Implantable medical device detachment system and methods of using the same
View Patent ↗An implantable medical device detachment system is provided with a carrier member having a compressible portion at a distal end thereof. The compressible portion is moved to a compressed condition to allow an engagement member of the system to releasably engage an implantable device, such as an embolic coil. The carrier member and associated implantable device are fed through a body vessel to a target location, where the device is disengaged from the engagement member. The compressible portion then moves from the compressed condition to an elongated condition to completely separate the implantable device from the engagement member.
1. A detachment system for delivering an implantable medical device to a target location of a body vessel, comprising:
a generally hollow tubular carrier member having a distal end, wherein a compressible portion of said distal end is a spiral-cut portion of the carrier member itself and is axially adjustable between a compressed condition and an elongated condition;
an engagement member associated with the distal end of the carrier member, wherein said engagement member has an up-turned condition at the distal end portion thereof, in which condition the engagement member has an up-turned distal end portion;
a pusher portion of the carrier member positioned adjacent to and distally of the compressible portion, wherein said pusher portion is modified from a right cylindrical shape to accommodate a proximal end portion of the implantable medical device;
an elongated locking member received within the carrier member and axially movable with respect to the engagement member and with respect to the tubular carrier member;
said engagement member distal end portion thereof has an opening, and at least a portion of the elongated locking member is receivable by the up-turned engagement member opening, wherein an engagement space is defined by and partially bounded by said up-turned engagement member distal end portion and said locking member, which engagement space is adapted to engage an implantable medical device when the compressible portion of the tubular carrier member is in the compressed condition; and
wherein the engagement member is substantially unexposed when said compressible portion of the distal end is in the elongated condition, and wherein at least a portion of the engagement member is exposed when said compressible portion is in the compressed condition.
2. The detachment system of claim 1 , wherein the locking member releasably locks the up-turned engagement member and the engagement space releasably locks the implantable medical device.
3. The detachment system of claim 1 , wherein said pusher portion includes a plurality of extensions that flank a proximally extending portion of the proximal end portion of the implantable medical device.
4. The detachment system of claim 3 , wherein one of said flanking extensions is shorter than the other flanking extension.
5. The detachment system of claim 3 , wherein at least one of said flanking extensions engages a proximal face of the implantable medical device.
6. The detachment system of claim 3 , wherein at least two of said flanking extensions engage a respective proximal face portion of the implantable medical device.
7. A detachment system for delivering an implantable medical device to a target location of a body vessel, comprising:
a generally hollow tubular carrier member having a distal end, wherein a compressible portion of said distal end is a spiral-cut portion of the carrier member itself and is axially movable from a compressed condition to an elongated condition;
an engagement member associated with the distal end of the carrier member, wherein said engagement member has an up-turned condition at the distal end portion thereof, in which condition the engagement member has an up-turned distal end portion, wherein said compressible portion is adapted to deploy an implantable medical device engaged by the engagement member when said compressible portion moves to the elongated condition;
a pusher portion of the carrier member positioned adjacent to and distally of the compressible portion, wherein said pusher portion is generally non-tubular to accommodate a proximal end portion of the implantable medical device;
an elongated locking member received within the carrier member and axially movable with respect to the engagement member and with respect to the tubular carrier member; and
said engagement member distal end portion thereof has an opening, and at least a portion of the elongated locking member is receivable by the up-turned engagement member opening, wherein an engagement space is defined by and partially bounded by said up-turned engagement member distal end portion and said locking member, which engagement space is adapted to engage an implantable medical device when the compressible portion of the tubular carrier member is in the compressed condition; and
wherein the engagement member is substantially unexposed when said compressible portion of the distal end is in the elongated condition, and wherein at least a portion of the engagement member is exposed when said compressible portion is in the compressed condition.
8. The detachment system of claim 7 , wherein said compressible portion of the distal end of the carrier member is adapted to automatically/resiliently move to the elongated condition when the engagement member is disengaged from the implantable medical device.
9. The detachment system of claim 7 , wherein said pusher portion comprises a first arcuate extension and a second arcuate extension, and wherein at least one of said first and second arcuate extensions is adapted to bear against the implantable medical device when the compressible portion of the distal end moves to the elongated condition.
10. The detachment system of claim 9 , wherein one of said first and second arcuate extensions is longer than the other.
11. The detachment system of claim 9 , wherein the first and second arcuate extensions have substantially the same length.