Soft embolic implant
Soft embolic implants exhibiting secondary shapes are disclosed. Some of the embolic implants exhibit progressively increasing softness from the distal end to the proximal end of the coil. The embolic implants have a primary coil, an optional second coil, a shape wire, and a stretch resistant fiber disposed in the lumen of the primary coil. An optional distal support wire is also disclosed. The embolic implants include a proximal constraint assembly configured to be releaseably retained by a delivery device. Disposed near each end of some of the implants are elliptical hole washers through which the shape wire and the stretch resistant fiber are threaded. The embolic implants have a primary, linear configuration for delivery through an implant tool, and a secondary configuration after deployment from the implant tool. The secondary shape can be J-shaped, helical, spherical, complex, or a combination of shapes.
1. An embolic implant comprising:
a proximal end and a distal end;
a first coil having a length and comprising a lumen extending through said first coil;
a non-stretch resistant shape memory filament and a stretch resistant fiber without shape memory disposed in said lumen, wherein the shape memory filament and the stretch resistant fiber both extend for at least the entire length of the first coil;
a second coil disposed in said lumen;
a proximal constraint assembly disposed at said proximal end; and
a distal assembly disposed at said distal end, wherein said shape memory filament comprises a first, constrained linear configuration and a second configuration comprised of a segmented series of shapes that are proximally helical and distally cubic.
2. The embolic implant according to claim 1 , wherein said second coil comprises shape memory material, and said second coil comprises a first, constrained linear configuration and a second configuration that is helical, J-shaped, spherical, complex, cubic, or a segmented combination of shapes.
3. The embolic implant according to claim 1 , said implant further comprising a proximal bond disposed at the proximal end, wherein said proximal bond is affixed to said first coil, said shape memory filament, or both.
4. The embolic implant according to claim 3 , wherein said proximal bond is annular or solid.
5. The embolic implant according to claim 1 , wherein the second configuration is helical for a first portion of the length of the first coil and cubic for a remaining, more distal portion of the length of the first coil.
6. The embolic implant according to claim 5 , the implant further comprising a distal constraint element having a through hole, wherein said stretch resistant fiber is disposed through said through hole and knotted to form a distal knot.
7. The embolic implant according to claim 6 , said implant further comprising a distal tip disposed at the distal end of said first coil, wherein said distal tip comprises a polymer, or an adhesive or both, said stretch resistant fiber is knotted to form a distal knot, and said distal constraint element and said distal knot are embedded in said polymer or said adhesive or both.
8. The embolic implant according to claim 1 , wherein said stretch resistant fiber comprises a first proximal knot, said proximal constraint assembly includes a proximal constraint element configured to be releaseably retained by a delivery device, wherein said proximal constraint element comprises a through hole and said stretch resistant fiber is disposed through said through hole.
9. The embolic implant according to claim 8 , said embolic implant further comprising a solid proximal bond, wherein said stretch resistant fiber is knotted to form a second proximal knot, and said second proximal knot is secured to said solid proximal bond.
10. The embolic implant according to claim 1 , the implant further comprising a distal tip disposed at the distal end of the first coil.
11. The embolic implant according to claim 10 , wherein said distal tip comprises a polymer, or an adhesive, or both, said stretch resistant fiber is knotted to form a distal knot, and said distal knot is embedded in said polymer or said adhesive or both.
12. The embolic implant according to claim 11 , said implant further comprising a tube segment having a lumen and disposed at said distal end, wherein said stretch resistant fiber is disposed through said lumen, said distal knot is disposed distal to said tube segment, and said tube segment and said distal knot are embedded in said polymer or said adhesive or both.
13. The embolic implant according to claim 1 wherein said proximal constraint assembly comprises a proximal constraint element having a distal aperture, said stretch resistant fiber engages said distal aperture.
14. The embolic implant according to claim 1 wherein said shape memory filament comprises a proximal end, a distal end and a variable diameter, and said variable diameter varies from a lesser diameter near said proximal end to a greater diameter near said distal end.