System and method for mechanically positioning intravascular implants
First Claim
1. An assembly for deploying an implant into an aneurysm in a vessel, comprising:
- a tubular member having a longitudinal axis, a wall defining a lumen along the axis, and a distal portion having an inner cross-sectional dimension and a distal end;
a coil implant having an enlarged proximal end; and
a monolithic core wire extending within the lumen and contacting the enlarged end at a point, the core wire comprising a distalmost end region having a cross-section that is, in a plane transverse to the longitudinal axis and intersecting the point, substantially crescent shaped;
wherein a length of a line segment extending from an outer surface of the enlarged end, through the point, and to an outer surface of the core wire is greater than the inner cross-sectional dimension, such that the enlarged end is prevented from moving within the lumen distally entirely past the distal end when the core wire and enlarged end are positioned radially adjacent each other within the lumen;
wherein, prior to release of the coil implant from the tubular member, and when the enlarged end is unable to move within the lumen distally entirely past the distal end, the distalmost end region of the core wire extends distally and radially inward from a side of the lumen, contacted by the outer surface of the core wire, and into the distal end and beyond a distalmost portion of the distal end.
2 Assignments
0 Petitions
Accused Products
Abstract
Intravascular implant delivery systems and methods are described. One such system carries an implant by retaining an engagement member engaging the implant in a position proximal of an aperture at a distal end of the delivery system. The engagement member is retained proximal to the aperture by a cord that obstructs the movement of the engagement member through the aperture. The engagement member is free to rotate and move within an area defined by the delivery system, allowing the implant to react to forces imparted to the implant by the movement of the delivery system and implant through a delivery catheter. Once the implant is in a desired implant position, the cord is moved away from an aperture and the engagement member is allowed to move away from the delivery system.
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Citations
28 Claims
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1. An assembly for deploying an implant into an aneurysm in a vessel, comprising:
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a tubular member having a longitudinal axis, a wall defining a lumen along the axis, and a distal portion having an inner cross-sectional dimension and a distal end; a coil implant having an enlarged proximal end; and a monolithic core wire extending within the lumen and contacting the enlarged end at a point, the core wire comprising a distalmost end region having a cross-section that is, in a plane transverse to the longitudinal axis and intersecting the point, substantially crescent shaped; wherein a length of a line segment extending from an outer surface of the enlarged end, through the point, and to an outer surface of the core wire is greater than the inner cross-sectional dimension, such that the enlarged end is prevented from moving within the lumen distally entirely past the distal end when the core wire and enlarged end are positioned radially adjacent each other within the lumen; wherein, prior to release of the coil implant from the tubular member, and when the enlarged end is unable to move within the lumen distally entirely past the distal end, the distalmost end region of the core wire extends distally and radially inward from a side of the lumen, contacted by the outer surface of the core wire, and into the distal end and beyond a distalmost portion of the distal end. - View Dependent Claims (2, 3, 4, 5, 6)
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7. An assembly for deploying an implant into an aneurysm in a vessel, comprising:
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a tubular member having a longitudinal axis, a wall defining a lumen along the axis, and a distal portion having an inner cross-sectional dimension and a distal end; a coil implant having an enlarged proximal end; and a core wire extending within the lumen and contacting the enlarged end at a point; wherein a length of a line segment extending from an outer surface of the enlarged end, through the point, and to an outer surface of the core wire is greater than the inner cross-sectional dimension, such that the enlarged end is prevented from moving within the lumen distally entirely past the distal end when the core wire and enlarged end are positioned radially adjacent each other within the lumen; and wherein a region of the wall circumferentially encloses the enlarged proximal end and the core wire and has a non-circular cross-sectional shape in a plane perpendicular to the longitudinal axis and intersecting the point, wherein the core wire is restrained by the wall from moving about a circumference of the lumen while the core wire is contacting the enlarged end, such that the enlarged end, while contacting the core wire, is configured to move axially within the lumen relative to the tubular member. - View Dependent Claims (8, 9, 10, 11)
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12. An assembly for deploying an implant into an aneurysm in a vessel, comprising:
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a tubular member having (i) a longitudinal axis, (ii) a wall defining a lumen along the axis, (iii) an aperture through the wall and having an aperture cross-sectional dimension, (iv) an arm extending from an edge of the aperture, covering a portion of the aperture, and curving radially inward toward the axis, and (v) a distal portion having a port with an inner cross-sectional dimension and a distal end; a coil implant having an enlarged proximal end disposed at least partly in the portion of the aperture, the enlarged proximal end having a largest proximal end cross-sectional dimension that is less than the aperture cross-sectional dimension, wherein at least a portion of the coil implant extends through the port; and a core wire extending within the lumen and contacting the enlarged end at a point; wherein the arm is configured to bias the enlarged proximal end away from the aperture to prevent passage of the enlarged proximal end through the aperture; wherein a length of a line segment extending from an outer surface of the enlarged end, through the point, and to an outer surface of the core wire is greater than the inner cross-sectional dimension, such that the enlarged end is prevented from moving within the lumen distally entirely past the distal end when the core wire and enlarged end are positioned radially adjacent each other within the lumen. - View Dependent Claims (13, 14, 15)
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16. An assembly for deploying an implant into an aneurysm in a vessel, comprising:
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a tubular member having a longitudinal axis, a wall defining a lumen along the axis, the lumen comprising (i) a distal portion having a cross-sectional dimension (ii) a distal end, and (iii) a reduced portion, proximal to the distal portion, having a non-circular first cross-sectional profile; a coil implant having an enlarged proximal end; and a core wire extending within the lumen through the reduced portion and contacting the enlarged end at a point, the core wire comprising an enlarged region having a second cross-sectional profile, wherein (i) travel of the enlarged region through the reduced portion is limited while in a first rotational state relative to the reduced portion and (ii) travel of the enlarged region through the reduced portion is permitted while in a second rotational state relative to the reduced portion; wherein a length of a line segment extending from an outer surface of the enlarged end, through the point, and to an outer surface of the core wire is greater than the inner cross-sectional dimension, such that the enlarged end is prevented from moving within the lumen distally entirely past the distal end when the core wire and enlarged end are positioned radially adjacent each other within the lumen; wherein the enlarged region has a proximal surface that is parallel to a distal surface of the reduced portion, the distal surface forming an oblique angle with respect to an axis of the core wire. - View Dependent Claims (17, 18, 19, 20, 21, 22, 23, 24)
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25. An assembly for deploying an implant into an aneurysm in a vessel, comprising:
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a tubular member having a longitudinal axis, a wall defining a lumen along the axis, an aperture through the wall, and a distal portion having an inner cross-sectional dimension and a distal end; a coil implant having an enlarged proximal end, the enlarged end having (i) a primary portion residing in the lumen and (ii) a secondary portion extending from the primary portion into the aperture and engaging an edge of the aperture, wherein a first width of the secondary portion at a surface farthest from the primary portion is wider than a second width of the secondary portion, at a region of contact with the primary portion; and a core wire extending within the lumen and contacting the enlarged end at a point; wherein a length of a line segment extending from an outer surface of the enlarged end, through the point, and to an outer surface of the core wire is greater than the inner cross-sectional dimension, such that the enlarged end is prevented from moving within the lumen distally entirely past the distal end when the core wire and enlarged end are positioned radially adjacent each other within the lumen. - View Dependent Claims (26, 27, 28)
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Specification