Intra-aneurysm devices
Devices for occluding an aneurysm are provided. In particular, the device include an upper member that sits against the dome of the aneurysm, a lower member that sits in the neck of the aneurysm, and a means of adjusting the overall dimensions of the device. Also provided are methods of making and using these devices.
1. A vaso-occlusive device for placement within an aneurysm having a neck and a sac, the vaso-occlusive device comprising:
a lower member configured to be positioned in the neck of the aneurysm;
an upper member configured to be positioned in the sac of the aneurysm; and
a plurality of inter-woven wires defining the lower member and the upper member,
wherein each inter-woven wire has a first end at the upper member and a second end at the lower member such that the upper member and the lower member are contiguous,
wherein the plurality of inter-woven wires are expandable from (i) a compressed delivery configuration for passage through a delivery catheter to (ii) an expanded deployed configuration,
wherein, when (i) the vaso-occlusive device is positioned with the lower member in the neck and the upper member in the sac of the aneurysm and (ii) the vaso-occlusive device is in the expanded deployed configuration, the plurality of inter-woven wires are configured to bridge the neck of the aneurysm and occlude the neck of the aneurysm,
wherein, when the plurality of inter-woven wires are in the expanded deployed configuration, the plurality of inter-woven wires form an external concavity in a first end portion of the vaso-occlusive device,
wherein, when the plurality of inter-woven wires are in the expanded deployed configuration, the plurality of inter-woven wires form an external concavity in a second end portion of the vaso-occlusive device,
wherein the first ends of the plurality of the inter-woven wires are coupled to each other at the first end portion,
wherein the second ends of the plurality of inter-woven wires are coupled to each other at the second end portion, and
wherein, when the plurality of inter-woven wires are in the expanded deployed configuration, the plurality of inter-woven wires define a substantially spherical interior region.
2. The vaso-occlusive device of claim 1 , wherein in the expanded deployed configuration, the plurality of inter-woven wires define a cylindrical middle body portion having a first end that transitions into the first end portion, and a second end that transitions into the second end portion.
3. The vaso-occlusive device of claim 1 , wherein the vaso-occlusive device is self-expanding.
4. The vaso-occlusive device of claim 1 , further comprising a detachment junction, wherein the detachment junction is configured to detach the vaso-occlusive device from a pusher element of the delivery catheter responsive to delivery of heat to the detachment junction.
5. The vaso-occlusive device of claim 4 , wherein the detachment junction is disposed between the plurality of inter-woven wires and the pusher element slidably disposed within the delivery catheter.
6. The vaso-occlusive device of claim 1 , wherein the vaso-occlusive device is made from a biocompatible material.
7. The vaso-occlusive device of claim 1 , further comprising a bioactive agent.
8. The vaso-occlusive device of claim 1 , wherein the lower member is configured to sit in the neck of the aneurysm while the lower member completely covers the neck of the aneurysm.
9. The vaso-occlusive device of claim 1 , wherein the lower member is configured to sit in the neck of the aneurysm while the lower member completely covers the neck of the aneurysm, and wherein the aneurysm is a wide neck aneurysm in which the neck has a diameter that is at least 80 percent of a largest diameter of the aneurysm.
10. A vaso-occlusive device for placement within an aneurysm having a neck and a sac, the vaso-occlusive device comprising:
a device body comprising a plurality of inter-woven wires, the device body having a compressed delivery configuration for passage through a delivery catheter, and an expanded deployed configuration, wherein in the expanded deployed configuration, the device body is configured to bridge the neck of the aneurysm and occlude the sac, respectively, when the vaso-occlusive device is deployed within the aneurysm,
wherein when the device body is in the expanded deployed configuration, the plurality of inter-woven wires define a middle body portion having a first end that transitions into a first end portion, and a second end that transitions into a second end portion, with first ends of the plurality of inter-woven wires forming an external concavity in the first end portion of the vaso-occlusive device, and second ends of the plurality of inter-woven wires forming an external concavity in the second end portion of the vaso-occlusive device, and
wherein in the expanded deployed configuration, the respective middle body portion, first end portion, and second end portion define a substantially spherical interior region.
11. The vaso-occlusive device of claim 10 , wherein in the expanded deployed configuration, the middle body portion has a cylindrical shape.
12. The vaso-occlusive device of claim 10 , further comprising a mechanical or electrolytic detachment junction disposed between the plurality of inter-woven wires and a pusher wire slidably disposed within the delivery catheter.
13. The vaso-occlusive device of claim 10 , further comprising a bioactive agent.
14. The vaso-occlusive device of claim 10 , wherein the device body is self-expanding.
15. A vaso-occlusive assembly, comprising:
a delivery catheter;
an elongated pusher member at least partially slidably disposed within the delivery catheter; and
a vaso-occlusive device coupled to a distal end of the elongated pusher member,
wherein the vaso-occlusive device is configured for implantation in an aneurysm,
wherein the vaso-occlusive device has a collapsed delivery configuration when restrained within the delivery catheter, and an expanded deployed configuration after being released from the delivery catheter into the aneurysm,
wherein the vaso-occlusive device comprises:
a detachment junction detachably coupled to a distal end of the elongated pusher member, and
a lower member configured to be positioned in a neck of the aneurysm;
an upper member configured to be positioned in a sac of the aneurysm;
a plurality of inter-woven wires defining the lower member and the upper member,
wherein each inter-woven wire has a first end at the upper member and a second end at the lower member such that the upper member and the lower member are contiguous,
wherein, when the vaso-occlusive device is in the expanded deployed configuration and positioned with the lower member in the neck and the upper member in the sac of the aneurysm, the plurality of inter-woven wires are configured to bridge the neck of the aneurysm and occlude the neck of the aneurysm,
wherein when the vaso-occlusive device is in the expanded deployed configuration, the plurality of inter-woven wires define a middle body portion having a first end that transitions into a first end portion, and a second end that transitions into a second end portion, with first ends of the plurality of inter-woven wires forming an external concavity in the first end portion of the vaso-occlusive device, and second ends of the plurality of inter-woven wires forming an external concavity in the second end portion of the vaso-occlusive device,
wherein the first ends of the plurality of the inter-woven wires are coupled to each other at the first end portion,
wherein the second ends of the plurality of inter-woven wires are coupled to each other at the second end portion,
wherein, in the expanded deployed configuration, the respective middle body portion, first end portion, and second end portion define a substantially spherical interior region, and
wherein the detachment junction is between the lower member and the elongated pusher member.
16. The vaso-occlusive device of claim 15 , wherein in the expanded deployed configuration, the middle body portion has a cylindrical shape.
17. The vaso-occlusive assembly of claim 15 , wherein the detachment junction comprises a mechanical or electrolytic detachment junction.
18. The vaso-occlusive device of claim 15 , further comprising a bioactive agent.
19. The vaso-occlusive device of claim 15 , wherein the plurality of inter-woven wires are self-expanding.
20. The vaso-occlusive device of claim 15 , further comprising a central member coupled to the second ends of the plurality of inter-woven wires, wherein the detachment junction is between the central member and the elongated pusher member of the delivery catheter.