Vaso-occlusive devices including a friction element
View Patent ↗Vaso-occlusive apparatuses, including implants, and methods of using them to treat aneurysms. The vaso-occlusive implants described herein include one or more soft and expandable braided member coupled to a pushable member such as a coil that maybe inserted and retrieved from within an aneurism using a delivery catheter as well as a friction element between the soft braided member and the coil. The friction element allows the relatively soft and elongate implant to be pushed out of a cannula without binding up within the cannula.
1. A vaso-occlusion system for occluding an aneurysm, the system comprising:
a delivery catheter extending from a proximal end to a distal end; and
a vaso-occlusive device within the delivery catheter, wherein the vaso-occlusive device is adapted to be pushed out of, and retrieved back into, the distal end of the delivery catheter, the vaso-occlusive device comprising:
an elongate inner member having a length and a diameter; and
a plurality of distally-open, adjacently arranged outer braided tubular members that are distally pushable out of the delivery catheter, wherein a proximal end of each of the outer braided tubular members is fixed to the elongate inner member but a distal end of each of the outer braided tubular members is not attached to the elongate inner member, further wherein each of the outer braided tubular members has a length that is greater than 5 cm and less than the length, when deployed, of the elongate inner member, and wherein each of the outer braided tubular members has a collapsed configuration when held within the delivery catheter, and expands to an expanded configuration having a diameter of greater than 1.5 times the diameter of the inner member at a distal end of each of the outer braided tubular members when released from the delivery cannula, further wherein each of the outer braided tubular members is formed from about 24 to 36 strands of Nitinol, and each of the outer braided tubular members has a braid angle of 35 degrees or less in the collapsed configuration within the delivery catheter.
2. The vaso-occlusion system of claim 1 , further comprising a friction element on the inner member configured to contact both the inner member and one of the braided tubular members when held within the delivery catheter.
3. The vaso-occlusion system of claim 1 , wherein the elongate inner member comprises a closed pitch coil.
4. The vaso-occlusion system of claim 1 , wherein each of the braided tubular members is formed from a plurality of strands having a thickness that is about 0.0010 inches diameter or less.
5. The vaso-occlusion system of claim 1 , wherein the catheter has an inner diameter of between about 0.015 inches and about 0.025 inches.
6. The vaso-occlusion system of claim 1 , wherein the each of the outer braided tubular members has an expanded braid angle between about 35-90 degrees when pushed distally out of the delivery catheter.
7. The vaso-occlusion system of claim 1 , wherein each of the outer braided tubular member has a pore size formed between strands in the expanded configuration of less than about 0.1 square mm.
8. The vaso-occlusion system of claim 1 , wherein an elongate length of the vaso-occlusive device is configured to have a pre-set curve.
9. The vaso-occlusion system of claim 1 , further comprising each of the outer braided tubular members are adjacently arranged so that the distal ends of each of the outer braided tubular members is non-overlapping with the proximal ends of an adjacent outer braided tubular members.
10. The vaso-occlusion device of claim 1 , wherein the outer braided tubular material is formed from a plurality of strands of Nitinol wire having a thickness that is between about 0.0004 inches and about 0.00075 inches.
11. A vaso-occlusion system for occluding an aneurysm, the system comprising:
a delivery catheter extending from a proximal end to a distal end; and
a vaso-occlusive device within the delivery catheter, wherein the vaso-occlusive device is adapted to be pushed out of, and retrieved back into, the distal end of the delivery catheter, the vaso-occlusive device comprising:
an elongate inner member having a length and a diameter; and
a plurality of distally-open, adjacently arranged outer braided tubular members that are each distally pushable out of the delivery catheter, wherein a proximal end of each of the outer braided tubular members is fixed to the elongate inner member but a distal end of each of the outer braided tubular members is not attached to the elongate inner member, further wherein each of the outer braided tubular members has a length that is greater than 5 cm and less than the length, when deployed, of the elongate inner member, and wherein each of the outer braided tubular members has a collapsed configuration when held within the delivery catheter, and expands to an expanded configuration having a diameter of greater than 1.5 times the diameter of the inner member at a distal end of each of the outer braided tubular members when released from the delivery cannula, further wherein each of the outer braided tubular members is formed from about 24 to 36 strands of Nitinol having a diameter of 0.0010 inches or less, and each of the outer braided tubular members has a braid angle of 30 degrees or less in the collapsed configuration within the delivery catheter and a braid angle in the expanded configuration of 35 degrees or greater.
12. A vaso-occlusion device for occluding an aneurysm, wherein the vaso-occlusive device is adapted to be pushed out of, and retrieved back into, the distal end of a delivery catheter, the vaso-occlusive device comprising:
an elongate inner member having a length and a diameter; and
a plurality of distally-open, adjacently arranged outer braided tubular members that are distally pushable out of the delivery catheter, wherein a proximal end of each of the outer braided tubular members is fixed to the elongate inner member but a distal end of each of the outer braided tubular members is not attached to the elongate inner member, further wherein each of the outer braided tubular members has a length that is greater than 5 cm and less than the length, when deployed, of the elongate inner member, and wherein each of the outer braided tubular members has a collapsed configuration when held within the delivery catheter, and expands to an expanded configuration having a diameter of greater than 1.5 times the diameter of the inner member at a distal end of each of the outer braided tubular members when released from the delivery cannula, further wherein each of the outer braided tubular members is formed from about 24 to 36 strands of Nitinol, and each of the outer braided tubular members has a braid angle of 35 degrees or less in the collapsed configuration within the delivery catheter.
13. The vaso-occlusion device of claim 12 , further comprising a friction element on the inner member configured to contact both the inner member and one of the braided tubular members when held within the delivery catheter.
14. The vaso-occlusion device of claim 12 , wherein each of the braided tubular members is formed from a plurality of strands having a thickness that is about 0.0010 inches diameter or less.
15. The vaso-occlusion device of claim 12 , wherein the each of the outer braided tubular members has an expanded braid angle between about 35-90 degrees when pushed distally out of the delivery catheter.
16. The vaso-occlusion device of claim 12 , wherein each of the outer braided tubular member has a pore size formed between strands in the expanded configuration of less than about 0.1 square mm.
17. The vaso-occlusion device of claim 12 , wherein an elongate length of the vaso-occlusive device is configured to have a pre-set curve.
18. The vaso-occlusion device of claim 12 , further comprising each of the outer braided tubular members are adjacently arranged so that the distal ends of each of the outer braided tubular members is non-overlapping with the proximal ends of an adjacent outer braided tubular members.
19. The vaso-occlusion device of claim 12 , wherein the elongate inner member comprises a closed pitch coil.
20. The vaso-occlusion device of claim 12 , wherein the outer braided tubular material is formed from a plurality of strands of Nitinol wire having a thickness that is between about 0.0004 inches and about 0.00075 inches.