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filament may, in conjunction with the aperture and sidewall, releasably retain the coil until the first filament is withdrawn.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 insertion tool for use with an embolic coil deployment system, the insertion tool comprising:
a shaft having a proximal end and a distal end and a lumen configured to receive and releasably retain an engagement element on an embolic coil in said lumen, the shaft further comprising a sidewall, and an aperture in a distal region of the sidewall, wherein the distal end of the shaft is configured to be advanced into a patient's vascular system while being pushed from the proximal end;
a paddle formed in the sidewall and disposed at least partially within the aperture, the paddle having a proximal end attached to the sidewall and a free distal end; and
a shoulder defined by an edge of the aperture;
whereby the insertion tool can receive and releasably retain the engagement element of the embolic coil in the aperture on a side distal to the proximal end of the paddle attached to the sidewall.
2. The insertion tool according to claim 1 , wherein the sidewall further comprises an alignment member for alignment of the pull wire.
3. The insertion tool according to claim 2 , wherein the alignment member is a loop cut in the sidewall.
4. The insertion tool according to claim 1 , wherein the insertion tool further comprises a proximal end and a distal segment, wherein the aperture and paddle are disposed within the distal segment.
5. The insertion tool according to claim 1 , wherein the sidewall lies in a curved plane, said paddle is flexible out of the curved plane, and is biased into the lumen of the shaft.
6. The insertion tool according to claim 1 , wherein said paddle is cut into the sidewall in a shape having an elongate segment and a broadened segment.
7. The insertion tool according to claim 1 , wherein said aperture has a distal edge, and said shoulder is defined by said distal edge.
8. A tubular distal tip for use with an embolic coil insertion tool, the tubular distal tip comprising:
a shaft configured for attachment to the distal end of an embolic coil insertion tool, the shaft having a proximal end and a distal end and a lumen configured to receive and releasably retain an engagement element on an embolic coil therein, the shaft further comprising a sidewall, and an aperture in a distal region of the sidewall, wherein the distal end of the shaft is configured to be advanced into a patient's vascular system while being pushed from the proximal end;
at least one paddle formed in the sidewall, the paddle disposed at least partially within the aperture, the paddle having a proximal end attached to the sidewall and a free distal end; and
a shoulder defined by an edge of the aperture, whereby the lumen of the shaft can receive and releasably retain the engagement element of the embolic coil in the aperture on a side distal to the proximal end of the paddle attached to the sidewall.
9. The tubular distal tip according to claim 8 , wherein said tubular distal tip further comprises legs for bonding to an insertion tool.
10. The tubular distal tip according to claim 9 , wherein the legs extend proximally from the distal tip, are curved, and comprise proximal apertures.
11. The tubular distal tip according to claim 8 , wherein said paddle is cut into the sidewall in a shape having an elongate proximal segment and a broadened distal segment.
12. The tubular distal tip according to claim 8 , wherein said sidewall lies in a curved plane, said paddle is flexible outside of the plane, and is biased into the lumen of the shaft.
13. The tubular distal tip according to claim 8 , wherein said aperture comprises a distal edge, and said shoulder is defined by said distal edge.