of a platinum alloy wire and having a proximal portion which is adopted to be held by a detachment portion of an introducer and a distal portion, the proximal portion which is adopted to be held by a detachment portion of an introducer having a relatively smooth surface as compared to the surface of the distal portion and the distal portion having a relatively textured surface as compared to the smooth surface of the proximal portion, whereby when said embolic coil is implanted in a patient'"'"'s vasculature, the textured surface provides improved platelet adhesion compared to a non-textured surface, to promote clotting.

2. An embolic coil as defined in claim 1, in which said distal portion has substantially uniform roughness comprising pockets having diameters between about 0.125 microns and about fifty microns and depths between about 0.25 microns and twenty microns.

7. A method as defined in claim 1, in which the distal portion of said embolic coil has substantially uniform roughness comprising pockets having diameters between about 0.125 microns and about 50 microns.

8. A method as defined in claim 7, in which said pockets have depths of between about 0.25 microns and about 20 microns.

11. A method as defined in claim 1, in which the embolic coils are used to block blood flow to a tumor.

3. A method for occluding the vasculature of a patient, comprising the steps of:

providing an introducer having a detachment portion for holding and releasing an embolic coil;

providing a plurality of embolic coils having a proximal portion that is held by said detachment portion and a distal portion, the proximal portion that is held by said detachment portion having a relatively smooth surface as compared to the surface of the distal portion and the distal portion having a relatively textured surface as compared to the smooth surface of the proximal portion;

introducing said plurality of embolic coils into the patients vasculature, using said introducer that is coupled to the proximal portion, whereby the textured surface provides improved platelet adhesion compared to a non-textured surface, to promote clotting.

4. A method as defined in claim 3, including the step of texturing the surface of an embolic coil by abrasion.

5. A method as defined in claim 3, including the step of texturing the surface of an embolic coil by sandblasting.

6. A method as defined in claim 3, in which said embolic coil comprises a platinum-tungsten alloy wire.

9. A method as defined in claim 3, in which the embolic coils are used to embolize a vessel for vessel sacrifice.

10. A method as defined in claim 3, in which the embolic coils are used to reduce or block blood flow to an arterial-venous malformation or to a fistula.

12. A method for treating an aneurysm of a patient, comprising the steps of:

providing an introducer having a detachment portion for holding and releasing an embolic coil;

providing a plurality of embolic coils having a proximal portion that is held by said detachment portion and a distal portion, the proximal portion that is held by said detachment portion having a relatively smooth surface as compared to the surface of the distal portion and the distal portion having a relatively textured surface as compared to the smooth surface of the proximal portion;

introducing said plurality of embolic coils into the patient'"'"'s aneurysm, using said introducer that is coupled to the proximal portion, whereby the textured surface provides improved platelet adhesion compared to a non-textured surface, to promote clotting.

13. A method as defined in claim 12, including the step of texturing the surface of an embolic coil by abrasion.

14. A method as defined in claim 12, including the step of texturing the surface of an embolic coil by sandblasting.

15. A method as defined in claim 12, in which said embolic coil comprises a platinum-tungsten alloy wire.

16. A method as defined in claim 12, in which the distal portion of said embolic coil has substantially uniform roughness comprising pockets having diameters between about 0.125 microns and about 50 microns.

17. A method as defined in claim 12, in which said pockets have depths of between about 0.25 microns and about 20 microns.