System and method for mechanically positioning intravascular implants
An intravascular implant delivery system carries an implant by retaining an engagement member engaging the implant in a position proximal of an aperture at a distal end of the delivery system. The engagement member is retained proximal to the aperture by a cord that obstructs the movement of the engagement member through the aperture. The engagement member is free to rotate and move within an area defined by the delivery system, allowing the implant to react to forces imparted to the implant by the movement of the delivery system and implant through a delivery catheter. Once the implant is in a desired implant position, the cord is moved away from an aperture and the engagement member is allowed to move away from the delivery system.
1. An assembly for deploying an implant into an aneurysm in a vessel, comprising:
a tubular member having a longitudinal axis, a wall defining a lumen along the axis, the lumen having a lumen inner cross-sectional dimension, and a distal portion having a distal portion inner cross-sectional dimension smaller than the lumen inner cross-sectional dimension, and a distal end;
a coil implant having an enlarged proximal end; and
a core wire extending within the lumen and contacting the enlarged end at a point;
wherein a length of a line segment extending from an outer surface of the enlarged end, through the point, and to an outer surface of the core wire is greater than the distal portion inner cross-sectional dimension, such that the enlarged end is prevented from moving within the lumen distally entirely past the distal end when the core wire and enlarged end are positioned radially adjacent each other within the lumen;
wherein at least a portion of a control member extends proximally from the core wire is attached to a proximal portion of the wall at a distal portion thereof tubular member by a connector, such that while the core wire control member and tubular member are attached, relative axial movement between the core wire and the tubular member is substantially prevented; and
wherein, prior to release of the coil implant from the tubular member and when the enlarged end is unable to move within the lumen distally past the tubular member distal portion, the core wire extends through distally and radially inward from a side of the lumen, contacted by the outer surface of the core wire, and into the distal portion and beyond a distal most portion of the distal end.
2. The assembly of claim 1 , wherein the connector comprises at least one of an adhesive, a tack weld, a circumferential weld, a pin, a crimp in the tubular member, solder, and a frangible connection.
3. The assembly of claim 1 , wherein the connector can be broken when the control member is subjected to a predetermined proximally directed force.
4. The assembly of claim 1 , wherein the connector is proximal to the point.
5. The assembly of claim 1 , wherein the coil implant further comprises:
a coil comprising a proximal portion and a distal portion;
a stretch-resistant member extending through the coil and having a proximal end and a distal end, the stretch-resistant member distal end coupled to the coil distal portion;
wherein the enlarged proximal end is disposed at the proximal end of the stretch-resistant member and is otherwise free of the proximal portion of the coil.
6. The assembly of claim 1 , wherein a coil of the coil implant is disposed entirely outside the lumen.
7. The assembly of claim 1 , wherein the enlarged proximal end is spaced apart from a coil of the coil implant.
8. An assembly for deploying an implant into an aneurysm in a vessel, comprising:
a tubular member having a longitudinal axis from a proximal end to a distal end, a wall defining a lumen along the axis, the lumen having a lumen inner cross-sectional dimension, and a distal portion having a distal portion inner cross-sectional dimension smaller than the lumen inner cross-sectional dimension;
a coil implant having an enlarged proximal end; and
a core wire extending within the lumen and contacting the enlarged end at a point;
wherein a length of a line segment extending from an outer surface of the enlarged end, through the point, and to an outer surface of the core wire is greater than the distal portion inner cross-sectional dimension, such that the enlarged end is prevented from moving within the lumen distally entirely past the distal end when the core wire and enlarged end are positioned radially adjacent each other within the lumen;
wherein, prior to release of the coil implant from the tubular member and when the enlarged end is unable to move within the lumen distally past the tubular member distal portion, the core wire extends through distally and radially inward from a side of the lumen, contacted by the outer surface of the core wire, and into the distal portion and beyond a distalmost portion of the distal end.
9. The assembly of claim 8 , wherein the core wire extends into the coil.
10. The assembly of claim 8 , wherein the core wire extends by at least the distance from the enlarged proximal end of the coil to the distal end of the tubular member.
11. The assembly of claim 8 , wherein the core wire is eccentrically positioned through the lumen.
12. The assembly of claim 8 , wherein the core wire abuts the wall.
13. The assembly of claim 8 , wherein the core wire extends beyond a distalmost portion of the lumen.
14. The assembly of claim 8 , wherein the coil implant further comprises:
a coil comprising a proximal portion and a distal portion;
a stretch-resistant member extending through the coil and having a proximal end and a distal end, the stretch-resistant member distal end coupled to the coil distal portion;
wherein the enlarged proximal end is disposed at the proximal end of the stretch-resistant member and is otherwise free of the proximal portion of the coil.
15. The assembly of claim 8 , wherein the core wire further contacts, at another point within the distal portion, a rod connecting the enlarged end with a main body of the implant.
16. An assembly for deploying an implant into an aneurysm in a vessel, comprising:
a tubular member having a longitudinal axis, a wall defining a lumen along the axis, the lumen having a lumen inner cross-sectional dimension, and a distal portion having an distal portion inner cross-sectional dimension smaller than the lumen inner cross-sectional dimension, and a distal end;
a coil implant having an enlarged proximal end; and
a core wire extending within the lumen and contacting the enlarged end at a point, the core wire comprising a region having a cross-section that has, in a plane transverse to the longitudinal axis and intersecting the point, a concave first side;
wherein a length of a line segment extending from an outer surface of the enlarged end, through the point, and to an outer surface of the core wire is greater than the distal portion inner cross-sectional dimension, such that the enlarged end is prevented from moving within the lumen distally entirely past the distal end when the core wire and enlarged end are positioned radially adjacent each other within the lumen;
wherein, while the enlarged end is prevented from moving within the lumen distally entirely past the distal end, the core wire extends distally and radially inward from a side of the lumen, contacted by the outer surface of the core wire, and into the distal portion and beyond a distalmost portion of the distal end.
17. The assembly of claim 16 , wherein the cross-section has a convex second side facing away from the enlarged end.
18. The assembly of claim 17 , wherein the second side contacts the wall.
19. The assembly of claim 16 , wherein the first side contacts the enlarged end.
20. The assembly of claim 16 , wherein the core wire further contacts, at another point within the distal portion, a rod connecting the enlarged end with a main body of the implant.