Occlusive implant delivery devices and associated methods
View Patent ↗The various embodiments simplify the delivery of an occlusive implant to a hollow anatomical structure, such as a fallopian tube. For example, the delivery devices don't need to be retracted manually to deploy the implant. When the devices are activated, stored energy or a powered drive member induces movement of the various components. The operator need only position the distal ends of the devices at the treatment site and then commence deployment by, for example, flipping a switch or changing the position of an activation button. The present embodiments thus increase the efficacy of occlusion procedures by reducing the likelihood of operator error.
1. A method comprising:
with a delivery system including an outer sheath, an inner sheath slidably received within the outer sheath, an elongate pusher member received within the inner sheath, and an occlusive implant received within the inner sheath; and
longitudinally reciprocating the elongate pusher member within the inner sheath to segmentally expel the occlusive implant from a distal end of the inner sheath, while simultaneously retracting the inner sheath proximally within the outer sheath in response to a back pressure applied at a distal tip of the inner sheath by expelled portions of the occlusive implant.
2. The method of claim 1 , further comprising positioning a distal end of the outer sheath at a proximal end of a treatment site prior to beginning the reciprocating of the elongate pusher member.
3. The method of claim 2 , further comprising positioning a distal end of the inner sheath at a distal end of the treatment site prior to beginning the reciprocating of the elongate pusher member.
4. The method of claim 2 , wherein the treatment site comprises a fallopian tube, and the proximal end of the treatment site comprises an ostium of the fallopian tube.
5. The method of claim 1 , wherein retracting the inner sheath comprises retracting in discrete increments.
6. The method of claim 5 , wherein each discrete increment corresponds to a defined number of reciprocations of the elongate pusher member.
7. The method of claim 1 , wherein the outer sheath remains substantially stationary during the retracting of the inner sheath.
8. The method of claim 7 , wherein in an initial configuration the inner sheath extends distally of a distal tip of the outer sheath, so that retracting the inner sheath proximally within the outer sheath causes a distal tip of the inner sheath to approach the distal tip of the outer sheath.
9. The method of claim 1 , wherein the inner sheath is biased toward a distal direction.
10. The method of claim 1 , wherein a distal tip of the elongate pusher member never extends past a distal tip of the inner sheath while the elongate pusher member reciprocates.
11. The method of claim 1 , wherein the delivery system further comprises a reciprocation drive, and the reciprocating and the retracting occur automatically upon activation of the reciprocation drive.
12. The method of claim 1 , wherein both of the inner and outer sheaths are sized and configured for transcervical insertion.
13. The method of claim 1 , wherein the inner sheath extends distally of a distal tip of the outer sheath, so that retracting the inner sheath proximally within the outer sheath causes a distal tip of the inner sheath to approach the distal tip of the outer sheath.