Devices and methods for delivery of implants

Patent metadata

Field	Value
Publication number	US-9974638-B2
Application number	US-201514718970-A
Country	US
Kind code	B2
Filing date	May 21, 2015
Priority date	Jun 4, 2014
Publication date	May 22, 2018
Grant date	May 22, 2018

Abstract

According to an aspect, a medical device may include an elongated shaft configured to rotate about its longitudinal axis. The elongated shaft may include a retaining area configured to retain an implant. The medical device may include a sheath disposed around a portion of the elongated shaft. The elongated shaft may be configured to move in relation to the sheath. The elongated shaft may be configured to move in a direction parallel to the longitudinal axis between a first position and a second position. When the elongated shaft is in the first position, the retaining area is disposed outside of a cavity defined by the sheath. When the elongated shaft is in the second position, the retaining area is disposed within the cavity defined by the sheath.

First claim

What is claimed is:

1. A medical device comprising:
an elongated shaft having a longitudinal axis, the elongated shaft including a distal end portion, a proximal end portion, and a shaft portion disposed between the distal end portion and the proximal end portion, the proximal end portion including a handle, the elongated shaft configured to rotate about the longitudinal axis, the elongated shaft including a retaining area disposed on the shaft portion, the retaining area configured to retain an implant in a rolled configuration such that the implant is wound around the shaft portion at the retaining area;
a sheath disposed around a portion of the shaft portion of the elongated shaft, the elongated shaft configured to move in relation to the sheath, the elongated shaft configured to move in a direction parallel to the longitudinal axis between a first position and a second position, wherein when the elongated shaft is in the first position, the retaining area is disposed outside of a cavity defined by the sheath such that the implant is not covered by the sheath, wherein when the elongated shaft is in the second position, the retaining area is disposed within the cavity defined by the sheath such that the implant is covered by the sheath;
a first stopper member configured to substantially prevent movement of the elongated shaft beyond the first position in a first direction; and
a second stopper member configured to substantially prevent movement of the elongated shaft beyond the second position in a second direction.

2. The medical device of claim 1 , wherein the retaining area includes a slot defined by the shaft portion adjacent to the distal end portion, the slot configured to receive an edge portion of the implant.

3. The medical device of claim 1 , wherein the retaining area includes at least one protrusion on a surface of the elongated shaft.

4. The medical device of claim 1 , wherein the distal end portion is configured to contact the sheath when the elongated shaft is in the second position such that the sheath and the distal end portion enclose the retaining area and the implant.

5. The medical device of claim 1 , wherein the distal end portion includes a tissue piercing portion configured to pierce bodily tissue when inserted into a body of a patient.

6. The medical device of claim 1 , wherein the first stopper member includes a first ring disposed around a first portion of the elongated shaft, and the second stopper member includes a second ring disposed around a second portion of the elongated shaft.

7. The medical device of claim 1 , wherein the sheath includes a protective portion and an extension portion, the retaining area being disposed within a cavity defined by the protective portion when the elongated shaft is in the second position, the protective portion having an outer diameter larger than an outer diameter of the extension portion.

8. A medical package comprising:
an implant;
an elongated shaft having a longitudinal axis, the elongated shaft configured to rotate about the longitudinal axis, the elongated shaft including a distal end portion and a proximal end portion, the distal end portion including a tissue piercing portion, the elongated shaft including a retaining area disposed between the distal end portion and the proximal end portion, the retaining area configured to retain the implant;
a sheath disposed around a portion of the elongated shaft, the elongated shaft configured to move in relation to the sheath, the elongated shaft configured to move in a direction parallel to the longitudinal axis between a first position and a second position, wherein when the elongated shaft is in the first position, the retaining area is disposed outside a cavity defined by the sheath, wherein when the elongated shaft is in the second position, the distal end portion engages the sheath such that the implant is enclosed by the distal end portion and the cavity of the sheath;
a first stopper member disposed on a first portion of the elongated shaft, the first stopper member configured to substantially prevent movement of the elongated shaft beyond the first position in a first direction; and
a second stopper member disposed on a second portion of the elongated shaft, the second stopper member configured to substantially prevent movement of the elongated shaft beyond the second position in a second direction.

9. The medical package of claim 8 , wherein the distal end portion includes an inner diameter portion and an outer diameter portion, the inner diameter portion being disposed within a portion of the sheath such that inner diameter portion forms a cap closing an opening of the cavity of the sheath.

10. The medical package of claim 8 , wherein the sheath includes a protective portion and an extension portion, the protective portion configured to be engaged with the distal end portion of the elongated shaft, the extension portion having an outer diameter smaller than an outer diameter of the protective portion.

11. The medical package of claim 8 , wherein the retaining area defines a slot configured to receive an edge of the implant.

12. The medical package of claim 11 , wherein the slot defines an opening on a surface of the elongated shaft at the retaining area, the slot including a first edge and a second edge such that the portion of the implant is received between the first edge and the second edge.

13. The medical package of claim 8 , wherein the tissue piercing portion is blunt.

14. The medical package of claim 8 , wherein the first stopper member includes a first ring disposed around the first portion of the elongated shaft, and the second stopper member includes a second ring disposed around the second portion of the elongated shaft.

15. A method for treating a pelvic organ prolapse, the method comprising:
coupling an implant to a delivery device, the delivery device including an elongated shaft and a sheath disposed around a portion of the elongated shaft, the sheath defining a cavity, the elongated shaft including a distal end portion, a proximal end portion, and a shaft portion disposed between the distal end portion and the proximal end portion, the proximal end portion including a handle, the shaft portion defining a retaining area, the implant being coupled to the retaining area in a rolled configuration;
moving the elongated shaft relative to the sheath such that distal end portion engages the sheath, the cavity of the sheath and the distal end portion forming an enclosure, the implant being disposed within the enclosure;
inserting a portion of the delivery device into a pelvic region of the patient, the handle being disposed outside of a body of the patient;
moving the elongated shaft relative to the sheath such that the implant is outside the cavity defined by the sheath while the portion of the delivery device is disposed within the body of the patient; and
decoupling the implant from the delivery device by rotating the handle.

16. The method of claim 15 , wherein the retaining area defines a slot, and the coupling the implant to the delivery device includes inserting a portion of the implant into the slot and winding the implant around the retaining area using the handle.

17. The method of claim 15 further comprising:
removing the delivery device from the body of the patient.

Assignees

• Boston Scient Scimed Inc

Inventors

• Zoll Jonathan
• Pereira Peter J
• Chu Michael S H

Classifications

• A61F2/0045 Primary

  Support slings · CPC title

• A61B17/06109

  Big needles, either gripped by hand or connectable to a handle · CPC title

• A61B17/00234

  for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence) · CPC title

• A61B50/30

  Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments (for wound clamps A61B17/10; for ligaturing clips A61B17/122; packages or dispensers for surgical gloves or finger-stalls A61B42/40) · CPC title

• A61B2017/00336

  with a protective sleeve, e.g. retractable or slidable · CPC title