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Designed to Seek and Fill Open Spaces in Cerebral Aneurysms

CARLSBAD, CA – JULY 26, 2010 – Codman & Shurtleff, Inc. (Codman), a global neuroscience and neurovascular company, today announced the launch of the stretch resistant XTRASOFT™ ORBIT GALAXY™ Coil (XTRASOFT), the softest endovascular finishing coil1 for use in the treatment of cerebral aneurysms. XTRASOFT is the first in a family of coils known as the ORBIT GALAXY™ Detachable Coil System, Codman’s next generation, stretch resistant coil platform. The announcement was made here at the Society of NeuroInterventional Surgery (SNIS) 7th Annual Meeting, where Codman is featuring its entire line of neurovascular solutions. XTRASOFT with TRUSEEK™ Technology features a unique, complex, random loop design. The coil’s shape makes it highly conformable, enabling the device to seek and fill open spaces in cerebral aneurysms for higher packing densities, which have been correlated with low patient retreatment rates.2,3,4,5
XTRASOFT is also the first finishing coil to feature an outer diameter (OD) of 0.012 inches, which delivers significantly higher packing volume per cm of length than comparable 0.010-inch systems. XTRASOFT is deployed using the ORBIT GALAXY Delivery System, an innovative system that offers flexibility and softness at the distal end to minimize microcatheter movement, helping physicians maintain optimal positioning within the aneurysm and enabling the placement of more coils.6 The XTRASOFT coils are available in diameters from 2 mm to 4 mm and lengths from 1.5 cm to 10.0 cm. “The softness of the coils combined with their complex, random loop design allows physicians to tightly pack the aneurysm and provides additional protection against rupture. This is particularly helpful at the end of the procedure when only a few open spaces remain. These coils find the open spaces and fill them,” said In Sup Choi, MD,* Director of Interventional Neuroradiology at Lahey Clinic in Burlington, MA and one of the first physicians to use XTRASOFT.
Endovascular coils are inserted directly into the aneurysm through a microcatheter, a small, thin, hollow tube, to seal off the aneurysm, block blood flow and prevent rupture. Finishing coils are small, soft coils used at the final stages of an aneurysm coiling procedure.

“XTRASOFT builds on Codman’s proven coil technology platform and is designed to fill unmet clinical needs,” said P. (Laxmin) Laxminarain, Worldwide President of Codman. “Soon we expect to introduce new advances in framing and fill coils as part of the ORBIT GALAXY family that along with XTRASOFT will help set a new standard in endovascular coiling.” XTRASOFT Coils leverage the same random loop design and delivery system as Codman’s proven TRUFILL DCS ORBIT® coil. In the Complex Registry, an international registry with 37 centers that collected data about the TRUFILL DCS ORBIT coils, midterm results included a retreatment rate of 5.1 percent across all aneurysms and 2.4 percent in small aneurysms and average packing densities of 31 percent.3 These results were achieved prior to the introduction of stretch resistance technology and XTRASOFT Finishing Coils.
A cerebral aneurysm is an abnormal bulge in the wall of an artery or blood vessel in the brain that, according to the American Stroke Association, affects 3 to 5 million people in the United States.7 Untreated aneurysms can be fatal or lead to hemorrhagic stroke or bleeding into or around the brain. The National Institute of Neurological Disorders and Stroke (NINDS) estimates hemorrhagic strokes account for about 20 percent of the 700,000 strokes Americans suffer each year.
About Codman & Shurtleff, Inc.
Codman is a global neuroscience and neurovascular company that develops and markets a wide range of products and solutions for the diagnosis and treatment of neurological disorders including chronic pain management, adult and pediatric hydrocephalus, neuro critical care, aneurysm and stroke prevention and management. Codman is part of the DePuy Family of Companies. The DePuy Family of Companies has a rich heritage of pioneering a broad range of products and solutions across the continuum of orthopaedic and neurological care. These companies are unified under one vision – Never Stop Moving™ – to express their commitment to bring meaningful innovation, shared knowledge and quality care to patients throughout the world. Visit www.depuy.com for more information.

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* In Sup Choi, MD is a consultant for Codman & Shurtleff, Inc.

  1. Compared with the following finishing coils: AXIUM™, GDC®-10 ULTRASOFT®, DELTAPLUSH™, HYPERSOFT™. Test report on file at Codman.
  2. Slob MJ, et al. “Influence of coil thickness on packing, re-opening and retreatment of intracranial aneurysms: a comparative study between two types of coils.” Neurological Research 2005;27(1).
  3. Hirsch J, et al. “Midterm clinical experience with a complex-shaped detachable platinum coil system for the treatment of cerebral aneurysms: TRUFILL DCS ORBIT detachable coil system.” Journal of Vascular and Interventional Radiology 2007;18:1487-94.
  4. Wakhloo A, et al. “Complex-shaped platinum coils for brain aneurysms: higher packing density, improved biomechanical stability and midterm angiographic outcome.” American Journal of Neuroradiology 2007;28:1395-40.
  5. Sluzewski M, et al. “Relationship between aneurysm volume, packing and compaction.” Radiology 2004;231:653-8.
  6. Test report on file at Codman Neurovascular.
  7. American Stroke Association. “What You Should Know About Cerebral Aneurysms.” June 2009. Available from:  http://www.americanstrokeassociation.org/presenter.jhtml?identifier=3067291
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