Introducer devices and methods of use thereof
Aspects of the present disclosure are directed to a medical implant introducer ( 100 ) and methods of its use. The introducer ( 100 ) may include a handle ( 120 ), an implant-holding cavity disposed distally from the handle ( 120 ), a fluid supply conduit ( 122 ) fluidly coupled to an interior portion of the implant-holding cavity, and a distal nozzle ( 110 ) having a proximal portion, a distal portion, a middle portion in between the proximal portion and the distal portion, the middle portion having a tapered profile such that the proximal portion is larger than the distal portion, and a distal opening ( 112 ), wherein an implant in the implant-holding cavity may be expelled from the introducer ( 100 ) through the distal opening ( 112 ).
1. An implant introducer, comprising:
a handle;
a nozzle coupled to the handle, the nozzle having:
a cavity configured to receive an implant; and
a distal opening; and
a flexible membrane defining a chamber, wherein when the chamber receives a fluid, the flexible membrane expands into the cavity of the nozzle and pushes the implant through the distal opening of the nozzle.
2. The implant introducer of claim 1 , further comprising a vent switch configured to vent the fluid from the chamber and deflate the flexible membrane.
3. The implant introducer of claim 1 , wherein the flexible membrane is coupled to a distal portion of the handle.
4. The implant introducer of claim 1 , wherein the handle further comprises:
a fluid supply conduit; and
an actuator configured to direct the fluid via the fluid supply conduit into the chamber defined by the flexible membrane.
5. The implant introducer of claim 4 , wherein the fluid supply conduit is coupled to a fluid supply, the fluid supply comprising a portable compressed fluid canister, a pressurized gas line, or a pressurized water line.
6. The implant introducer of claim 4 , wherein the actuator is located on an upper surface of the handle.
7. The implant introducer of claim 1 , wherein a pressure of the fluid is from about 20 psi to about 60 psi.
8. The implant introducer of claim 7 , wherein the pressure of the fluid is about 50 psi, about 55 psi, or about 60 psi.
9. An implant introducer, comprising:
a handle having a fluid supply conduit; and
a nozzle coupled to the handle, the nozzle having:
a cavity configured to receive an implant; and
a distal portion including a distal opening and an asymmetrical tip formed by an extension adjacent to the distal opening.
10. The implant introducer of claim 9 , wherein the cavity of the nozzle is generally cylindrical in shape.
11. The implant introducer of claim 9 , wherein the distal portion of the nozzle has a smaller cross-sectional dimension than the cavity of the nozzle.
12. The implant introducer of claim 11 , wherein the cross-sectional dimension of the distal portion of the nozzle is from about 20 mm to about 40 mm.
13. The implant introducer of claim 12 , wherein the cross-sectional dimension of the distal portion of the nozzle is from about 25 mm to about 30 mm.
14. The implant introducer of claim 9 , wherein the distal portion of the nozzle is elongated to assist in guiding the implant into a desired implantation site.
15. The implant introducer of claim 9 , wherein the nozzle further comprises a proximal end portion with mating elements complementary to the handle.
16. The implant introducer of claim 15 , wherein the proximal end portion of the nozzle is open and configured to receive the implant during loading.
17. The implant introducer of claim 9 , wherein the distal portion of the nozzle is more flexible than a proximal end portion of the nozzle.
18. The implant introducer of claim 9 , wherein an inner surface of the nozzle comprises a water-activated lubricious coating.
19. The implant introducer of claim 11 , wherein the cross-sectional dimension of the distal portion of the nozzle is from about 5 mm to about 50 mm.
20. The implant introducer of claim 9 , wherein the implant is elastic and the nozzle is configured to compress the elastic implant.
21. The implant introducer of claim 9 , wherein the extension is an integral part of the nozzle.
22. The implant introducer of claim 9 , wherein the nozzle is constructed of a relatively rigid material.
23. The implant introducer of claim 22 , wherein the relatively rigid material comprises polypropylene, polycarbonate, polyurethane, polyetheretherketone (PEEK), or a biocompatible metal.
24. An implant introducer, comprising:
a handle;
a nozzle coupled to the handle, the nozzle having:
a proximal end portion;
a cavity; and
a distal opening; and
a distal cap removably coupled to the distal opening of the nozzle, wherein the distal cap has:
a first configuration in which the distal cap is coupled to the distal opening of the nozzle, the distal cap having an opening to apply a. vacuum to the distal opening of the nozzle and load an implant into the cavity of the nozzle through the proximal end portion of the nozzle via suction; and
a second configuration in which the distal cap is removed to expose the distal opening of the nozzle.
25. The implant introducer of claim 24 , further comprising a flexible membrane defining a chamber, wherein when the chamber receives a fluid, the flexible membrane expands into the cavity of the nozzle and pushes the implant through the exposed distal opening of the nozzle in the second configuration.
26. The implant introducer of claim 24 , wherein the nozzle further comprises an extension adjacent to the distal opening to form an asymmetrical tip.