Embolic coil implant system and implantation method
Embolic coil implant systems and methods whereby coils are mechanically detachable are disclosed. The coils include a retention element that may be releasably retained within the distal end of an implant tool. The implant tool may include a fulcrum configured to engage a first filament and prevent the release of the coil when the first filament is engaged. Alternatively, an urging means and aperture may be disposed within the sidewall of the implant tool, and a first filament may, in conjunction with the aperture and sidewall, releasably retain the coil until the first filament is withdrawn. The implant tool may also include an alignment member for aligning the first filament.
1. An embolic coil deployment system comprising: an implant tool including a shaft having a lumen, a sidewall, at least one fulcrum formed in the sidewall, and a first filament disposed in the lumen; the system also comprising an implant including a coil and a second filament extending through the coil, the second filament including a distal end coupled to the coil and a proximal end including a retention element disposed in the lumen of the shaft, the retention element positioned in contact with and releasably retained within the lumen by the first filament and the fulcrum.
2. The system of claim 1 , wherein said fulcrum comprises at least one aperture for releasably receiving said first filament.
3. The system of claim 1 , wherein said first filament is moveable from a first position in which the first filament is engaged with said fulcrum, and a second position in which said first filament is disengaged from said fulcrum.
4. The system of claim 3 , wherein in said first position, said fulcrum releasably retains said retention element within the lumen, and when in said second position, said fulcrum does not retain said retention element within the lumen.
5. The system of claim 1 , wherein said fulcrum comprises a first and second aperture for releasably receiving said first filament, said first filament is moveable from a first position in which said first filament depresses said fulcrum into the lumen distal to said retention element thereby releasably retaining the retention element within the lumen, and a second position whereby said first filament is retracted in a proximal direction to release said fulcrum, thereby releasing said retention element from the lumen.
6. A method of implanting an embolic coil, the method comprising the steps of:
providing an implant tool including a shaft having a lumen, a side wall, at least one fulcrum formed in the sidewall, and a first filament disposed in the lumen;
providing an implant including a coil and a second filament extending through the coil, the second filament including a distal end coupled to the coil and a proximal end including a retention element;
coupling the implant and implant tool by introducing the retention element into the lumen of the shaft, and positioning the retention element in a releasably retained position between the fulcrum and a sidewall of the lumen;
advancing the implant and implant tool intravascularly to an implant site; and
effecting relative longitudinal movement between the shaft and the first filament such that the retention element is not retained within the lumen.
7. The method of claim 6 , wherein said fulcrum comprises an aperture for receiving said first filament, and the step of coupling the implant and implant tool comprises releasably receiving said first filament within said aperture.
8. The method of claim 7 , wherein said step of receiving said first filament within said aperture depresses said fulcrum into the lumen, thereby retaining said engaging element in said lumen.
9. The method of claim 6 , wherein said step of effecting relative longitudinal movement between said shaft and said first filament comprises proximally withdrawing said first filament.