Implant delivery system

• US 6,248,112 B1
• Filed: 09/30/1998
• Issued: 06/19/2001
• Est. Priority Date: 09/30/1998
• Status: Expired due to Fees

• Current Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Parascandola, Michael, Gambale, Richard A., Ahern, John E.
• Primary Examiner(s): Philogene, Pedro
• Application Number:
  US09/163,884
• Time in Patent Office: 993 Days
• Field of Search: 606/108, 606/191, 606/195, 606/194, 606/198, 606/185, 606/220, 606/186, 606/206
• US Class Current: 606/108
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 17/3478 Endoscopic needles, e.g. for infusion biopsy needles A61B10/0233; catheters with injection needles A61M25/0067
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00247 Making holes in the wall of the heart, e.g. laser Myocardial revascularization
• CPC Class Codes: A61B 2018/00392 Transmyocardial revascularisation
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2090/062 penetration depth
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61F 2/2493 Transmyocardial revascularisation [TMR] devices
• CPC Class Codes: A61F 2/88 the wire-like elements formed as helical or spiral coils forming a net-like or mesh-like structure A61F2/90
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61M 25/06 Body-piercing guide needles or the like

Abstract

The present invention provides an implant delivery system for placing interior defining implants in the human body. The devices comprise elongate shafts and a mechanism at the distal end of the shaft for engaging and retaining the implant in place on the shaft during delivery through the vessels and insertion of the distal end of the shaft into tissue. Some embodiments of the devices are configured to have a plurality of implants and configured to deliver the implants sequentially to a plurality of locations. One embodiment employs a flexible outer tube at its distal end that compresses and crinkles to a larger diameter upon being compressed lengthwise to engage the inside surface of the implant. Another embodiment utilizes a tubular delivery shaft having a circular cross section with segments of oval shaped cross sections which serve to engage the inside of implant located on the shaft. A cam slidable within the shaft engages the oval areas, deforming them to a circular shape which permits the implants to be released. Another embodiment provides delivery force by pressurizing fluid filling the shaft lumen to move a plunger at the distal end of the shaft which carries the implant to be delivered. A feature of the invention provides for monitoring of the depth to which an implant is delivered within tissue by monitoring pressure changes experienced near the distal tip of the shaft. Another feature of the delivery devices provides for drug delivery at the implant site by compressing a drug filled bladder by the expansion of an adjoining bladder. Also disclosed is the use of an electromagnetic guidance system to accurately navigate the delivery devices to the implant delivery sites.

Claims

1. A delivery device for a hollow implant comprising:

a first elongate shaft having proximal and distal ends, a lumen; and

at least one deformable surface adjacent to the distal end and common with the shaft that can be deformed to contact an inside surface of an implant and reformed to release the implant; and

a second shaft slidable relative to the first shaft to deform the deformable surface.

2. An implant delivery device as defined in claim 1 wherein the deformable surface is a section of the shaft having an oval cross sectional shape that is deformable to have a circular cross-sectional shape.

3. An implant delivery device as defined in claim 2 further comprising:

a cam slidable within the lumen of the shaft that is selectively engageable with the oval sections to deform the sections to a round cross-sectional shape.

4. An implant delivery device comprising:

a first elongate shaft having proximal and distal ends, and

a continuous collapsible sleeve having a proximal end and a distal end and being mounted at the distal end of the shaft such that it can be deformed to contact an inside surface of an implant and reformed to release an implant mounted thereon,

a second shaft mounted at one end to the distal end of the sleeve and slidable relative to the first shaft to deform the collapsible sleeve.

5. An implant delivery device as defined in claim 4 wherein:

the first shaft comprises a push tube mounted over the second shaft and slidable relative to the second shaft and joined to the proximal end of the sleeve such that longitudinal movement of the push tube relative to the second shaft places an axial load on the sleeve.

6. An implant delivery device as defined in claim 5 wherein movement of the push tube in a distal direction relative to the second shaft places the sleeve in axial compression resulting in collapse of the sleeve and the formation of multiple folds having peaks that define a diameter that is larger than the diameter of the unloaded sleeve.

7. A delivery device for a hollow implant comprising:

a first elongate shaft having proximal and distal ends, a lumen; and

at least one deformable surface adjacent to the distal end that can be deformed to contact an inside surface of an implant and reformed to release the implant,

a second shaft slidable relative to the first shaft to deform the deformable surface

an implant carried about the deformable surface.

8. A method of implanting an implant device in the human body comprising:

providing a shaft generally circular in cross-sectional shape, having a lumen and proximal distal ends and at least one segment having an oval cross-sectional shape;

placing a tubular implant over the shaft such that the inside diameter of the tube becomes caught on the oval section of the shaft;

navigating the shaft and associated implant tube to the intended delivery site within a patient;

advancing a shaft that deforms the oval segment to circular cross-sectional shape to permit the tubular implant to slide over the segment and off the shaft.

9. A method of implanting an implant device in the human body comprising:

providing a shaft having a distal end and a collapsible sleeve having a surface mounted around its distal end;

placing a hollow implant over the collapsible sleeve;

placing an axial load on the sleeve to collapse it and cause the formation of a plurality of folds along its surface thereby engaging the interior of the implant;

navigating the shaft and associated implant tube to the intended delivery site within a patient;

placing the sleeve in tension to remove the folds and release the implant from engagement with the sleeve.