EMBOLIC COIL IMPLANT SYSTEM
20230210678 · 2023-07-06
Assignee
Inventors
Cpc classification
International classification
Abstract
An embolic device includes a microcoil having a portion comprising one or more sets of loops. Loops of each of the one or more sets intersect one with another in succession in a cycle, collectively forming a three-dimensional shape. A shape-setting device includes a three-dimensional (3D) body having a curved surface and a plurality of winding members extending from the curved surface of the 3D body and arranged in a plurality of groups. Winding members of each of the plurality of groups are configured to allow a microcoil to wrap around to form a loop, and adjacent groups of winding members share a winding member to allow loops formed by the adjacent groups to intersect one with another. A method of making an embolic device is also provided.
Claims
1. An embolic device comprising a microcoil having a primary configuration, wherein: the microcoil comprises a first portion having a secondary configuration, the first portion in the secondary configuration comprises one or more sets of loops, loops of each of the one or more sets intersect one with another in succession in a cycle, collectively forming a three-dimensional shape.
2. The embolic device of claim 1, wherein the loops of each of the one or more sets intersect at middle sections of the loops of each of the one or more sets along the cycle.
3. The embolic device of claim 2, wherein the one or more sets of loops comprise a first set of loops and a second set of loops overlaying the first set of loops, wherein the loops of the first set and the loops of the second set are generally concentric.
4. The embolic device of claim 3, wherein the loops of the second set have a diameter greater than a diameter of the loops of the first set.
5. The embolic device of claim 1, wherein the one or more sets of loops comprise two to fourteen (2-14) sets, wherein the loops of the two to fourteen sets are generally concentric.
6. The embolic device of claim 5, wherein the two to fourteen sets of loops extend a length of the microcoil ranging from 20 to 400 mm.
7. The embolic device of claim 1, wherein at least one of the one or more sets of loops comprises a first loop, a second loop, and one or more intermediate loops between the first loop and the second loop, wherein the first loop, the second loop, and the one or more intermediate loops intersect one with another in succession in the cycle, collectively forming a generally spherical or ellipsoidal shape.
8. The embolic device of claim 7, wherein the first loop, the second loop, and the one or more intermediate loops comprise at least a complete loop and at least a loop consisting of two partial loops.
9. The embolic device of claim 8, wherein the first loop, the second loop, and the one or more intermediate loops comprise two complete loops and one or more loops consisting of two partial loops.
10. The embolic device of claim 8, wherein the microcoil further comprises a second portion distal to the first portion, wherein the second portion of the microcoil has a secondary configuration comprising a loop in a generally circular shape having a diameter smaller than a diameter of the at least complete loop or of the loop consisting of two partial loops.
11. The embolic device of claim 10, wherein the loop of the second portion of the microcoil is adjacent to the first loop of the first portion of the microcoil, wherein the first loop is a complete loop.
12. The embolic device of claim 10, wherein the loop of the second portion of the microcoil is adjacent to the first loop of the first portion of the microcoil, wherein the first loop is a loop consisting of two partial loops.
13. A shape-setting device, comprising: a three-dimensional (3D) body having a curved surface; and a plurality of winding members extending from the curved surface of the 3D body and arranged in a plurality of groups in a plurality of sections of the curved surface, wherein: each of the plurality of groups of winding members is configured to allow a microcoil to wrap around to form a loop; and adjacent groups of winding members share a winding member to allow loops formed by the adjacent groups to intersect one with another.
14. The shape-setting device of claim 13, wherein the 3D body is generally in a spherical or ellipsoidal shape.
15. The shape-setting device of claim 14, wherein winding members of each of the plurality of groups are arranged at intervals and have peripheries configured to allow the microcoil to wrap around to form a generally circular or elliptical loop.
16. The shape-setting device of claim 15, wherein winding members of each of the plurality of groups comprise a first set of winding members arranged opposite to each other, and a second set of winding members arranged opposite to each other, wherein extension of outer peripheries of the winding members of the first set forms a generally circular or elliptical shape.
17. The shape-setting device of claim 16, wherein one of the winding members of the second set is shared with an adjacent group of winding members.
18. The shape-setting device of claim 16, wherein winding members of the second sets of the plurality of groups are located at an imaginary cycle.
19. The shape-setting device of claim 16 wherein the plurality of winding members are arranged in two to twenty-four (2-24) groups allowing the microcoil to wrap around to form two to twenty-four loops around the 3D body in a cycle.
20. The shape-setting device of claim 19, wherein the plurality of winding members are arranged in four groups allowing the microcoil to form four loops around the 3D body in a cycle, wherein the first set of winding members of each of the four groups comprises an outer periphery in a shape of a circular segment.
21. The shape-setting device of claim 20, wherein the outer periphery of the circular segment of the first set of winding members has a radius ranging from 1.5 mm to 10 mm respectively.
22. The shape-setting device of claim 16, wherein at least one of the plurality of groups of winding members further comprises a cylindrical winding member extending from the curved surface of the 3D body and surrounded by the first and second sets of winding members of the at least one of the plurality of groups, wherein the cylindrical winding member comprises a periphery allowing the microcoil to wrap around to form a generally circular loop having a diameter smaller than a diameter of a loop formed by the winding members of the at least one of the plurality of groups.
23. A method of making an embolic device, comprising: obtaining a microcoil and a shape-setting device comprising a three-dimensional (3D) body having a curved surface and a plurality of winding members extending from the curved surface and arranged in a plurality of groups; winding the microcoil on the winding members of the plurality of groups in a first cycle around the 3D body to form a first set of loops intersecting one with another in succession; and heating the microcoil on the shape-setting device to obtain an embolic device comprising the first set of loops with a configuration of a three-dimensional shape.
24. The method of claim 23, wherein in the first cycle of winding, the microcoil is wound a single loop on each of the plurality of groups of the winding members.
25. The method of claim 24, wherein the single loop comprises a complete loop.
26. The method of claim 24, wherein the first set of loops comprises two complete loops.
27. The method of claim 24, wherein the single loop comprises a loop consisting of two partial loops.
28. The method of claim 23, further comprising winding the microcoil on the winding members of the plurality of groups in a second cycle around the 3D body to form a second set of loops intersecting one with another in succession, wherein the second set of loops overlays the first set of the loops and is generally concentrical with the first set of loops, and wherein the heating comprises heating the microcoil on the shape-setting device to obtain the embolic device comprising the first set and the second set of loops.
29. The method of claim 28, wherein in the second cycle of winding, the microcoil is wound a single loop on each of the plurality of groups of the winding members.
30. The method of claim 28, wherein the single loop in the second cycle of winding comprises a complete loop.
31. The method of claim 28, wherein the single loop in the second cycle of winding comprises a loop consisting of two partial loops.
32. The method of claim 27, wherein each of the first set and the second set of loops comprises at least two complete loops.
33. The method of claim 27, further comprising repeating the winding step in one to fourteen cycles.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0024]
[0025]
[0026]
[0027]
[0028]
[0029]
[0030]
[0031]
[0032]
[0033]
DETAILED DESCRIPTION OF EMBODIMENTS
[0034] Overview
[0035] Embodiments of the disclosure provide an embolic device or a coil system. The coil system can be made with a shape-setting device or coil winding fixture and has a true three-dimensional (3D) shape with varying lengths. The coil system has a unique winding pattern with concentrically deployed, intersecting loops that can be repeated multiple times to obtain the desired length. The winding pattern of the coil system can be designed to not overlap onto itself until a complete cycle is wound around the winding tool. The winding cycle can be repeated for additional lengths of the same primary microcoil diameter. By way of example, for a given coil size, e.g., 10 mm, varying lengths of a coil system can be made, e.g., 10 mm×30 mm, 10 mm×40 mm, 10 mm×50 mm, and so on. Increased lengths for the same coil size allows for more aneurysm packing with a single coil system delivery. This reduces the number of coils needed to achieve the target packing density for an aneurysm fill, which reduces the overall cost and procedure time.
[0036] The intersecting loops of the coil system provide structural stability and allow for tighter packing. Structural stability can be achieved by the outward force of the loop being deployed applied to an existing coil for part of the circumference. Tighter packing can be provided by minimized straight run between successive loops, because the more often that the coil changes direction, the more readily that it folds and packs. This is in contrast to conventional shape-setting tools which have a gap between each set of repeating features, resulting in a longer straight section of coil.
[0037] Being wrapped concentrically onto itself, the coil system of the disclosure naturally wants to form a 3D shape, e.g., a shape of a spherical or ellipsoidal body upon which it is wound. This is in contrast to conventional tools which necessitate adding additional length or features to the tool to attain longer lengths. The concentrical wrapping design has the added feature of increased radial force over the course of a single coil deployment. By way of example, successive wraps around the same winding tool may have a slightly larger diameter, e.g., two times of the diameter of the primary coil, by resting atop the previous coil. When eventually deployed within the aneurysm, the latter larger coil loops will be deployed within the smaller first loops, exerting more force than like-sized loops would. Increasing radial force over the length of a coil system will result in better apposition of the coil system to the inner wall of an aneurysm, effectively locking the coil in place or mitigating the concern for migration.
[0038] With reference to the figures, various embodiments of an embolic device, a shape-setting device, and a method of making an embolic device will now be described. It should be noted that the figures are intended for illustration of embodiments but not for exhaustive description or limitation on the scope of the disclosure. Alternative structures and components will be readily recognized as being viable without departing from the principle of the claimed invention.
[0039] Coil System
[0040]
[0041] With reference to
[0042]
[0043]
[0044] The loops 112a-d of a set may be a complete loop or full loop. The loops 112a-d of a set may also be a loop consisting of two partial or half loops. As will be discussed further below, a complete or full loop consists of a continuous section of the microcoil as contrast to a loop of two partial or half loops. In
[0045] The primary microcoil 102 forming the coil system 100 of the disclosures can be made of a helically wound wire. The wire can be made of a metal, a metal alloy, or any other material suitable for forming an embolic device, including but not limited to platinum, platinum-tungsten alloy, platinum-iridium alloy. The wire may have a diameter ranging approximately from 0.001″ to 0.005″, and preferably from 0.001″ to 0.003″ for neurovascular applications. The primary microcoil 102 made of a helically wound wire may have a cross-sectional diameter ranging approximately from 0.008″ to 0.04″, and preferably from 0.008″ to 0.024″ for neurovascular applications. The coil system 100 or the first portion 110 of the coil system 100 formed with a primary microcoil 102 may have a size defined by the dimension of a loop. According to embodiments of the disclosure, the coil system 100 may have a size or diameter ranging from 3 mm to 20 mm, or from 3 mm to 15 mm for neurovascular applications.
[0046] Coil Winding Fixture
[0047] With reference to
[0048] The 3D body 202 provides a support for coil winding, and in conjunction with the winding members 210a-d, 220a-d, 230a-d, 240a-d, may provide a specific shape to the coil formed on the 3D body 202. The 3D body 202 may be generally in a spherical or ellipsoidal shape, or in any other regular or irregular shape having a curved surface. The 3D body 202 may be constructed of a material that can withstand a high heat setting temperature e.g., ranging from 400° C. to 1000° C. Example materials suitable for the 3D body 202 include high heat-resistant alloy materials such as tungsten-carbide, stainless steel, and other metal or metal alloys. The winding members 210a-d, 220a-d, 230a-d, 240a-d can be constructed of a heat resistant material, which can be the same as or different from the material of the 3D body 202. The winding members 210a-d, 220a-d, 230a-d, 240a-d can be provided on the 3D body 202 by any suitable methods. Alternatively, the winding members 210a-d, 220a-d, 230a-d, 240a-d and the 3D body 202 can be constructed of a single unitary body.
[0049] Winding members 210a-d, 220a-d, 230a-d, 240a-d can be configured and/or arranged to allow a microcoil to wrap around. Winding members 210a-d, 220a-d, 230a-d, 240a-d can be arranged in a plurality of groups around the curved surface 204 of the 3D body 202. For illustration purpose, the winding members 210a-d, 220a-d, 230a-d, 240a-d shown in
[0050] With reference to
[0051] With reference to
[0052] With reference to
[0053] With reference to
[0054] With reference to
[0055] Method of Making Coil System
[0056] With reference to
[0057] The primary microcoil can be obtained from the market available from various manufacturers. The coil winding fixture can be one described above in conjunction with
[0058] According to embodiments of the disclosure, the winding operation may include wrapping the microcoil on the plurality of groups of winding members in a cycle around the 3D body of the winding fixture to form a set of loops intersecting one with another in succession. According to embodiments of the disclosure, in the winding operation, a single loop of the microcoil is formed on each of the plurality of groups of the winding members in one cycle. In alternative embodiments, more than one loop e.g., one and half, two or more loops can be formed on each of the plurality of groups of the winding members in a cycle. As used herein, the term “single loop” refers to a loop formed by wrapping a microcoil on a group of winding members in one turn. A single loop can be a complete or full loop. A complete or full loop consists of a continuous portion of the microcoil. A single loop may also be a loop consisting of two partial loops, e.g., two half loops. In
[0059] According to embodiments of the disclosure, the winding operation may include wrapping the microcoil on the plurality of groups of winding members in two or more cycles around the winding fixture to form two or more sets of loops. By way of example, the winding operation may include winding the microcoil on the winding members of the plurality of groups in a first cycle around the 3D body to form a first set of loops intersecting one with another in succession, and winding the microcoil on the winding members of the plurality of groups in a second cycle around the 3D body to form a second set of loops intersecting one with another in succession. The second set of loops may lay over the first set of the loops and are generally concentrical with the first set of loops. The winding operation can be performed multiple cycles around the 3D body, to obtain a desired length of the embolic device.
[0060] With reference to
[0061] With reference to
(1). A primary microcoil is wrapped around the post of the winding fixture to fix it.
(2). Then the microcoil is wound around the Distal Coil Member to form an atraumatic distal loop.
(3). The microcoil is then wrapped on the inside of Island AB.
[0062] With reference to
(4). From the inside of Island AB, the microcoil is then wrapped around the Lower Member B, around the outside of Island BC and around Upper Member B to form a first full loop.
[0063] With reference to
(5). The microcoil is wrapped around the Lower Member A to the inside of Island AD to form a first half-loop.
[0064] With reference to
(6). The microcoil is wrapped from the outside of Island DA to around the Upper Member D, forming a second half-loop.
[0065] With reference to
(7). The microcoil is wrapped around the Lower Member C, up to the outside of Island CB, around the Upper Member C to inside of Island CD, forming a second full loop. The second full loop intersects the first full loop.
[0066] With reference to
(8). The microcoil is wrapped around the Lower Member D up to the inside of Island DA, forming a third half-loop.
[0067] With reference to
(9). The microcoil comes from the outside of Island AD and around Upper Member A, forming a fourth half-loop, completing a cycle around the ellipsoidal body of the winding fixture.
[0068] The winding operation may continue by wrapping the microcoil around the ellipsoidal body of the winding fixture two or more cycles, to attain a desired length of the coil system.
[0069] It should be noted that the winding operation discussed above in conjunction with
[0070] Various embodiments of a coil system, a coil winding fixture, and a method of making a coil system have been described. Advantageously, the coil winding fixture allows for making a true 3D-shaped coil system. Extended coil lengths for same coil sizes can be obtained. “Straight run” length between loops is reduced because groups or layers of loops can be concentrically wound or overlaid. The coil winding fixture and method can significantly reduce the cost of manufacturing in part by minimizing the number of tool sections required by conventional methods. The loops intersecting one with another in succession in a cycle provide structural stability and allow for tighter packing. The concentrically layered windings increase the radial force to provide improved aneurysm wall apposition.
[0071] In use, the embolic device of the disclosure can be delivered and deployed at a target site for treatment of a disorder within the vasculature of a patient such as an aneurysm using any suitable delivery device. The delivery device may include a detachment mechanism such as a mechanical, thermal or electrolytic power detachment mechanism to release the embolic device once delivered to the target site. A microcatheter may be first introduced to the target site through an access e.g., in the femoral artery or groin area of the patient by using an introducer sheath or guiding catheter. The microcatheter may be guided to the target site through the use of a guidewire. The guidewire is visible via fluoroscopy, allowing the microcatheter to be reliably advanced over the guidewire to the target site.
[0072] Once the target site has been accessed with the microcatheter tip, the guidewire can be withdrawn, clearing the lumen of the microcatheter. A system including a delivery device and an embolic device of the disclosure in a delivery configuration, can be placed into the proximal open end of the microcatheter and advanced through the microcatheter. When the embolic device reaches the distal end of the microcatheter, it can be detached from the delivery device by applying thermal or electrolytic power or by activating a mechanical detachment mechanism. Upon release, the embolic device assumes a three-dimension shape in the target site. The delivery device can be then removed from the microcatheter, and additional embolic device, if necessary for proper treatment, may be delivered and deployed in the same manner. After deployment of the implantable device, the microcatheter can be withdrawn from the vasculature of the patient.
[0073] Various embodiments of an embolic device for deployment within the vasculature of a human body and a method of making and/or using the embolic device are described are described with reference to figures. It should be noted that the figures are intended to facilitate illustration and some figures are not necessarily drawn to scale. Further, in the figures and description, specific details may be set forth in order to provide a thorough understanding of the disclosure. It will be apparent to one of ordinary skill in the art that some of these specific details may not be employed to practice embodiments of the disclosure. In other instances, well known components or process steps may not be shown or described in detail in order to avoid unnecessarily obscuring embodiments of the disclosure.
[0074] All technical and scientific terms used herein have the meaning as commonly understood by one of ordinary skill in the art unless specifically defined otherwise. As used in the description and appended claims, the singular forms of “a,” “an,” and “the” include plural references unless the context clearly dictates otherwise. The term “or” refers to a nonexclusive “or” unless the context clearly dictates otherwise. Relative terms such as above, below, top, bottom, up, down, under, over, upper, lower, horizontal, vertical, etc. are used for ease of illustration and discussion and not by way of limitation. The term “proximal” and its grammatically equivalent refers to a position, direction or orientation towards the operator or physician's side. The term “distal” and its grammatically equivalent refers to a position, direction or orientation away from the operator or physician's side. The term “first” or “second” etc. may be used to distinguish one element from another in describing various similar elements. It should be noted the terms “first” and “second” as used herein include references to two or more than two. Further, the use of the term “first” or “second” should not be construed as in any particular order unless the context clearly dictates otherwise.
[0075] Those skilled in the art will appreciate that various other modifications may be made. All these or other variations and modifications are contemplated by the inventors and within the scope of the invention.