The present disclosure relates to medical introducer sheaths for introducing medical devices into the body. In particular, the present disclosure relates to introducer sheaths and associated hemostasis valves.
Introducer sheaths are important instruments for use in medical diagnostic and therapeutic procedures. In particular, introducer sheaths can be used by a clinician to access target areas of the patient's anatomy, e.g., the patient's cardiovascular system, and also allow for diagnostic and/or therapeutic payloads (such as ablation catheters) to be inserted into these target areas. Introducer sheaths often include hemostasis valves that permit introduction of the desired payloads but at the same time inhibit undesired fluid loss from the introducer sheath.
In Example 1, a hemostasis valve assembly for an introducer sheath, the hemostasis valve assembly comprising a housing and a seal member. The housing has a proximal opening configured to permit introduction of an instrument therethrough, and defines an inner surface. The seal member is positioned distal to the proximal opening, and comprises a main body portion and a radial sealing feature. The main body portion has a proximal face, a distal face, and a peripheral surface extending between the proximal and distal faces, and has a first diameter defined by the peripheral surface. The radial sealing feature extends radially inward or outward from the peripheral surface and is configured to sealingly engage the inner surface of the housing.
In Example 2, the hemostasis valve assembly of Example 1, wherein the radial sealing feature comprises a radial projection extending radially outward from and circumferentially about the peripheral surface of the main body portion, a radial extremity of the radial projection defining a second diameter greater than the first diameter, wherein the radial projection sealingly engages the inner surface of the housing.
In Example 3, the hemostasis valve assembly of Example 2, wherein the radial projection has a semi-circular cross-sectional profile.
In Example 4, the hemostasis valve assembly of Example 2, wherein the radial projection has first and second side faces extending radially from the peripheral surface, and a perimeter face extending from the first side face to the second side face.
In Example 5, the hemostasis valve assembly of Example 4, wherein the perimeter face has a generally semi-circular profile.
In Example 6, the hemostasis valve assembly of Example 2, wherein the radial projection has an outer surface that extends from the peripheral surface at an oblique angle relative to an axis extending through the proximal and distal faces.
In Example 7, the hemostasis valve assembly of Example 1, wherein the inner surface of the housing includes an annular projection, and wherein the radial sealing feature comprises a concave recess extending radially inward from the peripheral surface, the concave recess having a cross-sectional profile configured to receive the annular projection of the housing in sealing engagement therewith.
In Example 8, the hemostasis valve assembly of Example 1, wherein the radial sealing feature comprises a plurality of spaced radial projections each extending radially outward of and circumferentially about the peripheral surface of the main body, wherein each radial projection is in sealing engagement with the inner surface of the housing.
In Example 9, the hemostasis valve assembly of Example 8, wherein each radial projection has a semi-circular cross-sectional profile.
In Example 10, the hemostasis valve assembly of Example 8, wherein each radial projection has an outer surface that extends from the peripheral surface at an oblique angle relative to an axis extending through the proximal and distal faces.
In Example 11, the hemostasis valve assembly of Example 8, wherein each radial projection has first and second side faces extending radially from the peripheral surface, and a perimeter face extending from the first side face to the second side face.
In Example 12, the hemostasis valve assembly of any of Examples 1-11, wherein the hemostasis seal further comprises an annular side recess in the proximal face or the distal face of the main body, and wherein the housing includes an annular side projection received within and in sealing engagement with the annular side recess.
In Example 13, the hemostasis valve assembly of any of Examples 1-11, wherein the hemostasis seal further comprises an annular side projection extending from the proximal face or the distal face of the main body, and wherein the housing includes an annular side recess that receives the annular side projection in sealing engagement therewith.
In Example 14, the hemostasis valve assembly of any of Examples 1-13, wherein the hemostasis valve further comprises a perforation or slit extending from the proximal face to the distal face to permit passage of a medical device therethrough.
In Example 15, the introducer sheath assembly comprising a tubular sheath member having a proximal end portion including a proximal end, a distal end portion terminating in a distal tip, and an internal sheath lumen extending through the proximal and distal end portions of the sheath member, and the hemostasis valve assembly of any of Examples 1-14 coupled to the proximal end of the sheath member.
In Example 16, the introducer sheath assembly comprising a tubular sheath member and a hemostasis valve assembly. The tubular sheath member has a proximal end portion including a proximal end, a distal end portion terminating in a distal tip, and an internal sheath lumen extending through the proximal and distal end portions of the sheath member. The hemostasis valve assembly is coupled to the proximal end of the sheath member, and comprises a housing and a seal member. The housing is configured to permit introduction of an instrument therethrough, and defines an inner surface. The seal member is configured to inhibit fluid leakage from the hemostasis valve assembly, and comprises a main body portion and a radial sealing feature. The main body portion has a proximal face, a distal face, and a peripheral surface extending between the proximal and distal faces, and has a first diameter defined by the peripheral surface. The radial sealing feature extends radially inward or outward from the peripheral surface and is configured to sealingly engage the inner surface of the housing.
In Example 17, the introducer sheath assembly of Example 16, wherein the radial sealing feature comprises a radial projection extending radially outward from and circumferentially about the peripheral surface of the main body portion, a radial extremity of the radial projection defining a second diameter greater than the first diameter, wherein the radial projection sealingly engages the inner surface of the housing.
In Example 18, the introducer sheath assembly of Example 17, wherein the radial projection has a semi-circular cross-sectional profile.
In Example 19, the introducer sheath assembly of Example 17, wherein the radial projection has first and second side faces extending radially from the peripheral surface, and a perimeter face extending from the first side face to the second side face.
In Example 20, the introducer sheath assembly of Example 17, wherein the radial projection has an outer surface that extends from the peripheral surface at an oblique angle relative to an axis extending through the proximal and distal faces.
In Example 21, the introducer sheath assembly of Example 16, wherein the radial sealing feature comprises a plurality of spaced radial projections each extending radially outward of and circumferentially about the peripheral surface of the main body, wherein each radial projection is in sealing engagement with the inner surface of the housing.
In Example 22, the introducer sheath assembly of Example 21, wherein each radial projection has a semi-circular cross-sectional profile.
In Example 23, the introducer sheath assembly of Example 21, wherein each radial projection has first and second side faces extending radially from the peripheral surface, and a perimeter face extending from the first side face to the second side face.
In Example 24, the introducer sheath assembly of Example 16, wherein the inner surface of the housing includes an annular projection, and wherein the radial sealing feature comprises a concave recess extending radially inward from the peripheral surface, the concave recess having a cross-sectional profile configured to receive the annular projection of the housing in sealing engagement therewith.
In Example 25, the hemostasis valve assembly for an introducer sheath having a sheath lumen, the hemostasis valve assembly comprising a housing having a proximal opening configured to be generally aligned with the sheath lumen to permit introduction of an instrument therethrough, the housing defining an inner surface, and a seal member positioned distal to the proximal opening to inhibit fluid leakage through the proximal opening. The seal member comprises a main body portion having a proximal face, a distal face, and a peripheral surface extending between the proximal and distal faces, the main body portion having a first diameter defined by the peripheral surface, and a radial sealing feature extending radially inward or outward from the peripheral surface and configured to sealingly engage the inner surface of the housing.
In Example 26, the hemostasis valve assembly of Example 25, wherein the radial sealing feature comprises a radial projection extending radially outward from and circumferentially about the peripheral surface of the main body portion, a radial extremity of the radial projection defining a second diameter greater than the first diameter, wherein the radial projection sealingly engages the inner surface of the housing.
In Example 27, the hemostasis valve assembly of Example 26, wherein the radial projection has a semi-circular cross-sectional profile.
In Example 28, the hemostasis valve assembly of Example 26, wherein the radial projection has first and second side faces extending radially from the peripheral surface, and a perimeter face extending from the first side face to the second side face.
In Example 29, the hemostasis valve assembly of Example 25, wherein the inner surface of the housing includes an annular projection, and wherein the radial sealing feature comprises a concave recess extending radially inward from the peripheral surface, the concave recess having a cross-sectional profile configured to receive the annular projection of the housing in sealing engagement therewith.
In Example 30, the hemostasis seal member for a medical device. The seal member comprises a generally cylindrical main body portion having a proximal face, a distal face, and a peripheral surface extending between the proximal and distal faces, the main body portion having a first diameter, and a radial sealing feature extending radially inward or outward from the peripheral surface and configured to sealingly engage an inner surface of a hemostasis valve housing.
In Example 31, the hemostasis seal member of Example 30, wherein the radial sealing feature comprises a radial projection extending radially outward from and circumferentially about the peripheral surface of the main body portion, a radial extremity of the radial projection defining a second diameter greater than the first diameter.
In Example 32, the hemostasis seal member of Example 31, wherein the radial projection has a semi-circular cross-sectional profile.
In Example 33, the hemostasis seal member of Example 31, wherein the radial projection has first and second side faces extending radially from the peripheral surface, and a perimeter face extending from the first side face to the second side face.
In Example 34, the hemostasis seal member of Example 30, wherein the radial sealing feature comprises a plurality of spaced radial projections each extending radially outward of and circumferentially about the peripheral surface of the main body.
In Example 35, the introducer sheath assembly of Example 30, wherein the radial sealing feature comprises a concave recess extending radially inward from the peripheral surface, the concave recess having a cross-sectional profile configured to receive an annular projection of the housing in sealing engagement therewith.
While multiple embodiments are disclosed, still other embodiments of the present invention will become apparent to those skilled in the art from the following detailed description, which shows and describes illustrative embodiments of the invention. Accordingly, the drawings and detailed description are to be regarded as illustrative in nature and not restrictive.
While the invention is amenable to various modifications and alternative forms, specific embodiments have been shown by way of example in the drawings and are described in detail below. The intention, however, is not to limit the invention to the particular embodiments described. On the contrary, the invention is intended to cover all modifications, equivalents, and alternatives falling within the scope of the invention as defined by the appended claims.
As shown in
In general, the handle assembly 20 is configured to allow a clinician to manipulate and control the introducer sheath assembly 10, and in particular, includes a mechanism for altering the shape of the distal end portion 27 of the sheath member 15 to assist in navigating the patient anatomy, as explained in further detail below. The hemostasis valve assembly 25 is configured to allow introduction of a payload into the lumen of the sheath member 15 while at the same time inhibiting unintended leakage of fluid from the sheath member 15 into the operating environment and/or aspiration of air into the sheath member 15 lumen.
In the illustrated embodiment, the introducer sheath assembly 10 is a deflectable or steerable introducer sheath, in that the shape or profile of at least the distal end portion 27 of the sheath member 15 can be altered, i.e., by manipulation of a steering mechanism in the handle assembly 20, to facilitate navigation of the patient anatomy.
Deflection of the distal end portion 27 of the sheath member 15 can be effectuated by the inclusion of pull wires (not shown) extending within the sheath member 15 and fixedly connected to the sheath member 15 within the distal end portion 27 at one end, and to the handle assembly 20 at the other end. In various embodiments, these pull wires are each secured to the sheath member 15 near its distal tip 28 (e.g., by attaching the pull wires to an anchor member incorporated into the sheath member 15) such that the distal ends of the pull wires are fixed relative to the sheath member 15. Accordingly, by selectively applying tension to the respective pull wires (e.g., via the steering mechanism incorporated into the handle assembly 20), the distal end portion 27 is deflected. It is noted that the embodiments of the present invention are not in any way limited by the technique by which the pull wires (or other deflection means) are routed through the sheath member 15, secured to the distal end portion 27 thereof, or whether the sheath member 15 is even deflectable.
In addition, except as otherwise discussed herein, the particular construction of the sheath member 15 in the various embodiments is not critical, and thus will not be discussed in great detail. In short, any number of construction details can be utilized for the sheath member 15 within the scope of the embodiments of the present invention. For example, the sheath member can have a single or multiple layer polymer construction, and may or may not include one or more reinforcing elements (e.g., braids, coils, wires, etc.) to enhance the mechanical characteristics, e.g., stiffness, torquability and the like, of the sheath member 15. In one embodiment, the sheath member 15 includes an outer layer of a biocompatible polymer such as a polyether block amide, an inner layer of a lubricious polymeric material such as polytetrafluoroethylene (PTFE), ethylene tetrafluoroethylene (ETFE), silicone, and the like, with a stainless steel braid and/or stainless steel wire coil embedded between the outer and inner polymer layers. In various embodiments, the durometer of the polymeric materials making up the outer and/or inner layers may be varied along the length of the sheath member 15 to further tailor the mechanical characteristics to the needs of the end user. Again, unless specifically discussed herein, the construction of the sheath member 15 is in no way limited to any particular construction.
It is emphasized that the hemostasis valve assembly 25 of the present disclosure, and the claims appended hereto, are not limited to use on a deflectable or steerable sheath. To the contrary, the hemostasis valve assembly 25 can be readily and advantageously used on other types of introducer sheaths and catheters, for example, fixed-shape introducer sheaths and guide catheters.
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As further shown, the main body 70 includes a proximal face 74, a distal face 78, and a peripheral surface 80 extending between the proximal and distal faces 74, 78. As shown, the peripheral surface 80 defines a main body diameter Additionally, in embodiments, the main body 70 includes an access feature 82 extending through the thickness thereof to facilitate insertion of a medical device therethrough. For illustration purposes, the access feature 82 is shown as a slit through the main body 70 from the proximal face 74 to the distal face 78, although in other embodiments the access feature 82 can take on a different form (e.g., circular perforation, multiple intersecting slits, and the like). The particular configuration of the access feature 82 is not critical to the embodiments of the disclosure, and thus any suitable means can be employed to facilitate insertion of the medical device through the seal member 52.
In the illustrated embodiment, the radial sealing feature 72 is in the form of a radial projection 84 extending radially outward from and circumferentially about the peripheral surface 80 of the main body 70. As shown in
In embodiments, the radial sealing feature 72 interacts with the inner surface 58 of the housing 50 to enhance the sealing capability of the combination of the housing 50 and seal member 52 to inhibit undesirable fluid leakage from the hemostasis valve assembly 25 through the proximal opening 54 of the housing 50. The radial sealing feature 72 functions to effectively lengthen potential leak paths between the housing 50 and the seal member 52 without appreciably increasing the overall compression of the seal member 52, which could have undesirable effects (e.g., increasing frictional resistance on the medical device being inserted through the access feature 82).
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The seal member 752 differs from the seal member 52 of
The seal member 852 differs from the seal member 52 of
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It will be appreciated that the radial sealing features of the various embodiments may be interchanged without departing from the cope of the present disclosure. In one non-limiting example, the side projections and/or side recesses shown in
The housing 50 and the various seal members described herein can be constructed using any suitable biocompatible materials known today or later developed. In one embodiment, the seal members can be constructed of a wide range of medical grade silicones or comparable materials using conventional manufacturing techniques. In embodiments, the seal member materials can be treated, e.g., with lubricating materials or surface treatments, to enhance lubricity. In other embodiments, the seal member material may be augmented with additional functional materials, e.g., radiopaque additives to allow the seal member(s) or parts thereof to be visualized under fluoroscopy.
Various modifications and additions can be made to the exemplary embodiments discussed without departing from the scope of the present invention. For example, while the embodiments described above refer to particular features, the scope of this invention also includes embodiments having different combinations of features and embodiments that do not include all of the described features. Accordingly, the scope of the present invention is intended to embrace all such alternatives, modifications, and variations as fall within the scope of the claims, together with all equivalents thereof.
This application claims priority to U.S. Provisional Patent Application No. 63/223,444, filed on Jul. 19, 2021, in the United States Patent and Trademark Office. The disclosure of which is incorporated herein by reference in its entirety.
Number | Date | Country | |
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63223444 | Jul 2021 | US |