Positioning and detaching implants
Intravascular implant systems and methods of positioning and detaching implants are described. One such system carries an implant by retaining an engagement member in a position proximal to an aperture at a distal end of the delivery system. The engagement member is retained proximal to the aperture by an elongate member that is coupled to the implant. Once the implant is in a desired implant position, the elongate member is released from the engagement member, and the implant is allowed to move away from the delivery system.
1. A system for placing an implant at an aneurysm, comprising:
a tubular member having (a) a member lumen in the tubular member and (b) an opening at a distal end portion of the tubular member;
an implant configured for placement at an aneurysm and having an enlarged portion positioned in the member lumen proximal to the opening; and
an elongate member extending in the lumen and having an expandable/compressible body (a) positioned at least partially distal to the enlarged portion in the lumen and (b) expanded distal to the enlarged portion to retain the enlarged portion in the lumen, and wherein the expandable/compressible body comprises a mesh.
2. The system of claim 1 , wherein upon proximal movement of the elongate member relative to the tubular member, the body compresses and moves past the enlarged portion, thereby releasing the implant from the tubular member.
3. The system of claim 1 , wherein the enlarged portion is substantially spherical.
4. The system of claim 1 , wherein the opening at the distal end portion of the tubular member is larger than the enlarged portion.
5. The system of claim 1 , wherein at least a portion of the enlarged portion is in contact with the tubular member, and at least a portion of expandable/compressible body is in contact with the tubular member and engages a distally facing surface of the enlarged portion.
6. A system for placing an implant at an aneurysm, comprising:
a tubular member having a member lumen and an opening at a distal end portion of the tubular member;
an implant having an enlarged portion positioned in the lumen proximal to the opening; and
an elongate member extending in the lumen, the elongate member having an expandable/compressible body that contacts a distal-facing surface of the enlarged portion, thereby retaining the enlarged portion in the member lumen,
wherein proximal movement of the elongate member relative to the end portion results in deformation of the expandable/compressible body to release the enlarged portion from the member lumen, and wherein the expandable/compressible body comprises a mesh.
7. The system of claim 6 , wherein the enlarged portion is substantially spherical.
8. The system of claim 6 , wherein the opening at the distal end portion of the tubular member is larger than the enlarged portion.
9. The system of claim 6 , wherein at least a portion of the enlarged portion is in contact with the tubular member, and at least a portion of expandable/compressible body is in contact with the tubular member and engages the distal-facing surface of the enlarged portion.
10. A method for deploying an implant at an aneurysm, comprising:
advancing in a patient's vasculature:
(i) a tubular member comprising a member lumen and an opening at a distal end portion of the tubular member;
(ii) an implant configured for placement at an aneurysm and having an enlarged portion positioned in the member lumen proximal to the opening;
(iii) an elongate member extending in the lumen and having an expandable/compressible body (a) positioned at least partially distal to the enlarged portion in the lumen, and (b) expanded distal to the enlarged portion to retain the enlarged portion in the lumen, and wherein the expandable/compressible body comprises a mesh; and
withdrawing the elongate member proximally relative to the tubular member to release the coil at the aneurysm.
11. The method of claim 10 , wherein withdrawing the elongate member comprises withdrawing the elongate member until the expandable/compressible body is positioned proximal to the enlarged portion.
12. The method of claim 10 , wherein withdrawing the elongate member comprises deforming the expandable/compressible body with the enlarged portion.
13. The method of claim 10 , wherein withdrawing the elongate member comprises withdrawing the elongate member with a force that exceeds a force maintaining a frictional coupling between the expandable/compressible body and the enlarged portion.
14. The method of claim 10 , wherein, after withdrawing the elongate member proximally relative to the tubular member, the enlarged portion of the coil passes through the opening at the distal end portion of the tubular member.