Single operator device for delivering an ocular implant
An ocular implant delivery system is provided with a number of features. In some embodiments, the delivery system comprises a rotation mechanism configured to rotate and orient a cannula of the system, and an advancement mechanism configured to advance and retract an ocular implant through the delivery system and into an eye of a patient. In some embodiments, the cannula is sized and configured to be inserted into Schlemm's canal of the eye. The ocular implant is configured to maintain its orientation within the delivery system as the cannula is rotated. In some embodiments, the ocular implant automatically disengages the delivery system when it is advanced beyond a distal tip of the delivery system. Methods of implanting an ocular implant are also provided.
1. A device for delivering an element to Schlemm's canal of an eye of a patient, the device comprising:
a housing;
a cannula extending from a distal end of the housing, the cannula comprising a curved distal portion having a curvature sized and configured to align with a curvature of Schlemm's canal;
a tube movably disposed in the cannula, a proximal end of the tube being disposed in the housing, wherein a distal end of the tube is configured to detachably couple to the element;
a tracking wheel supported by the housing and operable to move the tube within the cannula and to deliver the element into Schlemm's canal, wherein the distal end of the tube is configured to automatically detach from the element when at least part of the distal end of the tube is moved distally out of the cannula and at least part of the element automatically expands; and
a rotatable component supported by the housing and adapted to control rotation and orientation of the cannula with respect to the housing.
2. The device of claim 1 , wherein the tracking wheel comprises gears.
3. The device of claim 1 , wherein the tracking wheel is adapted to move a rotatable rack gear proximally and distally within the housing, the rack operably connected to the tube.
4. The device of claim 1 , wherein the rotatable component has gripping features.
5. The device of claim 1 , wherein the cannula further comprises a beveled distal tip.
6. The device of claim 1 , wherein the distal end of the tube is adapted to be detachably coupled to the element via an interlocking mechanism, wherein the distal end of the tube is adapted to be detachably coupled to the element when the interlocking mechanism is compressed within a transport tube within the housing or the cannula, and wherein the interlocking mechanism is adapted to disengage when the interlocking mechanism is moved beyond the distal portion of the cannula.
7. The device of claim 6 , wherein the interlocking mechanism comprises interlocking fingers on the tube adapted to engage with an interlocking finger receptacle on the element.
8. The device of claim 6 , wherein the interlocking mechanism comprises an interlocking finger receptacle on the tube adapted to engage with interlocking fingers on the element.
9. The device of claim 7 , wherein the interlocking fingers are adapted to automatically expand when the interlocking fingers are moved beyond the distal portion of the cannula, and wherein expansion of the interlocking fingers disengages the interlocking fingers from the interlocking finger receptacle.
10. The device of claim 1 , wherein actuation of the tracking wheel in a proximal direction causes the tube to be retracted in the proximal direction.