Device for controllably deploying expandable implants
Aspects of the present invention relate to a delivery device 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 movable 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 delivery device for deploying a self-expanding implant within a body cavity, the device comprising:
at least one retention formation for holding the implant against axial or circumferential movement;
an elongate longitudinally-extending outer element, radially outward of the at least one retention formation; and
wherein the outer element is movable longitudinally relative to the at least one retention formation between:
a storage position in which the outer element surrounds the implant and holds the implant engaged with the at least one retention formation; and
a partial-deployment position in which the outer element uncovers a distal portion of the implant while surrounding a proximal portion of the implant to continue holding the implant engaged with the at least one retention formation;
wherein the outer element is movable longitudinally, relative to the at least one retention formation, into a full-deployment position in which the outer element uncovers the proximal portion of the implant to an extent sufficient to disengage the implant from the retention formation for radial self expansion within the body cavity; and
a handle configured to selectively control, disable and enable movement of the outer element into the full-deployment position; and
an imaging head disposed on a longitudinal axis that extends on a radially-inward side of the at least one retention formation, wherein the imaging head is movable longitudinally between:
an advanced position when the outer element is in the storage position; and
a retracted position when the outer element is in the partial-deployment position,
wherein the imaging head is configured to define a field of view, and wherein the field of view encompasses at least a distal end of the implant when the imaging head is in the retracted position, and
wherein the imaging head defines a support surface that is configured to support at least the distal portion of the implant.
2. The device of claim 1 , wherein the handle comprises a detent.
3. The device of claim 2 , wherein the detent is configured to selectively control, disable and enable movement of the outer element from the storage position into the partial-deployment position.
4. The device of claim 2 , wherein the detent comprises a path and an extension configured to follow the path, the path comprising a detent range beyond which movement of the extension in a longitudinal direction is restricted, the extension movable beyond the detent range by deliberate relative movement between the extension and the path.
5. The device of claim 4 , wherein the deliberate relative movement is in a second direction transverse to the longitudinal direction.
6. The device of claim 2 , wherein the handle is configured to selectively control, disable and enable movement of the imaging head.
7. The device of claim 1 , further comprising an elongate longitudinally-extending inner element that defines a support surface and the at least one retention formation, wherein the inner element is configured for deflection at a steering section that is proximal with respect to the at least one retention formation.
8. The device of claim 1 , wherein the at least one retention formation comprises a proximal protrusion and a distal protrusion defining a slot between them for at least partially receiving the implant.
9. The device of claim 1 , the at least one retention formation is fixed relative to the handle and the outer elongate element and the imaging head are moveable axially relative to the handle.
10. A delivery device for deploying a self-expanding implant within a body cavity, the device comprising:
at least one retention formation for holding the implant against axial or circumferential movement;
an elongate longitudinally-extending outer element, radially outward of the at least one retention formation; and
wherein the outer element is movable longitudinally relative to the at least one retention formation between:
a storage position in which the outer element surrounds the implant and holds the implant engaged with the at least one retention formation; and
a partial-deployment position in which the outer element uncovers a distal portion of the implant while surrounding a proximal portion of the implant to continue holding the implant engaged with the at least one retention formation;
wherein the outer element is movable longitudinally, relative to the at least one retention formation, into a full-deployment position in which the outer element uncovers the proximal portion of the implant to an extent sufficient to disengage the implant from the retention formation for radial self expansion within the body cavity;
a handle configured to selectively control, disable and enable movement of the outer element into the full-deployment position; and
an elongate longitudinally-extending inner element that defines a support surface and the at least one retention formation, wherein the inner element is configured for deflection at a steering section that is proximal with respect to the at least one retention formation.
11. The device of claim 10 , wherein the handle comprises a detent.
12. The device of claim 11 , wherein the detent is configured to selectively control, disable and enable movement of the outer element from the storage position into the partial-deployment position.
13. The device of claim 11 , wherein the detent comprises a path and an extension configured to follow the path, the path comprising a detent range beyond which movement of the extension in a longitudinal direction is restricted, the extension movable beyond the detent range by deliberate relative movement between the extension and the path.
14. The device of claim 13 , wherein the deliberate relative movement is in a second direction transverse to the longitudinal direction.
15. The device of claim 10 , further comprising an imaging head disposed on a longitudinal axis that extends on a radially-inward side of the at least one retention formation, wherein the imaging head is movable longitudinally between:
an advanced position when the outer element is in the storage position; and
a retracted position when the outer element is in the partial-deployment position,
wherein the imaging head is configured to define a field of view, and wherein the field of view includes at least a distal end of the implant when the imaging head is in the retracted position.
16. The device of claim 15 , wherein the handle is configured to selectively control, disable and enable movement of the imaging head.
17. The device of claim 10 , wherein the at least one retention formation comprises a proximal protrusion and a distal protrusion defining a slot between them for at least partially receiving the implant.
18. The device of claim 10 , wherein the at least one retention formation is fixed relative to the handle and the outer elongate element and an imaging head are moveable axially relative to the handle.
19. The device of claim 10 , further comprising an imaging head disposed on a longitudinal axis that extends on a radially-inward side of the at least one retention formation, wherein the imaging head is movable longitudinally between:
an advanced position when the outer element is in the storage position; and
a retracted position when the outer element is in the partial-deployment position,
wherein the imaging head is configured to define a field of view, and wherein the field of view includes at least a distal end of the implant when the imaging head is in the retracted position,
wherein the handle is configured to selectively control movement of the imaging head, and
wherein the imaging head defines a support surface that is configured to support at least the distal portion of the implant.
20. A delivery device for deploying a self-expanding implant within a body cavity, the device comprising: at least one retention formation for holding the implant against axial or circumferential movement, wherein the at least one retention formation is fixed relative to a handle, and wherein an outer elongate element and an imaging head are moveable axially relative to the handle; an elongate longitudinally-extending outer element, radially outward of the at least one retention formation; and wherein the outer element is movable longitudinally relative to the at least one retention formation between: a storage position in which the outer element surrounds the implant and holds the implant engaged with the at least one retention formation; and a partial-deployment position in which the outer element uncovers a distal portion of the implant while surrounding a proximal portion of the implant to continue holding the implant engaged with the at least one retention formation; wherein the outer element is movable longitudinally, relative to the at least one retention formation, into a full-deployment position in which the outer element uncovers the proximal portion of the implant to an extent sufficient to disengage the implant from the retention formation for radial self expansion within the body cavity; and the handle configured to selectively control, disable and enable movement of the outer element into the full-deployment position.
21. The device of claim 20 , wherein the handle comprises a detent.
22. The device of claim 21 , wherein the detent is configured to selectively control movement of the outer element from the storage position into the partial-deployment position.
23. The device of claim 21 , wherein the detent comprises a path and an extension configured to follow the path, the path comprising a detent range beyond which movement of the extension in a longitudinal direction is restricted, the extension movable beyond the detent range by deliberate relative movement between the extension and the path.
24. The device of claim 23 , wherein the deliberate relative movement is in a second direction transverse to the longitudinal direction.
25. The device of claim 20 , further comprising an imaging head disposed on a longitudinal axis that extends on a radially-inward side of the at least one retention formation, wherein the imaging head is movable longitudinally between:
an advanced position when the outer element is in the storage position; and
a retracted position when the outer element is in the partial-deployment position,
wherein the imaging head is configured to define a field of view, and wherein the field of view includes at least a distal end of the implant when the imaging head is in the retracted position.
26. The device of claim 25 , wherein the handle is configured to selectively control movement of the imaging head.
27. The device of claim 20 , wherein the at least one retention formation comprises a proximal protrusion and a distal protrusion defining a slot between them for at least partially receiving the implant.
28. The device of claim 20 , further comprising an imaging head disposed on a longitudinal axis that extends on a radially-inward side of the at least one retention formation, wherein the imaging head is movable longitudinally between:
an advanced position when the outer element is in the storage position; and
a retracted position when the outer element is in the partial-deployment position,
wherein the imaging head is configured to define a field of view, and wherein the field of view includes at least a distal end of the implant when the imaging head is in the retracted position,
wherein the handle is configured to selectively control movement of the imaging head, and
wherein the imaging head defines a support surface that is configured to support at least the distal portion of the implant.
29. A delivery device for deploying a self-expanding implant within a body cavity, the device comprising:
at least one retention formation for holding the implant against axial or circumferential movement;
an elongate longitudinally-extending outer element, radially outward of the at least one retention formation; and
wherein the outer element is movable longitudinally relative to the at least one retention formation between:
a storage position in which the outer element surrounds the implant and holds the implant engaged with the at least one retention formation; and
a partial-deployment position in which the outer element uncovers a distal portion of the implant while surrounding a proximal portion of the implant to continue holding the implant engaged with the at least one retention formation;
wherein the outer element is movable longitudinally, relative to the at least one retention formation, into a full-deployment position in which the outer element uncovers the proximal portion of the implant to an extent sufficient to disengage the implant from the retention formation for radial self expansion within the body cavity;
a handle configured to selectively control, disable and enable movement of the outer element into the full-deployment position; and
an imaging head disposed on a longitudinal axis that extends on a radially-inward side of the at least one retention formation, wherein the imaging head is movable longitudinally between:
an advanced position when the outer element is in the storage position; and
a retracted position when the outer element is in the partial-deployment position,
wherein the imaging head is configured to define a field of view, and wherein the field of view encompasses at least a distal end of the implant when the imaging head is in the retracted position,
wherein the handle is configured to selectively control, disable and enable movement of the imaging head, and
wherein the imaging head defines a support surface that is configured to support at least the distal portion of the implant.
30. The device of claim 29 , wherein the handle comprises a detent.
31. The device of claim 30 , wherein the detent is configured to selectively control movement of the outer element from the storage position into the partial-deployment position.
32. The device of claim 30 , wherein the detent comprises a path and an extension configured to follow the path, the path comprising a detent range beyond which movement of the extension in a longitudinal direction is restricted, the extension movable beyond the detent range by deliberate relative movement between the extension and the path.
33. The device of claim 32 , wherein the deliberate relative movement is in a second direction transverse to the longitudinal direction.
34. The device of claim 29 , wherein the at least one retention formation comprises a proximal protrusion and a distal protrusion defining a slot between them for at least partially receiving the implant.