Embolic coil delivery system

• US 9,498,226 B2
• Filed: 08/28/2012
• Issued: 11/22/2016
• Est. Priority Date: 09/16/2011
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Cage, Logan Michael, Reeves, Sarah Elizabeth
• Primary Examiner(s): Miles, Jonathan
• Assistant Examiner(s): Rwego, Kankindi
• Application Number:
  US13/596,599
• Publication Number:
  US 20130072961A1
• Time in Patent Office: 1,547 Days
• Field of Search: 623/1.11, 623/1.12, 606/108, 606/194, 606/200, 606/191
• US Class Current: 1/1
• CPC Class Codes: A61B 17/12113 within an aneurysm
• CPC Class Codes: A61B 17/1214 Coils or wires
• CPC Class Codes: A61B 2017/1205 Introduction devices

Abstract

An embolic coil delivery system includes a flexible elongate body having a distal segment. An embolic coil is loaded on the flexible elongate body at the distal segment and contacts an outer surface of the flexible elongate body. The embolic coil delivery system also includes a delivery catheter sized to advance over the flexible elongate body during an embolic coil delivery procedure, wherein a distal segment of the delivery catheter contacts the embolic coil during the embolic coil delivery procedure.

Claims

1. An embolic coil delivery system, comprising:

a flexible elongate body having a distal segment;

an embolic coil loaded on the flexible elongate body at the distal segment and contacting an outer surface of the flexible elongate body;

a delivery catheter sized to advance over the flexible elongate body during an embolic coil delivery procedure, wherein a distal segment of the delivery catheter contacts the embolic coil during the embolic coil delivery procedure;

a delivery sheath positioned over the embolic coil, and including a distal end attached to the flexible elongate body; and

wherein the distal end of the delivery sheath is removably attached to a proximal segment of the delivery sheath at a tear away section located at an axial position of the flexible elongate body distally spaced from the embolic coil;

wherein the flexible elongate body, the embolic coil and the delivery sheath move together as a unit to a delivery site;

wherein the embolic coil delivery system has a first configuration in which the embolic coil is covered by the delivery sheath, and a second configuration in which the proximal segment is detached from the distal end of the delivery sheath at a tear away section, and the embolic coil is uncovered and out of contact with the proximal segment.

2. The embolic coil delivery system of claim 1, wherein the proximal segment of the delivery sheath is unattached relative to the flexible elongate body.

3. The embolic coil delivery system of claim 1, wherein the flexible elongate body is a mandril wire guide.

4. The embolic coil delivery system of claim 1, wherein the flexible elongate body, the embolic coil and the delivery sheath have the second configuration in which a proximal segment of the delivery sheath is disconnected from the flexible elongate body and moved proximally to uncover the embolic coil;

and

wherein the embolic coil is frictionally engaged with the outer surface of the flexible elongate body while positioned within the delivery sheath to maintain a relatively fixed position of the embolic coil relative to the flexible elongate body while the flexible elongate body is being maneuvered to the delivery site.

5. The embolic coil delivery system of claim 1, further including a plurality of embolic coils loaded on the flexible elongate body at the distal segment, wherein a first stiffness measurement of a first coil of the plurality of embolic coils is different than a second stiffness measurement of a second coil of the plurality of embolic coils.

6. A preloaded wire guide for an embolic coil delivery system, comprising:

a mandril wire guide having a distal segment;

an embolic coil loaded on the mandril wire guide at the distal segment and contacting an outer surface of the mandril wire guide; and

a delivery sheath positioned over the embolic coil, and including a distal end attached to the mandril wire guide, and the distal end of the delivery sheath is removably attached to a proximal segment of the delivery sheath at a tear away section located at an axial position of the mandril wire guide distally spaced from the embolic coil;

wherein the embolic coil is frictionally engaged with the outer surface of the mandril wire guide while positioned within the delivery sheath to maintain a relatively fixed position of the embolic coil relative to the mandril wire guide while the mandril wire guide is being maneuvered to a delivery site;

wherein the mandril wire guide, the embolic coil and the delivery sheath move together as a unit to the delivery site;

wherein the embolic coil delivery system has a first configuration in which the embolic coil is covered by the delivery sheath, and a second configuration in which the proximal segment is detached from the distal end of the delivery sheath at a tear away section, and the embolic coil is uncovered and out of contact with the proximal segment.

7. The preloaded wire guide of claim 6, wherein a distal end of the delivery sheath is removably attached to the mandril wire guide at an axial position of the flexible elongate body distally spaced from the embolic coil.

8. The preloaded wire guide of claim 7, wherein a proximal segment of the delivery sheath is unattached relative to the mandril wire guide.

9. The loaded wire guide of claim 8, further including a plurality of embolic coils loaded on the mandril wire guide at the distal segment, wherein a first stiffness measurement of a first coil of the plurality of embolic coils is different than a second stiffness measurement of a second coil of the plurality of embolic coils.

10. The loaded wire guide of claim 9, wherein each of the plurality of embolic coils is frictionally engaged with the outer surface of the mandril wire guide to maintain a relatively fixed position of the embolic coil relative to the mandril wire guide while the mandril wire guide is being maneuvered to the delivery site.

11. A method of delivering an embolic coil to a delivery site within a patient with an embolic coil delivery system that includes a flexible elongate body having a distal segment;

an embolic coil loaded on the flexible elongate body at the distal segment and contacting an outer surface of the flexible elongate body;

a delivery catheter sized to advance over the flexible elongate body during an embolic coil delivery procedure, wherein a distal segment of the delivery catheter contacts the embolic coil during the embolic coil delivery procedure;

a delivery sheath positioned over the embolic coil, and including a distal end attached to the flexible elongate body;

wherein a distal end of the delivery sheath is removably attached to the flexible elongate body a proximal segment of the delivery sheath at a tear away section located at an axial position of the flexible elongate body distally spaced from the embolic coil;

wherein the flexible elongate body, the embolic coil and the delivery sheath move together as a unit to a delivery site wherein the embolic coil delivery system has a first configuration in which the embolic coil is covered by the delivery sheath, and a second configuration in which the proximal segment is detached from the distal end of the delivery sheath at a tear away section, and the embolic coil is uncovered and out of contact with the proximal segment, and the method comprising steps of;

loading the embolic coil around an outer surface of a distal segment of a flexible elongate body;

advancing the distal segment of the flexible elongate body through the patient vessel to the delivery site with the embolic coil loaded on the distal segment; and

unloading the embolic coil from the flexible elongate body at least in part by advancing the delivery catheter over the flexible elongate body and contacting the embolic coil with a distal segment of the delivery catheter; and

wherein the embolic coil is frictionally engaged with the outer surface of the flexible elongate body to maintain a relatively fixed position of the embolic coil relative to the flexible elongate body while the distal segment of the flexible elongate body is being maneuvered to the delivery site during the advancing step; and

wherein the flexible elongate body, the embolic coil and the- a delivery sheath move together as a unit to the delivery site.

12. The method of claim 11, including shielding the embolic coil with the delivery sheath positioned over the embolic coil prior to and during the advancing step;

and

wherein the shielding step includes maintaining a loaded position of the embolic coil during the advancing step at least in part by frictionally engaging the embolic coil with the outer surface of the flexible elongate body.

13. The method of claim 11, further including removing at least a proximal segment of the delivery sheath subsequent to the advancing step.

14. The method of claim 13,

wherein the removing step includes separating the unattached proximal segment of the delivery sheath from an attached distal end of the delivery sheath along a tear located distal to the embolic coil.

15. The method of claim 11, wherein the loading step includes frictionally engaging the embolic coil with the outer surface of the flexible elongate body to maintain a loaded position of the embolic coil during the advancing step.

16. The method of claim 11, wherein the loading step includes loading a plurality of embolic coils of varying stiffnesses around the outer surface of the distal segment of the flexible elongate body, and the unloading step includes unloading the plurality of embolic coils from the flexible elongate body at least in part by advancing the delivery catheter over the flexible elongate body and contacting at least one of the plurality of embolic coils with the distal segment of the delivery catheter.