Endovascular embolic device detachment detection method and...

A - Human Necessities – 61 – B

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A61B 5/05 (2006.01) A61B 17/03 (2006.01) A61B 17/12 (2006.01) A61B 17/00 (2006.01) A61B 18/12 (2006.01)

Patent

CA 2162117

This invention is a method for ensuring for endovascular occlusion, aneurysms, vascular malformations, and arteriovenous fistulas. In particular, it deals with a method to predictably determine the instant of electrolytic detachment of an embolic device (104) which is introduced to and is intended to remain at the desired thrombus formation site. The invention further includes a method for delivering an embolic device (104) and detecting its electrolytic separation. According to the present invention, DC power with AC superposition (170) is delivered to the sacrificial link (106) that couples a delivery member (e.g., a guide wire) to an occlusion device. The impedance (as measured by the amplitude of the superposed AC) is monitored. When a predetermined change inthat impedance (or amplitude) occurs, which indicates coil detachment, the DC power is interrupted to minimize or avoid further electrolysis.

L'invention concerne un procédé et un appareil permettant d'effectuer une occlusion endovasculaire par la formation de thrombus dans les artères, les veines, les anévrismes, les malformations vasculaires et les fistules artério-veineuses. L'invention se rapporte plus particulièrement à un procédé et un appareil permettant de prévoir le moment où a lieu la séparation électrolytique d'un dispositif (104) de formation d'embolie qui est introduit dans le site de formation de thrombus requis et qui est destiné à y demeurer. Selon la présente invention, un courant continu à courant alternatif superposé (170) est appliqué à la liaison consommable (106) qui couple un élément d'acheminement (tel qu'un fil de guidage) et un dispositif d'occlusion. L'impédance (telle que mesurée par l'amplitude du courant alternatif superposé) est surveillée. Lorsqu'une variation prédéterminée de cette impédance (ou amplitude) a lieu, indiquant ainsi la séparation de l'enroulement, le courant continu est interrompu afin de réduire au minimum ou d'éviter toute électrolyse supplémentaire.

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