Detachable aneurysm neck bridge
View Patent ↗In one embodiment, a neck bridge for bridging the neck of an aneurysm includes a junction region, a number of radially extending array elements attached to the junction region, and a cover attached to one or both of the junction region and an array element. The array elements are configured to be positioned within the aneurysm after the neck bridge is deployed from a delivery device. In a second embodiment, the neck bridge includes a junction region and a braided or mesh-like structure secured to the junction region. The braided or mesh-like structure is made from an elastic material.
1. A device for bridging a neck of an aneurysm, comprising:
an elongate tubular member having a proximal end, a distal end, and lumen extending between said proximal and distal ends;
a vaso-occlusive element slidably disposed in the lumen of the elongate tubular member and configured for deployment from the distal end of the elongate tubular member;
a neck bridge comprising:
a junction region detachably coupled to a distal end of the elongate tubular member;
one or more radially extending array elements secured to the junction region, each array element having an unfolded shape and a delivery shape; and
a cover attached to the junction region, an array element, or both, wherein the cover extends over the delivery shape of one of the array elements, wherein the neck bridge is configured for placement within or across the neck of the aneurysm.
2. The device of claim 1 , wherein the device comprises a pusher member configured to deploy the vaso-occlusive element.
3. The device of claim 1 , wherein the device comprises a plunger configured to deploy the vaso-occlusive element.
4. The device of claim 1 , wherein the vaso-occlusive element is detachably coupled to a distal end of a core wire.
5. The device of claim 1 , wherein the junction region comprising an opening dimensioned to allow passage of the vaso-occlusive element there through.
6. The device of claim 5 , wherein the opening in the junction region is configured to allow passage of a fluid embolic agent there through.
7. The device of claim 1 , wherein each array element comprises a wire having a curvilinear shape.
8. The device of claim 1 , further comprising a tip, wherein an array element comprises a wire having a first end attached to the tip and a second end attached to the junction region.
9. The device of claim 1 , further comprising a radio-opaque marker carried on an array element.
10. The device of claim 1 , wherein the array elements each comprises a resilient, substantially elastic material.
11. A device for bridging a neck of an aneurysm, comprising:
a delivery catheter having a proximal end, a distal end, and a lumen extending between said proximal and distal ends;
a vaso-occlusive element slidably disposed in the lumen of the delivery catheter and configured for deployment from the distal end of the delivery catheter;
a neck bridge detachably mounted on an elongate member configured for axial movement within the delivery catheter, the neck bridge comprising:
a junction region detachably coupled to a distal end of the elongate member;
one or more radially extending array elements secured to the junction region, each array element having an unfolded shape and a delivery shape; and
a cover attached to the junction region, an array element, or both, wherein the cover extends over the delivery shape of one of the array elements, wherein the neck bridge is configured for placement within or across the neck of the aneurysm.
12. The device of claim 11 , wherein elongate member comprises a core wire.
13. The device of claim 11 , wherein each array element comprises a wire having a curvilinear shape.
14. The device of claim 11 , further comprising a tip, wherein array element comprises a wire having a first end attached to the tip and a second end attached to the junction region.
15. The device of claim 11 , further comprising a radio-opaque marker carried on an array element.
16. The device of claim 11 , wherein the array elements each comprises a resilient, substantially elastic material.
17. The device of claim 11 , wherein the neck bridge is detachably mounted to the elongate member via an electrolytically severable joint.
18. The device of claim 11 , wherein the neck bridge is detachably mounted to the elongate member via a mechanical joint.
19. A method of filling an aneurysm comprising:
advancing a distal end of a delivery catheter adjacent to the aneurysm, the delivery catheter including a lumen therein;
advancing a neck bridge configured for placement within or across the neck of the aneurysm through the delivery catheter lumen, the neck bridge comprising a junction region that detachably couples to an elongate tubular member configured for axial movement within the lumen of the delivery catheter, the neck bridge further including one or more radially extending array elements secured to the junction region, each array element having an unfolded shape and a delivery shape, a cover extending over the delivery shape of one of the array elements;
placing the neck bridge within or across the neck of the aneurysm;
delivering one or more vaso-occlusive devices into the aneurysm; and
detaching the neck bridge from the elongate tubular member.
20. The method of claim 19 , wherein the junction region comprises an opening and the one or more vaso-occlusive devices pass through the opening and into the aneurysm.
21. The method of claim 19 , further comprising delivering a fluid into the aneurysm via the opening.
22. The method of claim 21 , wherein the fluid comprises an embolic agent.
23. The method of claim 19 , wherein the vaso-occlusive element is delivered by depressing a plunger configured to deploy the vaso-occlusive element.
24. The method of claim 19 , wherein the neck bridge is detached from the elongate tubular member by severing an electrolytically severable joint connecting the neck bridge and the elongate member.