Medical device delivery system and method
A tendon repair implant delivery system and methods incorporating a guide member having a temporary fixation member on or adjacent to the distal end. The point of fixation defines a target site for placement of the tendon repair implant which is subsequently affixed to the tendon.
1. An implant delivery system comprising:
a sheath member having a distal end and a proximal end, the sheath member extending along a longitudinal axis;
a locating guide having a proximal end and a distal end and disposed at least partially within the sheath member;
a tendon repair implant disposed within the sheath member, the tendon repair implant having a first side and a second side opposite the first side: and
a support disposed at least partially within the sheath member; wherein the support frame assumes a compact configuration when disposed within the sheath member and assumes an expanded configuration when uncovered by the sheath member,
wherein the support in the expanded configuration is configured to overlay and contact only the first side of the tendon repair implant to press the tendon repair implant against tissue,
wherein the locating guide further comprises a temporary fixation mechanism disposed proximate the distal end of the locating guide, and
wherein, when the support is in the expanded configuration, a distal portion of the locating guide extends through the tendon repair implant from the first side to the second side, such that the temporary fixation mechanism is positioned distal of the tendon repair implant to penetrate tissue.
2. The implant delivery system of claim 1 , wherein in the expanded configuration the support lies in a plane parallel to the longitudinal axis.
3. The implant delivery system of claim 1 , wherein the sheath member is retractable relative to the support to uncover the support.
4. The implant delivery system of claim 1 , wherein the tendon repair implant is slidable relative to the locating guide.
5. An implant delivery system comprising:
a sheath member having a distal end and a proximal end;
a locating guide having a proximal end and a distal end and disposed at least partially within the sheath member;
a tendon repair implant disposed within the sheath member, the tendon repair implant having a first side and a second side opposite the first side; and
a support disposed at least partially within the sheath member, wherein at least a portion of the support assumes a compact configuration within the sheath member,
wherein when the portion of the support in the compact configuration is uncovered by the sheath member, the support expands from the compact configuration to an expanded configuration,
wherein the support in the expanded configuration is configured to overlay the tendon repair implant and contact only the first side of the tendon repair implant to press the tendon repair implant against tissue,
wherein the locating guide comprises a temporary fixation feature disposed adjacent the locating guide distal end, the temporary fixation feature extends through the tendon repair implant from the first side to the second side such that the temporary fixation feature is positioned distal of the tendon implant to penetrate tissue when the support is in the expanded configuration.
6. The implant delivery system of claim 5 , wherein the support resides within a support sheath,
wherein the support sheath is disposed within the sheath member, and
wherein the support assumes the expanded configuration when uncovered by both the sheath member and the support sheath.
7. The implant delivery system of claim 5 , wherein the locating guide extends through a portion of the tendon repair implant.
8. The implant delivery system of claim 5 , further comprising an implant push rod to advance the tendon repair implant distally through the sheath member.
9. The implant delivery system of claim 5 , wherein the tendon repair implant is self-expanding.