The Terumo Neuro Cosmos 18 Detachable Coil (REF 182263CS-V) is a complex-shaped platinum embolization coil engineered for endovascular treatment of intracranial aneurysms and other neurovascular lesions. With a 22 mm loop diameter and 63 cm working length, this large-volume framing coil is intended to provide stable basket formation in giant and large aneurysms when delivered through a compatible 0.0165 in to 0.018 in inner-diameter microcatheter.

Key Features
Complex 3D loop geometry designed for stable framing in large and giant aneurysm sacs.
Soft platinum coil construction intended to conform to irregular aneurysm morphology.
0.018 in (Cosmos 18) primary wind compatible with standard neurovascular microcatheters.
Detachable delivery system for controlled placement and repositioning before final detachment.
Loop diameter 22 mm and total length 63 cm for high-volume packing in a single device.
Sterile, single-use device supplied with introducer sheath.

Clinical Applications
Endovascular embolization of intracranial saccular aneurysms.
Framing and filling of large or giant wide-necked aneurysms.
Occlusion of other neurovascular abnormalities and arteriovenous malformations as determined by the treating physician.
Peripheral vascular embolization where indicated by the device labeling.

Product Information
Brand: Terumo Neuro (formerly MicroVention)
Product Family: Cosmos 18 Complex Detachable Coil
REF / UPN: 182263CS-V
Coil Diameter: 22 mm
Coil Length: 63 cm
Primary Wind Profile: 0.018 in
Shape: Complex / 3D framing
Microcatheter Compatibility: Compatible 0.0165 in to 0.018 in ID neurovascular microcatheters per IFU
Detachment: Detachable delivery system
Sterility: Sterile, single-use
Latex: Not specified in the located sources
MR Information: Refer to manufacturer IFU
Storage: Store per manufacturer instructions