Augmented delivery catheter and method

1. A medical device for delivery of one or more of medicaments, agents, catheters, or devices into a body channel, the medical device comprising:

an outer sheath having a distal end;

an inner sheath having a distal end, the inner sheath being axially translatable and fitting within the outer sheath; and

an expansile anchor mechanism deployable between collapsed and expanded configurations by axially translating the inner sheath and the outer sheath relative to one another,

wherein the expansile anchor mechanism comprises a fluid permeable section comprising a fluid permeable mesh configured to engage a wall of the body channel and exert a controlled axial force against the wall when in the expanded configuration,

wherein the expansile anchor mechanism is configured to at least partially obstruct fluid flow in the body channel when in the expanded configuration within the body channel, and

wherein the expansile anchor mechanism, when in the expanded configuration, comprises a channel therethrough, wherein the channel is in fluid communication with a lumen of the inner sheath and configured to deliver the one or more medicaments, agents, catheters, or devices into the body channel when the expansile anchor mechanism is in the expanded configuration.

2. The device of claim 1 , wherein the expansile anchor mechanism comprises a distal end coupled to the distal end of the outer sheath and a proximal end coupled to the distal end of the inner sheath.

3. The device of claim 1 , wherein the expansile anchor mechanism comprises a proximal end coupled to the distal end of the inner sheath and a free distal end, wherein the expansile anchor mechanism is self-expanding.

4. The device of claim 1 , wherein the expansile anchor mechanism comprises a tubular shape in the collapsed configuration and a non-tubular shape in the expanded configuration.

5. The device of claim 4 , wherein the non-tubular shape is a funnel shape, a conical shape, an umbrella shape, or a ring shape.

6. The device of claim 1 , wherein the mesh comprises two or more materials of variable strength.

7. The device of claim 1 , wherein the mesh comprises a fabric material.

8. The device of claim 1 , wherein the expansile anchor mechanism is configured to provide fluid flow distal to the distal end of the outer sheath.

9. The device of claim 1 , further comprising a locking mechanism operably coupled to the inner and outer sheaths and configured to lock the expansile anchor mechanism in the expanded configuration when the inner and outer sheaths are axially translated relative to one another to deploy the expansile anchor mechanism.

10. A method of delivering of one or more of medicaments, agents, catheters, or devices into a body channel, the method comprising:

advancing a medical device to a target site;

expanding an expansile anchor mechanism of the medical device from a collapsed configuration to an expanded configuration at the target site, wherein expanding the expansile anchor mechanism comprises translating outer and inner sheaths of the medical device relative to one another to deploy the expansile anchor mechanism in the target site, and wherein the expansile anchor mechanism is configured to at least partially obstruct fluid flow in the body channel when in the expanded configuration within the body channel;

exerting a controlled axial force against the wall of the body channel with the expansile anchor mechanism in the expanded configuration, wherein the expansile anchor mechanism comprises a fluid permeable section comprising a fluid permeable mesh; and

delivering one or more medicaments, agents, catheters, or devices into the body channel through a channel in the expansile anchor mechanism, wherein the channel is in fluid communication with a lumen of the inner sheath.

11. The method of claim 10 , wherein the expansile anchor mechanism comprises a distal end coupled to the distal end of the outer sheath and a proximal end coupled to the distal end of the inner sheath.

12. The method of claim 10 , wherein the expansile anchor mechanism comprises a proximal end coupled to the distal end of the inner sheath and a free distal end, wherein the expansile anchor mechanism is self-expanding.

13. The method of claim 10 , wherein the expansile anchor mechanism comprises a tubular shape in the collapsed configuration and a non-tubular shape in the expanded configuration.

14. The method of claim 13 , wherein the non-tubular shape is a funnel shape, a conical shape, an umbrella shape, or a ring shape.

15. The method of claim 10 , wherein exerting the controlled axial force against the wall of the body channel anchors a distal end of the medical device in the body channel.

16. The method of claim 10 , wherein advancing the medical device comprises advancing the medical device coaxially over a guide wire, advancing the medical device coaxially over a diagnostic catheter, or advancing the medical device coaxially through a guide catheter.

17. The method of claim 10 , further comprising regulating or throttling fluid flow or reflux within the body channel by shifting the expansile anchor mechanism between the expanded configuration and a collapsed configuration.

18. The method of claim 10 , further comprising locking the expansile anchor mechanism in the expanded configuration while delivering the one or more medicaments, agents, catheters, or devices into the body channel.

19. The method of claim 10 , wherein said target site comprises one or more of a site proximal to one or more of a vessel occlusion, a vessel obstruction, a vessel stenosis, a vessel tortuosity, a vessel stenosis, a vessel lesion to be treated, a vessel clot, a tumor supplied by a vessel, an organ, an organ supplied by a vessel, or a proximal portion of a branch vessel.

20. The method of claim 10 , wherein expanding the expansile anchor mechanism into the expanded configuration centers the lumen of the inner sheath within the body channel.