Catheter system for introducing expandable medical device and methods of using same
A catheter system includes a catheter, a recovery sheath, and an outer sheath assembly. The catheter includes an elongate body having an expandable medical device coupled with a distal end thereof. The recovery sheath is disposed around a proximal section of the catheter body, and is sized and shaped to receive the expandable medical device therein. The recovery sheath is axially movable relative to the catheter body. The outer sheath assembly includes an outer sheath disposed over the catheter body. The outer sheath includes an elongate body that extends from a proximal end to a distal end, where the proximal end of the outer sheath body is positioned distally of the recovery sheath. The outer sheath includes a retention section sized and shaped to receive the expandable medical device therein and constrain the expandable medical device in a stored configuration. The outer sheath is removable from the catheter body.
1 . A mechanical circulatory support device for supporting patient during a medical treatment, the blood pump comprising:
a catheter comprising an elongate catheter body;
an expandable blood pump operable through the elongate catheter body when deployed from the elongate catheter body; and
an introducer sheath sized and shaped to receive the expandable blood pump and maintain the expandable blood pump in a collapsed state for advancement of the expandable blood pump through a patient's vasculature, wherein the introducer sheath is removable from the elongate catheter body to remove a corresponding obstruction of blood flow in the patient's vasculature by the introducer sheath;
a second sheath separately provided from the introducer sheath, the second sheath insertable into the patient's vasculature after the introducer sheath is separated from the elongate catheter body.
2 . The mechanical circulatory support device of claim 1 , wherein the introducer sheath is configured with at least one longitudinally-extending separation zone.
3 . The mechanical circulatory support device of claim 2 , wherein the at least one longitudinally-extending separation zone extends between opposing ends of the introducer sheath.
4 . The mechanical circulatory support device of claim 1 , wherein the introducer sheath is configured with at least one separable seam.
5 . The mechanical circulatory support device of claim 1 , wherein the expandable blood pump includes a self-expanding impeller.
6 . The mechanical circulatory support device of claim 1 , wherein the introducer sheath further includes a first handle and a second handle, the introducer sheath being removable via oppositely applied force applied to the respective first and second handle.
7 . The mechanical circulatory support device of claim 1 , wherein the introducer sheath is separable into unattached first and second pieces.
8 . The mechanical circulatory support device of claim 1 , wherein the elongate catheter body has an outer diameter between 8 Fr and 10 Fr, and wherein the introducer sheath has an outer diameter between 10 Fr and 12 Fr.
9 . The mechanical circulatory support device of claim 1 , wherein the second sheath is configured to seal an incision site previously occupied by the introducer sheath.
10 . The mechanical circulatory support device of claim 1 , wherein the second sheath comprises a recovery sheath configured to retrieve the expandable blood pump at the conclusion of the medical treatment.
11 . A method for providing mechanical circulatory support device for a patient during a medical treatment, the method implemented with a catheter system including an elongate catheter body, an expandable blood pump operable through the elongate catheter body to provide the mechanical circulatory support device for the patient, and an introducer sheath surrounding the expandable blood pump and at least a portion of the elongate catheter body to locate the expandable blood pump to a desired treatment location in the patient, wherein the method comprises:
positioning the catheter system within a vasculature of the patient;
deploying the expandable blood pump from the introducer sheath in order to provide the mechanical circulatory support at a desired treatment location;
removing the introducer sheath from the catheter system while the expandable blood pump remains at the desired treatment location, thereby reducing a diameter of the remaining catheter system in situ to reduce a physical stress on the vasculature of the patient;
providing a second sheath separate from the introducer sheath; and
after the introducer sheath has been removed, inserting the second sheath into a patient's vasculature while the expandable blood pump remains deployed.
12 . The method of claim 11 , the method further comprising separating the introducer sheath from the catheter system along a longitudinally-extending separation zone.
13 . The method of claim 11 , further comprising withdrawing the introducer sheath from the vasculature while removing the introducer sheath.
14 . The method of claim 11 , further comprising removing the introducer sheath from the catheter system body along at least one separable seam.
15 . The method of claim 14 , further comprising withdrawing the introducer sheath from the vasculature of the patient while separating the seam.
16 . The method of claim 11 , wherein the introducer sheath includes a first handle and a second handle, the method further comprising removing the sheath from the catheter system with the first handle and the second handle.
17 . The method of claim 11 , wherein the introducer sheath includes a first separation zone and a second separation zone positioned diametrically opposite the first separation zone, the method further including simultaneously separating the introducer sheath from the catheter system along the first separation zone and the second separation zone.
18 . The method of claim 17 , wherein simultaneously separating the introducer sheath from the elongate catheter body comprises separating the introducer sheath into unattached first and second pieces.
19 . The method of claim 11 , wherein the second sheath comprises a recovery sheath configured to retrieve the expandable blood pump at the conclusion of the medical treatment, the recovery sheath sealing an incision site of the patient after the introducer sheath is removed.
20 . The method of claim 11 , wherein the expandable blood pump includes a cannula and an impeller.