Detachable aneurysm neck bridge (III)
View Patent ↗This is a device for bridging the neck of either a wide-necked or narrow-necked aneurysm in the vasculature. In general, it is a device used to stabilize the presence of vaso-occlusive devices (such as helically wound coils) in the aneurysm. The device preferably is delivered by a core wire which terminates in an electrolytically severable joint. The core wire will often be insulated. The retainer assembly itself is also attached to the electrolytic joint and 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. After deployment of this retainer, the aneurysm is at least partially filled with a vaso-occlusive device such as helically wound coils.
1. A vaso-occlusive system, comprising:
a vaso-occlusive device for occluding an aneurysm, the vaso-occlusive device having a first shape when being delivered to the aneurysm, and a second shape that is different from the first shape when the vaso-occlusive device is delivered within the aneurysm; and
a retainer assembly for retaining the vaso-occlusive device in the aneurysm, the retainer assembly comprising a core wire, an array element, and a joint between a distal end of the core wire and the array element,
wherein the array element has a delivery shape when retained within an elongate tubular delivery device, and a deployed shape when outside the elongate tubular delivery device, and the joint is comparatively more susceptible to electrolytic severability than the core wire and the array element.
2. The system of claim 1 , wherein the core wire is covered with an electrical insulation layer from near its proximal end to near its distal end.
3. The system of claim 1 , wherein the array element comprises platinum.
4. The system of claim 1 , wherein the array element comprises tantalum.
5. The system of claim 1 , wherein the array element comprises stainless steel.
6. The system of claim 1 , wherein the array element comprises a superelastic alloy.
7. The system of claim 1 , wherein at least a portion of the array element is covered by radio-opaque material.
8. The system of claim 7 , wherein the radio-opaque material is platinum.
9. The system of claim 1 , wherein when the array element is in the deployed shape, the array element terminates remotely from the joint.
10. The system of claim 1 , wherein the deployed shape approximates the shape of the aneurysm.
11. The system of claim 1 , wherein the array element encloses a volume, and wherein the array element contains the vaso-occlusive device in the volume.
12. The system of claim 1 , wherein the array element includes a residual joint after an electrolytic severance from the core wire.
13. The system of claim 12 , wherein the array element has a proximal deployed end when in the deployed shape, and when the array element is in the deployed shape, the residual joint is distal to the proximal deployed end.
14. The system of claim 12 , wherein the array element has a proximal deployed end when in the deployed shape, and when the array element is in the deployed shape, the residual joint is on the proximal deployed end.