A medical device and method of using same are provided. The medical device includes a handle detachably connected to a shaft having a proximal portion attached to a distal portion through an articulation region. The device further includes an articulation mechanism controllable from the handle. The articulation mechanism includes a first gear disposed in the proximal portion and a second gear disposed in the distal portion. A drive mechanism for deploying an implant from a distal end of the distal portion includes an elongated member having a flexible region traversing the articulation region with the first gear disposed around the elongated member.