# US 11,998,213 B2 · Implant delivery with modified detachment feature and pull wire engagement

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- Number: US 11,998,213 B2
- Document ID: US11998213B2
- Status: Granted
- Kind: B2
- Application number: 17/375,375
- Filed: 2021-07-14
- Published: 2023-01-19
- Granted: 2024-06-04
- Earliest claimed: 2021-07-14
- Assignees: DePuy Synthes Products, Inc.
- Applicants: DePuy Synthes Products, Inc.
- Inventors: Joshua Liebowitz
- Web page: https://patentgrep.com/patent/US11998213B2

## CPC

- A61B 17/12154: {having stretch limiting means}
- A61M 25/0147: {with movable mechanical means, e.g. pull wires}
- A61B 2017/12054: {Details concerning the detachment of the occluding device from the introduction device}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}

## Abstract

An embolic implant includes a detachment feature configured to engage and be released from a delivery member's engagement system. The engagement system can include a loop wire extending through an opening of the detachment feature a pull wire extending through the loop wire to secure the detachment feature to a delivery tube of the delivery member. The detachment feature can include a distal extension configured to engage a distal end of the pull wire to inhibit the pull wire from moving distally into the implant. The detachment feature can also include a sleeve to align the pull wire to the distal extension and/or provide a friction force against the pull wire to inhibit longitudinal movement of the distal end of the pull wire.

## Claims

### Claim 1

A system comprising:
an elongated delivery tube configured to traverse vasculature and extending along a longitudinal axis of the system;
an embolic implant comprising a detachment feature, the detachment feature comprising a distal extension and a proximal opening;
a loop wire affixed to the delivery tube and extending through the proximal opening of the detachment feature; and
a pull wire extending through the delivery tube, extending through an opening in the loop wire, and inhibited from moving distally by the distal extension of the detachment feature,
wherein the embolic implant further comprises:
an embolic coil; and
a stretch resistant fiber;
wherein a distal portion of the detachment feature is positioned within a lumen of the embolic coil,
wherein the distal portion comprises the distal extension,
wherein a proximal portion of the detachment feature extends proximally from a proximal end of the embolic coil,
wherein the proximal portion comprises the proximal opening,
wherein the distal portion of the detachment feature further comprises a distal opening,
and wherein the stretch resistant fiber passes through the distal opening and extends through the lumen of the embolic coil to a distal end of the embolic coil, the stretch resistant fiber being effective to limit separation of windings of the embolic coil as the embolic coil is under tension.

### Claim 2 (depends on 1)

The system of claim 1,
wherein the detachment feature further comprises a sleeve into which the pull wire extends, and
wherein the sleeve provides a friction force against the pull wire.

### Claim 3 (depends on 2)

The system of claim 2,
wherein the sleeve comprises an elastic material positioned on at least a portion of a perimeter of an opening of the sleeve and providing the friction force against the pull wire, and
wherein the pull wire extends through the opening of the sleeve.

### Claim 4 (depends on 1)

The system of claim 1,
wherein the detachment feature further comprises a sleeve through which the pull wire extends, and
wherein the sleeve is positioned to align the pull wire longitudinally with the distal extension.

### Claim 5 (depends on 1)

The system of claim 1, wherein the proximal portion comprises a proximal width that is greater than a distal width of the distal portion.

### Claim 6 (depends on 1)

The system of claim 1,
wherein the detachment feature comprises a first shoulder affixed to the proximal end of the embolic coil and a second shoulder affixed to the proximal end of the embolic coil, and
wherein the first shoulder is longitudinally offset in relation to the second shoulder.

### Claim 7 (depends on 1)

The system of claim 1,
wherein the elongated delivery tube comprises notches extending proximally from a distal end of the delivery tube, and
wherein a proximal portion of the detachment feature is positioned within the notches.

### Claim 8 (depends on 1)

The system of claim 1, wherein the proximal opening comprises an atraumatic surface against the loop wire.

### Claim 9 (depends on 1)

The system of claim 1,
wherein the detachment feature comprises a substantially planar first surface and a second surface opposite the first surface, and
wherein the distal extension is disposed on the second surface.

### Claim 10 (depends on 1)

The system of claim 1,
wherein the pull wire is in compression longitudinally within the delivery tube.

### Claim 11

A system comprising:
an embolic tube comprising a lumen therethrough and defining a longitudinal axis;
a detachment feature comprising:
a distal portion extending within the lumen,
a proximal portion extending proximally from a proximal end of the embolic tube,
a proximal opening configured to receive a loop wire therethrough, and
a sleeve comprising a longitudinal opening configured to receive a pull wire;
a loop wire affixed to an extended delivery tube and extending through the proximal opening of the detachment feature;
a pull wire extending through the delivery tube, extending through an opening in the loop wire, and inhibited from moving distally by the distal portion of the detachment feature; and
a stretch resistant fiber
wherein the proximal portion comprises the proximal opening,
wherein the distal portion of the detachment feature further comprises a distal opening, and
wherein the stretch resistant fiber passes through the distal opening and extends through the lumen of the embolic tube to a distal end of the embolic tube, the stretch resistant fiber being effective to limit separation of windings of the embolic tube as the embolic tube is under tension.

### Claim 12 (depends on 11)

The system of claim 11, wherein the detachment feature further comprises a distal extension positioned distally of the sleeve and aligned longitudinally with the longitudinal opening.

### Claim 13 (depends on 11)

The system of claim 11, wherein the sleeve comprises an elastic material on at least a portion of a perimeter of the longitudinal opening.

### Claim 14

A method of delivering an implant comprising a detachment feature, the method comprising:
inhibiting a distal end of a pull wire from moving distally by pressing the distal end of the pull wire into a distal extension of the detachment feature;
delivering an implant delivery system through vasculature, the implant delivery system comprising an elongated delivery tube, the implant, and the pull wire; and
pulling the pull wire proximally, thereby releasing the detachment feature from the delivery tube,
wherein pulling the pull wire proximally, thereby releasing the detachment feature from the delivery tube further comprises pulling the pull wire proximally to exit a loop of a loop wire affixed to the delivery tube, thereby causing the loop wire to exit an opening through the detachment feature to disengage the detachment feature from the delivery tube.

### Claim 15 (depends on 14)

The method of claim 14, further comprising:
traversing the implant delivery system through tortuous vasculature; and
inhibiting longitudinal movement of the distal end of the pull wire in relation to the detachment feature by a sleeve providing friction force against the pull wire.

### Claim 16 (depends on 14)

The method of claim 14, further comprising:
aligning the distal end of the pull wire to the distal extension of the detachment feature by a sleeve positioned on the detachment feature and through which the pull wire extends.