Coil system
Vaso-impacting implants and novel methods of making coils, stent-trievers, flow diverters and the like enable aneurysm treatment, including in the brain. Refined and variegated framing and complex coils provide for rapid electrolytic detachment, including less than 20 second embodiments. Novel enhanced mandrels, fittings and winding schemes are likewise disclosed improving the standard of care and state of the art.
1. A vasoocclusive implant comprising:
a metallic wire having a proximal end and a distal end and configured to transition from a constrained, deliverable configuration to a deployed, expanded configuration for the treatment of a vascular abnormality;
wherein, when in the constrained configuration, the metallic wire forms an elongate structure for delivery to a target site; and
wherein, upon delivery of the elongate helical coil structure to the target site, the metallic wire is configured to transition from the constrained configuration to the deployed configuration to form a three-dimensional structure for the treatment of the vascular abnormality, wherein the three-dimensional structure comprises a plurality of loops providing a multi-faceted and multi-angular outer surface configured to engage the vascular abnormality;
wherein the three-dimensional structure comprises:
a first loop having a first diameter and a second loop having a second diameter, the first and second loops generally arrayed along a first axis and spaced apart from each other by at least a dimension equal to the first diameter;
a third loop having a third diameter and a fourth loop having a fourth diameter, the third and fourth loops generally arrayed along a second axis and spaced apart from each other by at least a dimension equal to the third diameter; and
a fifth loop having a fifth diameter and a sixth loop having a sixth diameter, the fifth and sixth loops generally arrayed along a third axis and spaced apart from each other by at least a dimension equal to the fifth diameter;
wherein the first, second and third axes substantially approximate orthogonal lines, and
wherein the sixth diameter is between about 60% and 80% of the diameter of each of the first through fifth loop diameters.
2. A vasoocclusive implant comprising:
a metallic wire having a proximal end and a distal end and configured to transition from a constrained, deliverable configuration to a deployed, expanded configuration for the treatment of a vascular abnormality;
wherein, when in the constrained configuration, the metallic wire forms an elongate structure for delivery to a target site; and
wherein, upon delivery of the elongate helical coil structure to the target site, the metallic wire is configured to transition from the constrained configuration to the deployed configuration to form a three-dimensional structure for the treatment of the vascular abnormality, wherein the three-dimensional structure comprises a plurality of loops providing a multi-faceted and multi-angular outer surface configured to engage the vascular abnormality;
wherein the three-dimensional structure comprises:
a first loop having a first diameter and a second loop having a second diameter, the first and second loops generally arrayed along a first axis and spaced apart from each other by at least a dimension equal to the first diameter;
a third loop having a third diameter and a fourth loop having a fourth diameter, the third and fourth loops generally arrayed along a second axis and spaced apart from each other by at least a dimension equal to the third diameter; and
a fifth loop having a fifth diameter and a sixth loop having a sixth diameter, the fifth and sixth loops generally arrayed along a third axis and spaced apart from each other by at least a dimension equal to the fifth diameter;
wherein the first, second and third axes substantially approximate orthogonal lines, and
wherein the sixth diameter is between about 60% and 80% of the diameter of each of the first through fifth loop diameters, and wherein the first loop includes the first end of the metallic coil and the sixth loop includes the second end of the metallic coil.
3. A vasoocclusive implant comprising:
a metallic wire having a proximal end and a distal end and configured to transition from a constrained, deliverable configuration to a deployed, expanded configuration for the treatment of a vascular abnormality;
wherein, when in the constrained configuration, the metallic wire forms an elongate structure for delivery to a target site; and
wherein, upon delivery of the elongate helical coil structure to the target site, the metallic wire is configured to transition from the constrained configuration to the deployed configuration to form a three-dimensional structure for the treatment of the vascular abnormality, wherein the three-dimensional structure comprises a plurality of loops providing a multi-faceted and multi-angular outer surface configured to engage the vascular abnormality;
wherein the three-dimensional structure comprises:
a first loop having a first diameter and a second loop having a second diameter, the first and second loops generally arrayed along a first axis and spaced apart from each other by at least a dimension equal to the first diameter;
a third loop having a third diameter and a fourth loop having a fourth diameter, the third and fourth loops generally arrayed along a second axis and spaced apart from each other by at least a dimension equal to the third diameter; and
a fifth loop having a fifth diameter and a sixth loop having a sixth diameter, the fifth and sixth loops generally arrayed along a third axis and spaced apart from each other by at least a dimension equal to the fifth diameter; wherein the first, second and third axes substantially approximate orthogonal lines, and
wherein the sixth diameter is between about 60% and 80% of the diameter of each of the first through fifth loop diameters, and wherein the first loop includes the first end of the metallic coil and the sixth loop includes the second end of the metallic coil; and wherein the three-dimensional structure approximates a spheroid.
4. A vasoocclusive implant system comprising:
an elongate pushing member; and
a vasoocclusive implant comprising a metallic wire having a proximal end and a distal end, the implant coupled to the elongate pushing member via a detachable zone at the proximal end of the metallic wire, the metallic wire configured to transition from a constrained, deliverable configuration to a deployed, expanded configuration for the treatment of a vascular abnormality;
wherein, when in the constrained configuration, the metallic wire forms an elongate structure for delivery to a target site; and
wherein, upon delivery of the elongate helical coil structure to the target site a, the metallic wire is configured to transition from the constrained configuration to the deployed configuration to form a three-dimensional structure for the treatment of the vascular abnormality; wherein the three-dimensional structure comprises a plurality of loops providing a multi-faceted and multi-angular outer surface configured to engage the vascular abnormality and wherein the three-dimensional structure comprises:
a first loop having a first diameter and a second loop having a second diameter, the first and second loops generally arrayed along a first axis and spaced apart from each other by at least a dimension equal to the first diameter;
a third loop having a third diameter and a fourth loop having a fourth diameter, the third and fourth loops generally arrayed along a second axis and spaced apart from each other by at least a dimension equal to the third diameter; and
a fifth loop having a fifth diameter and a sixth loop having a sixth diameter, the fifth and sixth loops generally arrayed along a third axis and spaced apart from each other by at least a dimension equal to the fifth diameter; wherein the first, second and third axes substantially approximate orthogonal lines, and wherein the sixth diameter is between about 60% and 80% of the diameter of each of the first through fifth loop diameters.
5. A vasoocclusive implant system comprising:
an elongate pushing member; and
a vasoocclusive implant comprising a metallic wire having a proximal end and a distal end, the implant coupled to the elongate pushing member via a detachable zone at the proximal end of the metallic wire, the metallic wire configured to transition from a constrained, deliverable configuration to a deployed, expanded configuration for the treatment of a vascular abnormality;
wherein, when in the constrained configuration, the metallic wire forms an elongate structure for delivery to a target site; and
wherein, upon delivery of the elongate helical coil structure to the target site a, the metallic wire is configured to transition from the constrained configuration to the deployed configuration to form a three-dimensional structure for the treatment of the vascular abnormality; wherein the three-dimensional structure comprises a plurality of loops providing a multi-faceted and multi-angular outer surface configured to engage the vascular abnormality and wherein the three-dimensional structure comprises:
a first loop having a first diameter and a second loop having a second diameter, the first and second loops generally arrayed along a first axis and spaced apart from each other by at least a dimension equal to the first diameter
a third loop having a third diameter and a fourth loop having a fourth diameter, the third and fourth loops generally arrayed along a second axis and spaced apart from each other by at least a dimension equal to the third diameter; and
a fifth loop having a fifth diameter and a sixth loop having a sixth diameter; the fifth and sixth loops generally arrayed along a third axis and spaced apart from each other by at least a dimension equal to the fifth diameter; wherein the first, second and third axes substantially approximate orthogonal lines, and wherein the sixth diameter is between about 60% and 80% of the diameter of each of the first through fifth loop diameters;
wherein the first loop includes the first end of the metallic coil and the sixth loop includes the second end of the metallic coil.
6. A vasoocclusive implant system comprising:
an elongate pushing member; and
a vasoocclusive implant comprising a metallic wire having a proximal end and a distal end, the implant coupled to the elongate pushing member via a detachable zone at the proximal end of the metallic wire, the metallic wire configured to transition from a constrained, deliverable configuration to a deployed, expanded configuration for the treatment of a vascular abnormality;
wherein, when in the constrained configuration, the metallic wire forms an elongate structure for delivery to a target site; and
wherein, upon delivery of the elongate helical coil structure to the target site a, the metallic wire is configured to transition from the constrained configuration to the deployed configuration to form a three-dimensional structure for the treatment of the vascular abnormality; wherein the three-dimensional structure comprises a plurality of loops providing a multi-faceted and multi-angular outer surface configured to engage the vascular abnormality and wherein the three-dimensional structure comprises:
a first loop having a first diameter and a second loop having a second diameter, the first and second loops generally arrayed along a first axis and spaced apart from each other by at least a dimension equal to the first diameter;
a third loop having a third diameter and a fourth loop having a fourth diameter, the third and fourth loops generally arrayed along a second axis and spaced apart from each other by at least a dimension equal to the third diameter; and
a fifth loop having a fifth diameter and a sixth loop having a sixth diameter; the fifth and sixth loops generally arrayed along a third axis and spaced apart from each other by at least a dimension equal to the fifth diameter; wherein the first, second and third axes substantially approximate orthogonal lines, and wherein the sixth diameter is between about 60% and 80% of the diameter of each of the first through fifth loop diameters;
and, wherein the three-dimensional structure approximates a spheroid.