Elastic introducer sheath
An elastic percutaneous elastic introducer sheath is disclosed which can locally expand and reduce to accommodate a transcatheter medical device. The elastic introducer sheath includes a non-circumferentially continuous elastic frame, a liner, and a jacket.
1. A surgical access system comprising:
an introducer having a proximal end configured to be externally disposed for providing surgical access to vasculature, a distal end configured to be positioned within vasculature, and an interior lumen that extends between the proximal and distal ends, the interior lumen being configured to expand from a first diameter to a second diameter, the introducer including,
a circumferentially continuous layer of a biocompatible material including a fold at the first diameter,
a non-circumferentially continuous elastic frame disposed over the circumferentially continuous layer,
a non-circumferentially continuous layer of a biocompatible material disposed over the non-circumferentially continuous elastic frame, and
a diameter retention element positioned at the distal end of the introducer to retain the distal end of the introducer at the first diameter, wherein the diameter retention element directly secures the non-circumferentially continuous layer to the circumferentially continuous layer.
2. The surgical access system of claim 1 , wherein the diameter retention element is a pin to fuse the distal end of the introducer.
3. The surgical access system of claim 1 ,
wherein the diameter retention element is a bond between the non-circumferentially continuous layer and the circumferentially continuous layer.
4. The surgical access system of claim 1 ,
wherein the non-circumferentially continuous layer includes a first edge and a second edge such that an overlap region extends between the first edge and the second edge at the first diameter with a segment of the circumferentially continuous layer that comprises the fold extending within the overlap region, and a longitudinal gap extends between the first edge and the second edge at the second diameter,
wherein at the first diameter the diameter retention element extends across one of the first and second edges of the non-circumferentially continuous layer and the fold of the circumferentially continuous layer at the distal end of the introducer.
5. The surgical access system of claim 4 , wherein the fold of the segment of the circumferentially continuous layer unfolds to extend between the first and second edges of the non-circumferentially continuous layer in the second diameter.
6. A surgical access system comprising:
an introducer having a proximal end configured to be externally disposed for providing surgical access to vasculature, a distal end configured to be positioned within vasculature, and an interior lumen that extends between the proximal and distal ends, the interior lumen being configured to expand from a first diameter to a second diameter, the introducer including,
a circumferentially continuous layer of a biocompatible material including a fold at the first diameter,
a non-circumferentially continuous elastic frame disposed over the circumferentially continuous layer,
a non-circumferentially continuous layer of a biocompatible material disposed over the non-circumferentially continuous elastic frame, the non-circumferentially continuous layer including a first edge portion and a second edge portion such that the first edge portion extends over the second edge portion at the first diameter with a segment of the circumferentially continuous layer that comprises the fold being folded to extend therebetween, and
a diameter retention element positioned at the distal end of the introducer to retain the distal end of the introducer at the first diameter,
wherein the diameter retention element is a bond between the fold of the circumferentially continuous layer and at least one of the first edge portion and the second edge portion of the non-circumferentially continuous layer at the distal end of the introducer.
7. The surgical access system of claim 6 , wherein the bond is at least partially positioned in an overlap region of the non-circumferentially continuous layer when the segment is folded and the interior lumen is at the first diameter.
8. The surgical access system of claim 7 , wherein in the overlap region the first edge portion of the non-circumferentially continuous layer is an inner edge portion and the second edge portion of the non-circumferentially continuous layer is an outer edge portion.
9. The surgical access system of claim 8 , wherein the diameter retention element is a bond positioned across at least the outer edge portion of the non-circumferentially continuous layer at the distal end of the introducer.
10. A surgical access system comprising:
an introducer having a proximal end configured to be externally disposed for providing surgical access to vasculature, a distal end configured to be positioned within vasculature, and an interior lumen that extends between the proximal and distal ends, the introducer including an expandable segment configured to expand from a first diameter to a second diameter, the expandable segment being comprised of,
a circumferentially continuous inner layer of a biocompatible material,
a non-circumferentially continuous elastic frame defining along a length of the expandable segment a longitudinal gap at least when the expandable segment is at the second diameter, and
a non-circumferentially continuous outer layer of a biocompatible material, the non-circumferentially continuous outer layer being connected to the non-circumferentially continuous elastic frame and to the circumferentially continuous inner layer to form a wall of the expandable segment, the non-circumferentially continuous outer layer having a longitudinal gap when the expandable segment is in the second diameter and having an overlap region when the expandable segment is in the first diameter; and
a diameter retention element disposed at the distal end of the introducer for retaining a distal end of the expandable segment at the first diameter, wherein the diameter retention element directly secures the non-circumferentially continuous outer layer to the circumferentially continuous inner layer.
11. The surgical access system of claim 10 , wherein the diameter retention element is a bond between the non-circumferentially continuous outer layer and the circumferentially continuous inner layer at least partially positioned in the overlap region.
12. The surgical access system of claim 10 , wherein in the overlap region a first edge portion of the non-circumferentially continuous outer layer is an inner edge portion and a second edge portion of the non-circumferentially continuous outer layer is an outer edge portion.
13. The surgical access system of claim 12 , wherein the diameter retention element is a bond between the non-circumferentially continuous outer layer and the circumferentially continuous inner layer positioned across at least the outer edge portion of the non-circumferentially continuous outer layer at the distal end of the introducer.
14. The surgical access system of claim 10 , wherein in the first diameter a segment of the circumferentially continuous inner layer is folded to extend within the overlap region.
15. The surgical access system of claim 14 , wherein the diameter retention element extends across one of a first edge and a second edge of the non-circumferentially continuous outer layer and a fold of the circumferentially continuous inner layer at the distal end of the expandable segment.
16. The surgical access system of claim 15 , wherein the diameter retention element is a bond between the non-circumferentially continuous outer layer and the circumferentially continuous inner layer.