Device and method for deploying expandable implants
A device for deploying an implant in a patient's body comprises an elongate delivery tube having an inner element comprising an imaging head, an intermediate element comprising implant retainer formations and an outer element comprising an outer sheath, the inner and outer elements being retractable relative to the intermediate element. A handle at a proximal end of the delivery tube contains a hub assembly comprising hubs of the inner element, the intermediate element and the outer element. A hub carriage that is movable longitudinally within the handle with respect to the intermediate element hub supports the hubs of the inner element hub and the outer element for movement with the hub carriage to retract the inner and outer elements relative to the intermediate element.
1. A device configured for deploying an implant in a patient's body, the device comprising:
an elongate delivery tube having delivery tube elements in concentric relation, the delivery tube elements comprising, in radially outward succession:
an inner element comprising an imaging head,
an intermediate element comprising implant retainer formations, and
an outer element comprising an outer sheath that is co-operable with the implant retainer formations,
the inner and outer elements being retractable relative to the intermediate element along a longitudinal axis of the delivery tube; and
a handle at a proximal end of the delivery tube, the handle having a housing that contains:
a hub assembly comprising an inner element hub, an intermediate element hub and an outer element hub,
wherein the inner element hub is mounted proximally to the inner element of the delivery tube,
wherein the intermediate element hub is mounted proximally to the intermediate element of the delivery tube,
wherein the outer element hub is mounted proximally to the outer element of the delivery tube;
a hub carriage configured for longitudinal movement with respect to the housing and to the intermediate element hub and that supports the inner element hub and the outer element hub for the longitudinal movement with the hub carriage to retract the inner and outer elements relative to the intermediate element of the delivery tube; and
a deployment drive that is configured to drive the longitudinal movement of the hub carriage in response to operation of a deployment control element that is external to the housing.
2. The device of claim 1 , wherein the hub carriage is movable proximally by the deployment drive relative to the housing and the intermediate element hub along a longitudinally-extending retraction path from an undeployed position in which the outer sheath is opposed to and in a distally advanced position relative to the implant retainer formations to a deployed position in which the outer sheath is retracted proximally beyond the implant retainer formations, via an intermediate partially deployed position in which the outer element is retracted proximally from the distally advanced position while still being opposed to the implant retainer formations.
3. The device of claim 2 , wherein the outer element hub and the inner element hub are movable proximally with the hub carriage from the undeployed position to the partially deployed position.
4. The device of claim 3 , wherein the outer element hub and the inner element hub are reversible with the hub carriage in a distal direction along the retraction path from the partially deployed position to the undeployed position.
5. The device of claim 3 , wherein the outer element hub is movable proximally with the hub carriage relative to the inner element hub as the hub carriage moves from the partially deployed position to the deployed position.
6. The device of claim 5 , wherein the outer element hub is fixed relative to the hub carriage and the inner element hub is releasably latched relative to the hub carriage.
7. The device of claim 6 , further comprising a stop formation in fixed relation to the housing and positioned in the retraction path proximally of the inner element hub to block proximal movement of the inner element hub beyond the partially deployed position of the hub carriage, causing the inner element hub to unlatch from the hub carriage while allowing continued proximal movement of the hub carriage and the outer element hub from the partially deployed position to the deployed position.
8. The device of claim 2 , wherein the hub carriage is releasably latched relative to the housing when in the undeployed position, wherein the hub carriage is configured to be releasable by operation of the deployment control element.
9. The device of claim 2 , wherein the deployment drive comprises a detent mechanism that is configured to block movement of the hub carriage from the partially deployed position to the deployed position and a detent release element that is operable to release the detent mechanism to allow the hub carriage to move from the partially deployed position to the deployed position.
10. The device of claim 9 , wherein the detent release element is configured to release the detent mechanism by a movement of the deployment control element that acts on the deployment drive to move the hub carriage from the undeployed position to the partially deployed position, wherein the deployment control element blocks movement of the detent release element when the hub carriage is in the undeployed position.
11. A device configured for deploying an implant in a patient's body, the device comprising:
a delivery tube comprising:
an inner element comprising an imaging head,
an intermediate element comprising two or more implant retainer formations, and
an outer element comprising an outer sheath,
wherein the inner element, intermediate element, and outer element are arranged in concentric relation,
wherein the inner and outer elements are movable relative to the intermediate element along a longitudinal axis of the delivery tube; and
a handle comprising:
a housing,
a hub assembly comprising an inner element hub, an intermediate element hub and an outer element hub,
wherein the inner element hub is mounted proximally to the inner element of the delivery tube,
wherein the intermediate element hub is mounted proximally to the intermediate element of the delivery tube,
wherein the outer element hub is mounted proximally to the outer element of the delivery tube;
a hub carriage configured for longitudinal movement with respect to the housing and that supports the inner element hub and the outer element hub for the longitudinal movement with the hub carriage to move the inner and outer elements relative to the intermediate element of the delivery tube; and
a deployment drive configured to drive the longitudinal movement of the hub carriage in response to operation of a deployment control system.
12. The device of claim 11 , wherein the outer element hub, the intermediate element hub, and the inner element hub are disposed in proximal succession along the hub carriage.
13. The device of claim 12 , wherein the hub carriage comprises a distal portion that supports the outer element hub, a proximal portion that supports the inner element hub, and a longitudinally-extending intermediate portion that connects the distal and proximal portions and bridges around the intermediate element hub.
14. The device of claim 12 , wherein the intermediate element hub is sandwiched between the outer element hub and the inner element hub and is at least partially housed within the hub carriage.
15. The device of claim 11 , wherein the intermediate element hub comprises at least one support that extends laterally beyond the hub carriage to fix the intermediate element hub against movement relative to the housing.
16. The device of claim 15 , wherein a side wall of the hub carriage comprises a longitudinally-extending slot that accommodates the at least one support of the intermediate element hub to allow for movement of the hub carriage relative to the intermediate element hub.
17. The device of claim 11 , wherein the deployment drive comprises a gearset that acts between the deployment control element and the hub carriage.
18. The device of claim 17 , wherein the hub carriage comprises a longitudinally-extending rack formation that is engaged with a gear of the deployment drive gearset.
19. The device of claim 18 , wherein the rack formation is on an arm that extends proximally from the hub carriage.
20. The device of claim 19 , wherein the arm is offset laterally from a central longitudinal axis that extends proximally into the housing from the delivery tube and wherein the rack formation faces the central longitudinal axis.