Expandable implant delivery device
Aspects of the present invention relate to a method for locating an expandable implant for treating BPH within the prostatic urethra of a patient. The delivery device comprises an inner tube and an outer sleeve moveable relative to the inner tube between a stored position and a deployed position. The outer sleeve surrounds the inner tube to define an annulus therebetween and the expandable implant is retained within the annulus when the outer sleeve is in the stored position.
1. A method of deploying an expandable implant within a patient's urethra, the method comprising:
inserting a delivery tube into the urethra with the implant retained within and covered by the delivery tube;
advancing a distal end of the delivery tube distally along the urethra to, or distally beyond, the patient's bladder neck;
pulling the distal end of the delivery tube back from the bladder neck in a proximal direction;
retracting the delivery tube proximally, relative to the implant, to a partially-retracted position in which the implant is at least partially uncovered while still being retained by the delivery tube;
positioning the implant at a target site within the urethra at a longitudinal position in the urethra between the bladder neck and external sphincter; and
deploying the implant at the target site by further retracting the delivery tube to an extent sufficient to release the implant from the delivery tube.
2. A method as claimed in claim 1 comprising using the bladder neck as a datum for positioning the implant at the target site.
3. A method as claimed in claim 1 , comprising rotating the implant about a longitudinal axis of the delivery tube when positioning the implant at the target site.
4. A method as claimed in claim 3 , comprising rotating the implant into alignment with at least one prostatic lobe of the patient.
5. A method as claimed in claim 4 , comprising aligning at least one apex of the implant with the or each prostatic lobe.
6. A method as claimed in claim 1 , comprising holding the implant substantially stationary relative to the urethra when further retracting the delivery tube from the partially-retracted position.
7. A method as claimed in claim 1 , comprising allowing the implant to expand radially when deploying the implant.
8. A method as claimed in claim 1 , comprising moving a safety catch to enable the delivery tube to be moved into the partially-retracted position.
9. A method as claimed in claim 8 , comprising moving the safety catch to a second position to enable the delivery tube to be further retracted from the partially-retracted position.
10. A method as claimed in claim 1 , wherein the implant is retained by engagement with retaining formations that remain covered by the delivery tube in the partially-retracted position but that are exposed by said further retraction of the delivery tube to release the implant.
11. A method as claimed in claim 10 , further comprising advancing the delivery tube distally to cover the retaining formations before removing the delivery tube from the urethra.
12. A method as claimed in claim 1 , further comprising viewing the implant relative to the urethra from a viewpoint within the implant and disposed proximally relative to a distal end of the implant, when the delivery tube in the partially-retracted position.
13. A method as claimed in claim 1 , comprising aligning at least one apex of the implant with the patient's verumontanum.
14. A method as claimed in claim 13 , comprising locating the verumontanum between laterally-spaced longitudinally-extending members of the implant.
15. A method as claimed in claim 13 , comprising pulling back the implant proximally while avoiding contact of the apex with the verumontanum.
16. A method as claimed in claim 1 , comprising steering the delivery tube by bending at least a distal portion of the delivery tube along its length.
17. A method as claimed in claim 1 , comprising:
moving a safety catch to enable an imaging device to move proximally relative to the implant;
moving the imaging device proximally relative to the implant to a viewpoint that is within the implant and disposed proximally relative to a distal end of the implant; and
using the imaging device to view the implant relative to the urethra from said viewpoint.
18. A method as claimed in claim 1 , comprising retracting the delivery tube to the partially-retracted position after advancing the distal end of the delivery tube to, or distally beyond, the bladder neck.
19. A method as claimed in claim 1 , comprising retracting the delivery tube to the partially-retracted position after pulling the distal end of the delivery tube back from the bladder neck.
20. A method of deploying an expandable implant within a patient's urethra, the method comprising:
inserting a delivery tube into the urethra with the implant retained within and covered by the delivery tube;
moving a safety catch to enable the delivery tube to be moved into a partially-retracted position in which the implant is at least partially uncovered while still being retained by the delivery tube;
retracting the delivery tube proximally, relative to the implant, to the partially-retracted position;
positioning the implant at a target site within the urethra; and
deploying the implant at the target site by further retracting the delivery tube to an extent sufficient to release the implant from the delivery tube.
21. A method as claimed in claim 20 , comprising moving the safety catch to a second position to enable the delivery tube to be further retracted from the partially-retracted position.
22. A method as claimed in claim 20 , comprising:
moving an imaging device proximally relative to the implant to a viewpoint that is within the implant and disposed proximally relative to a distal end of the implant; and
using the imaging device to view the implant relative to the urethra from said viewpoint.
23. A method of deploying an expandable implant within a patient's urethra, the method comprising:
inserting a delivery tube into the urethra with the implant retained within and covered by the delivery tube;
steering the delivery tube by bending at least a distal portion of the delivery tube along its length;
retracting the delivery tube proximally, relative to the implant, to a partially-retracted position in which the implant is at least partially uncovered while still being retained by the delivery tube;
positioning the implant at a target site within the urethra; and
deploying the implant at the target site by further retracting the delivery tube to an extent sufficient to release the implant from the delivery tube.
24. A method of deploying an expandable implant within a patient's urethra, the method comprising:
inserting a delivery tube into the urethra with the implant retained within and covered by the delivery tube;
retracting the delivery tube proximally, relative to the implant, to a partially-retracted position in which the implant is at least partially uncovered while still being retained by the delivery tube;
positioning the implant at a target site within the urethra while rotating the implant about a longitudinal axis of the delivery tube; and
deploying the implant at the target site by further retracting the delivery tube to an extent sufficient to release the implant from the delivery tube.