System and method for retaining vaso-occlusive devices within an aneurysm
View Patent ↗The present invention is directed to systems for occluding an aneurysm having an aneurysmal neck and an aneurysmal inner wall. Generally, a device in accordance with the present invention includes a mesh-like structure that is integrally composed of a shape-memory alloy such as NiTi. The device is deployed within the aneurysm through the aneurysmal neck. The device is configured to be in a deployed state and an undeployed state, and is configured to transition from the undeployed state to the deployed state by exposure to a higher temperature and/or by being unconstrained. The device may function to retain finer vaso-occlusive devices such as vaso-occlusive coils and/or embolic liquids. Furthermore, the device itself may function as a vaso-occlusive device.
1. A system for implanting a vaso-occlusive device in an aneurysm, the aneurysm having an aneurysmal neck and an aneurysmal inner wall, the system comprising:
an elongate delivery member; and
a vaso-occlusive device comprising a mesh-like structure detachably coupled to a distal end of the delivery member by a severable link, the mesh-like structure having a collapsed delivery configuration and an expanded deployed configuration, wherein in the expanded deployed configuration, the mesh-like structure comprises a proximal member, a distal member, and an elongated tubular element having a first end coupled to the proximal member and a second end coupled to the distal member,
the mesh-like structure being configured to be inserted in its entirety through the aneurysmal neck when in the delivery configuration and attached to the delivery member, and to expand into the deployed configuration when detached from the delivery member and implanted within the aneurysm,
wherein when the mesh-like structure is in the deployed configuration, detached from the delivery member and implanted within the aneurysm, the proximal and distal members comprise respective opposing concave inner surfaces separated by the elongated tubular element, and respective convex outer surfaces seated against respective proximal and distal portions of the aneurysmal inner wall.
2. The system of claim 1 , wherein at least one of the proximal member and distal member is configured to expand by heat activation into the deployed configuration.
3. The system of claim 1 , wherein at least one of the proximal member and distal member is configured to expand into the deployed configuration upon release of a compressive force.
4. The system of claim 1 , wherein the mesh-like structure is formed from a plurality of braided fine wires.
5. The system of claim 4 , wherein the fine wires have varying diameters.
6. The system of claim 4 , wherein one or more of the fine wires are radiopaque.
7. The system of claim 1 , wherein the mesh-like structure is composed of a NiTi alloy.
8. The system of claim 1 , wherein the mesh-like structure is coated with radiopaque material.
9. The system of claim 1 , further comprising radiopaque markers coupled to the mesh-like structure.
10. The system of claim 1 , wherein the mesh-like structure is configured to allow another vaso-occlusive device to be delivered into the aneurysm, and to retain the other vaso-occlusive device within the aneurysm.
11. The system of claim 1 , wherein the severable link is electrolytically severable.
12. The system of claim 1 , wherein the severable link is mechanically severable.