Introducer with dynamic dilator and methods of using the same
Medical devices and methods of using medical devices are described herein. More particularly, the disclosure relates to introducers suitable for providing access to a body vessel and methods of using introducers. An example introducer comprises a sheath and a dilator moveably disposed within the sheath. The distal end of the dilator has a closed configuration and an open configuration and movement between the open and closed configurations can be accomplished by applying a proximally-directed force on the sheath such that the sheath moves in a proximal direction relative to the dilator.
1. An introducer, comprising:
a sheath having a sheath proximal end, a sheath distal end, a sheath main body extending between the sheath proximal end and the sheath distal end, and a sheath longitudinal axis, the sheath main body defining a sheath lumen; and
a dilator disposed within the sheath lumen and moveable between a closed configuration and an open configuration, the dilator having a dilator proximal end, a dilator distal end, a dilator main body extending between the dilator proximal end and the dilator distal end, and defining a dilator inner passageway, a first lateral portion, and a second lateral portion, the first and second lateral portions opposably positioned with respect to the sheath longitudinal axis, the first lateral portion having a first lateral portion inner surface and a first lateral portion thickness that tapers from a first location between the dilator proximal end and the dilator distal end toward the dilator distal end, the second lateral portion having a second lateral portion inner surface and a second lateral portion thickness that tapers from a second location between the dilator proximal end and the dilator distal end toward the dilator distal end, the first lateral portion inner surface contacting the second lateral portion inner surface when the dilator is in the closed configuration, the first lateral portion inner surface free from contact with the second lateral portion inner surface when the dilator is in the open configuration, the dilator having a first outside diameter at the distal end when the dilator is in the closed configuration and a second outside diameter at the distal end when the dilator is in the open configuration, the second outside diameter greater than the first outside diameter;
wherein proximally-directed movement of the sheath along the sheath longitudinal axis relative to the dilator results in movement of the dilator from the closed configuration to the open configuration and radially-outward movement of the first and second lateral portions relative to the sheath longitudinal axis.
2. The introducer of claim 1 , wherein in the closed configuration the first lateral portion and the second lateral portion are adjacent and contacting each other and in the open configuration the first lateral portion and second lateral portion are spaced from each other with respect to the sheath longitudinal axis.
3. The introducer of claim 1 , wherein the first lateral portion inner surface is disposed on a first plane that is substantially parallel to the sheath longitudinal axis when the dilator is in the closed configuration.
4. The introducer of claim 3 , wherein the second lateral portion inner surface is disposed on a second plane that is substantially parallel to the sheath longitudinal axis when the dilator is in the closed configuration.
5. The introducer of claim 1 , wherein first lateral portion and second lateral portion cooperatively define an opening on the dilator distal end when the dilator is in the closed configuration.
6. The introducer of claim 1 , wherein each of the first lateral portion and second lateral portion has a first configuration when the dilator is in the closed configuration and a second configuration when the dilator is in the open configuration, the second configuration different than the first configuration.
7. The introducer of claim 1 , wherein the dilator is biased to the open configuration.
8. The introducer of claim 1 , wherein each of the first lateral portion and second lateral portion is biased to the open configuration.
9. The introducer of claim 1 , wherein the dilator is formed of a single material.
10. The introducer of claim 1 , wherein the dilator is formed of at least two materials.
11. The introducer of claim 10 , wherein the dilator has a dilator proximal portion extending from the dilator proximal end toward the dilator distal end, the dilator proximal portion formed of stainless steel; and
wherein the dilator has a dilator distal portion extending from the dilator distal end toward the dilator proximal end, the dilator distal portion formed of a shape memory alloy.
12. The introducer of claim 1 , wherein the dilator has a dilator length extending from the dilator proximal end to the dilator distal end;
wherein the sheath has a sheath length extending from the sheath proximal end to the sheath distal end; and
wherein the dilator length is greater than the sheath length.
13. The introducer of claim 1 , wherein the sheath has a third outside diameter; and
wherein the second outside diameter is greater than the third outside diameter.
14. An introducer, comprising:
a sheath having a sheath proximal end, a sheath distal end, a sheath main body extending between the sheath proximal end and the sheath distal end, a sheath length extending from the sheath proximal end to the sheath distal end, and a sheath longitudinal axis, the sheath main body defining a sheath lumen and having a first outside diameter; and
a dilator disposed within the sheath lumen and moveable between a closed configuration and an open configuration, the dilator having a dilator proximal end, a dilator distal end, a dilator main body extending between the dilator proximal end and the dilator distal end, a dilator length extending from the dilator proximal end to the dilator distal end, and defining a dilator inner passageway, a first lateral portion, and a second lateral portion, the dilator length greater than the sheath length, the first and second lateral portions opposably positioned with respect to the sheath longitudinal axis, the first lateral portion having a first lateral portion inner surface and a first lateral portion thickness that tapers from a first location between the dilator proximal end and the dilator distal end toward the dilator distal end, the second lateral portion having a second lateral portion inner surface and a second lateral portion thickness that tapers from a second location between the dilator proximal end and the dilator distal end toward the dilator distal end, the first lateral portion inner surface contacting the second lateral portion inner surface when the dilator is in the closed configuration, the first lateral portion inner surface free from contact with the second lateral portion inner surface when the dilator is in the open configuration, the dilator having a second outside diameter at the distal end when the dilator is in the closed configuration and a third outside diameter at the distal end when the dilator is in the open configuration, the third outside diameter greater than the first outside diameter and the second outside diameter;
wherein proximally-directed movement of the sheath along the sheath longitudinal axis relative to the dilator results in movement of the dilator from the closed configuration to the open configuration and radially-outward movement of the first and second lateral portions relative to the sheath longitudinal axis; and
wherein in the closed configuration the first lateral portion and the second lateral portion are adjacent and contacting each other and in the open configuration the first lateral portion and second lateral portion are spaced from each other with respect to the sheath longitudinal axis.
15. The introducer of claim 14 , wherein the first lateral portion inner surface is disposed on a first plane that is substantially parallel to the sheath longitudinal axis when the dilator is in the closed configuration; and
wherein the second lateral portion inner surface is disposed on a second plane that is substantially parallel to the sheath longitudinal axis when the dilator is in the closed configuration.
16. The introducer of claim 14 , wherein first lateral portion and second lateral portion cooperatively define an opening on the dilator distal end when the dilator is in the closed configuration.
17. The introducer of claim 14 , wherein each of the first lateral portion and second lateral portion has a first configuration when the dilator is in the closed configuration and a second configuration when the dilator is in the open configuration, the second configuration different than the first configuration.
18. The introducer of claim 14 , wherein the dilator is biased to the open configuration.
19. The introducer of claim 14 , wherein each of the first lateral portion and second lateral portion is biased to the open configuration.
20. An introducer, comprising:
a sheath having a sheath proximal end, a sheath distal end, a sheath main body extending between the sheath proximal end and the sheath distal end, a sheath length extending from the sheath proximal end to the sheath distal end, and a sheath longitudinal axis, the sheath main body defining a sheath lumen and having a first outside diameter; and
a dilator disposed within the sheath lumen and moveable between a closed configuration and an open configuration, the dilator having a dilator proximal end, a dilator distal end, a dilator main body extending between the dilator proximal end and the dilator distal end, a dilator length extending from the dilator proximal end to the dilator distal end, and defining a dilator inner passageway, a first lateral portion, and a second lateral portion, the dilator length greater than the sheath length, the first and second lateral portions opposably positioned with respect to the sheath longitudinal axis and cooperatively defining an opening on the dilator distal end when the dilator is in the closed configuration, the first lateral portion having a first lateral portion inner surface and a first lateral portion thickness that tapers from a first location between the dilator proximal end and the dilator distal end toward the dilator distal end, the first lateral portion inner surface disposed on a first plane that is substantially parallel to the sheath longitudinal axis when the dilator is in the closed configuration, the second lateral portion having a second lateral portion inner surface and a second lateral portion thickness that tapers from a second location between the dilator proximal end and the dilator distal end toward the dilator distal end, the second lateral portion inner surface disposed on a second plane that is substantially parallel to the sheath longitudinal axis when the dilator is in the closed configuration, the first lateral portion inner surface contacting the second lateral portion inner surface when the dilator is in the closed configuration, the first lateral portion inner surface free from contact with the second lateral portion inner surface when the dilator is in the open configuration, the dilator having a second outside diameter at the distal end when the dilator is in the closed configuration and a third outside diameter at the distal end when the dilator is in the open configuration, the third outside diameter greater than the first outside diameter and the second outside diameter;
wherein proximally-directed movement of the sheath along the sheath longitudinal axis relative to the dilator results in movement of the dilator from the closed configuration to the open configuration and radially-outward movement of the first and second lateral portions relative to the sheath longitudinal axis; and
wherein in the closed configuration the first lateral portion and the second lateral portion are adjacent and contacting each other and in the open configuration the first lateral portion and second lateral portion are spaced from each other with respect to the sheath longitudinal axis.